HiQuiPs Scholar's Corner

Welcome to Scholar's Corner, an open access collection of foundational health informatics, quality improvement and patient safety articles. Our aim is to increase the quality of education and research in the fields above, and we hope that this repository acts as a first-step to anyone interested in exploring the field in more detail. 

We welcome any contributions for other foundational articles in this field. If interested, please fill out this  Google Form.

Study Title
Study Type
Description
Category
Framework
This commentary offers strategies to address the challenge of balancing accountability with the progressive "no blame" spirit of patient safety.
Patient Safety
Review
A review looking at the definition of safety and error and discussing approaches to measuring safety to investigate incidents that unveil how the systems under which care is delivered may contribute to adverse incidents.
Patient Safety
Intervention
A "bundle" of interventions and care processes led to an average reduction of ventilator-associated pneumonia rates of 44.5 percent over 35 ICUs.
Patient Safety
Intervention
This multi-centre cohort study showed that five simple evidence-based procedures led to a large and sustained reduction of Central Line Associated Bloodstream Infections of up to 66% in the ICU.
Patient Safety
Qualitative
This wide-scoping review looked at what properties and subcultures make up a "patient safety culture".
Patient Safety
Intervention
A multimodal patient safety intervention improved safety climate, teamwork climate, and nurse turnover rates on a surgical inpatient floor.
Patient Safety
Qualitative
A multimodal patient safety intervention improved safety culture, length of stay, medication errors, and nursing turnover in two ICUs.
Patient Safety
Intervention
The authors provide five recommendations for how to integrate ergonomics and human factors principles into patient safety efforts.
Patient Safety
Cohort study
This comprehensive review identified 22 patient safety strategies which have high evidence of effectiveness and are ready for implementation.
Patient Safety
Review
A novel discharge medication reconcilliation intervention elimated nearly all medication errors in an ICU after 24 weeks.
Patient Safety
Intervention
This study looked at the implementation and impact of the comprehensive unit-based safety program in ICUs across the state of Michigan
Patient Safety
Intervention
The authors provide pragmatic recommendations for how to evaluate progress in patient safety research.
Patient Safety
Commentary
This comprehensive review identified important patient safety practices and recommended 22 practices for adoption.
Patient Safety
Framework
An international group of experts developed criteria and recommendations to improve the design, evaluation, and reporting of research in patient safety.
Patient Safety
Qualitative
This qualitative survey of international patient safety experts identified five key challenges for why incident reporting has not reached it's potential in healthcare.
Patient Safety
Review
The authors propose a model to evaluate improvements in patient safety.
Patient Safety
Review
The authors identify diagnostic errors as an important source of preventable harm and therefore a promising area for patient safety research.
Patient Safety
Intervention
This prospective study evaluated the frequency and type of factors involved in incidents reported to a novel Patient Safety Reporting System, ultimately looking at PSRSs can be helpful in increasing patient safety.
Patient Safety
Framework
This commentary provides recommendations for how hospital boards and medical staff members can work together to improve health care quality.
Patient Safety
Commentary
This study found that certain patient safety climate characteristics were associated with lower central line-associated bloodstream infections across 237 ICUs.
Patient Safety
Intervention
This commentary discussed how care systems in ICUs affect patient safety in response to "To Err is Human".
Patient Safety
Intervention
This article describes a successful novel intervention in which senior hospital executives each adopt an intensive care unit and work towards improving patient safety.
Patient Safety
Qualitative
This article provides a four-part framework to measure patient safety in ICUs.
Patient Safety
Review
This review critically appraised the evidence for 79 patient safety practices in terms of effectiveness.
Patient Safety
Commentary
A groundbreaking perspective on theories of human error. James Reason's theories on system approaches to error led to the well-known Swiss Cheese model.
Patient Safety
Systematic review
A system review on quality improvement and patient safety for medical students and/or residents shows that programs target trainees usually improve learners’ knowledge and frequently result in changes in clinical processes.
Quality Improvement
Commentary
The authors provide a detailed context and framing on organizations, culture and their interplay in quality improvement
Quality Improvement
Medical Education
The authors write a convincing commentary on several studies on teaching and experiential learning in QI
Quality Improvement
Narrative Review
Describes small-scale testing, namely Plan-Do-Study-Act (PDSA) cycles are explained
Quality Improvement + Patient Safety
Medical education
The authors conducted a review of quality improvement and patient safety (QIPS) curricular best practices and barriers to implementation of successful QIPS curricula and provided clear solutions aimed at overcoming these barriers
Quality Improvement
Commentary
The authors provide a comprehensive overview of the challenges in QI and provide suggestions on improving the quality of quality improvement
Quality Improvement
Commentary
A summary of basic methods for improving complex systems, including implications for leadership deeds, and exploring the Model for Improvement originally developed by Associates in Process Improvement.
Quality Improvement
Systematic review
The authors evaluated the published literature on existing safety and QI curricula, and found that curricula were generally popular among trainees and resulted in increased knowledge of safety or QI concepts.
Quality Improvement
Commentary
The paper provides a definition of quality in healthcare settings and outlines a freamwork on the processes and outcomes that can be studied
Quality Improvement
Framework
Squire 2.0 guidelines provide a framework on reporting new quality improvement knowledge
Quality Improvement
Commentary
The authors recommend targeted surveillance to identify interventions that improve outcomes in order to drive progress in safety improvement.
Quality Improvement
Commentary
Th authors aruge that quality improvement initiatives should not be widely disseminated unless studies have demonstrated that they are safe and effective.
Quality Improvement
Narrative Review
The authors propose definitions and describe methods for assessing the quality of care in healhtcare settings
Quality Improvement
Commentary
A commentary on the charastreristics and fundemntals of quality improvement
Quality Improvement
Narrative review
A review of improvement project5 to draw examples of real-world application of PDSA
Quality Improvement
Commentary
The authors present a 10-step process for building knowledge in quality improvement
Quality Improvement
Editorial
Authors looking into patient safety and effective strategies to improve the rates of hospital mortality
Quality Improvement
Narrative Review
This review describes current efforts to teach or engage trainees in patient safety and quality improvement (QI), summarises progress to date, as well as successes and challenges, and lists our recommendations for the next steps that will shape the future of patient safety and QI in medical education.
Quality Improvement
Framework
10 QI experts used research studies and several rounds of discussion to create MUSIQ, a framework to study context in QI success and aid in QI studies
Quality Improvement
Commentary
Paper reviews statistical process control to better understand and implement statistical analysis in healthcare improvement
Quality Improvement
Narrative review
The book recommends doccuments causing of issues in quality improvement and provides suggestions for improving the quality of healthcare as a whole
Quality Improvement
Commentary
The authors argue that evidence-based medicine (EBM) often overestimates the role of knowledge as the root cause of quality problems and focuses almost exclusively on the effectiveness of care while often neglecting the domains of safety, efficiency, patient-centredness, and equity
Quality Improvement
Medical Education
Multidisciplinary systems based safety curriculum for first-year medical students that was an effective system=-based patient safety metric.
Quality Improvement