Commentary Beyond patient safety Flatland. Citation Text: Braithwaite J, Coiera E. Beyond patient safety Flatland. J R Soc Med. 2010;103(6):219-25. doi:10.1258/jrsm.2010.100032. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL June 30, 2010 Braithwaite J, Coiera E. J R Soc Med. 2010;103(6):219-25. View more articles from the same authors. This essay examines three dimensions of patient safety and emphasizes the need for a deeper understanding of how to address complex problems with multidimensional solutions. PubMed citation Available at Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Braithwaite J, Coiera E. Beyond patient safety Flatland. J R Soc Med. 2010;103(6):219-25. doi:10.1258/jrsm.2010.100032. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Post-implementation optimization of medication alerts in hospital computerized provider order entry systems: a scoping review. December 6, 2023 More than algorithms: an analysis of safety events involving ML-enabled medical devices reported to the FDA. May 3, 2023 Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review. January 18, 2017 The fate of medicine in the time of AI. November 28, 2018 Clinical safety of England's national programme for IT: a retrospective analysis of all reported safety events 2005 to 2011. February 11, 2015 Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports. December 16, 2015 Technology, cognition and error. 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Post-implementation optimization of medication alerts in hospital computerized provider order entry systems: a scoping review. December 6, 2023
More than algorithms: an analysis of safety events involving ML-enabled medical devices reported to the FDA. May 3, 2023
Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review. January 18, 2017
Clinical safety of England's national programme for IT: a retrospective analysis of all reported safety events 2005 to 2011. February 11, 2015
Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports. December 16, 2015
A systematic review of failures in handoff communication during intrahospital transfers. May 25, 2011
Errors and electronic prescribing: a controlled laboratory study to examine task complexity and interruption effects. September 22, 2010
A systematic review of the psychological literature on interruption and its patient safety implications. October 12, 2011
Do variations in hospital mortality patterns after weekend admission reflect reduced quality of care or different patient cohorts? A population-based study. November 20, 2013
A comparative review of patient safety initiatives for national health information technology. February 6, 2013
Using statistical text classification to identify health information technology incidents. May 29, 2013
Using FDA reports to inform a classification for health information technology safety problems. March 21, 2012
The effect of cognitive load and task complexity on automation bias in electronic prescribing. January 9, 2019
Efficiency and safety of speech recognition for documentation in the electronic health record. November 8, 2017
Assessing the safety of a new clinical decision support system for a national helpline. February 14, 2024
Using automated methods to detect safety problems with health information technology: a scoping review. February 8, 2023
Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. March 6, 2005
"Time is of the essence": relationship between hospital staff perceptions of time, safety attitudes and staff wellbeing. December 8, 2021
Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals. September 1, 2021
Unsafe care in residential settings for older adults. A content analysis of accreditation reports. December 13, 2023
Improving patient safety governance and systems through learning from successes and failures: qualitative surveys and interviews with international experts. December 6, 2023
Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis. October 26, 2022
Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review. August 16, 2023
A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. May 27, 2020
Disentangling quality and safety indicator data: a longitudinal, comparative study of hand hygiene compliance and accreditation outcomes in 96 Australian hospitals. October 8, 2014
Harnessing implementation science to improve care quality and patient safety: a systematic review of targeted literature. May 21, 2014
Health service accreditation as a predictor of clinical and organisational performance: a blinded, random, stratified study. March 24, 2010
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Investigating patient safety culture across a health system: multilevel modelling of differences associated with service types and staff demographics. July 25, 2012
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Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study. February 15, 2012
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Implementation of a patient safety incident management system as viewed by doctors, nurses and allied health professionals. May 6, 2009
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Experiences of health professionals who conducted root cause analyses after undergoing a safety improvement programme. December 20, 2006
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Cancer diagnostic delay in Northern and Central Italy during the 2020 lockdown due to the coronavirus disease 2019 pandemic. October 21, 2020
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Journal Article Study Implementation of a medication reconciliation risk stratification tool integrated within an electronic health record: a case series of three academic medical centers. March 29, 2023
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I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. March 10, 2019
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The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors. February 10, 2021
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Improving medication reconciliation with comprehensive evaluation at a Veterans Affairs skilled-nursing facility. July 21, 2021
Implementation strategies in the context of medication reconciliation: a qualitative study. July 14, 2021
Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study. May 19, 2021
Optimizing situation awareness to reduce emergency transfers in hospitalized children. October 20, 2021
Patient Safety Innovations Battle Buddies: rapid deployment of a psychological resilience intervention for health care workers during the COVID-19 pandemic October 27, 2021
The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative deterioration--early recognition, rapid intervention, and the end of failure-to-rescue. November 11, 2020
Misdiagnosis and failure to diagnose in emergency care: causes and empathy as a solution. November 11, 2020
Cognitive bias impact on management of postoperative complications, medical error, and standard of care. November 4, 2020
Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. May 10, 2023
Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda. March 29, 2023
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Addressing the health care needs of people who identify as transgender: what do nurses need to know? July 22, 2020
Planning for a pandemic: mitigating risk to radiation therapy service delivery in the COVID-19 era. July 22, 2020
The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event. July 15, 2020
Response of practicing chiropractors during the early phase of the COVID-19 pandemic: a descriptive report. July 8, 2020
'Poking the skunk': ethical and medico-legal concerns in research about patients' experiences of medical injury. July 17, 2019
Standardising the classification of harm associated with medication errors: the Harm Associated with Medication Error Classification (HAMEC). May 15, 2019
The wicked problem of patient misidentification: how could the technological revolution help address patient safety? May 1, 2019
Criminalisation of unintentional error in healthcare in the UK: a perspective from New Zealand. April 24, 2019
Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies. April 24, 2019