Health care safety: what needs to be done?

George L Rubin; Stephen R Leeder

Commentary

Health care safety: what needs to be done?

December 7, 2005

Rubin GL, Leeder SR. Med J Aust. 2005;183(10):529-31.

View more articles from the same authors.

The authors assert that enhancements in measuring safety, financial incentives, education, and management would improve patient safety in Australia.

PubMed citation

Available at

Free full text (PDF)

Related Resources From the Same Author(s)

Development of a proactive process to harmonize policy, infusion pump library, and electronic health record entries for continuous infusions at an academic medical center.

September 6, 2023

Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children.

September 10, 2008

Rapid response systems: a prospective study of response times.

August 17, 2011

Delayed workup of rectal bleeding in adult primary care: examining process-of-care failures.

January 18, 2017

Association of household opioid availability and prescription opioid initiation among household members.

January 10, 2018

Limits on opioid prescribing leave patients with chronic pain vulnerable.

May 15, 2019

Addressing medicine's bias against patients who are overweight.

March 27, 2019

Get a clue: it can be all too easy to make assessment errors in the field; here's some tips to prevent you from making mistakes.

October 26, 2011

A systematic review to evaluate the accuracy of electronic adverse drug event detection.

January 4, 2012

Do professionalism lapses in medical school predict problems in residency and clinical practice?

June 17, 2020

Impact of COVID-19 on inpatient clinical emergencies: a single-center experience.

June 9, 2021

Rethinking diagnostic delay in cancer: how difficult is the diagnosis?

January 7, 2015

Characteristics of paid malpractice claims settled in and out of court in the USA: a retrospective analysis.

August 7, 2013

Improving surgical complications and patient safety at the nation's largest military hospital: an analysis of National Surgical Quality Improvement Program data.

March 29, 2017

Utilization of pharmacy technicians to increase the accuracy of patient medication histories obtained in the emergency department.

July 13, 2016

Understanding the roles of three academic communities in a prospective learning health ecosystem for diagnostic excellence.

February 26, 2020

Introduction of a mobile adverse event reporting system is associated with participation in adverse event reporting.

July 25, 2018

Body CT: technical advances for improving safety.

August 3, 2011

The effects of stress and coping on surgical performance during simulations.

January 13, 2010

Medication-error alerts for warfarin orders detected by a bar-code-assisted medication administration system.

March 9, 2011

A cluster randomized trial of two implementation strategies to deliver audit and feedback in the EQUIPPED medication safety program.

April 26, 2023

Medical morbidity and mortality conferences: past, present and future.

December 21, 2016

Interventions to increase clinical incident reporting in health care.

September 5, 2012

Nontechnical skills in pediatric surgery: factors influencing operative performance.

April 13, 2016

The patient's right to safety—improving the quality of care through litigation against hospitals.

May 17, 2006

Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiologists.

August 15, 2007

The cost of opioid–related adverse drug events.

October 8, 2014

Improving handoff communications in critical care: utilizing simulation-based training toward process improvement in managing patient risk.

July 30, 2008

Interdisciplinary communication: an uncharted source of medical error?

November 15, 2006

Interruptive communication patterns in the intensive care unit ward round.

October 26, 2005

What's that sound? Managing alarm fatigue.

September 24, 2014

Diagnostic errors with inserted tubes, lines and catheters in children.

December 5, 2012

Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites.

June 25, 2014

Patient safety in surgery: non-technical aspects of safe surgical performance.

April 7, 2010

The Israel Center for Medical Simulation: a paradigm for cultural change in medical education.

December 13, 2006

Preventing patient harms through systems of care.

August 22, 2012

Innovative teaching in situational awareness.

June 24, 2015

Pediatric aspects of inpatient health information technology systems.

February 4, 2009

The rise of the medical scribe industry: implications for the advancement of electronic health records.

April 15, 2015

Intralipid medication errors in the neonatal intensive care unit.

February 14, 2007

EACTS guidelines for the use of patient safety checklists.

March 29, 2012

The role of personal health information management in promoting patient safety in the home: a qualitative analysis

October 2, 2019

Usability testing of a mobile app to report medication errors anonymously: mixed-methods approach.

January 16, 2019

How can we keep patients with dementia safe in our acute hospitals? A review of challenges and solutions.

July 10, 2013

From heroism to safe design: leveraging technology.

February 12, 2014

Adverse event and complication tracking in anaesthesiology: dependence on self-reporting despite implementation of electronic health records.

March 16, 2022

Minimizing electronic health record patient–note mismatches.

May 18, 2011

COVID-19: peer support and crisis communication strategies to promote institutional resilience.

April 22, 2020

Patient safety in anatomic pathology: measuring discrepancy frequencies and causes.

April 15, 2005

Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR.

October 19, 2005

A work observation study of nuclear medicine technologists: interruptions, resilience and implications for patient safety.

November 23, 2016

Trainee autonomy and patient safety.

December 6, 2017

The evolution of procedural competency in internal medicine training.

November 1, 2017

Intraoperative patient information handover between anesthesia providers.

November 5, 2014

Improvements in the safety of patient care can help end the medical malpractice crisis in the United States.

January 9, 2008

Current and emerging infectious risks of blood transfusions.

March 27, 2005

Data quality associated with handwritten laboratory test requests: classification and frequency of data-entry errors for outpatient serology tests.

November 18, 2015

Surgical adverse events: a systematic review.

June 26, 2013

Automatic detection of omissions in medication lists.

August 24, 2011

A systematic proactive risk assessment of hazards in surgical wards: a quantitative study.

May 2, 2012

Relationships between pediatric safety indicators across a national sample of pediatric hospitals: dispelling the myth of the "safest" hospital.

June 22, 2022

Six things every plastic surgeon needs to know about teamwork training and checklists.

March 6, 2013

Simulation in obstetric anesthesia.

November 9, 2011

The current and ideal state of anatomic pathology patient safety.

July 30, 2014

Ethical challenges in child abuse: what is the harm of a misdiagnosis?

June 9, 2021

Communication of medical product risk: how effective is effective enough?

March 6, 2005

Medical device-associated safety and risk: surveillance and stratagems.

March 6, 2005

Improving operating room and perioperative safety: background and specific recommendations.

July 11, 2007

ESPEN guideline on hospital nutrition.

February 9, 2022

Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center.

March 6, 2005

The perception of patient safety in an alternate site of care for elective surgery during the first wave of the novel coronavirus pandemic in the United Kingdom: a survey of 158 patients.

March 24, 2021

Pediatric radiology malpractice claims—characteristics and comparison to adult radiology claims.

July 12, 2017

Therapeutic errors among children in the community setting: nature, causes and outcomes.

April 22, 2009

Therapeutic errors involving adults in the community setting: nature, causes and outcomes.

September 9, 2009

Introduction of medical emergency teams in Australia and New Zealand: a multi-centre study.

May 7, 2008

CT for suspected appendicitis in children: an analysis of diagnostic errors.

March 1, 2006

Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic.

May 31, 2023

The systems approach at the sharp end.

October 31, 2018

Tools for primary care patient safety: a narrative review.

November 26, 2014

Patient safety and patient error.

January 31, 2007

Long-term solution to malpractice crises: reduce harm to patients.

April 26, 2006

Evidence-based guidelines for fatigue risk management in emergency medical services.

March 14, 2018

Mobile physician reporting of clinically significant events—a novel way to improve handoff communication and supervision of resident on call activities.

December 3, 2014

A team disclosure of error educational activity: objective outcomes.

June 5, 2019

Implementation science for ambulatory care safety: a novel method to develop context-sensitive interventions to reduce quality gaps in monitoring high-risk patients.

July 12, 2017

The Human Factors Analysis Classification System (HFACS) applied to health care.

August 7, 2013

Opioid-Induced Ventilatory Impairment (OIVI): Time for Change in the Monitoring Strategy for Postoperative PCA Patients.

March 19, 2014

Implementing a national program to reduce catheter-associated urinary tract infection: a quality improvement collaboration of state hospital associations, academic medical centers, professional societies, and governmental agencies.

December 18, 2013

Diagnostic errors in pediatric radiology.

March 30, 2011

A method for measuring system safety and latent errors associated with pediatric procedural sedation.

July 27, 2005

Individual surgeon mortality rates: can outliers be detected? A national utility analysis.

November 16, 2016

An organizational framework to reduce professional burnout and bring back joy in practice.

May 17, 2017

To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective.

July 13, 2011

Patient safety in obstetrics and obstetric anesthesia.

April 23, 2014

When things go wrong: how health care organizations deal with major failures.

March 6, 2005

Getting the board on board: engaging hospital boards in quality and patient safety.

March 29, 2006

Crisis management for surgical teams and their leaders, lessons from the COVID-19 pandemic; a structured approach to developing resilience or natural organisational responses.

September 15, 2021

Decoding laboratory test names: a major challenge to appropriate patient care.

January 16, 2013

The perceptions of nurses towards barriers to the safe administration of medicines in mental health settings.

February 3, 2016

Retrospective review of emergency response activations during a 13-year period at a tertiary care children's hospital.

December 22, 2010

Related Resources

Interview

In Conversation with Kathleen Sanford and Sue Schuelke about Virtual Nursing

August 30, 2023

Perspectives on Safety

Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges

August 30, 2023

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada.

June 28, 2023

Challenge Competition: Impact of Patient Safety Tools.

June 14, 2023

The Patient Safety Adoption Framework: a practical framework to bridge the know-do gap.

May 31, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Identifying safety practices perceived as low value: an exploratory survey of healthcare staff in the United Kingdom and Australia.

March 8, 2023

AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Engaging Patients and Families.

February 15, 2023

Positive approaches to safety: learning from what we do well.

August 31, 2022

Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case studies.

June 8, 2022

Multifactorial interventions to reduce duration and variability in delays to identification of serious injury after falls in hospital inpatients.

April 27, 2022

Anesthesia Patient Safety Foundation (APSF) Grant Program.

April 25, 2022

Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident analysis.

April 13, 2022

Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries.

July 7, 2021

Becoming a High Reliability Organization.

September 2, 2020

Perspective

Safety Across The Board

August 31, 2020

Interview

In Conversation With... Edwin Loftin, DNP, MBA, RN, NEA-BC-FACHE

August 31, 2020

The use of anatomical side markers in general radiology: a systematic review of the current literature.

August 26, 2020

The application of strong matrix management and PDCA cycle in the management of severe COVID-19 patients.

May 20, 2020

A model for improving health care quality for transgender and gender nonconforming patients.

January 23, 2020

PC standards for maternal safety.

September 11, 2019

Patient safety issues continue to plague American hospitals.

August 14, 2019

What interventions could reduce diagnostic error in emergency departments? A review of evidence, practice and consumer perspectives.

July 24, 2019

The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes.

July 10, 2019

Reducing three infections across cardiac surgery programs: a multisite cross-unit collaboration.

May 22, 2019

Saving without compromising: teaching trainees to safely provide high value care.

April 17, 2019

A qualitative positive deviance study to explore exceptionally safe care on medical wards for older people.

April 10, 2019

The path to diagnostic excellence includes feedback to calibrate how clinicians think.

February 20, 2019

Importance of safety climate, teamwork climate and demographics: understanding nurses, allied health professionals and clerical staff perceptions of patient safety.

January 30, 2019

See More About The Topic

Hospitals

Health Care Executives and Administrators

Continuous Quality Improvement

Financial

Teamwork

Health care safety: what needs to be done?

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Health care safety: what needs to be done?

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

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