Review Patient safety and quality improvement: medical errors and adverse events. Citation Text: Leonard M. Patient safety and quality improvement: medical errors and adverse events. Pediatr Rev. 2010;31(4):151-8. doi:10.1542/pir.31-4-151. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL April 28, 2010 Leonard M. Pediatr Rev. 2010;31(4):151-8. View more articles from the same authors. This article reviews foundational concepts in patient safety and medical errors, highlights obstacles to improvement, and describes practices that can prevent patient harm. PubMed citation Available at Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Leonard M. Patient safety and quality improvement: medical errors and adverse events. Pediatr Rev. 2010;31(4):151-8. doi:10.1542/pir.31-4-151. 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Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital. October 18, 2006
Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility. July 21, 2021
Safety culture and workforce well-being associations with Positive Leadership WalkRounds. June 2, 2021
Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and implementation. May 11, 2022
Effect of the 2011 vs 2003 duty hour regulation-compliant models on sleep duration, trainee education, and continuity of patient care among internal medicine house staff: a randomized trial. April 3, 2013
Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout. October 25, 2017
Associations between a new disruptive behaviors scale and teamwork, patient safety, work-life balance, burnout, and depression. January 22, 2020
Leadership behavior associations with domains of safety culture, engagement, and healthcare worker well-being. February 1, 2023
Information flow during pediatric trauma care transitions: things falling through the cracks. September 11, 2019
An implementation science approach to promote optimal implementation, adoption, use, and spread of continuous clinical monitoring system technology. January 27, 2021
Patient Safety Innovations Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors September 29, 2021
Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors. September 8, 2021
Nursing guidelines for comprehensive harm prevention strategies for adult patients in acute hospitals: an integrative review and synthesis. February 23, 2022
Care transition of trauma patients: processes with articulation work before and after handoff. February 16, 2022
Unsafe care in residential settings for older adults. A content analysis of accreditation reports. December 13, 2023
Nurses' harm prevention practices during admission of an older person to the hospital: a multi-method qualitative study. August 10, 2022
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Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update. June 22, 2022
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A medical resident–pharmacist collaboration improves the rate of medication reconciliation verification at discharge. September 30, 2015
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Unintended effects of a computerized physician order entry nearly hard-stop alert to prevent a drug interaction: a randomized controlled trial. October 13, 2010
Mock trial at 2009 RSNA annual meeting: jury exonerates radiologist for failure to communicate abnormal finding—but... February 2, 2011
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A Department of Medicine infrastructure for patient safety and clinical quality improvement. December 20, 2017
Designing and evaluating an automated system for real-time medication administration error detection in a neonatal intensive care unit. February 21, 2018
Lessons learned from a systems approach to engaging patients and families in patient safety transformation. February 12, 2020
Patient reported receipt of medication instructions for warfarin is associated with reduced risk of serious bleeding events. October 1, 2008
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Using a bar-coded medication administration system to prevent medication errors in a community hospital network. December 21, 2005
Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions. August 4, 2021
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Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020. September 23, 2020
Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organization. May 12, 2021
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Patient factors and hospital outcomes associated with atypical presentation in hospitalized older adults with COVID-19 during the first surge of the pandemic. August 18, 2021
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Evaluation of wound photography for remote postoperative assessment of surgical site infections. November 7, 2018
Relationships within inpatient physician housestaff teams and their association with hospitalized patient outcomes. January 7, 2015
Procedural timeout compliance is improved with real-time clinical decision support. September 12, 2018
Interhospital transfer handoff practices among US tertiary care centers: a descriptive survey. May 4, 2016
Comparison of accuracy of physical examination findings in initial progress notes between paper charts and a newly implemented electronic health record. July 20, 2016
Patient safety in the cardiac operating room: human factors and teamwork: a scientific statement from the American Heart Association. August 21, 2013
A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative period. July 17, 2013
Multiple-institution comparison of resident and faculty perceptions of burnout and depression during surgical training. May 16, 2018
Evidence review conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for colorectal surgery. May 9, 2018
Exploring safety culture within inpatient mental health units: the results from participant observation across three mental health services. April 3, 2024
Preventing critical failure. Can routinely collected data be repurposed to predict avoidable patient harm? A quantitative descriptive study. January 29, 2020
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Inflammation and the Host Response to Injury, a Large-Scale Collaborative Project: patient-oriented research core—standard operating procedures for clinical care. II. Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma patient. May 31, 2006
A randomized trial of electronic clinical reminders to improve medication laboratory monitoring. July 23, 2008
Recommended guidelines for monitoring, reporting, and conducting research on medical emergency team, outreach, and rapid response systems: an Utstein-style scientific statement. February 13, 2008
The Threats to Australian Patient Safety (TAPS) study: incidence of reported errors in general practice. August 2, 2006
Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety. June 8, 2005
Reducing diagnostic errors in the emergency department at the time of patient treatment. March 29, 2023
Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events. September 29, 2021
Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice? February 10, 2021
Systems approach to health service design, delivery and improvement: a systematic review and meta-analysis. February 3, 2021
Interventions to engage patients and families in patient safety: a systematic review. January 20, 2021
Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. November 4, 2020
Scoping review of patients' attitudes about their role and behaviours to ensure safe care at the direct care level. August 26, 2020
Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies. July 15, 2020
Putting the patient in patient safety investigations: barriers and strategies for involvement. June 3, 2020
The prescription opioid crisis: role of the anaesthesiologist in reducing opioid use and misuse. July 24, 2019
Recognition and prevention of nosocomial malnutrition: a review and a call to action! October 11, 2017
Infusion medication error reduction by two-person verification: a quality improvement initiative. February 1, 2017
Patient safety improvement interventions in children's surgery: a systematic review. November 16, 2016
How well is quality improvement described in the perioperative care literature? A systematic review. May 4, 2016
Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic review. April 13, 2016
Patient safety and end-of-life care: common issues, perspectives, and strategies for improving care. April 29, 2015
Improving clinical handover between intensive care unit and general ward professionals at intensive care unit discharge. March 18, 2015
Establishing an international baseline for medication safety in oncology: findings from the 2012 ISMP International Medication Safety Self Assessment for Oncology. December 3, 2014