Integrating patient safety into the clinical microsystem.

Stakeholder perspectives on handovers between hospital staff and general practitioners: an evaluation through the microsystems lens

BACKGROUND Much of the research on improving patient handovers has focused on enhancing communication within the hospital system, but there have been relatively few efforts aimed at addressing the challenges at the interface between the hospital and the primary care setting. METHODS A qualitative thematic analysis using a clinical microsystems lens applied to 28 semi-structured key stakeholde...

Microsystems in health care: Part 3. Planning patient-centered services.

BACKGROUND Strategic focus on the clinical microsystems--the small, functional, frontline units that provide most health care to most people--is essential to designing the most efficient, population-based services. The starting place for designing or redesigning of clinical microsystems is to evaluate the four P's: the patient subpopulations that are served by the microsystem, the people who wo...

Improving safety on the front lines: the role of clinical microsystems.

The clinical microsystem puts medical error and harm reduction into the broader context of safety and quality of care by providing a framework to assess and evaluate the structure, process, and outcomes of care. Eight characteristics of clinical microsystems emerged from a qualitative analysis of interviews with representatives from 43 microsystems across North America. These characteristics we...

Closing gaps: integrating food safety management systems into the veterinary curriculum, as a tool to improve food quality and trade

ORGANISATIONAL MATTERS Improving safety on the front lines: the role of clinical microsystems

The clinical microsystem puts medical error and harm reduction into the broader context of safety and quality of care by providing a framework to assess and evaluate the structure, process, and outcomes of care. Eight characteristics of clinical microsystems emerged from a qualitative analysis of interviews with representatives from 43 microsystems across North America. These characteristics we...