Health innovation for patient safety improvement.

False Dawns and New Horizons in Patient Safety Research and Practice

In response to a weight of evidence that patients are frequently harmed as a result of their care, there have been concerted efforts to make healthcare safer, with health systems across the globe investing significant resources in policies and programmes designed to reduce adverse events. Yet, despite extensive efforts, improvements in safety have proved difficult to sustain and spread, with st...

Governing Collaborative Healthcare Improvement: Lessons From an Atlantic Canadian Case

The Atlantic Healthcare Collaboration for Innovation and Improvement in Chronic Disease (AHC) Quality Improvement Collaborative (QIC) in Eastern Canada provided an approach to spur system-level reform across multiple health systems for patients and families living with chronic disease. Developed and led by senior executives with a unique governance approach and involving clinical front-line tea...

Governance Must Dive Into Organizations to Make a Real Difference; Comment on “Governance, Government, and the Search for New Provider Models”

In their 2016 article, Saltman and Duran provide a thoughtful examination of the governance challenges involved in different care delivery models adopted in primary care and hospitals in two European countries. This commentary examines the limited potential of structural changes to achieve real reform and considers that, unless governance arrangements actually succeed in penetrating organizatio...

Influence of Training on Patient Safety Culture: a Nurse Attitude Improvement Perspective

Background and Objectives: Medical Errors and adverse events have recently turned into one of the predominant concerns of health-policy makers and health services providers. Promoting safety culture is fundamental to sustainable safety improvement in healthcare settings. The purpose of this study was to examine the effect of training on nurses’ attitudes towards safety culture.   Methods: A ...

Stories from the sharp end: case studies in safety improvement.

Motivated by pressure and a wish to improve, health care organizations are implementing programs to improve patient safety. This article describes six natural experiments in health care safety that show where the safety field is heading and opportunities for and barriers to improvement. All these programs identified organizational culture change as critical to making patients safer, differing c...

Where is Patient Safety Research and Practice Heading? A Response to Recent Commentaries