Simulation in the executive suite: lessons learned for building patient safety leadership

Source:  Simulation in Healthcare 10/6 pp. 372-377

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Date of publication:  December 2015

Publication type:  Journal article

In a nutshell: This article examines the impact of simulation in building strategic leadership competencies for patient safety and quality among executive leaders in health care organizations. This study illustrates the potential value of simulation as a mechanism for learning and strategy development for executive leaders grappling with patient safety issues. Future research should explore the cognitive or functional fidelity of organizational simulations and the use of custom scenarios for strategic planning.

Length of publication:  6 pages

Improving health care quality and safety: the role of collective learning

Source:  Dove Press 2015/7 pp. 91—107

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Date of publication:  November 2015

Publication type:  Journal article

In a nutshell:  Despite decades of effort to improve quality and safety in health care, this goal feels increasingly elusive. Successful examples of improvement are infrequently replicated. This scoping review synthesizes 76 empirical or conceptual studies (out of 1208 originally screened) addressing learning in quality or safety improvement, that were published in selected health care and management journals between January 2000 and December 2014 to deepen understanding of the role that collective learning plays in quality and safety improvement. The review highlights the importance of leadership in both promoting a supportive learning environment and implementing learning processes.

Length of publication:   17 pages

Do large-scale hospital- and system-wide interventions improve patient outcomes: a systematic review

Source:  BMC Health Services Research 14/1 pp.369

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Date of publication:  September 2014

Publication type:  Journal article

In a nutshell: The authors of this review assessed the impact of hospital and system-wide interventions to improve patient safety. Studies which measured outcomes two years after implementation or more were more likely to show improved outcomes. It was difficult to assess the impact of organisational culture or other determinants. Effective leadership and clinical champions, adequate financial and educational resources and dedicated promotional activities may have a significant impact.

Length of Publication:  1 web page

Human factors in clinical handover: development and testing of a ‘handover performance tool’ for doctors’ shift handovers.

Source: Int J Qual Health Care  [Epub ahead of print]

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Date of publication:  December 2012

Publication type: Journal article

In a nutshell: This observational study tested a tool to help clinicians assess the quality and safety of shift handovers. The emphasis was on non-technical skills such as communication, teamwork, leadership, situation awareness and task management. Doctors at one hospital in England helped validate the tool, and handovers were videoed for analysis by human factors experts. Good communication was most likely to be associated with high quality ratings of handovers, followed by teamwork and situation awareness.

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