The new patient safety officer: a lifeline for patients, a life jacket for CEOs.

Charles R. Denham

Commentary

The new patient safety officer: a lifeline for patients, a life jacket for CEOs.

April 4, 2007

Denham CR. J Patient Saf. 2008;3(1).

View more articles from the same authors.

The author interviews patient safety leaders on the role of the "patient safety officer" and suggests guidelines for developing this position.

Available at

Related Resources From the Same Author(s)

The partnership with patients: a call to action for leaders.

September 7, 2011

TRUST: the 5 rights of the second victim.

June 27, 2007

SBAR for patients.

March 12, 2008

The cost of harm and savings through safety: using simulated patients for leadership decision support.

September 12, 2012

The hospital discharge: a review of a high risk care transition with highlights of a reengineered discharge process.

June 20, 2007

Disclosure through our eyes.

March 19, 2008

The National Quality Forum safe practice standard for computerized physician order entry: updating a critical patient safety practice.

January 10, 2007

Quality initiatives: developing a radiology quality and safety program: a primer.

August 26, 2009

Safe use of electronic health records and health information technology systems: trust but verify.

December 18, 2013

Are you listening...Are you really listening?

September 17, 2008

A safe practice standard for barcode technology.

June 3, 2015

No excuses: the reality that demands action.

September 1, 2005

Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system.

September 18, 2013

Radiation protection and dose monitoring in medical imaging: a journey from awareness, through accountability, ability and action … but where will we arrive?

December 4, 2013

Medication safety in community pharmacy: a qualitative study of the sociotechnical context.

December 2, 2009

An investigation of occupational subgroups with respect to patient safety culture.

March 14, 2012

Psychosocial influences on safety climate: evidence from community pharmacies.

December 14, 2011

Understanding procedural violations using Safety-I and Safety-II: the case of community pharmacies.

August 22, 2018

Exploring the human factors of prescribing errors in paediatric intensive care units.

March 27, 2019

Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theory of planned behaviour.

September 9, 2015

Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study.

January 16, 2013

unDerstandIng the cauSes of mediCation errOrs and adVerse drug evEnts for patients with mental illness in community caRe (DISCOVER): a qualitative study.

February 28, 2024

Leadership, safety climate, and continuous quality improvement: impact on process quality and patient safety.

April 16, 2014

Exploring strategies for reducing hospital errors.

April 19, 2006

Organizational culture, critical success factors, and the reduction of hospital errors.

April 18, 2007

Implementation of patient safety initiatives in US hospitals.

May 24, 2006

Organizational conditions for engagement in quality and safety improvement: a longitudinal qualitative study of community pharmacies.

February 6, 2019

Medication safety gaps in English pediatric inpatient units: an exploration using work domain analysis.

March 6, 2024

Exploring safety systems for dispensing in community pharmacies: focusing on how staff relate to organizational components.

September 17, 2014

Identifying violation-provoking conditions in a healthcare setting.

December 17, 2008

Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review.

June 12, 2019

High rates of adverse drug events in a highly computerized hospital.

May 25, 2005

Exploring the harmful effects of health care.

July 8, 2009

Better off at home--how we fail children with complex medical conditions.

January 25, 2023

Should electronic differential diagnosis support be used early or late in the diagnostic process? A multicentre experimental study of Isabel.

October 27, 2021

Capturing patients' perspectives on medication safety: the development of a patient-centered medication safety framework.

May 8, 2019

Understanding the informal aspects of medication processes to maintain patient safety in hospitals: a sociotechnical ethnographic study in paediatric units.

April 17, 2024

Missed ischemic stroke diagnosis in the emergency department by emergency medicine and neurology services.

April 20, 2016

Science and patient safety.

October 17, 2012

Zero preventable deaths after traumatic injury: an achievable goal.

July 12, 2017

Changing our culture: adopting the military aviation safety system.

July 16, 2014

Understanding and responding to adverse events.

March 6, 2005

Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechnical factor study.

June 7, 2023

The Threats to Australian Patient Safety (TAPS) study: incidence of reported errors in general practice.

August 2, 2006

A spike in people dying at home suggests coronavirus deaths in Houston may be higher than reported.

July 22, 2020

Innovation and teamwork: introducing multidisciplinary team ward rounds.

April 26, 2006

The key to CPOE.

December 12, 2007

Using an objective structured clinical examination to test adherence to Joint Commission National Patient Safety Goal–associated behaviors.

September 5, 2012

Engaging the patient and family in the surgical safety process utilizing SafeStart.

August 28, 2019

Increasing demands for quality measurement.

November 27, 2013

Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care.

November 14, 2018

Managing risk in hazardous conditions: improvisation is not enough.

July 24, 2019

Learning from failure: the need for independent safety investigation in healthcare.

November 19, 2014

Implementing patient safety practices in small ambulatory care settings.

July 19, 2006

The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution?

November 16, 2005

Measuring safety climate in elderly homes.

March 29, 2012

Patient safety in the critical care environment.

December 12, 2012

Remaking surgical socialization: work hour restrictions, rites of passage, and occupational identity.

October 17, 2012

Blind spots in the science of safety.

May 8, 2019

A failure in the medication delivery system-how disclosure and systems investigation improve patient safety.

January 11, 2023

Improving heparin safety: a multidisciplinary invited conference.

July 23, 2008

The Research on Adverse Drug Events and Reports (RADAR) project.

May 18, 2005

Pharmacist work stress and learning from quality related events.

November 9, 2016

Multidisciplinary centres for safety and quality improvement: learning from climate change science.

April 27, 2011

The role of chief executive officers in a quality improvement: a qualitative study.

February 20, 2013

Patient involvement in patient safety: the health-care professional's perspective.

November 7, 2012

Managing the after effects of serious patient safety incidents in the NHS: an online survey study.

October 31, 2012

Fall prevention in hospitals: an integrative review.

September 21, 2011

Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety.

May 21, 2014

Surgical patient safety officers in the United States: negotiating contradictions between compliance and workplace transformation.

February 24, 2021

Embracing multiple aims in healthcare improvement and innovation.

March 23, 2022

Distracting communications in the operating theatre.

June 6, 2007

Creating safety culture on nursing units: human performance and organizational system factors that make a difference.

January 3, 2007

Use of specific indicators to detect warfarin-related adverse events.

August 24, 2005

Sleep deprivation, elective surgical procedures, and informed consent.

January 12, 2011

Making health care safer: what is the contribution of health psychology?

November 11, 2015

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

July 10, 2013

Practising safely in the foundation years.

April 22, 2009

Falling through the cracks: the invisible hospital cleaning workforce.

October 26, 2022

Moving beyond the weekend effect: how can we best target interventions to improve patient care?

June 30, 2021

Safety skills for clinicians: an essential component of patient safety.

August 20, 2008

The problem of engaging hospital doctors in promoting safety and quality in clinical care.

March 21, 2007

Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis.

July 31, 2019

Preventable medication harm across health care settings: a systematic review and meta-analysis.

February 17, 2021

Engineering the system of communication for safer surgery.

February 23, 2011

Effect of bar-code–assisted medication administration on medication administration errors and accuracy in multiple patient care areas.

July 15, 2009

Rethinking medical ward quality.

November 9, 2016

Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice.

April 11, 2018

Safety analysis over time: seven major changes to adverse event investigation.

January 24, 2018

The impact of the 2011 Accreditation Council for Graduate Medical Education duty hour reform on quality and safety in trauma care.

April 13, 2016

A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patient safety video.

April 17, 2013

An examination of opportunities for the active patient in improving patient safety.

February 22, 2012

'The ABC of Handover': impact on shift handover in the emergency department.

February 8, 2012

Development and validation of a tool to assess emergency physicians' nontechnical skills.

April 18, 2012

Identifying nontechnical skills associated with safety in the emergency department: a scoping review of the literature.

April 18, 2012

Transcription errors of blood glucose values and insulin errors in an intensive care unit: secondary data analysis toward electronic medical record–glucometer interoperability.

May 29, 2019

Patient safety in community dementia services: what can we learn from the experiences of caregivers and healthcare professionals?

February 15, 2017

The role of hospital managers in quality and patient safety: a systematic review.

September 17, 2014

Often overlooked problems with handoffs: from the intensive care unit to the operating room.

May 14, 2014

'Between the flags': implementing a rapid response system at scale.

May 14, 2014

Related Resources

Interview

In Conversation with... Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety

November 27, 2023

Perspectives on Safety

The Role of Undergraduate Nursing Education in Patient Safety

November 27, 2023

The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question.

June 28, 2023

Explicitly addressing implicit bias on inpatient rounds: student and faculty reflections.

June 7, 2023

Patients admitted on weekends have higher in-hospital mortality than those admitted on weekdays: analysis of national inpatient sample.

May 31, 2023

The impact of nursing skill-mix on adverse events in intensive care: a single centre cohort study.

May 31, 2023

Patient Safety Innovations

The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis

March 15, 2023

National patient safety goal to improve health care equity.

February 8, 2023

Implementation of an online reporting system to identify unprofessional behaviors and mistreatment directed at trainees at an academic medical center.

December 21, 2022

Fast does not imply flawed: analyzing emergency physician productivity and medical errors.

December 14, 2022

Hospital-acquired conditions reduction program, racial and ethnic diversity, and Magnet designation in the United States.

October 12, 2022

Improving diagnosis: adding context to cognition.

September 7, 2022

RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice.

August 17, 2022

New graduate registered nurses: Risk mitigation strategies to ensure safety and successful transition to practice.

August 3, 2022

Outcomes-based nurse staffing during times of crisis and beyond.

February 16, 2022

The challenge of competency assessment of the late-career practitioner.

February 9, 2022

Factors associated with potentially missed acute deterioration in primary care: cohort study of UK general practices.

October 20, 2021

The successful anesthesia patient safety officer.

September 15, 2021

SEIPS 101 and seven simple SEIPS tools.

June 9, 2021

Acting between guidelines and reality- an interview study exploring the strategies of first line managers in patient safety work.

February 3, 2021

COVID-19 hospital outbreaks: protecting healthcare workers to protect frail patients. An Italian observational cohort study.

February 3, 2021

Reducing nosocomial transmission of COVID-19: implementation of a COVID-19 triage system.

October 28, 2020

Hospitals Can Take Key Steps to Improve Safe Use of Digital Systems.

August 12, 2020

Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons from New York City.

July 29, 2020

A description of medical malpractice claims involving advanced practice providers.

July 15, 2020

Safety at the time of the COVID-19 pandemic: how to keep our oncology patients and healthcare workers safe.

May 13, 2020

Safely practicing in a new environment: a qualitative study to inform physician onboarding practices.

May 13, 2020

Blueprint for restructuring a department of surgery in concert with the health care system during a pandemic: the University of Wisconsin Experience.

May 6, 2020

Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations

January 22, 2020

Ten ways to improve medication safety in community pharmacies.

August 7, 2019

See More About The Topic

Hospitals

Facility and Group Administrators

Quality and Safety Professionals

Credentialing, Licensure, and Discipline

Logistical Approaches

The new patient safety officer: a lifeline for patients, a life jacket for CEOs.

The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

The new patient safety officer: a lifeline for patients, a life jacket for CEOs.

The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis

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