Vulnerability of the medical product supply chain: the wake-up call of COVID-19.

Fiona A Miller; Steven B Young; Mark Dobrow; Kaveh G Shojania

Commentary

Vulnerability of the medical product supply chain: the wake-up call of COVID-19.

November 25, 2020

Miller FA, Young SB, Dobrow M, et al. BMJ Qual Saf. 2020;30(4):331-335.

View more articles from the same authors.

The COVID-19 pandemic has raised concerns about medical product shortages and demand surges, and the resulting effects on patient safety. This viewpoint discusses medical product supply chain vulnerabilities heightened by the COVID-19 pandemic. The authors summarize the evidence on supply chain resilience and medical product shortage, provide examples to illustrate key vulnerabilities, and discuss reactive and proactive solutions for medical product shortage.

PubMed citation

Free full text

Related Resources From the Same Author(s)

Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges.

November 3, 2021

Striving for high reliability in healthcare: a qualitative study of the implementation of a hospital safety programme.

June 22, 2022

Temporal trends in patient safety in the Netherlands: reductions in preventable adverse events or the end of adverse events as a useful metric?

August 5, 2015

Chronic hospital nurse understaffing meets COVID-19: an observational study.

September 9, 2020

Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals.

July 10, 2019

Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study.

December 2, 2020

Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review.

December 16, 2020

Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients.

August 26, 2020

Managing teamwork in the face of pandemic: evidence-based tips.

June 24, 2020

A realist synthesis of pharmacist-conducted medication reviews in primary care after leaving hospital: what works for whom and why?

December 2, 2020

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

November 18, 2020

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

March 17, 2021

The problem with making Safety-II work in healthcare.

April 13, 2022

Changes in weekend and weekday care quality of emergency medical admissions to 20 hospitals in England during implementation of the 7-day services national health policy.

November 25, 2020

'I think we should just listen and get out': a qualitative exploration of views and experiences of Patient Safety Walkrounds.

March 12, 2014

Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices.

June 30, 2021

Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study.

May 19, 2021

Effects of night surgery on postoperative mortality and morbidity: a multicentre cohort study.

December 23, 2020

Interventions targeted at reducing diagnostic error: systematic review.

September 8, 2021

Incident reporting systems: what will it take to make them less frustrating and achieve anything useful?

December 1, 2021

The problem with 'My Five Moments for Hand Hygiene'.

August 25, 2021

SEIPS 101 and seven simple SEIPS tools.

June 9, 2021

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

March 3, 2021

Time out! Rethinking surgical safety: more than just a checklist.

April 28, 2021

Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care.

March 23, 2022

Safety cases for digital health innovations: can they work?

July 14, 2021

Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A systematic review.

January 12, 2022

August 19, 2020

User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study.

July 29, 2020

Prevalence and characterisation of diagnostic error among 7-day all-cause hospital medicine readmissions: a retrospective cohort study.

September 16, 2020

Making communication and resolution programmes mission critical in healthcare organisations.

November 11, 2020

Retrospective analysis of reported suicide deaths and attempts on veterans health administration campuses and inpatient units.

September 23, 2020

National cross-sectional cohort study of the relationship between quality of mental healthcare and death by suicide.

June 1, 2022

Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study.

March 24, 2021

Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs.

March 10, 2021

The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and improve safety.

May 5, 2021

Tiered daily huddles: the power of teamwork in managing large healthcare organisations.

October 7, 2020

Effects of CPOE-based medication ordering on outcomes: an overview of systematic reviews.

July 8, 2020

A scoping review of real-time automated clinical deterioration alerts and evidence of impacts on hospitalised patient outcomes.

August 3, 2022

Deaths due to medical error: jumbo jets or just small propeller planes?

August 8, 2012

The frustrating case of incident-reporting systems.

May 20, 2009

The elephant of patient safety: what you see depends on how you look.

August 25, 2010

How safe are paediatric emergency departments? A national prospective cohort study.

August 3, 2022

Identifying and encouraging high-quality healthcare: an analysis of the content and aims of patient letters of compliment.

August 5, 2020

Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals.

April 14, 2021

Changing hospital organisational culture for improved patient outcomes: developing and implementing the Leadership Saves Lives intervention.

August 12, 2020

Improving diagnostic performance through feedback: the Diagnosis Learning Cycle.

September 1, 2021

We're all in this together: how COVID-19 revealed the co-construction of mindful organising and organisational reliability.

February 9, 2022

Associations of workflow disruptions in the operating room with surgical outcomes: a systematic review and narrative synthesis.

June 17, 2020

Effect of the surgical safety checklist on provider and patient outcomes: a systematic review.

April 27, 2022

Delayed diagnosis of serious paediatric conditions in 13 regional emergency departments.

October 26, 2022

July 20, 2022

Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg.

June 15, 2022

I-PASS handover system: a decade of evidence demands action.

May 12, 2021

Evidence-based medicine: a cornerstone for clinical care but not for quality improvement.

May 15, 2019

Clinicians in quality improvement: a new career pathway in academic medicine.

February 25, 2009

The faces of errors: a case-based approach to educating providers, policy makers, and the public about patient safety.

March 6, 2005

Use of e-triggers to identify diagnostic errors in the paediatric ED.

April 6, 2022

Association of open communication and the emotional and behavioural impact of medical error on patients and families: state-wide cross-sectional survey.

February 12, 2020

The debrief imperative: building teaming competencies and team effectiveness.

November 16, 2022

Emotional safety is patient safety.

February 15, 2023

COVID-19: to be or not to be; that is the diagnostic question.

July 8, 2020

Root-cause analysis: swatting at mosquitoes versus draining the swamp.

March 22, 2017

A primer on PDSA: executing plan–do–study–act cycles in practice, not just in name.

February 15, 2017

Trends in adverse events over time: why are we not improving?

March 27, 2013

Implementing patient safety interventions in your hospital: what to try and what to avoid.

March 12, 2008

The vanishing nonforensic autopsy.

March 12, 2008

Hospital mortality: when failure is not a good measure of success.

July 30, 2008

Research to improve diagnosis: time to study the real world.

January 26, 2022

Diagnostic error experiences of patients and families with limited English-language health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey.

February 16, 2022

Estimating deaths due to medical error: the ongoing controversy and why it matters.

October 26, 2016

'Bad apples': time to redefine as a type of systems problem?

June 26, 2013

Fall prevention implementation strategies in use at 60 United States hospitals: a descriptive study.

December 9, 2020

February 2, 2022

How do hospital inpatients conceptualise patient safety? A qualitative interview study using constructivist grounded theory.

October 19, 2022

Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study.

May 11, 2022

Examining the effect of quality improvement initiatives on decreasing racial disparities in maternal morbidity.

May 4, 2022

Publication of inspection frameworks: a qualitative study exploring the impact on quality improvement and regulation in three healthcare settings.

October 6, 2021

Reporting incidents involving the use of advanced medical technologies by nurses in home care: a cross-sectional survey and an analysis of registration data.

July 15, 2020

Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations.

August 4, 2021

Impact of unacceptable behaviour between healthcare workers on clinical performance and patient outcomes: a systematic review.

February 16, 2022

Out of sight, out of mind: a prospective observational study to estimate the duration of the Hawthorne effect on hand hygiene events.

November 11, 2020

Improving responses to safety incidents: we need to talk about justice.

February 23, 2022

Helping healthcare teams to debrief effectively: associations of debriefers' actions and participants' reflections during team debriefings.

August 24, 2022

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

June 30, 2021

Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis.

July 8, 2020

Speaking up about traditional and professionalism-related patient safety threats: a national survey of interns and residents.

May 10, 2017

Quality improvement in medical education: current state and future directions.

January 18, 2012

Graduate medical education and patient safety: a busy--and occasionally hazardous--intersection.

November 1, 2006

The tension between needing to improve care and knowing how to do it.

August 15, 2007

Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review.

July 18, 2007

Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes.

June 30, 2021

Provider-patient communication and hospital ratings: perceived gaps and forward thinking about the effects of COVID-19.

December 16, 2020

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

October 27, 2021

Outcome differences between surgeons performing first and subsequent coronary artery bypass grafting procedures in a day: a retrospective comparative cohort study.

June 29, 2022

Leadership: an effective human factor during COVID-19.

September 1, 2021

Patient safety at the crossroads.

May 4, 2016

Documenting the indication for antimicrobial prescribing: a scoping review.

November 2, 2022

Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice?

December 7, 2022

Patient safety in emergency medical services: a systematic review of the literature.

December 21, 2011

Related Resources

Lessons from the Covid War: An Investigative Report.

May 10, 2023

Improving safety by evaluating the impact of the supply chain and drug shortages on health-systems.

March 29, 2023

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

The Lancet Commission on lessons for the future from the COVID-19 pandemic.

October 12, 2022

Patient Safety Primers

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

February 24, 2022

The abrupt expansion of ambulatory telemedicine: implications for patient safety.

February 9, 2022

A crisis within a crisis.

September 15, 2021

Opioids in the United Kingdom: safety and surveillance during COVID-19.

July 7, 2021

Missing diagnoses during the COVID-19 pandemic: a year in review.

June 23, 2021

Doctors were sure they had Covid-19. The reality was worse.

May 5, 2021

Application of emergency preparedness principles to a pharmacy department’s approach to a “black swan” event: the COVID-19 pandemic.

April 21, 2021

Improving Telediagnosis: A Call to Action.

April 14, 2021

Addressing systemic racism in nursing homes: a time for action.

April 14, 2021

Has the COVID pandemic strengthened or weakened health care teams? A field guide to healthy workforce best practices.

March 31, 2021

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

March 31, 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

What COVID-19 teaches us about implicit bias in pediatric health care.

February 24, 2021

Implementation of simulation training during the COVID-19 pandemic: a New York hospital experience.

February 24, 2021

Flow accuracy of IV smart pumps outside of patient rooms during COVID-19.

February 24, 2021

In the eye of the storm: the role of the pharmacist in medication safety during the COVID-19 pandemic at an urban teaching hospital.

December 23, 2020

Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety.

December 23, 2020

"At home, with care": lessons from New York City home-based primary care practices managing COVID-19.

December 16, 2020

Hospital-acquired SARS-CoV-2 infection: lessons for public health.

December 9, 2020

Helping healthcare teams save lives during COVID-19: insights and countermeasures from team science.

November 25, 2020

Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes and Effect Analysis with in situ simulation.

November 18, 2020

Deferral of care for serious non-COVID-19 conditions: a hidden harm of COVID-19.

November 18, 2020

Impact of the COVID-19 pandemic on cancer care: a global collaborative study.

November 11, 2020

National drug shortages worsen during COVID-19 crisis: proposal for a comprehensive model to monitor and address critical drug shortages.

November 4, 2020

Finding the right balance: an evidence-informed guidance document to support the re-opening of Canadian nursing homes to family caregivers and visitors during the coronavirus disease 2019 pandemic.

October 28, 2020

Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 pandemic.

October 28, 2020

See More About The Topic

Vulnerability of the medical product supply chain: the wake-up call of COVID-19.

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

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Vulnerability of the medical product supply chain: the wake-up call of COVID-19.

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

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Case

Continue as a Guest

Continue Logged In

Submit Your Case

Continue as a Guest

Already have a PSNet

Account?

New Users

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