Digital Pharmacist Digest - 🫤 Emotional safety is patient safety, artificial intelligence documentation in primary care

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We’re back with another edition of the digital pharmacist digest!

Here are this week's links that are worth your time.

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Thanks for reading,
Kevin

📖What I'm reading

🩺Patient Safety - Emotional safety is patient safety

The authors "endorse the need for changing the paradigm in patient safety. We endorse this need from our positions as patient safety and quality experts, as researchers, as health workers and as consumers—meaning as patients, as loved ones and as caregivers of people receiving medical treatment who have experienced disrespect, dismissal, medical racism, near-misses and patient harm. However, we argue that limiting the conceptualisation of the patient’s perspective on safety as ‘feeling safe’ while maintaining a distinction between ‘feeling safe’ and ‘being safe’—which remains the norm in most patient safety and quality programmes—presents several problems"
"Traditional patient safety meanings and measures frequently miss the mark in serving patients and families by ignoring or denying harms that patients and community members continually call us to acknowledge and address. Current efforts to support equitable patient participation in patient safety programmes will come up short if safety experts continue to define safety using a limited, traditional biomedical model, and ignore the central role of emotional safety."

🩺💻 Health informatics and 🩺Patient Safety - Five golden rules for successful measurement of improvement

"The tendency to favour rapid cycle implementation over analysis and measurement represents a common pitfall in quality and safety studies.Quality improvement and patient safety (QIPS) studies often omit the critical details underlying the success (or lack thereof) of the intervention, in part due to the perception that simple interventions do not require rigorous measurement.Consequently, reported measures often solely focus on the outcomes rather than the mechanisms and processes that led to the outcomes."

"Five golden rules for measurement

Rule 1: know why your change might achieve the desired results
Rule 2: identify fidelity/process measures—did the change take hold?
Rule 3: how are you measuring change?
Rule 4: be mindful of lag time—how long would it take before the change improves outcomes?
Rule 5: anticipate unintended consequences—what can go wrong?"

🩺💻 Health informatics and 🤖 Artificial Intelligence - Envisioning an artificial intelligence documentation assistant for future primary care consultations: A co-design study with general practitioners

"Three main themes emerged: professional autonomy, human-AI collaboration, and new models of care. Major implications identified within these themes included (1) concerns with medico-legal aspects arising from constant recording and accessibility of full consultation records, (2) future consultations taking place out of the exam rooms in a distributed system involving empowered patients, (3) human conversation and empathy remaining the core tasks of doctors in any future AI-enabled consultations, and (4) questioning the current focus of AI initiatives on improved efficiency as opposed to patient care."
"AI documentation assistants will likely to be integral to the future primary care consultations. However, these technologies will still need to be supervised by a human until strong evidence for reliable autonomous performance is available. Therefore, different human-AI collaboration models will need to be designed and evaluated to ensure patient safety, quality of care, doctor safety, and doctor autonomy."

🎈Something fun - What’s your type? Try these tests to pick the perfect font for you.

Great interactive explainer on font types and the impact on reading speed and information retention.

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