Jolene Galegher

Summarizes the results of a survey of a 50-state survey of systems for reporting adverse medical events that took place in 2004. The report documents the consistency of information that states collect, identifies issues relating to establishing a national patient safety repository, and presents a plan for implementing a standardized national system.

Examines current and prospective use of simulation in training for US Navy Ships. A number of naval exercises can be conducted in port, using various forms of simulation, rather than at sea. Some groups, such as commercial shipping, already rely more heavily on such training than the US Navy does. Can the US Navy do the same, yet still maintain or improve readiness? The authors look at current uses of simulation and suggest ways to best use underway and simulation training time and strategies for implementation.

How does one spread out a successful educational reform? The authors recount the scale-ups of a variety of programs, describing the challenges they faced and the lessons they drew from their experiences.