Healthcare professionals should use the best available information to drive improvement in the safety and quality of healthcare. We hold a monthly Journal Club to stimulate debate and discussion, encourage a culture of learning and enquiry, and generate ideas regarding our business activities. To promote important literature in healthcare safety and quality, and to drive improvement, we publish articles and papers discussed at our Journal Club.
The World Health Organization (WHO) states that ‘patient safety education has not kept pace with other advances in patient safety, nor with workforce requirements. The introduction of patient safety in health professional education is therefore necessary and timely’. The 2011 WHO Patient Safety Curriculum Guide lays the foundation for capacity-building in essential patient safety principles and concepts.
- Szmania SJ, Johnson AM, Mulligan M. Alternative Dispute Resolution in Medical Malpractice: A Survey of Emerging Trends and Practices. Conflict Resolution Quarterly. 2008; 26(1):71-96.
- Bismark, MM, Spittal, MJ, Studdert, DM. Prevalence and characteristics of complaint-prone doctors in private practice in Victoria. MJA; 2011; 195(1);25-28.
- Pichert J, Hickson G, Moore I. Using patient complaints to promote safety. Advances in Patient Safety: New directions and alternative approaches (Vol 2: Culture and redesign). Agency for Healthcare Research and Quality. 2008.
- Bismark M, Brennan R, Paterson R et al. Relationship between complaints and quality of care in New Zealand: a descriptive analysis of complainants and non-complainants following adverse events. Quality and Safety in Health Care. 2006; 15:17-22.
Organisational and behavioural change
- Bagian JP, King BJ, Mills PD, McKnight SD.Improving RCA performance: the Cornerstone Award and the power of positive reinforcement. BMJ Quality & Safety. 2011 Published Online First 20 July 2011
- Tucker A, Edmondson A. Why hospitals don't learn from failures: organisational and psychological dynamics that inhibit system change. California Management Review. 2003; 45(2):55-72.
- Volpp K, Grande D. Residents' suggestions for reducing errors in teaching hospitals. New England Journal of Medicine. 2003; 348(9):851-5.
- Leape LL, Berwick D, Clancy C, Conway J, Gluck P, Guest J, Lawrence D, Morath J, O’Leary D, O’Neill P, Pinakiewic D, Isaac T. Transforming healthcare: a safety imperative. Quality & Safety in Health Care. 2009; 18:424‐428.
- Gawande A. Complications: A Surgeon’s Notes on an Imperfect Science. New York: Picador; 2002. (Book)
- Gawande A. Better: A Surgeon’s Notes on Performance. New York: Picador; 2007. (Book)
- Gawande A. The Checklist Manifesto: How to Get Things Right. New York: Picador; 2009. (Book)
- Classen DC, Resar R, Griffin F, Federico F, Frankel T, Kimmel N,Whittington JC, Frankel A, Seger A, James BC. 'Global Trigger Tool' Shows That Adverse Events In Hospitals May Be Ten Times Greater Than Previously Measured. Health Affairs. 2011; 30(4):581-589
- Wu A, Lipshutz A, Pronovost P. Effectiveness and efficiency of root cause analysis in medicine. JAMA. 2008 Feb 13; 299(6):685-687
- Haynes AB, Weiser TG, Berry WR, Lipsitz, SR, Breizat AS, Dellinger EP, Herbosa T, Joseph S, Kibatala PL, Lapitan, Merry AF, Moorthy K, Reznick RK, Taylor B, Gawande AA. A surgical safety checklist to reduce morbidity and mortality in a global population. New England Journal of Medicine. 2009; 360(5):491-9.
- Levtzion-Korach O, Frankel A, Alcalai H, Keohane C, Orav J, Graydon-Baker E, Barnes J, Gordon K, Puopulo AL, Tomov EI, Sato L, Bates DW. Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant. The Joint Commission Journal on Quality and Patient Safety. 2010; 36(9):402-410.
Using data for improvement
- Neuburger J, Cromwell DA, Hutchings A, Black N, van der Meulen JH. Funnell plots for comparing provider performance based on patient-reported outcome measures. BMJ Quality & Safety. 2011 Published Online First: 15 June 2011
- Spiegelhalter D, Grigg O, Kinsman R, Treasure T. Risk-adjusted sequential probability ratio tests: application to Bristol, Shipman and adult cardiac surgery. International Journal for Quality in Health Care. 2003; 15(1):7-13.
- Lim TO, Soraya A, Ding LM, Morad Z. Assessing doctors’ competence: application of CUSUM technique in monitoring doctors’ performance. International Journal for Quality in Health Care. 2002; 14(3)251-8.
- Duckett S, Coory M, and Sketcher-Baker K. Identifying variations in quality of care in Queensland hospitals. Medical Journal of Australia. 2007; 187(10):571-5. [abstract only]
- Jackson TJ, Michel JL, Roberts RF, Jorm CM, Wakefield JG. A classification of hospital-acquired diagnoses for use with routine hospital data. Medical Journal of Australia. 2009; 191(10):544-548.