Tag Archive for ‘risk reduction’
The Global Tracheostomy Collaborative: Multidisciplinary quality improvement in tracheostomy care
The Global Tracheostomy Collaborative’s mission is highlighted as are the five key drivers of tracheostomy care improvement.
Letters to the Editor
A letter regarding a recent article published in the Bulletin and the author’s response are featured.
Evolving insights for preventing surgeon errors: Balancing professionalism and cognition with knowledge and skill
This month’s cover story outlines how cognition and self-reflection affect performance and outcomes and provides a sample case describing how behavioral factors likely contributed to an adverse event.
Blameless or blameworthy errors: Does your organization make a distinction?
The aim of creating a safety culture within health care organizations is to balance learning with accountability, assess errors and patterns in a uniform manner, and eliminate unprofessional or intimidating behaviors.