Aitebureme Aigbe

TL;DR: Health care organizations should interview patients/family about the event that harmed them to help ensure a full understanding of the causes of the event, and opportunities for organizational learning from patients are potentially being missed.

TL;DR: Correct measurement of BP is affected by a wide range of factors and is challenging to accomplish consistently in primary care, and the findings may inform the design of performance improvement programs to maximize the quality of BP measurement in the outpatient setting.

TL;DR: These patients and families experienced many profound LTIs after their harmful medical event, and for some, these impacts evolved into secondary harms ongoing 10 years and more after the event.

TL;DR: An interprofessional team convened to develop a semi-structured tool to be used in eliciting patient feedback that incorporates a conversational flow of questions that allows patients to tell their story, focus their attention on specific causative factors, and give recommendations to improve healthcare in their institutions or to prevent further harm.

TL;DR: Analyses using volume as a continuous variable confirmed its association with mortality (p<0.0001) and median costs were not significantly increased across volume quartiles.