This piece discusses efforts to promote the business case for safety and quality in health care.
While the costs of medical error to patients are well appreciated, the direct costs to institutions, especially if error does not result in litigation, are less so. Even when errors increase length of stay... Read More
The relationship between nurse staffing and the quality and safety of care has been reported. This study compares three strategies of nurse staffing to determine their impact on... Read More
Failures in patient care are a global concern. Examining the literature on costs of unsafe care delivery, this report describes the... Read More
Although patient safety is considered a noble goal in health care, garnering the resources for improvement efforts can be hindered by other demands. This... Read More
Health care is working to provide high-value care and prevent overuse while ensuring patient safety. This commentary highlights the importance of educational initiatives... Read More
This commentary proposes that the integration of three aspects of value-based care (personal, technical, and allocative) may result in a broader understanding of patient... Read More
Value-based healthcare is emerging as a safety construct. This article discusses the primary definition of value in health care and how established quality measures can be used to demonstrate its... Read More
Implementation of smart infusion pumps resulted in both improved patient safety and cost savings, making a strong business case for investing in this patient safety intervention.
One of the seminal achievements in the patient safety field, the Keystone ICU project accomplished impressive short-term and long-term... Read More
This quality improvement project sought to prevent harmful or unnecessary care through a combination... Read More
Improving safety in health care organizations requires commitment from senior leadership and governance.... Read More
This piece describes a collaborative, interdisciplinary team approach with a flat hierarchy used at Intermountain Healthcare's Dixie Regional Medical Center that led to substantial reduction of key neonatal morbidities... Read More
Nudges are a change in the way choices are presented or information is framed that can have a large, but predictable, impact on medical decision-making, for both patients... Read More
Progress has been achieved in several areas of patient safety, but the cost-effectiveness of successful interventions remains an important... Read More
This study used actuarial methods to conclude that each preventable adverse event costs hospitals approximately $900, in contrast to another recent study that demonstrated that... Read More
The uptake of computerized provider order entry (CPOE) in community hospitals has been slow due to difficulties... Read More
Most research on computerized provider order entry (CPOE) has focused on its role in preventing medication errors. This modeling study... Read More
Health care–associated infections are a longstanding patient safety priority, and intensive multifaceted interventions have been shown to prevent... Read More
Washington, DC: Veterans Affairs Office of Inspector General; 2022. Report No. 22-00818-03.
Organizational evaluations often reveal opportunities to address persistent quality and safety issues. This extensive inspection report shares findings... Read More
Adverse drug events (ADE) in the outpatient setting can result in hospital admission and are largely preventable. This study used data from the earlier... Read More
Reducing low-value tests and treatments has been a focus of patient safety efforts, but less attention has been focused... Read More
This publication reports on a workshop that explored methods to engage patients and families in safety improvement efforts, including shared... Read More