Newspaper/Magazine Article At VA hospital, a rogue cancer unit. Citation Text: Bogdanich W. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL July 1, 2009 Bogdanich W. View more articles from the same authors. Flawed safety standards, including a lack of peer review and oversight, led to a series of errors in a cancer unit at a Philadelphia Veterans Affairs hospital. Free full text Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Bogdanich W. Copy Citation Related Resources From the Same Author(s) Radiation offers new cures, and ways to do harm. February 3, 2010 A pinpoint beam strays invisibly, harming instead of healing. January 12, 2011 The human factor. November 5, 2014 Family matters: pharmacy mix-ups. August 13, 2014 Do doctors understand test results? July 23, 2014 Investigation: dangers of medical recovery rooms. 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AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative Database Report. November 19, 2014
Impact of smart pump-electronic health record interoperability on patient safety and finances at a community hospital August 25, 2021
Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda. March 29, 2023
Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias. March 22, 2023
The role of bias in clinical decision-making of people with serious mental illness and medical co-morbidities: a scoping review. February 22, 2023
COVID-19 pandemic preparation: using simulation for systems-based learning to prepare the largest healthcare workforce and system in Canada. September 30, 2020
Retrospective analysis of reported suicide deaths and attempts on Veterans Health Administration campuses and inpatient units. September 23, 2020
Emergency department monitor alarms rarely change clinical management: an observational study. September 16, 2020
Adverse events related to accidental unintentional ingestions from cough and cold medications in children. August 26, 2020
Factors associated with workarounds in barcode-assisted medication administration in hospitals. August 26, 2020
Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study. April 28, 2021
Health care providers’ negative implicit attitudes and stereotypes of American Indians. March 31, 2021
COVID-19 increased the risk of ICU-acquired bloodstream infections: a case-cohort study from the multicentric OUTCOMEREA network. March 17, 2021
Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive task analysis. March 10, 2021
Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources. March 3, 2021
National and institutional trends in adverse events over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies. March 3, 2021
Measurement matters: changing penalty calculations under the hospital acquired condition reduction program (HACRP) cost hospitals millions. February 24, 2021
The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the Irish healthcare system. February 3, 2021
Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. December 23, 2020
Epidemiology of healthcare harm in New Zealand general practice: a retrospective records review study. July 28, 2021
Safety implications of different forms of understaffing among nurses during the COVID-19 pandemic. July 28, 2021
Community discharge among post-acute nursing home residents: an association with patient safety culture? June 30, 2021
Evaluation of older persons' medications: a critical incident technique study exploring healthcare professionals' experiences and actions. June 23, 2021
The calm before the storm: utilizing in situ simulation to evaluate for preparedness of an alternative care hospital during COVID-19 pandemic. June 2, 2021
Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration. November 24, 2021
Acute care nurses' perceptions of leadership, teamwork, turnover intention and patient safety - a mixed methods study. October 13, 2021
Electronic health record interoperability-why electronically discontinued medications are still dispensed. September 22, 2021
The effects of hospital-physician financial integration on adverse incident rate: an agency theory perspective. October 21, 2020
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Learning from diagnostic errors to improve patient safety when GPs work in or alongside emergency departments: incorporating realist methodology into patient safety incident report analysis. January 12, 2022
Real-world virtual patient simulation to improve diagnostic performance through deliberate practice: a prospective quasi-experimental study. December 15, 2021
How do patients respond to safety problems in ambulatory care? Results of a retrospective cross-sectional telephone survey. December 1, 2021
Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus group study. September 15, 2021
Key use cases for artificial intelligence to reduce the frequency of adverse drug events: a scoping review. March 9, 2022
Risk factors for clinically relevant deviations in patients' medication lists reported by patients in personal health records: a prospective cohort study in a hospital setting. March 2, 2022
Correlation between the number of patient-reported adverse events, adverse drug events, and quality of life in older patients: an observational study. November 2, 2022
Spreading a strategy to prevent suicide after psychiatric hospitalization: results of a quality improvement spread initiative. October 5, 2022
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Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care organizations. June 22, 2022
A blueprint for success: implementation of the Center for Medicare and Medicaid Services mandated anesthesiology oversight for procedural sedation in a large health system. June 15, 2022
Checklists to reduce diagnostic error: a systematic review of the literature using a human factors framework. June 1, 2022
Maximum emergency department overcrowding is correlated with occurrence of unexpected cardiac arrest. July 8, 2020
Design and implementation of the infection prevention program into risk management: managing high level disinfection and sterilization in the outpatient setting. June 24, 2020
Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports. December 16, 2015
Why are patients not more involved in their own safety? A questionnaire-based survey in a multi-ethnic North London hospital population. June 26, 2019
Structured override reasons for drug–drug interaction alerts in electronic health records. May 15, 2019
Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital. August 10, 2011
Confusion—specimen mix-up in dermatopathology and measures to prevent and detect it. February 26, 2014
The effects of physical environments in medical wards on medication communication processes affecting patient safety. February 26, 2014
Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016 March 3, 2017
Workplace engagement and workers' compensation claims as predictors for patient safety culture. October 17, 2012
Speaking up about traditional and professionalism-related patient safety threats: a national survey of interns and residents. May 10, 2017
Physician and nurse well-being, patient safety and recommendations for interventions: cross-sectional survey in hospitals in six European countries. February 28, 2024
Patient safety implications of wearing a face mask for prevention in the era of COVID-19 pandemic: a systematic review and consensus recommendations. February 15, 2023
Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals. February 27, 2008
Interview In Conversation with...Katie Boston-Leary about Patient Safety Amid Nursing Workforce Challenges April 24, 2024
Interview In Conversation With...Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0 February 28, 2024
Interview In Conversation with... Cheryl Jones about Addressing Workplace Violence and Creating a Safer Workplace October 31, 2023
Patient Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer July 31, 2023
FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy. August 20, 2021
Nurses' perceptions of open disclosure processes in cancer care: a cross-sectional study. December 16, 2020
Hospital image repair strategies, organizational apology, and medical errors: an analysis of the CoxHealth brain over-radiation case. September 18, 2019
Healthcare professional and patient codesign and validation of a mechanism for service users to feedback patient safety experiences following a care transfer: a qualitative study. October 5, 2016