Quality and Safety: Learning from the Past and (Re)Imagining the Future

2000 Dekker, 2011 2001 Nemeth, 2004, The messy details: insights from the study of technical work in healthcare, IEEE Trans Syst Man Cybernet, 34, 689, 10.1109/TSMCA.2004.836802 Cullen, 1995, The incident reporting system does not detect adverse drug events: a problem for quality improvement, Jt Comm J Qual Improv, 21, 541 Carcillo, 2002, Clinical practice parameters for hemodynamic support of pediatric and neonatal patients in septic shock, Crit Care Med, 30, 1365, 10.1097/00003246-200206000-00040 Davis, 2017, The 2014 American College of Critical Care Medicine clinical practice guidelines for hemodynamic support of pediatric and neonatal septic shock executive summary, Pediatr Crit Care Med, 18, 884, 10.1097/PCC.0000000000001259 Margolis P, Williams E. Systems-based practice and quality of care. In: Kline MW, Blaney SM, Giardino AP, Orange JS, Penny DJ, Schutze GE, et al, eds. Rudolph’s Pediatrics 2018. Vol. 1. New York: McGraw-Hill Professional; 2018:29-32. Smith, 2021, Predictive solutions in learning health systems: the critical need to systematize implementation of prediction to action to intervention, NEJM Catal Innov Care Deliv, 2, 1 2021, 1 2021, The Joint Commission: Sentinel Event Alert 64: Addressing Health Care Disparities by Improving Quality and Safety, The Joint Commission, 64 Dinakar, 2015, Quality measures in allergy, asthma, and immunology, Ann Allergy Asthma Immunol, 114, 435, 10.1016/j.anai.2015.03.012 Rudrapatna, 2020, Opportunities and challenges in using real-world data for health care, J Clin Invest, 130, 565, 10.1172/JCI129197 Nikfarjam, 2019, Early detection of adverse drug reactions in social health networks: a natural language processing pipeline for signal detection, JMIR Public Health Surveill, 5, 10.2196/11264 Chung, 2021, Cancer needs a robust “metadata supply chain” to realize the promise of artificial intelligence, Cancer Res, 81, 5810, 10.1158/0008-5472.CAN-21-1929 Lowes, 2016, Learn from every patient: implementation and early results of a learning health system, Dev Med Child Neurol, 59, 183, 10.1111/dmcn.13227 Jones, 2014, Health information technology: an updated systematic review with a focus on meaningful use, Ann Intern Med, 160, 48, 10.7326/M13-1531 Wright, 2018, Reduced effectiveness of interruptive drug-drug interaction alerts after conversion to a commercial electronic health record, J Gen Intern Med, 33, 1868, 10.1007/s11606-018-4415-9