Patient safety: Part II. Opportunities for improvement in patient safety.

Dirk M. Elston; Erik Stratman; Hillary Johnson-Jahangir; Alice Watson; Susan Swiggum; William Hanke

Review

Patient safety: Part II. Opportunities for improvement in patient safety.

August 19, 2009

Elston DM, Stratman E, Johnson-Jahangir H, et al. J Am Acad Dermatol. 2009;61(2):193-205; quiz 206.

View more articles from the same authors.

Part II of this continuing education series recommends activities to support the adoption of safety culture and the use of error reports as opportunities to improve dermatology office practice.

PubMed citation

Available at

Related Resources From the Same Author(s)

Laboratory results that should be ignored.

November 1, 2006

Patient safety: Part I. Patient safety and the dermatologist.

August 19, 2009

Practice gaps in patient safety among dermatology residents and their teachers: a survey study of dermatology residents.

April 23, 2014

Prevention of surgical malpractice claims by a surgical safety checklist.

January 26, 2011

Safety of using a computerized rounding and sign-out system to reduce resident duty hours.

July 14, 2010

Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior.

July 10, 2019

Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire.

July 29, 2009

Differences in the reporting of care-related patient injuries to existing reporting systems.

March 6, 2005

Burnout mediates the association between depression and patient safety perceptions: a cross-sectional study in hospital nurses.

April 26, 2017

IDEA4PS: the development of a research-oriented learning healthcare system.

February 14, 2018

Making electronic health records both SAFER and SMARTER.

July 27, 2022

Variability in antibiotic use across nursing homes and the risk of antibiotic-related adverse outcomes for individual residents.

July 29, 2015

Validity of selected AHRQ Patient Safety Indicators based on VA National Surgical Quality Improvement program data.

October 15, 2008

Surgeon burnout, impact on patient safety and professionalism: a systematic review and meta-analysis.

March 16, 2022

The effects of the second victim phenomenon on work-related outcomes: connecting self-reported caregiver distress to turnover intentions and absenteeism.

December 21, 2016

The development of the National Reporting and Learning System in England and Wales, 2001-2005.

June 7, 2006

'I guess I'll wait to hear'- communication of blood test results in primary care a qualitative study.

August 3, 2022

Using human error theory to explore the supply of non-prescription medicines from community pharmacies.

August 23, 2006

Making patient safety the centerpiece of medical liability reform.

May 31, 2006

Parent participation in morbidity and mortality review: parent and physician perspectives.

June 22, 2022

Malpractice liability and health care quality: a review

February 19, 2020

Momentary interruptions can derail the train of thought.

January 30, 2013

Alarm fatigue: impacts on patient safety.

December 16, 2015

EU to tackle issue of patient safety.

April 27, 2005

A randomized controlled trial on the effect of a double check on the detection of medication errors.

August 23, 2017

Is safety a subject for science?

September 11, 2013

Preventing medical injury.

March 27, 2005

The hidden costs of reconciling surgical sponge counts.

November 11, 2015

What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour.

September 21, 2022

Incivility and clinical performance, teamwork, and emotions: a randomized controlled trial.

May 22, 2019

Medication reconciliation: barriers and facilitators from the perspectives of resident physicians and pharmacists.

August 24, 2011

Exploring the concept of medication discrepancy within the context of patient safety to improve population health.

December 9, 2009

Informatics tools in deprescribing and medication optimization in older adults: development and dissemination of VIONE methodology in a high reliability organization.

November 15, 2023

Concept analysis: wrong-site surgery.

June 17, 2015

Counting for patient safety.

September 6, 2006

New persistent opioid use after postoperative intensive care in US veterans.

June 19, 2019

Enhancing safety culture through improved incident reporting: a case study in translational research.

December 12, 2018

Managing the adverse event occurring during elective, ambulatory pediatric surgery.

May 20, 2009

Hand-off Communications.

October 27, 2010

Using Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system.

March 27, 2005

Improving patient safety via automated laboratory-based adverse event grading.

January 30, 2005

Safety as a criterion for quality: The Critical Nursing Situation Index in paediatric critical care, an observational study.

November 4, 2009

Detecting adverse events in surgery: comparing events detected by the Veterans Health Administration Surgical Quality Improvement Program and the Patient Safety Indicators.

June 4, 2014

Validity of selected patient safety indicators: opportunities and concerns.

October 27, 2010

A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours.

April 27, 2005

High-alert medications in the pediatric intensive care unit.

January 7, 2009

FDA drug prescribing warnings: is the black box half empty or half full?

December 7, 2005

Types, prevalence, and potential clinical significance of medication administration errors in assisted living.

June 4, 2008

Using learning communities to support adoption of health care innovations.

July 25, 2018

Building a highway to quality health care.

September 7, 2016

Medical improv: a novel approach to teaching communication and professionalism skills.

August 3, 2016

'Whatever you cut, I can fix it': clinical supervisors' interview accounts of allowing trainee failure while guarding patient safety.

November 20, 2019

Trainees' perceptions of being allowed to fail in clinical training: a sense-making model.

December 14, 2022

'It depends': The complexity of allowing residents to fail from the perspective of clinical supervisors.

November 24, 2021

The 100,000 Lives Campaign: crystallizing standards of care for hospitals.

November 23, 2005

Safety in anaesthesia: a study of 12,606 reported incidents from the UK National Reporting and Learning System.

April 2, 2008

Rounding to influence.

September 29, 2010

Impact of introducing an electronic physiological surveillance system on hospital mortality.

October 15, 2014

Association of low-dose whole-body computed tomography with missed injury diagnoses and radiation exposure in patients with blunt multiple trauma.

February 5, 2020

Factors associated with hospital admission after outpatient surgery in the Veterans Health Administration.

February 28, 2018

Quality improvement priorities for safer out-of-hours palliative care: lessons from a mixed-methods analysis of a national incident-reporting database.

February 6, 2019

The emotional impact of medical errors on practicing physicians in the United States and Canada.

August 1, 2007

The technologist's role in patient safety and quality in medical imaging.

June 5, 2013

Interruptions in clinical nursing practice.

November 6, 2013

Patient and visitor aggression in healthcare: a survey exploring organisational safety culture and team efficacy.

June 19, 2019

Development and expression of a high-reliability organization.

December 1, 2021

The SBAR communication technique: teaching nursing students professional communication skills.

July 15, 2009

Use of unit-based interventions to improve the quality of care for hospitalized medical patients: a national survey.

August 2, 2017

An observational study of direct oral anticoagulant awareness indicating inadequate recognition with potential for patient harm.

April 13, 2016

Sustaining reductions in central line-associated bloodstream infections in Michigan intensive care units: a 10-year analysis.

July 13, 2016

Improving patient safety in radiotherapy by learning from near misses, incidents and errors.

August 1, 2007

The Henry Ford Health System No Harm Campaign: a comprehensive model to reduce harm and save lives.

July 11, 2012

Improving medication management through the redesign of the hospital code cart medication drawer.

January 18, 2012

Content analysis of patient complaints.

October 29, 2008

The challenge of risk prevention in home healthcare-an interview study with nurses in municipal care.

July 12, 2023

Conditions that influence the impact of malpractice litigation risk on physicians' behavior regarding patient safety.

March 26, 2014

An estimate of missed pediatric sepsis in the emergency department.

June 2, 2021

Recommendations from the British Committee for Standards in Haematology and National Patient Safety Agency.

December 13, 2006

ED overcrowding is associated with an increased frequency of medication errors.

March 31, 2010

Reasons for after-hours calls by hospital floor nurses to on-call physicians.

May 30, 2007

Primary care medication safety surveillance with integrated primary and secondary care electronic health records: a cross-sectional study.

July 22, 2015

Contextual factors influencing the implementation of a multifaceted intervention to improve teamwork and quality for hospitalized patients: a multi-site qualitative comparative case study.

November 1, 2023

Interventions to reduce pediatric prescribing errors in professional healthcare settings: a systematic review of the last decade.

June 23, 2021

Interventions to reduce medication dispensing, administration, and monitoring errors in pediatric professional healthcare settings: a systematic review.

September 29, 2021

The role of information technology in healthcare communications, efficiency, and patient safety: application and results.

April 25, 2007

Situation, background, assessment, and recommendation–guided huddles improve communication and teamwork in the emergency department.

December 16, 2015

Clinical decision support and malpractice risk.

July 13, 2011

Care at the point of impact: insights into the second-victim experience.

May 18, 2016

Clinical and economic impacts of explicit tools detecting prescribing errors: a systematic review.

May 26, 2021

Investigating adverse event free admissions in Medicare inpatients as a patient safety indicator.

June 22, 2016

Junior doctors' shifts and sleep deprivation.

June 29, 2005

A scoping review of clinical handover mnemonic devices.

October 18, 2023

Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fentanyl and patient safety.

April 26, 2023

Development and testing of tools to detect ambulatory surgical adverse events.

June 5, 2013

Malpractice liability, patient safety, and the personification of medical injury: opportunities for academic medicine.

September 13, 2006

Adverse outpatient drug events—a problem and an opportunity.

March 6, 2005

Promoting patient safety through prospective risk identification: example from peri-operative care.

March 17, 2010

Leveraging trainees to improve quality and safety at the point of care: three models for engagement.

November 18, 2015

Medical teamwork and the evolution of safety science: a critical review.

March 11, 2020

Explaining the unexplainable—the impact of physicians' attitude towards litigation on their incident disclosure behaviour.

January 7, 2015

Related Resources

A scoping review exploring the confidence of healthcare professionals in assessing all skin tones.

October 4, 2023

Implementing patient safety and quality improvement in dermatology.

October 4, 2023

Diagnostic reliability in teledermatology: a systematic review and a meta-analysis.

August 30, 2023

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

Patient Safety Innovations

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

May 31, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 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

Systems engineering analysis of diagnostic referral closed-loop processes.

March 9, 2022

The relationship between high-reliability practice and hospital-acquired conditions among the Solutions for Patient Safety Collaborative.

October 20, 2021

Patient safety in dermatology: a ten-year update.

June 23, 2021

Prioritising recommendations following analyses of adverse events in healthcare: a systematic review.

November 4, 2020

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

October 4, 2020

Patient Safety Primers

COVID-19: Team and Human Factors to Improve Safety

July 30, 2020

Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies.

July 15, 2020

COVID-19: patient safety and quality improvement skills to deploy during the surge.

June 24, 2020

Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations.

June 24, 2020

Algorithm based smartphone apps to assess risk of skin cancer in adults: systematic review of diagnostic accuracy studies.

March 3, 2020

Safety-I, Safety-II and burnout: how complexity science can help clinician wellness.

July 17, 2019

Quality and Safety in Anesthesia and Perioperative Care.

July 17, 2019

Accuracy of computer-aided diagnosis of melanoma: a meta-analysis.

July 10, 2019

Safer Hospital Care: Strategies for Continuous Innovation, Second Edition.

May 16, 2019

People, systems and safety: resilience and excellence in healthcare practice.

April 17, 2019

Diagnostic heuristics in dermatology—part 1 and part 2.

February 6, 2019

Accuracy of skin cancer diagnosis by physician assistants compared with dermatologists in a large health care system.

May 2, 2018

Creating a highly reliable neonatal intensive care unit through safer systems of care.

November 15, 2017

Recognition and prevention of nosocomial malnutrition: a review and a call to action!

October 11, 2017

Randomized trial of reducing ambulatory malpractice and safety risk: results of the Massachusetts PROMISES Project.

July 19, 2017

Can you multitask? Evidence and limitations of task switching and multitasking in emergency medicine.

October 12, 2016

Do work condition interventions affect quality and errors in primary care? Results from the Healthy Work Place Study.

September 28, 2016

Improving patient safety culture in primary care: a systematic review.

September 7, 2016

See More About The Topic

Health Care Providers

Quality and Safety Professionals

Dermatology

Quality Improvement Strategies

Error Analysis

Patient safety: Part II. Opportunities for improvement in patient safety.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

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

COVID-19: Team and Human Factors to Improve Safety

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Patient safety: Part II. Opportunities for improvement in patient safety.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

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

COVID-19: Team and Human Factors to Improve 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