Achieving zero inequity: lessons learned from patient safety.

Commentary

Achieving zero inequity: lessons learned from patient safety.

May 27, 2021

Gandhi TK. NEJM Catalyst. May 27, 2021.

The COVID-19 pandemic has shown a spotlight on bias, disparities, and inequity in the healthcare system. The author advocates using the same strategies to reduce inequities that were used to improve patient safety: 1) culture, leadership, and governance; 2) learning systems; 3) workforce; and 4) patient engagement.

Free full text

Related Resources From the Same Author(s)

Leadership and vision for a culture of safety.

February 21, 2018

Zero harm in health care.

March 18, 2020

'An ongoing nightmare': people with obesity face major obstacles when seeking medical care.

July 14, 2021

Pandemic imperiled non-English speakers more than others.

May 5, 2021

Emergency department crowding: the canary in the health care system.

November 3, 2021

Physician resiliency and wellness for transforming a health system.

May 30, 2018

Meitheal Pharmaceuticals, Inc. issues voluntary nationwide recall of Cisatracurium Besylate Injection, USP 10mg per 5mL due to mislabeling.

February 10, 2021

Senior staff safety rounds: a commitment to ensure safety is the top priority.

May 16, 2018

Fighting a common enemy: a catalyst to close intractable safety gaps.

August 5, 2020

Johns Hopkins receives $10 million to open patient safety institute.

January 30, 2005

Report faults Children's Hospital for medication errors.

June 6, 2018

Lessons from health care leaders: rethinking and reinvesting in patient safety.

April 19, 2023

Frustrated with your EHR? Don't blame your vendor—safety is a shared responsibility.

December 20, 2017

Health care management during Covid-19: insights from complexity science.

October 21, 2020

Start the year off right by preventing these top 10 medication errors and hazards from 2020.

February 10, 2021

COVID-19 and patient safety: time to tap into our investment in high reliability.

May 12, 2021

Framework for Effective Board Governance of Health System Quality.

January 9, 2019

New evidence on stemming low-value prescribing.

May 1, 2019

Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up.

March 30, 2022

Cancer diagnoses delayed among prisoners in Washington state.

May 26, 2021

A crisis of undiagnosed cancers is emerging in the pandemic’s second year.

May 19, 2021

How health systems decide to use artificial intelligence for clinical decision support.

April 6, 2022

Is your hospital really as safe as you think? Our updated hospital safety score can help you find out.

April 16, 2014

2013 John M. Eisenberg Patient Safety and Quality Award Recipients Announced.

January 29, 2014

Agency information collection activities: National Healthcare Safety Network (NHSN); comment request.

October 13, 2021

Leadership Survey: Immunization Against Burnout: Insights Report.

May 9, 2018

Rating the raters: an evaluation of publicly reported hospital quality rating systems.

September 4, 2019

Patient safety performance: reversing recent declines through shared profession-wide system-level solutions.

January 18, 2023

Don't go to the hospital alone: ensuring safe, highly reliable patient visitation.

January 12, 2022

Transforming Education on Diagnostic Reasoning: Ready, Set, Go!

June 2, 2021

Preventing newborn falls and drops.

April 11, 2018

NHS staff cried in safety interviews, says watchdog.

March 8, 2023

Fire safety in the operating room.

October 1, 2023

Start the year off right by addressing these top 10 medication safety concerns from 2021.

February 9, 2022

Development and expression of a high-reliability organization.

December 1, 2021

Leadership committed to safety.

September 2, 2009

Walgreens will stop judging its pharmacy staffers by how fast they work.

November 9, 2022

Doctors turned my sister away; less than two years later she died of cervical cancer.

September 9, 2020

SOPS Ambulatory Surgery Center Survey: What You Need to Know.

April 27, 2023 - April 27, 2023

Keeping track of aging patients’ medications.

February 13, 2008

‘Medical errors are the third leading cause of death’ and other statistics you should question.

August 9, 2023

How medical jargon can make COVID health disparities even worse.

June 9, 2021

Many well-known hospitals fail to score high in Medicare rankings.

August 10, 2016

Deep learning is a black box, but health care won't mind.

May 10, 2017

Laura Levis' death outside ER has changed hospital signage, lighting in Mass.

May 10, 2023

Mounting drug shortages delay treatments for patients with bladder cancer

December 18, 2019

Doctors fear criminalization of medical mistakes.

December 6, 2006

A safe practice standard for barcode technology.

June 3, 2015

AHRQ Safety Program for Methicillin-Resistant Staphylococcus Aureus Prevention. Request for Proposal Comment.

May 19, 2021

Insulin pumps have most reported problems in FDA database.

December 5, 2018

Is surgery safer at a teaching hospital?

November 12, 2014

National Patient Safety Syllabus.

June 30, 2021

Draft Guidelines for the Safe Communication of Electronic Medication Information.

September 16, 2015

Disrespectful behavior in healthcare...have we made any progress in the last decade?

July 17, 2013

"Does your knee make more of a click or a clack?"; teaching "Car Talk" to new docs.

March 13, 2019

Silencing many hospital alarms leads to better health care.

February 5, 2014

COVID-19 leads to increased need for dialysis machines.

May 6, 2020

Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine Hydrochloride Injection, USP and one lot of 1% Lidocaine HCl Injection, USP due to mislabeling.

May 19, 2021

Still outside the bull's eye: 2014–2015 Targeted Medication Safety Best Practices.

April 16, 2014

ISMP Canada identifies themes associated with fatal medication events in the home.

March 12, 2014

Using telehealth to revolutionize the speed of making rare disease diagnoses.

September 9, 2020

Medication error death rate up 500 percent.

September 10, 2008

There's more to the 60 Minutes story on heparin errors.

April 9, 2008

The I-READI quality and safety framework: a health system’s response to airway complications in mechanically ventilated patients with Covid-19.

February 17, 2021

Agency information collection activities: Assessing the Impact of the National Implementation of TeamSTEPPS Master Training Program; comment request.

September 25, 2013

Standardise, Educate, Harmonise: Commissioning the Conditions for Safer Surgery.

April 23, 2014

During the pandemic, aspire to identify and prevent medication errors and to avoid blaming attitudes.

September 30, 2020

The Retrievals.

August 9, 2023

Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II.

August 9, 2023

Preventing home medication errors.

April 12, 2023

Developing perioperative Covid-19 testing protocols to restore surgical services.

July 22, 2020

Care and Oversight Deficiencies Related to Multiple Homicides at the Louis A. Johnson VA Medical Center in Clarksburg, West Virginia.

May 26, 2021

Notice of Intent to Publish Funding Opportunity Announcements to Understand and Improve Diagnostic Safety in Ambulatory Care.

August 16, 2023

FDA 101: How to Use the Consumer Complaint System and MedWatch.

June 25, 2008

Health Services Research Priorities for Improving Diagnostic Safety and Quality. Special Emphasis Notice (SEN).

January 15, 2020

Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment.

June 2, 2021

Targeting zero harm: a stretch goal that risks breaking the spring.

August 12, 2020

Good for You, Good for Us, Good for Everybody.

October 6, 2021

Safety cases for digital health innovations: can they work?

July 14, 2021

The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide.

February 23, 2022

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

August 5, 2020

COVID-19 Content. ISMP Medication Safety Alert!

January 14, 2021

Survey shows room for improvement with three new best practices for hospitals.

May 18, 2022

High nursing staff turnover in nursing homes offers important quality information.

March 10, 2021

Investigating Clinical Incidents in the NHS.

May 6, 2015

‘He thought what he was doing was good for people.’ Why is it so difficult to prevent unnecessary medical procedures in the U.S. health-care system?

September 1, 2021

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

Machine learning is booming in medicine. It’s also facing a credibility crisis.

June 16, 2021

Do No Harm: Are We Preventing Medication Errors in Children with Medical Complexity?

April 7, 2021 - April 7, 2021

Recognizing Unsafe Care: What It Is and How to Report It.

August 26, 2021 - August 26, 2021

'There is a real cost’: as Covid shows, barring bedside visitors from ICU deprives patients of the best care.

August 11, 2021

Veterans Accountability Improvement Act.

April 22, 2021

ISMP List of High-Alert Medications in Community/Ambulatory Healthcare.

October 1, 2021

Accidental exposures to fentanyl patches continue to be deadly to children.

July 21, 2021

Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples.

October 7, 2021

TeleDx: How is Telemedicine Working - and not Working - to Support Diagnosis?

June 3, 2021 - June 3, 2021

Bearing the Burden: Black Mothers in America.

May 26, 2021

New AHRQ Surveys on Patient Safety Culture™ Diagnostic Safety Supplemental Items for Medical Offices.

June 2, 2021 - June 2, 2021

Survey by Ohio regulator shows stress, fatigue among pharmacists at chain stores.

May 5, 2021

The pros and cons of EHR clinical decision support alerts.

April 28, 2021

Related Resources

Mistreatment in health care among women in Appalachia.

January 24, 2024

Vital signs: maternity care experiences — United States, April 2023.

September 6, 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

Systems approach to suicide prevention: strengthening culture, practice, and education.

June 28, 2023

Stigmatizing language expressed towards individuals with current or previous OUD who have pain and cancer: a qualitative study.

June 14, 2023

Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law.

May 31, 2023

Why do so many Black women die in pregnancy? One reason: doctors don't take them seriously.

May 31, 2023

VHA's movement for change: implementing high-reliability principles and practices.

May 31, 2023

"It's probably an STI because you're gay": a qualitative study of diagnostic error experiences in sexual and gender minority individuals.

May 24, 2023

Medication safety event reporting: factors that contribute to safety events during times of organizational stress.

May 24, 2023

Racial and ethnic disparities in obstetric and gynecologic care and role of implicit biases.

May 18, 2023

Structural racism in behavioral health presentation and management.

May 17, 2023

The time is now: addressing implicit bias in obstetrics and gynecology education.

May 17, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Person-first treatment strategies: weight bias and impact on mental health of people living with obesity.

April 19, 2023

Racism and electronic health records (EHRs): perspectives for research and practice.

April 12, 2023

Quality and safety: learning from the past and (re)imagining the future.

March 29, 2023

Recognizing our biases, understanding the evidence, and responding equitably: application of the socioecological model to reduce racial disparities in the NICU.

March 8, 2023

An infrastructure to provide safer, higher quality, and more equitable telehealth.

March 1, 2023

How should clinicians minimize bias when responding to suspicions about child abuse?

February 22, 2023

Advancing diagnostic equity through clinician engagement, community partnerships, and connected care.

February 22, 2023

The woman who cried pain: do sex-based disparities still exist in the experience and treatment of pain?

February 8, 2023

Pursuit of "endpoint diagnoses" as a cognitive forcing strategy to avoid premature diagnostic closure.

December 21, 2022

Veterans Health Administration response to the COVID-19 crisis: surveillance to action.

October 26, 2022

A health system that won't learn from its mistakes.

September 21, 2022

Sixty seconds on . . . medical gaslighting.

September 14, 2022

Maybe they had a bad day: how LGBTQ and BIPOC patients react to bias in healthcare and struggle to speak out.

September 14, 2022

Inequity and Iatrogenic Harm.

August 31, 2022

Tackling implicit bias in health care.

August 17, 2022

See More About The Topic

Hospitals

Ambulatory Clinic or Office

Facility and Group Administrators

Public Health

Psychological and Social Complications

Achieving zero inequity: lessons learned from patient safety.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Achieving zero inequity: lessons learned from patient safety.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site