Still Crossing The Quality Chasm.

Special or Theme Issue

Still Crossing The Quality Chasm.

April 20, 2011

Health Aff (Millwood). 2011;30(4):554-800.

View more articles from the same authors.

This special issue contains articles on progress made in patient safety since the landmark Institute of Medicine report, Crossing the Quality Chasm.

PubMed citations

Introduction

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Related Resources From the Same Author(s)

The Economic Measurement of Medical Errors.

August 18, 2010

A Framework for Safe, Reliable, and Effective Care.

February 15, 2017

Health Information Technology.

February 4, 2015

Respectful Management of Serious Clinical Adverse Events. Second Edition.

October 27, 2010

Keeping our Promises: Research, Practice, and Policy Issues in Health Care Reliability.

August 16, 2006

Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel.

November 15, 2006

IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events.

January 27, 2016

Patient Safety.

November 21, 2018

Medical Malpractice and Errors.

September 15, 2010

The Essential Guide for Patient Safety Officers, Second Edition.

September 22, 2010

Case Studies in Patient Safety: Foundations for Core Competencies.

February 18, 2015

Interprofessional Approaches to Patient Safety.

October 11, 2006

Exploring Alternatives To Malpractice Litigation.

January 15, 2014

Leadership Guide to Patient Safety: Resources and Tools for Establishing and Maintaining Patient Safety.

September 28, 2005

Breakdowns in the medication reconciliation process.

January 8, 2014

The English Patient Safety Programme.

February 10, 2010

WebM&M Cases

Right? Left? Neither!

May 1, 2006

Acting Locally: Working in Clinical Microsystems CD-ROM.

October 19, 2005

Care management implementation and patient safety.

September 27, 2006

WebM&M Cases

Informed or Misled?

June 1, 2007

Make safety a priority: create and maintain a culture of safety.

March 22, 2006

Knowledge for Improvement.

April 27, 2011

Prevalence and Economic Burden of Medication Errors in the NHS England.

March 14, 2018

Making Health Care Safer: A Critical Review of Modern Evidence Supporting Strategies to Improve Patient Safety.

March 6, 2013

First, Do No Harm: Improving Health Quality and Patient Safety.

May 18, 2011

Simulation in Maternal Fetal Medicine.

June 26, 2013

WebM&M Cases

Missed Patient Assignment: Is Anyone There?

August 1, 2010

Building a high-reliability organization: one system's patient safety journey.

March 29, 2017

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

November 21, 2018

The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events.

September 23, 2015

Improving the Reliability of Health Care.

February 8, 2006

Risk, Safety and Reliability Special Issue.

May 20, 2009

Achieving Safe and Reliable Healthcare: Strategies and Solutions.

March 6, 2005

CHPSO.

June 24, 2009

At surgery clinic, rush to save Joan Rivers's life.

September 24, 2014

50 Years of Inquiries in the National Health Service.

July 24, 2019

Framework for Effective Board Governance of Health System Quality.

January 9, 2019

Environmental Cleaning for the Prevention of Healthcare-Associated Infections (HAIs).

September 16, 2015

IHI Framework for Improving Joy in Work.

August 9, 2017

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

March 6, 2005

Health Information Technology in the United States: The Information Base for Progress.

October 25, 2006

WebM&M Cases

Which End Is Which?

April 1, 2003

First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic.

October 4, 2017

Quality and Safety.

July 29, 2015

Salzburg Global Seminar Session 565—Better Health Care: How Do We Learn About Improvement?

May 16, 2018

Towards an International Classification for Patient Safety.

February 4, 2009

Technical Series on Safer Primary Care.

January 11, 2017

Proceedings from the European Handover Research Collaborative.

December 5, 2012

Handbook of Perioperative and Procedural Patient Safety.

February 7, 2024

Risk Management in Obstetrics and Gynaecology.

July 24, 2013

Reducing Adverse Drug Events Related to Opioids Implementation Guide.

January 27, 2016

Health and Social Care Ergonomics: Patient Safety in Practice.

January 17, 2018

Positive Working Relationships Matter for Better Nurse and Patient Outcomes.

December 1, 2010

WebM&M Cases

Triage Time Bomb

January 1, 2004

Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions.

March 27, 2019

WebM&M Cases

Reconciling Doses

November 1, 2005

Safety in Anaesthesia.

June 15, 2011

Special Section: IEA Health Care 2021.

February 28, 2024

Quality and Safety Between Ward and Board: a Biography of Artefacts Study.

August 29, 2018

Perspective

Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions

November 16, 2022

Resident Projects for Improvement.

June 19, 2013

Designing for Safety in the ICU.

March 28, 2018

Patient Safety Papers 5.

November 10, 2010

Supplement on Deepening our Understanding of Quality in Australia (DUQuA).

March 11, 2020

Systems Approach in Healthcare.

October 31, 2018

Patient safety for global health - developing safe, effective and accessible technologies.

September 1, 2010

Supplemental Issue: Quality and Safety Education for Nurses (QSEN) program.

September 6, 2017

Unintended Consequences: New Problems and New Solutions.

December 7, 2016

LINNEAUS Collaboration on Patient Safety in Primary Care.

September 23, 2015

Josie's Story: A Patient Safety Curriculum.

June 1, 2016

Quality and Safety in Medicine.

December 9, 2009

Rapid response teams and continuous quality improvement.

November 25, 2009

First, Do No Harm.

September 14, 2011

Patient Safety.

January 28, 2015

Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error.

August 26, 2020

WebM&M Cases

Falling Between the Cracks in the Software

August 21, 2016

Safety considerations for IMRT.

August 10, 2011

Infection Control in the Intensive Care Unit.

August 25, 2010

New Approaches to Researching Patient Safety.

January 6, 2010

The Sociology of Healthcare Safety and Quality.

February 17, 2016

Avoidable sepsis infections send thousands of seniors to gruesome deaths.

September 19, 2018

How Does Hospital Quality Management Drive Quality? Results From the "Deepening Our Understanding of Quality Improvement (DUQuE)" Project.

May 21, 2014

Meeting the Challenge of Patient Safety in the Ambulatory Care Setting.

September 2, 2009

Patient Safety in Pediatric Emergency Medicine.

January 3, 2007

Patient Safety.

May 1, 2019

Prevention of potential errors in resuscitation medications orders by means of a computerised physician order entry in paediatric critical care.

February 28, 2007

Medical Office Survey on Patient Safety Culture: 2018 User Database Report.

May 2, 2018

Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews of the research literature and formal inquiries, a legal analysis and stakeholder interviews.

September 19, 2018

2012 User Comparative Database Report: Medical Office Survey on Patient Safety Culture.

June 27, 2012

Perspective

Key Issues in Developing a Successful Hospital Safety Program

July 1, 2006

Leadership To Improve Diagnosis: A Call to Action.

July 7, 2021

Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators.

October 5, 2022

From Science to Implementation: AHRQ's Program to Prevent HAIs—Results and Lessons.

November 5, 2014

Adverse Events: Expecting too Much of Nurses and too Little of Nursing Research.

May 11, 2011

Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative Database Report.

July 22, 2015

Older people's experiences of medicine changes on leaving hospital.

October 22, 2014

Iatrogenesis in Pediatrics.

September 20, 2017

The 2015 John M. Eisenberg Patient Safety and Quality Awards.

May 25, 2016

2017 John M. Eisenberg Patient Safety and Quality Awards.

July 18, 2018

Ability of practitioners to identify solid oral dosage tablets.

May 24, 2006

Related Resources

Perspectives on Safety

Beyond the Pandemic: Creating Total Systems Safety

August 30, 2023

Perspectives on Safety

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

August 30, 2023

Access to Clinical Information at the Bedside.

March 1, 2023

Inequity and Iatrogenic Harm.

August 31, 2022

How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do.

May 4, 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 Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity.

May 19, 2021

Two decades since To Err Is Human: progress, but still a "chasm".

January 13, 2021

High-Performance Work Systems in Health Care Management: Parts 1-5.

October 4, 2020

50 Years of Inquiries in the National Health Service.

July 24, 2019

The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety.

June 19, 2019

NHS Improvement.

May 18, 2019

Improving Usability, Safety and Patient Outcomes With Health Information Technology.

February 27, 2019

Reversing the rise in maternal mortality.

January 16, 2019

Framework for Effective Board Governance of Health System Quality.

January 9, 2019

Systematically Identified Failure Is the Route to a Successful Health System.

March 9, 2016

Perspective

Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice

January 1, 2016

Interview

In Conversation With… Mark L. Graber, MD

January 1, 2016

Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework.

January 28, 2015

Betsy Lehman Center for Patient Safety.

December 10, 2014

America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2014.

November 26, 2014

More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety.

July 30, 2014

Restoring trust in VA health care.

June 11, 2014

How Does Hospital Quality Management Drive Quality? Results From the "Deepening Our Understanding of Quality Improvement (DUQuE)" Project.

May 21, 2014

The 2013 John M. Eisenberg Patient Safety and Quality Awards.

April 30, 2014

Patient Safety Measures.

December 11, 2013

Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention.

September 18, 2013

Resident Projects for Improvement.

June 19, 2013

2012 John M. Eisenberg Patient Safety and Quality Awards.

May 29, 2013

Making Health Care Safer: A Critical Review of Modern Evidence Supporting Strategies to Improve Patient Safety.

March 6, 2013

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