Newspaper/Magazine Article One group of doctors changes its ways. Citation Text: Hallinan JT. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL July 6, 2005 Hallinan JT. View more articles from the same authors. This article summarizes the history of patient safety improvement in anesthesia and its impact on malpractice claims and costs within that specialty. Free full text Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Hallinan JT. Copy Citation Related Resources From the Same Author(s) Healthcare Safety for Nursing Personnel: An Organizational Guide to Achieving Results. February 4, 2015 Managing the Risks of Organizational Accidents. March 27, 2005 Human Error. March 27, 2005 Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR' method. August 30, 2006 Simulation in Surgical Training and Practice. August 19, 2015 Health Care Equity January 31, 2024 CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse event. April 5, 2023 A contemporary analysis of closed claims related to wrong site surgery. March 29, 2023 Anesthesiology patient handoff education interventions: a systematic review. March 29, 2023 Teamwork is associated with reduced hospital staff burnout at military treatment facilities: findings from the 2019 Department of Defense Patient Safety Culture Survey. March 22, 2023 Now is the time to routinely ask patients about safety. March 15, 2023 Medication rounds: a tool to promote medication safety for children with medical complexity. March 8, 2023 An infrastructure to provide safer, higher quality, and more equitable telehealth. March 1, 2023 Assessment of patient retention of inpatient care information post-hospitalization. February 22, 2023 Standardized orders for titrating vasopressors: do efforts to improve safety slow delivery of care? September 11, 2019 Pediatric trainees' speaking up about unprofessional behavior and traditional patient safety threats. September 30, 2020 Assessing and supporting late career practitioners: four key questions. September 30, 2020 A model for improving health care quality for transgender and gender nonconforming patients. January 23, 2020 Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017. September 23, 2020 Considering the safety and quality of artificial intelligence in health care. September 16, 2020 Communication with patients and families regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure. August 12, 2020 Universal protection: operationalizing infection prevention guidance in the COVID-19 era. May 12, 2021 Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organization. May 12, 2021 Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire. May 5, 2021 Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study. April 28, 2021 Interprofessional training and communication practices among clinicians in the postoperative ICU handoff. April 28, 2021 Increasing naloxone prescribing in the emergency department through education and electronic medical record work-aids. April 21, 2021 Perceptions of institutional support for “second victims” are associated with safety culture and workforce well-being. February 24, 2021 Health system leaders' role in addressing racism: time to prioritize eliminating health care disparities. February 10, 2021 The effect of blue-enriched lighting on medical error rate in a university hospital ICU. January 27, 2021 Prevalence and characteristics of interruptions and distractions during surgical counts. July 28, 2021 Improving medication reconciliation with comprehensive evaluation at a Veterans Affairs skilled-nursing facility. July 21, 2021 Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic review. July 14, 2021 Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. July 7, 2021 A comprehensive departmental care review model: requirements, structure, and flow. June 30, 2021 Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. June 23, 2021 Advanced medication reconciliation: a systematic review of the impact on medication errors and adverse drug events associated with transitions of care. June 16, 2021 Reducing surgical specimen errors through multidisciplinary quality improvement. June 16, 2021 Detecting and assessing suicide ideation during the COVID-19 pandemic. May 26, 2021 Novel telephone-based interactive voice response system for incident reporting. November 17, 2021 Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports. November 3, 2021 Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. October 27, 2021 Building patient trust in hospitals: a combination of hospital-related factors and health care clinician behaviors. October 27, 2021 Building a program of expanded peer support for the entire health care team: no one left behind. October 13, 2021 Reporting of unsafe conditions at an academic women and children's hospital. September 29, 2021 Design and implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication orders with Joint Commission medication management standards in a pediatric ICU. December 9, 2020 Physician task load and the risk of burnout among US physicians in a national survey. December 2, 2020 Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach. December 2, 2020 Nurses' perceived causes of medication administration errors: a qualitative systematic review. November 25, 2020 A multisite study of interprofessional teamwork and collaboration on general medical services. November 25, 2020 Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology. November 18, 2020 Bracing for the storm: one health care system's planning for the COVID-19 surge. November 11, 2020 A program to provide clinicians with feedback on their diagnostic performance in a learning health system. October 28, 2020 What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization. October 21, 2020 A comprehensive estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals. October 14, 2020 Deficiencies in provider-reported interpreter use in a clinical trial comparing telephonic and video interpretation in a pediatric emergency department. October 14, 2020 Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command. October 7, 2020 Medication errors in overweight and obese pediatric patients: a systematic review. February 9, 2022 Using participatory design to engage physicians in the development of a provider-level performance dashboard and feedback system. February 2, 2022 Hospital at Home: setting a regulatory course to ensure safe, high-quality care. February 2, 2022 Don't go to the hospital alone: ensuring safe, highly reliable patient visitation. January 12, 2022 A simulation systems testing program using HFMEA methodology can effectively identify and mitigate latent safety threats for a new on-site helipad. January 12, 2022 Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. December 15, 2021 Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. December 8, 2021 Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? December 1, 2021 Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. September 15, 2021 Quality and safety in surgery: challenges and opportunities. September 8, 2021 Implementing universal suicide risk screening in a pediatric hospital. August 18, 2021 The 2020 John M. Eisenberg Patient Safety and Quality Awards. August 4, 2021 Lessons from walking the medical distancing tightrope. July 22, 2020 Longitudinal evaluation of a pediatric rapid response system with realist evaluation framework. April 27, 2022 Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration. April 20, 2022 Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure. March 9, 2022 A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. November 30, 2022 Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. October 26, 2022 An asset-based quality improvement tool for health care organizations: cultivating organization wide quality improvement and health care professional engagement. October 19, 2022 Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care Organizations to address diagnostic errors. October 12, 2022 The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time series analysis. October 12, 2022 A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit. October 5, 2022 Spreading a strategy to prevent suicide after psychiatric hospitalization: results of a quality improvement spread initiative. October 5, 2022 How to mitigate the effects of cognitive biases during patient safety incident investigations. September 28, 2022 Modes of failure in venous thromboembolism prophylaxis. September 28, 2022 Perioperative Handoffs. August 2, 2023 Inaccurate penicillin allergy labeling, the electronic health record, and adverse outcomes of care. August 24, 2022 Preferences and perceptions of medical error disclosure among marginalized populations: a narrative review. August 10, 2022 The 2021 John M. Eisenberg Patient Safety and Quality Awards. August 3, 2022 Factors associated with malpractice claim payout: an analysis of closed emergency department claims. July 13, 2022 Cognitive and implicit biases in nurses' judgment and decision-making: a scoping review. July 13, 2022 Variation in the reporting of elective surgeries and its influence on patient safety indicators. July 6, 2022 Handoffs and teamwork: a framework for care transition communication. June 29, 2022 Combined proactive risk assessment: unifying proactive and reactive risk assessment techniques in health care. June 29, 2022 Development and validation of a brief culture-of-safety survey. June 22, 2022 Diagnostic trajectories in primary care at 12 months: an observational cohort study. June 15, 2022 Mortality due to hospital-acquired infection after cardiac surgery. June 1, 2022 Simulating for quality: a centralized quality improvement and patient safety simulation curriculum for residents and fellows. June 1, 2022 Compensation claims in Danish emergency care: identifying hot spots and blind spots in the quality of care. May 11, 2022 Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections: a retrospective cohort study. May 11, 2022 The Joint Commission's new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality and safety. May 4, 2022 The 2019 John M. Eisenberg Patient Safety and Quality Awards. July 8, 2020 Communication with health care workers regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure. June 24, 2020 View More Related Resources Anesthesia Patient Safety Foundation (APSF) Grant Program. February 5, 2024 Unstoppable: this doctor has been investigated at every level of government. How is he still practicing? August 23, 2023 Crisis scenarios for simulation-based nontechnical skills training for cardiac surgery teams: a national survey among cardiac anesthesiologists, cardiac surgeons, clinical perfusionists, and cardiac operating room nurses. April 12, 2023 Patient safety and legal regulations: a total-scale analysis of the scientific literature. October 19, 2022 "Some version, most of the time": the surgical safety checklist, patient safety, and the everyday experience of practice variation. January 19, 2022 Simulation-based assessment identifies longitudinal changes in cognitive skills in an anesthesiology residency training program. September 22, 2021 Communication failures contributing to patient injury in anaesthesia malpractice claims. September 1, 2021 WebM&M Cases Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected August 25, 2021 A new argument for no-fault compensation in health care: the introduction of artificial intelligence systems. April 7, 2021 Pain Alleviation Toolkit. April 8, 2020 When is a doctor too old for the job? September 18, 2019 Impact of critical event checklists on anaesthetist performance in simulated operating theatre emergencies. July 31, 2019 Knowledge retention after simulated crisis: importance of independent practice and simulated mortality. June 5, 2019 Understanding the clinical implications of resident involvement in uncommon operations. May 1, 2019 Death by 1,000 clicks: where electronic health records went wrong. March 27, 2019 Endorsements of surgeon punishment and patient compensation in rested and sleep-restricted individuals. March 27, 2019 Medicare trims payments to 800 hospitals, citing patient safety incidents. March 13, 2019 Trends in anesthesia-related liability and lessons learned. March 6, 2019 The impact of RVU-based compensation on patient safety outcomes in outpatient otolaryngology procedures. February 20, 2019 When is the surgeon too old to operate? February 13, 2019 Simulation-based clinical rehearsals as a method for improving patient safety. October 31, 2018 A surgeon so bad it was criminal. October 10, 2018 Best Practices for Safe Medication Administration During Anesthesia Care. May 2, 2018 Raising an alarm, doctors fight to yank hospital ICUs into the modern era. September 21, 2016 Screen flashes and pop-up reminders: 'alert fatigue' spreads through medicine. June 29, 2016 Clues to better health care from old malpractice lawsuits. May 18, 2016 Improving patient safety through simulation training in anesthesiology: where are we? April 20, 2016 At the hospital, better responses to those beeping alarms. January 13, 2016 Simulation-based Surgical Education. November 25, 2015 Hospital tones down alarms to reduce fatigue, enhance safety. February 18, 2015 View More See More About The Topic Operating Room Physicians Policy Makers Patients Anesthesiology View More
Healthcare Safety for Nursing Personnel: An Organizational Guide to Achieving Results. February 4, 2015
Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR' method. August 30, 2006
CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse event. April 5, 2023
Teamwork is associated with reduced hospital staff burnout at military treatment facilities: findings from the 2019 Department of Defense Patient Safety Culture Survey. March 22, 2023
Medication rounds: a tool to promote medication safety for children with medical complexity. March 8, 2023
Assessment of patient retention of inpatient care information post-hospitalization. February 22, 2023
Standardized orders for titrating vasopressors: do efforts to improve safety slow delivery of care? September 11, 2019
Pediatric trainees' speaking up about unprofessional behavior and traditional patient safety threats. September 30, 2020
A model for improving health care quality for transgender and gender nonconforming patients. January 23, 2020
Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017. September 23, 2020
Communication with patients and families regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure. August 12, 2020
Universal protection: operationalizing infection prevention guidance in the COVID-19 era. May 12, 2021
Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organization. May 12, 2021
Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire. May 5, 2021
Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study. April 28, 2021
Interprofessional training and communication practices among clinicians in the postoperative ICU handoff. April 28, 2021
Increasing naloxone prescribing in the emergency department through education and electronic medical record work-aids. April 21, 2021
Perceptions of institutional support for “second victims” are associated with safety culture and workforce well-being. February 24, 2021
Health system leaders' role in addressing racism: time to prioritize eliminating health care disparities. February 10, 2021
The effect of blue-enriched lighting on medical error rate in a university hospital ICU. January 27, 2021
Prevalence and characteristics of interruptions and distractions during surgical counts. July 28, 2021
Improving medication reconciliation with comprehensive evaluation at a Veterans Affairs skilled-nursing facility. July 21, 2021
Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic review. July 14, 2021
Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. July 7, 2021
Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. June 23, 2021
Advanced medication reconciliation: a systematic review of the impact on medication errors and adverse drug events associated with transitions of care. June 16, 2021
Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports. November 3, 2021
Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. October 27, 2021
Building patient trust in hospitals: a combination of hospital-related factors and health care clinician behaviors. October 27, 2021
Building a program of expanded peer support for the entire health care team: no one left behind. October 13, 2021
Design and implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication orders with Joint Commission medication management standards in a pediatric ICU. December 9, 2020
Physician task load and the risk of burnout among US physicians in a national survey. December 2, 2020
Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach. December 2, 2020
Nurses' perceived causes of medication administration errors: a qualitative systematic review. November 25, 2020
A multisite study of interprofessional teamwork and collaboration on general medical services. November 25, 2020
Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology. November 18, 2020
A program to provide clinicians with feedback on their diagnostic performance in a learning health system. October 28, 2020
What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization. October 21, 2020
A comprehensive estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals. October 14, 2020
Deficiencies in provider-reported interpreter use in a clinical trial comparing telephonic and video interpretation in a pediatric emergency department. October 14, 2020
Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command. October 7, 2020
Using participatory design to engage physicians in the development of a provider-level performance dashboard and feedback system. February 2, 2022
A simulation systems testing program using HFMEA methodology can effectively identify and mitigate latent safety threats for a new on-site helipad. January 12, 2022
Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. December 15, 2021
Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. December 8, 2021
Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? December 1, 2021
Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. September 15, 2021
Longitudinal evaluation of a pediatric rapid response system with realist evaluation framework. April 27, 2022
Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration. April 20, 2022
Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure. March 9, 2022
A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. November 30, 2022
Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. October 26, 2022
An asset-based quality improvement tool for health care organizations: cultivating organization wide quality improvement and health care professional engagement. October 19, 2022
Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care Organizations to address diagnostic errors. October 12, 2022
The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time series analysis. October 12, 2022
A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit. October 5, 2022
Spreading a strategy to prevent suicide after psychiatric hospitalization: results of a quality improvement spread initiative. October 5, 2022
How to mitigate the effects of cognitive biases during patient safety incident investigations. September 28, 2022
Inaccurate penicillin allergy labeling, the electronic health record, and adverse outcomes of care. August 24, 2022
Preferences and perceptions of medical error disclosure among marginalized populations: a narrative review. August 10, 2022
Factors associated with malpractice claim payout: an analysis of closed emergency department claims. July 13, 2022
Cognitive and implicit biases in nurses' judgment and decision-making: a scoping review. July 13, 2022
Variation in the reporting of elective surgeries and its influence on patient safety indicators. July 6, 2022
Combined proactive risk assessment: unifying proactive and reactive risk assessment techniques in health care. June 29, 2022
Simulating for quality: a centralized quality improvement and patient safety simulation curriculum for residents and fellows. June 1, 2022
Compensation claims in Danish emergency care: identifying hot spots and blind spots in the quality of care. May 11, 2022
Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections: a retrospective cohort study. May 11, 2022
The Joint Commission's new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality and safety. May 4, 2022
Communication with health care workers regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure. June 24, 2020
Unstoppable: this doctor has been investigated at every level of government. How is he still practicing? August 23, 2023
Crisis scenarios for simulation-based nontechnical skills training for cardiac surgery teams: a national survey among cardiac anesthesiologists, cardiac surgeons, clinical perfusionists, and cardiac operating room nurses. April 12, 2023
Patient safety and legal regulations: a total-scale analysis of the scientific literature. October 19, 2022
"Some version, most of the time": the surgical safety checklist, patient safety, and the everyday experience of practice variation. January 19, 2022
Simulation-based assessment identifies longitudinal changes in cognitive skills in an anesthesiology residency training program. September 22, 2021
Communication failures contributing to patient injury in anaesthesia malpractice claims. September 1, 2021
WebM&M Cases Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected August 25, 2021
A new argument for no-fault compensation in health care: the introduction of artificial intelligence systems. April 7, 2021
Impact of critical event checklists on anaesthetist performance in simulated operating theatre emergencies. July 31, 2019
Knowledge retention after simulated crisis: importance of independent practice and simulated mortality. June 5, 2019
Endorsements of surgeon punishment and patient compensation in rested and sleep-restricted individuals. March 27, 2019
The impact of RVU-based compensation on patient safety outcomes in outpatient otolaryngology procedures. February 20, 2019