Project management

Challenges Involved with Quality and Safety Implementation and Sustainability

When integrating change into practice, it’s important to understand the challenges involved with quality and safety implementation and sustainability. This will allow for adequate planning and preparation.  This is the second article in a series describing challenges encountered in this area, and it highlights lack of upper-level support, project fatigue, inadequate personnel, and competing priorities. …

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Conflict between two women doctors

Common Barriers Encountered in Quality and Safety Implementation

When integrating change into practice, it’s important to understand the common barriers encountered in quality and safety implementation. This will allow for adequate planning and preparation.  Some of the challenges include a lack of team integrity and disruptive and hierarchical behavior. Unfortunately, these factors can contribute to medical errors and patient harm. Historically disruptive and …

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Cognitive Biases as Contributing Factors to Medical Errors

Cognitive Biases as Contributing Factors to Medical Errors

“The human brain is a complex organ with the wonderful power of enabling man to find reasons for continuing to believe whatever it is that he wants to believe. – Voltaire” (O’Sullivan & Schofield, 2018)  Cognitive Biases Defined Cognitive biases, defined as “flaws or distortions in judgment and decision-making” (Joint Commission, 2016, p.1), have been …

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Mother with newborn baby child after labor in a hospital

Selecting Key Quality Metrics

The scope of quality improvement (QI) work is broad, and narrowing this down involves thoughtful consideration to selecting key quality metrics.  This can be based on evaluating the importance to different stakeholders, financial implications, and prioritization to areas of opportunity identified through benchmarking of data against like size facilities/units. Let’s use, for example, a quality …

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