September 29, 2011
Journal Club: Atul Gawande's 'Cowboys and Pit Crews'
The dialogue focused on Atul Gawande’s Cowboys and Pit Crews and an article from the New England Journal of Medicine, Incomplete Care – On the Trail of Flaws in the System. Gawande implores health care providers to tackle the complexities of care provision through efficient teamwork, honest evaluations of performance and better systems design. These topics provided a rich framework by which we discussed the real-life challenges of preventing a systems-based error in identifying and providing asplenic adults with pneumococcal vaccines.
Dr. Dan Hyman, Chief Quality Officer at Colorado Children’s Hospital, also engaged in the discussion.
September
7, 2011
The Story of Michael Skolnik (Movie)
In
“The Story of Michael Skolnik,” viewers are compelled to rethink the critical
role that shared decision-making and informed consent play in patient safety
and transparency. This emotionally engaging program tells the story of Michael
Skolnik, an intelligent, compassionate young man who died at age 25 after a
three- year ordeal following brain surgery. Michael’s parents, Patty and David
Skolnik, are joined by industry visionaries who together challenge viewers to
consider how fully informed consent, true shared decision-making, and open and
honest communication can change outcomes, how it could have changed the outcome
for Michael, can change outcomes for countless others, and in the process
reduce risk for institutions and the dedicated providers who care so deeply.
August
5-7, 2011
IHI Summer
Immersion
This Boston-based program offers a deep dive into the world
of IHI. Participants will have the opportunity to learn about improvement
methods directly from IHI experts, and will choose breakout sessions on topics
of interest.
July 13, 2011
"The Faces of Medical Error...From Tears to Transparency: The Story of Lewis Blackman"
"The Story of Lewis Blackman"
recounts the story of a 15-year-old boy who died as a result of a medical error
during a low-risk medical procedure. Through an emphasis on the emotional
and human side of medical errors, the film charges healthcare workers, educators,
policymakers and consumers to strive for disclosure and transparency in a
healthcare setting.
This award-winning film offers insight
into the patient’s perspective through the words of Lewis’ mother, Helen
Haskell, and other patient safety experts including Lucian Leape, MD, Tim
McDonald, MD, JD, Bob Galbraith, MD, David Mayer, MD and Rosemary
Gibson. The Story of Lewis Blackman provides a powerful look at the
impact of medical error and further, the urgent need for practices and principles
that reduce preventable medical errors.
April 12, 2011
IHI Journal Club discusses ‘The Bell Curve’ – Atul Gawande
The IHI Journal Club is an opportunity for
students and faculty of all disciplines to discuss salient issues in quality
improvement and patient safety in healthcare. We invite students and faculty to
engage in discussion at our meeting on Tuesday, April 12th from 3:15-4:45pm in
Ed 2 North 3108.
The dialogue will focus on Atul Gawande’s The
Bell Curve, an article that highlights the challenges and benefits of
improving transparency between providers and patients with regards to provider
performance and patient health outcomes. Drawing from the lessons of
Gawande’s article, we will also discuss current efforts to provide quality
performance information for patients at major US hospitals. Please read
the article prior to attending the session and come ready to participate! The
article will be sent to those that RSVP.
February 10, 2011
IHI Journal Club discusses ‘Escape Fire’ – Don Berwick
The IHI Journal Club is an opportunity for
students and faculty of all disciplines to discuss salient issues in quality
improvement and patient safety in healthcare. We invite students and faculty to
engage in discussion at our first meeting on Thursday, February 10th in Ed2
North P28-1103.
The dialogue will focus on Don Berwick’s, Escape
Fire, an article that highlights portable lessons from non-health and personal
perspectives to guide and inform decision-making in the healthcare
sphere. Application of Berwick’s lessons will provide a framework for
discussing the nature of medical errors and improved individual and
organizational-level responses.