Newspaper/Magazine Article Reducing harm to patients. Using patient safety dashboards at the board level. Citation Text: Pugh M, Reinertsen JL. Reducing harm to patients. Using patient safety dashboards at the board level. Healthcare executive. 2007;22(6):62, 64-5. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL December 5, 2007 Pugh M, Reinertsen JL. Healthcare executive. 2007;22(6):62, 64-5. View more articles from the same authors. This commentary describes how hospital and health care system board members can develop facility-specific "dashboards" to spur whole-system improvements. PubMed citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Pugh M, Reinertsen JL. Reducing harm to patients. Using patient safety dashboards at the board level. Healthcare executive. 2007;22(6):62, 64-5. 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August 26, 2015 View More See More About The Topic Health Care Executives and Administrators Quality Improvement Strategies Institutional Patient Safety Plan
Understanding differences in electronic health record (EHR) use: linking individual physicians' perceptions of uncertainty and EHR use patterns in ambulatory care. June 19, 2013
Relationships within inpatient physician housestaff teams and their association with hospitalized patient outcomes. January 7, 2015
An analysis of near misses identified by anesthesia providers in the intensive care unit. July 15, 2015
Medical team training: applying crew resource management in the Veterans Health Administration. May 30, 2007
Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs. December 5, 2018
Studying critical values: adverse event identification following a critical laboratory values study at the Ohio State University Medical Center. October 17, 2007
The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures outside the operating room: a report from the Pediatric Sedation Research Consortium. March 18, 2009
Advancing the future of patient safety in oncology: implications of patient safety education on cancer care delivery. June 10, 2015
Systematic review: antimicrobial urinary catheters to prevent catheter-associated urinary tract infection in hospitalized patients. January 31, 2006
Potentially inappropriate prescribing in elderly veterans: are we using the wrong drug, wrong dose, or wrong duration? August 24, 2005
Emergency department discharge prescription interventions by emergency medicine pharmacists. June 20, 2012
Faculty member review and feedback using a sign-out checklist: improving intern written sign-out. September 19, 2012
Facility-level variation in potentially inappropriate prescribing for older veterans. August 15, 2012
Resident duty-hour reform associated with increased morbidity following hip fracture. October 7, 2009
The effect of clinical history on accuracy of electrocardiograph interpretation among doctors working in emergency departments. September 26, 2012
Competition and health plan performance: evidence from health maintenance organization insurance markets. April 27, 2005
Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. April 13, 2011
Influence of state laws mandating reporting of healthcare-associated infections: the case of central line–associated bloodstream infections. July 31, 2013
Assessing the impact of an educational program on decreasing prescribing errors at a university hospital. April 1, 2009
Board of pharmacy practices related to medication errors and their potential impact on patient safety. August 1, 2018
Quality and variability of patient directions in electronic prescriptions in the ambulatory care setting. April 18, 2018
The Ask Me to Explain campaign: a 90-day intervention to promote patient and family involvement in care in a pediatric emergency department. June 1, 2016
Using proactive risk assessment (HFMEA) to improve patient safety and quality associated with intraocular lens selection and implantation in cataract surgery. September 18, 2019
Missed medication doses in hospitalised patients: a descriptive account of quality improvement measures and time series analysis. June 26, 2013
Reduction in warfarin adverse events requiring patient hospitalization after implementation of a pharmacist-managed anticoagulation service. June 1, 2005
Adverse inpatient outcomes during the transition to a new electronic health record system: observational study. August 10, 2016
The impact of drug shortages on children with cancer—the example of mechlorethamine. January 16, 2013
Evaluating the effect of safety culture on error reporting: a comparison of managerial and staff perspectives. August 20, 2014
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The impact of a nursing-led intervention bundle with a bedside checklist to reduce mortality during the initial COVID-19 pandemic and implications for future emergencies. May 24, 2023
Use of error management theory to quantify and characterize residents' error recovery strategies. January 15, 2020
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Patterns of potential opioid misuse and subsequent adverse outcomes in Medicare, 2008 to 2012. June 6, 2018
Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing surgical quality. September 26, 2007
Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service. August 24, 2011
Medication-related medical emergency team activations: a case review study of frequency and preventability. July 20, 2022
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Transforming the morbidity and mortality conference to promote safety and quality in a PICU. April 6, 2016
Using computerized virtual cases to explore diagnostic error in practicing physicians. February 13, 2019
The effects of computerized provider order entry implementation on communication in intensive care units. February 20, 2013
The morbidity and mortality conference in PICUs in the United States: a national survey. September 24, 2014
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"To err is human" but disclosure must be taught: a simulation-based assessment study. February 28, 2018
Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient safety. May 28, 2008
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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
A policy-based intervention for the reduction of communication breakdowns in inpatient surgical care: results from a Harvard surgical safety collaborative. July 13, 2011
Analysis of consistency in emergency department physician variation in propensity for admission across patient sociodemographic groups. October 13, 2021
Shaping systems for better behavioral choices: lessons learned from a fatal medication error. March 24, 2010
Epidemiology of and risk factors for harmful anti-infective medication errors in a pediatric hospital. September 19, 2018
Improving patient safety reporting with the common formats: common data representation for Patient Safety Organizations. November 16, 2016
The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit. August 20, 2014
Patient safety and quality improvement: ethical principles for a regulatory approach to bias in healthcare machine learning. July 22, 2020
The Patient Safety Leadership Academy at the University of Pennsylvania: the first cohort's learning experience. June 13, 2007
Implementation of a medication reconciliation process in an ambulatory internal medicine clinic. April 18, 2007
Performance of vascular exposure and fasciotomy among surgical residents before and after training compared with experts. March 22, 2017
Pediatric emergency department discharge prescriptions requiring pharmacy clarification. August 5, 2015
Moving beyond misuse and diversion: the urgent need to consider the role of iatrogenic addiction in the current opioid epidemic. October 1, 2014
Perspectives on Safety Interview In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety August 30, 2023
Are you well positioned to resolve conflicts with the safety of an order? Learning from a physician’s homicide trial and the firing of multiple healthcare workers. June 1, 2022
Collaborative case review: a systems-based approach to patient safety event investigation and analysis. March 30, 2022
10 Leadership mindsets for high reliability organizations. How to empower caregivers and engage patients in patient safety. April 14, 2021
Bringing perioperative emergency manuals to your institution: a "How To" from concept to implementation in 10 steps. April 3, 2019
Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. September 26, 2018
Creating a Pediatric Joint Council to promote patient safety and quality, governance, and accountability across Johns Hopkins Medicine. May 3, 2017
Reporting and second-order problem solving can turn short-term fixes into long-term remedies. June 1, 2016
Medication errors affecting pediatric patients: unique challenges for this special population. October 7, 2015