Promoting Patient Safety: An Ethical Basis for Policy Deliberation.

Book/Report

Promoting Patient Safety: An Ethical Basis for Policy Deliberation.

March 6, 2005

Sharpe VA. Hastings Center Report; July-August 2003:s1-s19

View more articles from the same authors.

The results of a two-year Hastings Center project to elucidate ethical concerns that affect the dialogue in developing effective patient safety policies.

Free full text

Related Resources From the Same Author(s)

The Ethics of Using QI Methods to Improve Health Care Quality and Safety.

August 16, 2006

Medical Harm: Historical, Conceptual, and Ethical Dimensions of Iatrogenic Illness.

March 27, 2005

Getting the wrong person's medicine at the pharmacy: easy steps consumers can take to help eliminate these errors.

August 19, 2015

Agent of change.

August 1, 2018

Looking to the future of patient safety.

August 27, 2014

Get the Medications Right Institute.

August 7, 2019

Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives.

July 1, 2020

Medication safety technologies: what is and is not working.

July 29, 2009

The Leapfrog Group's CPOE standard and evaluation tool.

July 30, 2008

Using Six Sigma to improve patient safety in the perioperative process.

August 28, 2013

Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin.

September 16, 2015

Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System.

September 10, 2014

Accountability: Patient Safety and Policy Reform.

March 6, 2005

The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm.

July 27, 2022

The VA GAPS Center: Stories.

March 6, 2005

Patient Safety Huddle.

May 24, 2017

PEXiS.

March 6, 2005

Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center, Florida.

September 4, 2019

Inadequate Emergency Department Care and Physician Misconduct at the Washington DC VA Medical Center.

August 12, 2020

Coronavirus Commission for Safety and Quality in Nursing Homes.

March 10, 2021

The Safety of Maternity Services in England.

August 25, 2021

How your hospital can make you sick.

August 26, 2015

Pain assessment and management standards for hospitals.

September 6, 2017

Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center in Virginia.

July 13, 2022

Evaluation of Registered Nurse Competency Processes in Veterans Health Administration Facilities.

June 13, 2012

Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix Health Care System.

June 4, 2014

Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care System in Las Vegas.

July 26, 2023

Inadequate Outpatient Mental Health Triage and Care of a Patient at the Chico Community-Based Outpatient Clinic in California.

March 1, 2023

Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination in Veterans Health Administration Facilities, Fiscal Year 2021.

October 12, 2022

Deficiencies in the Community Care Network Credentialing Process of a Former VA Surgeon and Veterans Health Administration Oversight Failures.

January 24, 2024

Deficiencies in Quality Management Processes and Delays in the Communication of Test Results and Follow-Up Care at the Phoenix VA Health Care System in Arizona.

November 29, 2023

Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Roudebush VA Medical Center in Indianapolis, Indiana.

April 19, 2023

Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year 2020.

March 16, 2022

Oral chemotherapy: not just an ordinary pill.

September 9, 2015

WebM&M Cases

Glucose Roller Coaster

July 1, 2004

Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple Medications.

March 5, 2014

Quality of Care in Cranial Implant Surgeries at James A. Haley VA Medical Center, Tampa, Florida.

April 26, 2006

PC standards for maternal safety.

September 11, 2019

We're not your enemy: an appeal from a consumer to re-imagine tort reform.

August 8, 2007

Disruptive clinician behavior: a persistent threat to patient safety.

August 9, 2006

Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths.

July 13, 2005

Incentives for patient safety: holding healthcare executives accountable.

September 3, 2008

Anti-black racism as a chronic condition.

May 11, 2022

More families hear apologies following medical mistakes.

September 3, 2008

Medicare says it won't cover hospital errors.

August 22, 2007

Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet.

January 14, 2015

Prone to error: earliest steps to find cancer.

July 28, 2010

The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS).

February 12, 2020

Circle Up for COVID-19 Training.

May 13, 2020

Hospital bosses ignored months of doctors' warnings about Lucy Letby.

August 30, 2023

With oral chemotherapy, we simply must do better!

July 30, 2014

Survey suggests possible downward trend in identifying key drugs/drug classes as high-alert medications.

July 16, 2014

Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020.

September 15, 2021

TeamSTEPPS Video Toolkit.

July 21, 2021

Improving the Working Environment for Safe Surgical Care.

August 23, 2017

Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah.

August 25, 2021

Patient Safety in Ambulatory Settings: Technical Brief.

December 16, 2015

The Food and Drug Administration's National Drug Code Directory.

September 6, 2006

Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing.

August 9, 2017

Oregon Patient Safety Commission.

March 6, 2005

New U.S. health crisis looms as patients without COVID-19 delay care.

July 29, 2020

Patient Safety.

July 15, 2009

Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report.

May 4, 2016

Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died.

December 16, 2020

Deficiencies in Care, Care Coordination, and Facility Response to a Patient Who Died by Suicide, Memphis VA Medical Center in Tennessee.

September 30, 2020

Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries.

July 27, 2016

Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems.

August 1, 2012

Adverse Events Toolkit: Medical Record Review Methodology.

July 26, 2023

Adverse Events Toolkit: Clinical Guidance for Identifying Harm

July 19, 2023

Enacting the Washington state patient safety act requiring hospital staffing plans for nursing services and establishing recordkeeping and reporting requirements.

March 6, 2005

Learning in Action: A Guide to Putting the Learning Organization to Work.

March 27, 2005

Deficiencies in Emergency Preparedness for Veterans Health Administration Telemental Health Care at VA Clinic Locations Prior to the Pandemic.

July 14, 2021

Deficiencies in Care Coordination and Facility Response to a Patient Suicide at the Minneapolis VA Health Care System, Minnesota.

January 29, 2020

Institute for Patient- and Family- Centered Care.

June 16, 2010

Health Information Technology Leadership Panel: Final Report.

May 25, 2005

Coronavirus: can this California prison save itself from Covid-19?

August 5, 2020

Disclosure of unanticipated events: the next step in better communication with patients (part 1 of 3).

March 27, 2005

Josie King Act of 2004.

March 27, 2005

A spike in people dying at home suggests coronavirus deaths in Houston may be higher than reported.

July 22, 2020

Stay Connected: FAQs about Small-Bore Connectors and Tubing Misconnections.

November 6, 2013

When COVID-19 hit, many elderly were left to die.

August 19, 2020

Wall of Silence: The Untold Story of the Medical Mistakes That Kill and Injure Millions of Americans.

March 6, 2005

Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look.

May 20, 2020

The systems approach at the sharp end.

October 31, 2018

Effect of social influences on pharmacists' intention to report adverse drug events.

October 17, 2012

Deficiencies after the New Electronic Health Record Go-Live at the Mann-Grandstaff VA Medical Center in Spokane, WA.

March 30, 2022

Failure in Safety-Critical Systems: A Handbook of Accident and Incident Reporting.

March 6, 2005

Forgive and Remember: Managing Medical Failure. 2nd ed.

March 6, 2005

Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors.

July 18, 2007

Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system.

September 9, 2020

Bringing change-of-shift report to the bedside: a patient- and family-centered approach.

December 1, 2010

A sociotechnical framework for safety-related electronic health record research reporting: the SAFER reporting framework.

June 24, 2020

Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit.

August 1, 2012

The Effect of Health Care Working Conditions on Patient Safety. Evidence Report/Technology Assessment.

March 6, 2005

Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims.

November 4, 2020

The Anatomy of Medical Error: Preventing Harm with People-Based Patient Safety.

October 25, 2006

Association for Professionals in Infection Control and Epidemiology.

July 26, 2006

Understanding patient and clinician reported nonroutine events in ambulatory surgery.

March 22, 2023

Patient safety in nursing practice.

July 20, 2005

Impact of COVID-19 on inpatient clinical emergencies: a single-center experience.

June 9, 2021

Related Resources

Patient Safety Innovations

Suicide Prevention in an Emergency Department Population: ED-SAFE

April 24, 2024

Annual Perspective

Equity in Patient Safety

March 27, 2024

Interview

In Conversation With...Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0

February 28, 2024

Perspective

Revising TeamSTEPPS: The Evolution of Patient Safety Teamwork Training

February 28, 2024

Interview

In Conversation with... Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety

November 27, 2023

Perspectives on Safety

The Role of Undergraduate Nursing Education in Patient Safety

November 27, 2023

Adverse Health Events in Minnesota: Annual Reports.

September 30, 2023

Perspectives on Safety

Beyond the Pandemic: Creating Total Systems Safety

August 30, 2023

Perspectives on Safety

Interview

In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety

August 30, 2023

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

Towards safe conversational agents in healthcare.

June 14, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Your Safety in our Hands in Hospital.

April 20, 2023

Patient Safety Innovations

Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes

March 29, 2023

Cybersecurity is Patient Safety: Policy Options in the Health Care Sector.

December 14, 2022

Mind the Implementation Gap. The Persistence of Avoidable Harm in the NHS.

May 4, 2022

Compelled disclosure of confidential information in patient safety research.

April 21, 2021

Knowledge, attitudes, and expectations of medical staff toward medical error management policies in humanitarian medicine: a qualitative study.

February 10, 2021

Best Practices in Developing Proprietary Names for Human Nonprescription Drug Products.

January 13, 2021

Conducting safety research safely: a policy-based approach for conducting research with peer review protected material.

January 13, 2021

Racism as a Root Cause approach: a new framework.

January 1, 2021

Best Practices in Developing Proprietary Names for Human Prescription Drug Products Guidance for Industry.

December 23, 2020

Communication and Resolution After an Adverse Health Care Incident.

May 22, 2019

Interview

In Conversation With… … Jennifer Schulz Moore, LLB, MA, PhD

April 1, 2019

Patient Safety: Global Action on Patient Safety.

January 23, 2019

Framework for Effective Board Governance of Health System Quality.

January 9, 2019

Impact of the Care Quality Commission on Provider Performance: Room for Improvement?

November 21, 2018

From Safety-I to Safety-II: A White Paper.

August 5, 2015

Consumer Guide to Adverse Health Events.

February 28, 2015

Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals.

February 11, 2015

See More About The Topic

Health Care Providers

Health Care Executives and Administrators

Non-Health Care Professionals

Privacy Violations

Quality Improvement Strategies