Harkness Project Title: Patient Safety Attitudes of Residents and Fellows
Mentors: Donald A. Goldmann, M.D., and Marie McCormick, M.D., Sc.D.
Placement: Harvard Medical School
Biography at time of Harkness Fellowship: Gareth Parry, a 2003-04 Commonwealth Fund Harkness Fellow in Health Care Policy, is a reader in health services research at the Medical Care Research Unit, University of Sheffield. He is currently director of the NHS Paediatric Intensive Care Audit Network for the Department of Health and director of the Review Body for Interventional Procedures for the National Institute for Clinical Excellence. His recent work has included leading an examination of the use of league tables of neonatal intensive care performance and a national evaluation of the organization, staffing and delivery of neonatal intensive care provision in the United Kingdom; leading the development and assessment of risk adjustment methods in neonatal, pediatric and adult intensive care on behalf of the Medical Research Council. He has specific interests in the application of risk adjustment methods to address health policy issues in quality of care and patient safety; and whether resulting health policy initiatives will gain wide acceptance and sustainability by the relevant health care providers.
Project: Parry’s objectives were to measure the patient safety attitudes of trainee physicians at an academic pediatric center, and to explore the views of clinical leaders on the patient safety attitudes of trainee physicians. A survey was administered in January 2004 at an academic pediatric center of all clinical staff, including physician trainees. It included questions on safety climate, teamwork, communication, and, for physician trainees, support following an adverse event.
Career Activity Since Fellowship
Mackenzie SJ, Goldmann DA, Perla RJ, Parry GJ. Measuring Hospital-WideMortality-Pitfalls and Potential. J Healthc Qual. 2014 Aug 7.
Parry GJ. A brief history of quality improvement. J Oncol Pract. 2014 May;10(3):196-9.
Parry GJ, Carson-Stevens A, Luff DF, McPherson ME, Goldmann DA. Recommendations for evaluation of health care improvement initiatives. Acad Pediatr 2013 Nov-Dec;13(6 Suppl):S23-30.
Perla RJ, Provost LP, Parry GJ. Seven propositions of the science of improvement: exploring foundations. Qual Manag Health Care 2013 Jul-Sep;22(3):170-86.
Parry G, Mate K, Perla R, Provost L. Promotion of improvement as a science. Lancet 2013 Jun 1;381(9881):1902-3.
Tosh J, Kearns B, Brennan A, Parry G, Ricketts T, Saxon D, Kilgarriff-Foster A, Thake A, Chambers E, Hutten R. Innovation in health economic modelling of service improvements for longer-term depression: demonstration in a local health community. BMC Health Serv Res 2013 Apr 26;13:150.
Parry G, Cline A, Goldmann D. Deciphering harm measurement. JAMA. 2012 May 23;307(20):2155-6.
Sharek PJ, Parry G, Goldmann D, Bones K, Hackbarth A, Resar R, Griffin FA, Rhoda D, Murphy C, Landrigan CP. Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients. Health Serv Res 2011 Apr;46(2):654-78.
Landrigan CP, Parry GJ, Boens CB, Hackbarth AD, Goldmann DA, Sharek PJ. “Temporal Trends in Rates of Patient Harm Resulting from Medical Care.” NEJM 2010; 363:2124-2134.
Parry GJ, Horowitz L, Goldmann DA. “Patient Safety Attitudes of Paediatric Trainee Physicians.” QSHC 2009 18: 462-466.
Hillier DF, Parry GJ, Shannon MW, Stack AM. The effect of hospital bed occupancy on throughput in the pediatric emergency department. Ann Emerg Med 2009 Jun;53(6):767-76.e3.
Schulman J, Spiegelhalter D, Parry GJ. „How to Interpret Your Dot: Decoding the Message of Clinical Performance Indicators.” Journal of Perinatology 2008 28;588–596
Profit J, McCormick MC, Zupancic JA, Richardson DK, Escobar GJ, Tucker JS, Tarnow-Mordi, WO, Parry GJ. “Moderately Premature Infants at Kaiser Permanente Medical Care Program in California Are Discharged Home Earlier Than Their Peers in Massachusetts and the United Kingdom,” Archives of Disease in Childhood 2006; 91:F245-F250.
GJ Parry for UK Neonatal Staffing Study Group. “The Relationship between Nosocomial Bacteraemia and Organizational and Structural Factors in UK Neonatal Intensive Care Units.” Qual Safe Healthcare. 2005 14: 264 – 269