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Lucian Leape Institute Related Publications
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Members of the NPSF Lucian Leape Institute have been instrumental in promoting discussion about the Institute's goals and about issues addressed in the Institute's reports. Below are some of the pertinent publications by members and their colleagues, plus some additional responses from press and blogs.


The patient safety imperative for healthcare reform: Building safe, effective health care

Lucian Leape Institute at the National Patient Safety Foundation. 2009.
Position statement issued by the Institute in October 2009 in which Institute members call for health care reform and outline specific recommendations designed to bring about transformational change in the health care system.

Transforming healthcare: A safety imperative

L Leape, D Berwick, C Clancy, J Conway, P Gluck, J Guest, D Lawrence, J Morath, D O’Leary, P O’Neill, D Pinakiewicz, T Isaac, for the Lucian Leape Institute at the National Patient Safety Foundation.
Quality and Safety in Health Care. 2009;18:424–428.
This paper outlined measures deemed by the Institute members to be crucial to reforming and improving the safety of the health care system. It was featured in Quality and Safety in Health Care, a British Medical Journal publication, as the Editor’s Choice.



The ‘Must Do’ List: Certain patient safety rules should not be elective

Robert Wachter, MD
Health Affairs Blog. August 20, 2015.
Writing for the NPSF Lucian Leape Institute, Dr. Wachter proposes criteria for “must do” practices and argues that two practices—hand hygiene and influenza vaccination for health care workers— should currently qualify.


Improved patient safety with value-based payment models

Janet M. Corrigan, Elliot Wakeam, Tejal K. Gandhi, and Lucian L. Leape.
Healthcare Financial Management Magazine. August 1, 2015. For health systems in the process of transitioning to value-based payment programs, improving patient safety can be key to financial survival.


Transparency in Health Care

Beyond the front lines: Why greater openness among clinicians is needed to drive improvement in patient safety

Tejal K. Gandhi, MD, MPH, CPPS
PSQH Magazine. November/December 2015.
Drawing from the Institute's report on transparency, this article argues for greater transparency among clinicians, to facilitate learning and sharing best practices.


Transparency between patients and providers: A necessary step to safer care

Tejal Gandhi, MD, MPH, CPPS, and Patricia McTiernan, MS
Inside Medical Liability. November 2015.
Drawing from the Institute's report on transparency, this article argues for practical first steps in achieving greater openness between clinicians and patients. 


You can't understand something you hide: Transparency as a path to improve patient safety

Robert Wachter, Gary Kaplan, Tejal Gandhi, and Lucian Leape.
Health Affairs Blog. June 22, 2015.
Evidence suggests that greater transparency can boost patient safety by promoting accountability, driving improvement in care, promoting trust, and facilitating patient choice.


Consumer Engagement in Health Care

Empowering patients as partners in health care

Susan Edgman-Levitan and Tejal Gandhi.
Health Affairs Blog. July 24, 2014.
Evidence is mounting in support of patient engagement as a vital component of safe health care, but that is often easier said than done.

Shared decision making — Pinnacle of patient-centered care

Michael J. Barry and Susan Edgman-Levitan.
N Engl J Med. 2012;366(9):780-781.
In this perspective piece, the authors assert there is a critical need in health care to educate patients about the essential role they play in decision making and give them effective tools to help them understand their options and the consequences of their decisions.


Selected related press clippings:

The Tall Task of Patient Engagement, Fierce Health IT, Aug. 19, 2014.
The Softer Side of Patient Safety, Hospitals & Health Networks, May 13, 2013.
How Important is Patient Satisfaction? Hospitals & Health Networks, May 25, 2012.


Joy and Meaning in Work, and Workforce Safety

The quadruple aim: Care, health, cost, and meaning in work

Rishi Sikka, Julianne Morath, and Lucian Leape.
BMJ Quality & Safety. Online first: June 2, 2015.
The backbone of any effective healthcare system is an engaged and productive workforce.


Selected related press clippings:

The Most Dangerous Government Jobs and Why They’re Riskier than the Public Sector, Governing, Nov. 19, 2013.
Happy, Safe Workforce Prerequisite for Patient Safety, St. Louis Medical News, Oct. 4, 2013.
The Softer Side of Patient Safety,Hospitals & Health Networks, May 13, 2013.
Women in Healthcare Suffer Abuse Inside and Outside the Home, The Nation (blog), March 20, 2013.
Hospital Workplace Safety Means Better Patient Care, Fierce Healthcare, March 19, 2013.
Warning sounded on demoralized health care workforce, AMEDNews, March 18, 2013.
If we expect the health care workforce to care for patients, we need to care for the workforce, Science Blogs, March 6, 2013.
Leape institute report calls for action on workplace safety, Modern Healthcare, March 4, 2013.

Care Integration

Selected press clippings:

Well-Designed IT Systems Essential to Healthcare Integration, The Hospitalist, February 2013.
Health IT Holds Key to Better Care Integration, Information Week, Oct. 29, 2012.


Reform of Medical Education

Selected press clippings:

Medical School Boosts Patient Safety Curriculum, UConn Today, Sept. 17, 2012.
What Really Ails American Health Care, The Boston Globe, May 30, 2010.
Learning to Keep Patients Safe in Culture of Fear, New York Times, March 11, 2010.
Report Questions Patient Safety Training, Recommends Improvements, HealthLeaders Media, March 11, 2010.

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