The Electronic Health Record feedback journey of a thousand miles begins with . . .

At some point in most clinical careers, a patient recently seen by the clinician will be diagnosed by a subsequent clinician with something either unusual or unexpected. Ideally, the first clinician would learn of this new diagnosis quickly and have time and space for reflection, self-evaluation, and identification of anything they could have done differently. […]

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The next frontier for patient safety? Bringing work back in

The study of patient safety has come a long way in the past twenty years,1 and yet commentators argue that it still has a long way to go.2,3 The prevailing model assumes that patient safety is a linear process, promoting concepts from manufacturing industries that identify errors after they have occurred and proposing solutions in […]

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