Center for Patient Safety
Department mission
Saul N. Weingart, MD, PhD, Vice President
The mission of the Center for Patient Safety is to reduce the
burden of medical injury in cancer care. The Center serves as a
laboratory for innovation, challenging the boundaries of education,
scholarship, and quality improvement in patient safety. Grounded in
research and interdisciplinary collaboration, the Center has a
special interest in understanding the role that patients and
families can play, together with clinicians, in preventing medical
errors. The Center aims to create a research program that will
carry innovation at Dana-Farber to a broad audience.
Research themes
Patient engagement
The Center is committed to understanding and promoting patient
engagement in ensuring safe care. We evaluated patient safety
recommendations for consumers; studied patient-identified incidents
in a variety of settings; and conducted research into interventions
that engage patients in preventing medication errors and enhancing
teamwork.
Oral chemotherapy safety
Although prescribing of oral chemotherapy drugs has increased
rapidly in recent years, little is known about safeguards for using
these medicines. The Center's previous research revealed a lack of
consensus on the safe use of these drugs among pharmacy directors
at National Cancer Institute-designated comprehensive cancer centers. Together
with Dana-Farber collaborators, the Center obtained a grant from
the Agency for Healthcare Research and Quality to conduct a risk assessment of
oral chemotherapy. Using detailed "process maps" for five oral
chemotherapy drugs and failure mode and effect analyses (FMEAs), we
identified opportunities for improvement in the safe use of oral
chemotherapy.
Electronic prescribing in ambulatory care
Electronic prescribing promises to improve safety over written
prescriptions. Building on our study of clinicians' experiences and
judgments of the value of the technology in ambulatory care, Center
staff studied perceptions of the drug interaction and allergy
alerts generated by the systems, and the reasons clinicians often
override those alerts.