Evidence map›Paper›PMID 30899564›Full record

ArticleBMJ global health2019

Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship.

Bria E Johnston, Randall Lou-Meda, Sindy Mendez, Karen Frush, Judy Milne, Tamara Fitzgerald, J Bryan Sexton, Henry Rice

Open access · goldAbstract read
In one paragraph

Article in BMJ global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
5.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Enhancing psychological safety in mental health services.International journal of mental health systems · 2021
    Review
  6. Article
  7. Article
  8. Article
  9. Distance learning and patient safety: Report and evaluation of an online patient safety course.Revista panamericana de salud publica = Pan American journal of public health · 2020
    Article
  10. Review
  11. Developing a national patient safety plan in Guatemala.Revista panamericana de salud publica = Pan American journal of public health · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Bria E JohnstonSurgery and Global Health, Duke University Medical Center, Durham, North Carolina, USA.
Randall Lou-MedaPediatric Nephrology Unit, Hospital Roosevelt de Guatemala, Guatemala, Guatemala.
Sindy MendezPediatric Nephrology Unit, Hospital Roosevelt de Guatemala, Guatemala, Guatemala.
Karen FrushPediatrics, Duke University Medical Center, Durham, North Carolina, USA.
Judy MilnePatient Safety Office, Duke University Medical Center, Durham, North Carolina, USA.
Tamara FitzgeraldPediatric Surgery, Duke University Hospital, Durham, North Carolina, USA.
J Bryan SextonPatient Safety Center, Duke University Medical Center, Durham, North Carolina, USA.
Henry RiceSurgery and Global Health, Duke University Medical Center, Durham, North Carolina, USA.
Duke Medical Center · USRoosevelt Hospital · GTDuke University Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Health systems in low-income and middle-income countries (LMICs) have a high burden of medical errors and complications, and the training of local experts in patient safety is critical to improve the quality of global healthcare. This analysis explores our experience with the Duke Global Health Patient Safety Fellowship, which is designed to train clinicians from LMICs in patient safety, quality improvement and infection control. This intensive fellowship of 3-4 weeks includes (1) didactic training in patient safety and quality improvement, (2) experiential training in patient safety operations, and (3) mentorship of fellows in their home institution as they lead local safety programmes. We have learnt several lessons from this programme, including the need to contextualise training to local needs and resources, and to focus training on building interdisciplinary patient safety teams. Implementation challenges include a lack of resources and data collection systems, and limited recognition of the role of safety in global health contexts. This report can serve as an operational guide for intensive training in patient safety that is contextualised to global health challenges.

Indexed as

health education and promotionhealth systems

Identifiers

PMID30899564
PMCPMC6407551
OpenAlexW2916435971

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.