As industry automates, adverse events continue to haunt caregivers.

Tracy Granzyk Wetzel

Newspaper/Magazine Article

As industry automates, adverse events continue to haunt caregivers.

February 16, 2011

Wetzel TG. Health data management. 2011;19(2):86, 88, 90 passim.

View more articles from the same authors.

This article discusses how several health care organizations used health information technology to improve organizational transparency.

PubMed citation

Related Resources From the Same Author(s)

When errors occur.

October 27, 2010

Barcode medication administration software technology use in the emergency department and medication error rates.

August 31, 2022

Piecing together medication administration.

May 27, 2009

CPOE: it don't come easy.

January 14, 2009

Utah DoH Patient Safety Initiatives.

March 6, 2005

Medical crisis checklists in the emergency department: a simulation-based multi-institutional randomised controlled trial.

March 17, 2021

Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation.

March 3, 2021

Patient safety culture: the impact on workplace violence and health worker burnout.

February 8, 2023

Hospital computerized provider order entry adoption and quality: an examination of the United States.

January 5, 2011

Beyond communication: the role of standardized protocols in a changing health care environment.

January 11, 2012

Variability in collection and use of race/ethnicity and language data in 93 pediatric hospitals.

October 14, 2020

Safety by Design.

December 20, 2006

AHRQ 2011 Annual Conference.

January 30, 2005

An analysis of prehospital pediatric medication dosing errors after implementation of a state-wide EMS pediatric drug dosing reference.

March 1, 2023

Duplicate medication order errors: safety gaps and recommendations for improvement.

October 12, 2022

Medication guides: patient medication information. A proposed rule by the Food and Drug Administration.

June 28, 2023

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

May 20, 2020

Apology for errors: whose responsibility?

April 18, 2012

Guidelines for opioid prescribing in children and adolescents after surgery: an expert panel opinion.

December 2, 2020

IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care.

October 12, 2011

Patient safety attitudes and behaviors of graduating medical students.

September 21, 2011

Cognitive Informatics: Reengineering Clinical Workflow for Safer and More Efficient Care.

August 21, 2019

Safety Culture: Building and Sustaining a Cultural Change in Aviation and Healthcare.

March 14, 2012

Diagnostic error in acute care.

September 15, 2010

The checklist.

December 12, 2007

The Medical Apology: Making It Right When Things Go Wrong.

April 18, 2012

Radiation Therapy Safety: The Critical Role of the Radiation Therapist.

May 30, 2012

National Partnership for Maternal Safety: consensus bundle on support after a severe maternal event.

January 27, 2021

Medicare releases patient safety ratings for hospitals.

October 26, 2011

Health Policy Brief: Improving Quality and Safety.

May 18, 2011

Health Care Leaders Action Guide: Hospital Strategies for Reducing Preventable Mortality.

May 4, 2011

Errors in Laboratory Medicine and Patient Safety.

June 3, 2009

Analysis of patient safety risk management call data during the COVID‐19 pandemic.

January 27, 2021

Events associated with the prescribing, dispensing, and administering of medication loading doses.

September 19, 2012

Nursing student errors and near misses: three years of data.

February 22, 2023

A blueprint for leadership during COVID-19.

August 12, 2020

Data-driven quality improvement, culture change, and the high reliability journey at a special hospital for people with medically complex developmental disabilities.

March 11, 2020

Giving back the pen: disclosure, apology and early compensation discussions after harm in the healthcare setting.

April 23, 2008

Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections.

July 20, 2011

Lack of patient knowledge regarding hospital medications.

January 6, 2010

Linking nurse characteristics, team member effectiveness, practice environment, and medication error incidence.

January 25, 2012

WHO Patient Safety Curriculum Guide: Multi-Professional Edition.

November 23, 2011

Reliability, uncertainty and the management of error: new perspectives in the COVID-19 era.

March 9, 2022

Pharmacist transition-of-care services improve patient satisfaction and decrease hospital readmissions.

March 30, 2022

Resource-based view on safety culture's influence on hospital performance: the moderating role of electronic health record implementation.

September 19, 2018

What's that sound? Managing alarm fatigue.

September 24, 2014

Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events.

September 26, 2018

Development of a patient safety web-based education curriculum for physicians, nurses, and patients.

August 31, 2005

Health technology, quality and safety in a learning health system.

February 15, 2023

The cost of quality: an academic health center's annual costs for its quality and patient safety infrastructure.

July 25, 2018

Leadership through crisis: fighting the fatigue pandemic in healthcare during COVID-19.

March 31, 2021

Diagnostic delays among COVID-19 patients with a second concurrent diagnosis.

February 22, 2023

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

October 4, 2020

The Patient Safety Initiative at America’s Public Hospitals: The Year One Overview.

February 9, 2011

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

May 18, 2011

Identification of latent safety threats using high-fidelity simulation-based training with multidisciplinary neonatology teams.

July 24, 2013

Zero Suicide Initiative.

November 17, 2021

Incorporating harms into the weighting of the Revised AHRQ Patient Safety for Selected Indicators Composite (PSI 90).

January 26, 2022

The impact of health system membership on patient safety initiatives.

January 9, 2008

Piece of my mind. Stories doctors tell.

July 19, 2017

Harnessing event report data to identify diagnostic error during the COVID-19 pandemic.

December 15, 2021

Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates.

March 3, 2021

Health IT and Patient Safety: Building Safer Systems for Better Care.

November 16, 2011

Medical malpractice claims by members of the uniformed services.

July 7, 2021

Health care work environments, employee satisfaction, and patient safety: care provider perspectives.

February 7, 2007

Zero harm in health care.

March 18, 2020

Health Care Comes Home: The Human Factors.

August 3, 2011

Coordination Between Emergency and Primary Care Physicians.

April 20, 2011

Work-arounds in health care settings: literature review and research agenda.

January 16, 2008

Medicare cuts payment to 774 hospitals over patient complications.

March 3, 2021

Racism derails black men’s health, even as education levels rise.

June 2, 2021

Employee silence in health care: charting new avenues for leadership and management.

August 3, 2022

The safety of hospital stroke care.

March 7, 2007

Examining the Increase in Drug Shortages.

October 5, 2011

Measures and measurement of high-performance work systems in health care settings: propositions for improvement.

February 9, 2011

Drug Shortages: FDA's Ability to Respond Should Be Strengthened.

January 4, 2012

Doctors, lawyers make deal on medical-malpractice bill.

March 8, 2006

Capturing essential information to achieve safe interoperability.

August 10, 2016

The effectiveness of assertiveness communication training programs for healthcare professionals and students: a systematic review.

November 15, 2017

Exploring changes in patient safety incidents during the COVID-19 pandemic in a Canadian regional hospital system: a retrospective time series analysis.

February 23, 2022

Managing safety in perioperative settings: strategies of meso-level nurse leaders.

March 15, 2023

Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation.

July 13, 2022

What a doctor may miss by reaching for the MRI first.

May 28, 2014

Racial and ethnic disparities in the treatment of chronic pain.

December 29, 2020

A systems approach to address the impact of second victim phenomenon.

December 9, 2020

Acute care patients discuss the patient role in patient safety.

April 6, 2011

The human face of simulation: patient-focused simulation training.

October 18, 2006

Sepsis quality in safety-net hospitals: an analysis of Medicare's SEP-1 performance measure.

October 2, 2019

Trial and error: learning from malpractice claims in childhood surgery.

August 24, 2022

Insulin Pens Devices.

October 12, 2016

Instructions included? Why materials managers need to make safety training part of medical device procurement process.

June 16, 2010

Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events.

November 16, 2011

Alarm fatigue: use of an evidence-based alarm management strategy.

September 14, 2016

Integrating patient safety and clinical pharmacy services into the care of a high-risk, ambulatory population: a collaborative approach.

June 19, 2013

Nurses' harm prevention practices during admission of an older person to the hospital: a multi-method qualitative study.

August 10, 2022

Nursing guidelines for comprehensive harm prevention strategies for adult patients in acute hospitals: an integrative review and synthesis.

February 23, 2022

Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER Guides.

February 16, 2022

Nurses’ perspectives on the impact of management approaches on the blame culture in health-care organizations.

March 31, 2021

Quality improvement for patient safety: project-level versus program-level learning.

February 22, 2012

Resident physicians' advice seeking and error making: a social networks approach.

May 25, 2022

Related Resources

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Perspectives on Safety

Annual Perspective

Technology as a Tool for Improving Patient Safety

March 29, 2023

Sources of nurse-sensitive inpatient safety improvement.

December 21, 2022

Using community detection techniques to identify themes in COVID-19-related patient safety event reports.

December 7, 2022

Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital.

September 14, 2022

Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions.

July 13, 2022

The electronic prescribing of subcutaneous infusions: a before-and-after study assessing the impact upon patient safety and service efficiency.

June 15, 2022

Prescribing errors with low-molecular-weight heparins.

October 13, 2021

Taking the heat or taking the temperature? A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame.

May 23, 2018

Identifying patients with sepsis on the hospital wards.

June 7, 2017

Healthy life-years lost and excess bed-days due to 6 patient safety incidents: empirical evidence from English hospitals.

November 2, 2016

Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals.

February 19, 2014

Overrides of medication-related clinical decision support alerts in outpatients.

January 8, 2014

The Orthopaedic Error Index: development and application of a novel national indicator for assessing the relative safety of hospital care using a cross-sectional approach.

December 18, 2013

Improving quality and safety of care using "technovigilance": an ethnographic case study of secondary use of data from an electronic prescribing and decision support system.

October 16, 2013

Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool.

May 15, 2013

What is the NHS Safety Thermometer?

November 28, 2012

Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse events.

October 24, 2012

Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management.

June 13, 2012

Harm Free Care.

May 9, 2012

Automated identification of extreme-risk events in clinical incident reports.

February 8, 2012

Rethinking resident supervision to improve safety: from hierarchical to interprofessional models.

October 26, 2011

A framework for evaluating the appropriateness of clinical decision support alerts and responses.

September 21, 2011

Physicians-in-training attitudes on patient safety: 2003 to 2008.

September 7, 2011

Automated identification of postoperative complications within an electronic medical record using natural language processing.

August 31, 2011

Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety.

August 31, 2011

Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and treatment algorithms.

July 20, 2011

Scanner beep only means the barcode has been scanned.

July 13, 2011

Comparison of computerized surveillance and manual chart review for adverse events.

June 29, 2011

Critical drug–drug interactions for use in electronic health records systems with computerized physician order entry: review of leading approaches.

June 15, 2011

See More About The Topic

Hospitals

Quality and Safety Professionals

Information Professionals

General Internal Medicine

Hospital Medicine

As industry automates, adverse events continue to haunt caregivers.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

As industry automates, adverse events continue to haunt caregivers.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

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