Quality and Safety in Health Care.

Special or Theme Issue

Quality and Safety in Health Care.

January 18, 2023

Harolds JA, Harolds LB. Clin Nucl Med. 2015–2023.

View more articles from the same authors.

This monthly commentary explores a wide range of subjects associated with patient safety, such as infection prevention, surgical quality improvement, and high reliability organizations.

PubMed citations

Available at

Related Resources From the Same Author(s)

Patient safety in the operating room.

March 31, 2023

Debriefing in the emergency department after clinical events: a practical guide.

December 17, 2014

Navigating the perfect storm: balancing a culture of safety with workforce challenges.

January 23, 2008

Patient Safety.

February 15, 2012

Longitudinal analyses of nurse staffing and patient outcomes: more about failure to rescue.

June 7, 2006

Ferrari's Formula One handovers and handovers from surgery to intensive care.

September 10, 2008

Patient safety outcomes under flexible and standard resident duty-hour rules.

March 13, 2019

Antimicrobial Stewardship.

September 19, 2018

Sleep and alertness in a duty-hour flexibility trial in internal medicine.

March 13, 2019

Talking with Patients and Families about Medical Error: A Guide for Education and Practice.

February 16, 2011

Care management implementation and patient safety.

September 27, 2006

Impact of a pharmacist on medication reconciliation on patient admission to a Veterans Affairs Medical Center.

September 3, 2008

Misdiagnosis in the emergency department: time for a system solution.

February 8, 2023

On Patient Safety.

January 28, 2023

Identifying risk in the use of tumor markers to improve patient safety.

May 4, 2016

Is Our Pharmacy Meeting Patients' Needs? A Pharmacy Health Literacy Assessment Tool User's Guide.

November 14, 2007

Evaluation of symptom checkers for self diagnosis and triage: audit study.

July 29, 2015

Polypharmacy.

May 10, 2017

Tackling implicit bias in health care.

August 17, 2022

Polypharmacy.

November 16, 2022

Identifying and Understanding Ways to Address the Impact of Racism on Patient Safety in Health Care Settings.

August 31, 2022

Patient Safety in Pediatric Emergency Medicine.

January 3, 2007

Nurse bias and nursing care disparities related to patient characteristics: a scoping review of the quantitative and qualitative evidence

December 1, 2021

Patient Safety in the Operating Room.

January 23, 2013

The effect of race and sex on physicians' recommendations for cardiac catheterization.

July 15, 2002

Simulation in Otolaryngology.

September 27, 2017

Patient perceptions of safety in primary care: a qualitative study to inform care.

October 13, 2021

CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting.

September 1, 2021

Use of an expedited review tool to screen for prior diagnostic error in emergency department patients.

September 28, 2015

Impact of CancelRx on discontinuation of controlled substance prescriptions: an interrupted time series analysis.

March 23, 2022

Patient safety and quality in the pediatric intensive care unit.

April 11, 2007

Teaching a 'good' ward round.

April 22, 2015

Patient safety and quality improvement: ethical principles for a regulatory approach to bias in healthcare machine learning.

July 22, 2020

Management of Operating Room Critical Events.

November 18, 2020

Abdominal pain in the emergency department: missed diagnoses.

November 24, 2021

Patient safety in primary care: conceptual meanings to the health care team and patients.

November 25, 2020

Internally-developed online adverse drug reaction and medication error reporting systems.

June 7, 2006

WISH Patient Safety Forum 2015.

January 13, 2016

Impact of an electronic health record transition on chemotherapy error reporting.

June 17, 2020

Advancing diagnostic equity through clinician engagement, community partnerships, and connected care.

February 22, 2023

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

February 22, 2023

Inpatient patient safety events in vulnerable populations: a retrospective cohort study.

November 18, 2020

Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19.

April 12, 2023

Automated capture of intraoperative adverse events using artificial intelligence: a systematic review and meta-analysis.

March 15, 2023

The impact of COVID-19 workflow changes on radiation oncology incident reporting.

November 2, 2022

Analysis of lawsuits related to diagnostic errors from point-of-care ultrasound in internal medicine, paediatrics, family medicine and critical care in the USA.

June 24, 2020

Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda.

March 29, 2023

Examining medication ordering errors using AHRQ Network of Patient Safety Databases.

February 22, 2023

Use of an electronic clinical decision support system in primary care to assess inappropriate polypharmacy in young seniors with multimorbidity: observational, descriptive, cross-sectional study

April 8, 2020

Safety risks and workflow implications associated with nursing-related free-text communication orders.

March 15, 2023

Healthcare system-wide implementation of opioid-safety guideline recommendations: the case of urine drug screening and opioid-patient suicide- and overdose-related events in the Veterans Health Administration.

April 5, 2017

Hospital-acquired functional decline and clinical outcomes in older cardiac surgical patients: a multicenter prospective cohort study.

March 2, 2022

Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis.

March 1, 2023

Which adverse events and which drugs are implicated in drug-related hospital admissions? A systematic review and meta-analysis.

March 22, 2023

Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses.

January 11, 2023

Simulation in Surgical Training and Practice.

August 19, 2015

Safely Home: What Happens When People Leave Hospital Care Settings?

August 26, 2015

Addressing the Global Shortages of Medicines, and the Safety and Accessibility of Children's Medication.

February 24, 2016

Minimizing medical mistakes: mother's mission to reduce hospital errors.

June 3, 2015

Going to the COVID-19 Gemba: using observation and high reliability strategies to achieve safety in a time of crisis.

June 10, 2020

Prescription opioid use, misuse, and use disorders in U.S. adults: 2015 National Survey on Drug Use and Health.

August 16, 2017

Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children with complex chronic conditions.

March 8, 2023

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

October 28, 2020

Partnering to Improve Quality and Safety: A Framework for Working With Patient and Family Advisors.

April 8, 2015

Report suggests trend in prescription drug errors filled by pharmacists.

February 25, 2015

Nurses seek to reduce long hours and fatigue.

February 11, 2015

Pharmacy dispensing errors: claims study emphasizes need for systematic vigilance.

March 25, 2015

Transitions of care: engaging patients and families.

December 16, 2015

Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human.

December 16, 2015

Why it's so easy for doctors to misdiagnose kids.

December 2, 2015

The misery of a doctor's first days.

October 14, 2015

RCA2: Improving Root Cause Analyses and Actions to Prevent Harm.

June 24, 2015

Overkill: An avalanche of unnecessary medical care is harming patients physically and financially. What can we do about it?

May 20, 2015

ANA CAUTI Prevention Tool.

April 8, 2015

Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023.

May 10, 2023

Improving Usability, Safety and Patient Outcomes With Health Information Technology.

February 27, 2019

Investigating the impact of structural racism on black birthing people - associations between racialized economic segregation, incarceration inequality, and severe maternal morbidity.

February 15, 2023

Improving Patient and Family Engagement in US Hospitals.

April 1, 2015

For Colorado mom, story of daughter's hospital death is key to others' safety.

March 4, 2015

FDA begins inquiry after death and illness from saline bags meant for training.

January 28, 2015

Do cell phones belong in the operating room?

August 5, 2015

Southern Baptist Hospital of Florida v. Charles.

January 6, 2016

Over-the-counter medicines' benefits and dangers.

December 9, 2015

America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2015.

December 2, 2015

Getting the diagnosis wrong.

October 21, 2015

Preventing falls and fall-related injuries in health care facilities.

October 7, 2015

A medical detective story: why doctors make diagnostic errors.

October 7, 2015

When should surgeons stop operating?

July 1, 2015

Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS.

July 1, 2015

Your new medical team: algorithms and physicians.

December 16, 2015

Weak oversight allows lab failures to put patients at risk.

May 27, 2015

Service members are left in dark on health errors.

April 29, 2015

Safe use of health information technology.

April 8, 2015

Consumer Guide to Adverse Health Events.

February 28, 2015

Electronic health record-based prediction models for in-hospital adverse drug event diagnosis or prognosis: a systematic review.

March 29, 2023

Partnering with patients and families living with chronic conditions to coproduce diagnostic safety through OurDX: a previsit online engagement tool.

February 15, 2023

Saving Moms.

April 19, 2023

Lessons from health care leaders: rethinking and reinvesting in patient safety.

April 19, 2023

Addressing Medical Gaslighting to Improve Maternal Health—Together.

March 29, 2023

Spotlight Series

January 27, 2022 - January 27, 2022

Related Resources

WebM&M Cases

False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy.

October 27, 2022

Quality Special Issue.

April 13, 2022

Patient Safety Primers

Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes

February 24, 2022

WebM&M Cases

Delayed Diagnosis of Kidney Transplant Complications

February 23, 2022

The impact of critical incidents on nurses and midwives: a systematic review.

February 10, 2021

Two decades since To Err Is Human: progress, but still a "chasm".

January 13, 2021

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

October 4, 2020

Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error.

August 26, 2020

Patient Safety.

August 19, 2020

Developing perioperative Covid-19 testing protocols to restore surgical services.

July 22, 2020

A description of medical malpractice claims involving advanced practice providers.

July 15, 2020

Response of practicing chiropractors during the early phase of the COVID-19 pandemic: a descriptive report.

July 8, 2020

The 2019 John M. Eisenberg Patient Safety and Quality Awards.

July 8, 2020

Patient Safety.

January 8, 2020

Patient Safety.

September 25, 2019

Hospital image repair strategies, organizational apology, and medical errors: an analysis of the CoxHealth brain over-radiation case.

September 18, 2019

Burnout and Resilience and Quality and Safety Programs in Obstetrics and Gynecology.

August 21, 2019

Partnering with families and patient advocates: another line of defense in adverse event surveillance.

August 14, 2019

2018 John M. Eisenberg Patient Safety and Quality Awards.

July 17, 2019

Patient Safety in Obstetrics and Gynecology.

May 29, 2019

Chasing zero harm in radiation oncology: using pre-treatment peer review.

May 22, 2019

Patient Safety.

May 1, 2019

Recommendations from a national panel on quality improvement in obstetrics.

April 24, 2019

Why do hundreds of US women die annually in childbirth?

March 27, 2019

Overcoming human barriers to safety event reporting in radiology.

March 6, 2019

Patient Safety.

November 21, 2018

An analysis of adverse events in the rehabilitation department: using the Veterans Affairs root cause analysis system.

November 14, 2018

Quality, Value, and Patient Safety in Orthopedic Surgery.

October 24, 2018

Views of nurses and other health and social care workers on the use of assistive humanoid and animal-like robots in health and social care: a scoping review.

October 10, 2018

Evidence review conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for colorectal surgery.

May 9, 2018

See More About The Topic

Health Care Providers

Allied Health Professionals

Radiology

Diagnostic Errors

Nosocomial Infections