Fostering rational regulation of patient safety.

Michelle M Mello; Carly N Kelly; Troyen A Brennan

Review

Fostering rational regulation of patient safety.

July 20, 2005

Mello MM, Kelly CN, Brennan TA. J Health Polit Policy Law. 2005;30(3):375-426.

View more articles from the same authors.

The authors analyze the history and current state of the patient safety regulatory environment.

PubMed citation

Available at

Related Resources From the Same Author(s)

The role of medical liability reform in federal health care reform.

July 1, 2009

Patient safety and medical malpractice: a case study.

March 6, 2005

Advising patients about patient safety: current initiatives risk shifting responsibility.

September 7, 2005

Medical monitoring for pharmaceutical injuries: tort law for the public's health?

March 6, 2005

Beyond negligence: avoidability and medical injury compensation.

October 31, 2007

"Health courts" and accountability for patient safety.

September 13, 2006

Disclosure of medical injury to patients: an improbable risk management strategy.

January 24, 2007

Who pays for medical errors? An analysis of adverse event costs, the medical liability system, and incentives for patient safety improvement.

February 6, 2008

Defensive medicine among high-risk specialist physicians in a volatile malpractice environment.

June 8, 2005

Claims, errors, and compensation payments in medical malpractice litigation.

May 17, 2006

The Institute of Medicine report on medical errors—could it do harm?

March 27, 2005

No-fault compensation for medical injuries: the prospect for error prevention.

March 6, 2005

Improving reconciliation following medical injury: a qualitative study of responses to patient safety incidents in New Zealand.

October 4, 2017

The evolving story of overlapping surgery.

July 19, 2017

Managing the risks of concurrent surgeries.

March 30, 2016

Malpractice reform—opportunities for leadership by health care institutions and liability insurers.

April 14, 2010

Patients' experiences with communication-and-resolution programs after medical injury.

October 18, 2017

A middle ground on public accountability.

March 6, 2005

Disclosing harmful medical errors to patients: tackling three tough cases.

September 30, 2009

Apology laws and malpractice liability: what have we learned?

July 8, 2020

'Poking the skunk': ethical and medico-legal concerns in research about patients' experiences of medical injury.

July 17, 2019

The medical liability climate and prospects for reform.

November 19, 2014

Administrative compensation for medical injuries: lessons from three foreign systems.

August 3, 2011

Medical malpractice liability in the age of electronic health records.

December 1, 2010

The incorporation of patient safety into board certification examinations.

April 12, 2006

Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patients and institutions.

April 27, 2005

Claiming behaviour in a no-fault system of medical injury: a descriptive analysis of claimants and non-claimants.

September 6, 2006

Preventing medical injury.

March 27, 2005

Accidental deaths, saved lives, and improved quality.

October 5, 2005

Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient response.

December 19, 2012

Ambulatory care adverse events and preventable adverse events leading to a hospital admission.

April 18, 2007

Malpractice liability and health care quality: a review

February 19, 2020

Case outcomes in a communication-and-resolution program in New York hospitals.

February 1, 2017

Legal and policy interventions to improve patient safety.

March 2, 2016

Implementing hospital-based communication-and-resolution programs: lessons learned in New York City.

February 5, 2014

Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire.

May 5, 2021

National costs of the medical liability system.

September 15, 2010

Risk factors for retained instruments and sponges after surgery.

March 6, 2005

Challenges of implementing a communication-and-resolution program where multiple organizations must cooperate.

December 21, 2016

Prevalence and characteristics of physicians prone to malpractice claims.

February 3, 2016

Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital discharge.

November 2, 2016

Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review.

November 8, 2017

Relationship between quality of care and negligence litigation in nursing homes.

April 13, 2011

The role of physician specialty board certification status in the quality movement.

March 6, 2005

Ensuring successful implementation of communication-and-resolution programmes.

March 18, 2020

Changes in practice among physicians with malpractice claims.

April 3, 2019

Four states with robust prescription drug monitoring programs reduced opioid dosages.

June 27, 2018

Assessment of perioperative outcomes among surgeons who operated the night before.

June 8, 2022

Communication factors in the follow-up of abnormal mammograms.

March 6, 2005

Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims.

October 11, 2006

Analysis of surgical errors in closed malpractice claims at 4 liability insurers.

August 16, 2006

Can communication-and-resolution programs achieve their potential? Five key questions.

December 19, 2018

Collaboration with regulators to support quality and accountability following medical errors: the communication and resolution program certification pilot.

September 21, 2016

An insurer's care transition program emphasizes medication reconciliation, reduces readmissions and costs.

July 27, 2016

Relationship between state malpractice environment and quality of health care in the United States.

April 12, 2017

Disclosure, apology, and offer programs: stakeholders' views of barriers to and strategies for broad implementation.

January 9, 2013

Communication-and-resolution programs: the challenges and lessons learned from six early adopters.

January 15, 2014

Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers.

October 11, 2006

Outcomes in two Massachusetts hospital systems give reason for optimism about communication-and-resolution programs.

October 11, 2017

How policy makers can smooth the way for communication-and-resolution programs.

January 29, 2014

Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I.

March 27, 2005

Relation between malpractice claims and adverse events due to negligence. Results of the Harvard Medical Practice Study III.

March 27, 2005

Association of overlapping surgery with perioperative outcomes.

March 6, 2019

Using an inpatient portal to engage families in pediatric hospital care.

June 29, 2016

Effects of a communication-and-resolution program on hospitals' malpractice claims and costs.

December 19, 2018

Epidemiology, comparative methods of detection, and preventability of adverse drug events.

June 15, 2005

SEIPS 3.0: human-centered design of the patient journey for patient safety.

February 19, 2020

What has an Airbus A380 captain got to do with OMFS? Lessons from aviation to improve patient safety.

June 12, 2019

Strategies for improving family engagement during family-centered rounds.

May 29, 2013

Incidence and types of preventable adverse events in elderly patients: population based review of medical records.

March 27, 2005

Human factors—recognising and minimising errors in our day to day practice.

February 10, 2016

Talking with patients about other clinicians' errors.

November 6, 2013

A family-centered rounds checklist, family engagement, and patient safety: a randomized trial.

May 31, 2017

Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care.

April 19, 2017

Applying aviation factors to oral and maxillofacial surgery—the human element.

February 1, 2012

Good people who try their best can have problems: recognition of human factors and how to minimise error.

January 27, 2016

Are parents who feel the need to watch over their children's care better patient safety partners?

December 6, 2017

Parent perceptions of children's hospital safety climate.

April 17, 2013

Situational awareness—what it means for clinicians, its recognition and importance in patient safety.

August 24, 2016

Leading article: how can I optimise my role as a leader within the surgical team?

August 31, 2016

Reducing accidental extubation in neonates.

March 5, 2008

Relationship between complaints and quality of care in New Zealand: a descriptive analysis of complainants and non-complainants following adverse events.

February 15, 2006

Health care-associated infections among critically ill children in the US, 2013-2018.

October 28, 2020

Work system barriers and facilitators of a team health information technology.

September 13, 2023

The challenges of electronic health records and diabetes electronic prescribing: implications for safety net care for diverse populations.

February 22, 2017

An educational intervention to increase "speaking-up" behaviors in nurses and improve patient safety.

January 11, 2012

Parent experiences with the process of sharing inpatient safety concerns for children with medical complexity: a qualitative analysis.

August 9, 2023

Patient safety in chiropractic teaching programs: a mixed methods study.

December 23, 2020

Negligent care and malpractice claiming behavior in Utah and Colorado.

March 27, 2005

The economic consequences of medical injuries: implications for a no-fault insurance plan.

March 6, 2005

Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients.

March 11, 2020

We need to talk: primary care provider communication at discharge in the era of a shared electronic medical record.

April 1, 2015

The impact of patient–physician alliance on trust following an adverse event.

April 10, 2019

Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes.

June 22, 2022

Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety.

February 24, 2021

The effect of multidisciplinary care teams on intensive care unit mortality.

March 3, 2010

Family safety reporting in medically complex children: parent, staff, and leader perspectives.

July 6, 2022

Care transition of trauma patients: processes with articulation work before and after handoff.

February 16, 2022

In their own words: safety and quality perspectives from families of hospitalized children with medical complexity.

September 6, 2023

Designing decision support for insulin ordering in a computerized provider order entry system.

March 7, 2007

Related Resources

Medical error and vulnerable communities.

November 16, 2022

A new category of "never events"-ending harmful hospital policies.

November 9, 2022

National Healthcare Quality and Disparities Reports.

November 7, 2022

The National Healthcare System Action Alliance to Advance Patient Safety.

November 14, 2022 - November 14, 2022

The Lancet Commission on lessons for the future from the COVID-19 pandemic.

October 12, 2022

Patient safety issues from information overload in electronic medical records.

September 14, 2022

Physicians and cognitive decline: a challenge for state medical boards.

September 7, 2022

Role of the regulator in enabling a just culture: a qualitative study in mental health and hospital care.

August 10, 2022

Combined impact of Medicare's hospital pay for performance programs on quality and safety outcomes is mixed.

August 10, 2022

Examining the Status of VA’s Electronic Health Record Modernization Program.

August 10, 2022

Improving Diagnosis in Medicine Act of 2022.

July 20, 2022

Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006-2019.

April 27, 2022

COVID-19 Focused Inspection Initiative in Healthcare.

March 23, 2022

Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids.

August 25, 2021

The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity.

May 19, 2021

Documenting a Day of Discussion: Ahead of the Crest of the Wave Creating the National Agenda for Systemic Change for Enhanced Clinician Well-Being.

April 14, 2021

The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies.

July 29, 2020

Preventing a parallel pandemic - a national strategy to protect clinicians' well-being.

June 10, 2020

Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look.

May 20, 2020

How organisations contribute to improving the quality of healthcare.

June 12, 2019

Safe practices for copy and paste in the EHR. Systematic review, recommendations, and novel model for health IT collaboration.

February 8, 2017

Medicare and Medicaid Programs; Hospital and Critical Access Hospital (CAH) Changes to Promote Innovation, Flexibility, and Improvement in Patient Care; Proposed Rule.

June 29, 2016

Despite federal legislation, shortages of drugs used in acute care settings remain persistent and prolonged.

May 18, 2016

Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical Device Safety Fails Patients.

February 3, 2016

Interview

In Conversation With… Tejal K. Gandhi, MD, MPH

April 1, 2014

Influence of state laws mandating reporting of healthcare-associated infections: the case of central line–associated bloodstream infections.

July 31, 2013

The silence of the unblown whistle: the Nevada hepatitis C public health crisis.

April 3, 2013

Sterile compounding tragedy is a symptom of a broken system on many levels.

October 31, 2012

Regulating patient safety: The Patient Protection and Affordable Care Act.

September 21, 2011

Meaningful use and certification of health information technology: what about safety?

June 1, 2011

See More About The Topic

Health Care Providers

Health Care Executives and Administrators

Policy Makers

Regulation

Fostering rational regulation of patient safety.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Fostering rational regulation of patient safety.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

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