Tapping Front-Line Knowledge: Identifying Problems as They Occur Helps Enhance Patient Safety

​Luther K, Resar RK. Tapping front-line knowledge. Healthcare Executive. 2013 Jan/Feb;28(1):84-87.

This article describes a methodology, developed and tested by IHI and Cedars-Sinai Medical Center, that helps front-line staff to "see" patient safety problems in their systems and enables them to solve the problems and share that learning with others. The methodology is constructed around an informal unit visit and designed to be a “conversation” about safety issues, versus an inspection or evaluation, with specific staff duties and desired outcomes also articulated.


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