What's changed 1 year after RaDonda Vaught's conviction? | PSNet

Provide Feedback |

Submit a Case

Register

Newspaper/Magazine Article

What's changed 1 year after RaDonda Vaught's conviction?

April 12, 2023

Bean M, Carbajal E. Becker's Hospital Review. March 29, 2023.

The RaDonda Vaught conviction reverberated throughout health care and marked weaknesses in systems response to errors and the clinicians who make them. This news article examines how health care organizations renewed efforts to establish and nurture a culture of safety and error reporting in service of safe patient care and learning from mistakes.

Related news article

Related Resources From the Same Author(s)

The less-discussed consequence of healthcare's labor shortage.

October 13, 2021

Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Roudebush VA Medical Center in Indianapolis, Indiana.

April 19, 2023

‘The Retrievals’ reveals painful experiences of female patients are often ignored.

September 6, 2023

Black Patients are More Likely Than White Patients to be in Hospitals with Worse Patient Safety Conditions.

April 7, 2021

A hard look at hard stops and workarounds in the acute care setting.

July 12, 2023

Deficiencies in Emergency Department Care for a Patient Who Died by Suicide at the John Cochran Division of the VA St. Louis Health Care System in Missouri.

August 2, 2023

How your hospital can make you sick.

August 26, 2015

Pain assessment and management standards for hospitals.

September 6, 2017

Patient, Medical, and Legal Perspectives of Unsafe Care.

October 29, 2021 - October 29, 2021

Proactive prevention of maternal death from maternal hemorrhage.

November 13, 2019

Senators threaten consequences after VA confirms 4 deaths tied to computer system tested in Spokane.

March 29, 2023

USP initiatives for the safe use of medical gases.

December 14, 2005

Healthcare wants to fly as high as the aviation industry. Can it?

November 8, 2023

Hospital discharge: it's one of the most dangerous periods for patients.

May 11, 2016

Maternal deaths at MetroWest hospital prompt state probes.

August 9, 2017

Medical disrespect.

February 12, 2014

Provider implicit bias: bringing awareness to clinical practice.

July 13, 2022

Hospitals to tear up bills for medical mistakes.

February 13, 2008

What's the trouble? How doctors think.

February 7, 2007

Drug shortages forcing hard decisions on rationing treatments.

February 10, 2016

Opioid addiction is the biggest drug epidemic in U.S. history. How'd we get here?

October 18, 2017

Using Twitter to assess patient takes on patient experience.

November 11, 2020

‘You’re going to release him when he was hurting himself?’

October 7, 2020

At US hospitals, a drug mix-up is just a few keystrokes away.

May 11, 2022

Diagnostic Strategy for the COVID-19 Pandemic – Bench to Bedside to Blueprint for Policymakers.

April 22, 2020

Preventing the tragedy of misdiagnosis.

December 13, 2006

Prevention of adverse drug events in hospitals.

March 21, 2024

Healthcare 411.

October 13, 2010

The impact of medication reconciliation and review in patients using oral chemotherapy.

March 1, 2023

ERs are swamped with seriously ill patients, although many don’t have Covid.

November 10, 2021

Cyberattack on UnitedHealth still impacting prescription access: "These are threats to life".

March 13, 2024

Drug shortages threaten patient safety.

August 11, 2010

Openness and Honesty When Things Go Wrong: the Professional Duty of Candour.

July 15, 2015

Are national efforts to reduce drug name confusion paying off?

December 12, 2018

Side tracks on the safety express. Interruptions lead to errors and unfinished…wait, what was I doing?

December 19, 2012

The texting debate: beneficial means of communication or safety and security risk?

July 12, 2017

IV Push Gap Analysis Tool (GAT) helps uncover national priorities for safe injection practices.

September 11, 2019

When a surgeon should just say 'I'm sorry'.

April 6, 2016

Safety committees need to proactively address the risk of accidental cerebral injection of intravenous (IV) drugs.

August 11, 2021

Just a Cup of Tea – an Introduction to the SEIPS Framework.

May 24, 2023

FDA Safety Communication: recommendations to reduce surgical fires and related patient injury.

June 20, 2018

Golden State Medical Supply, Inc. Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets and Clopidogrel 75 mg Tablets Due to a Label Mix-up.

October 19, 2022

The coronavirus pandemic’s wider health-care crisis.

July 15, 2020

The role of language barriers on efficacy of rapid response teams.

March 1, 2023

Home medical device safety tops ECRI'S list of healthcare technology.

February 15, 2023

VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses of Adverse Events.

September 9, 2015

Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah.

August 25, 2021

Prescription for disaster: America's broken pharmacy system in revolt over burnout and errors.

November 8, 2023

Independent Mortality Review of Cardiac Surgery at St George’s University Hospitals NHS Foundation Trust.

April 15, 2020

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

March 22, 2023

AHRQ EPC Program Grand Rounds - Making Healthcare Safer.

April 29, 2024 - April 29, 2024

The impact of hospital accreditation on the quality of healthcare: a systematic literature review.

October 27, 2021

Prevention of perioperative medication errors.

March 17, 2023

An overview of intravenous-related medication administration errors as reported to MEDMARX(R), a national medication error-reporting program.

February 8, 2006

Improvement of Pennsylvania healthcare consumers' awareness of patient safety.

March 19, 2014

AMA Prior Authorization (PA) Physician Survey.

March 15, 2023

The prisoner.

March 29, 2023

Safety Risk of Air Embolus Associated with Central Venous Catheters Used for Haemodialysis Treatment.

April 26, 2023

Mothers face broken addiction treatment system.

April 12, 2023

Care Delivery within Community Mental Health Teams.

April 5, 2023

Hospital ‘black boxes’ put surgical practices under the microscope.

March 29, 2023

I’m an ER doctor: here’s what I found when I asked ChatGPT to diagnose my patients.

March 22, 2023

Feds move to rein in prior authorization, a system that harms and frustrates patients.

March 22, 2023

Physician accused of reusing devices has license suspended.

March 30, 2011

Medical Device Use Error: Root Cause Analysis.

March 2, 2016

Listening, Learning, Responding to Concerns.

April 12, 2023

Why hospitals still make serious medical errors—and how they are trying to reduce them.

March 29, 2023

Few hospitals are willing to bear the cost of providing psychiatric care for kids.

March 22, 2023

Minimize medication errors in urgent care clinics.

March 15, 2023

Using A.I. to detect breast cancer that doctors miss.

March 15, 2023

Crisis in the Lakeshore Hospital ER.

March 8, 2023

Exploring mediating effects between nursing leadership and patient safety from a person-centred perspective: a literature review.

September 8, 2021

Controlled substance drug diversion by healthcare workers as a threat to patient safety.

March 14, 2023

Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events.

September 29, 2021

Disclosure of errors in surgical procedures.

January 19, 2024

Do no unconscious harm.

March 15, 2023

Bringing a ‘Systemness’ Focus to Quality, Safety, and Patient Experience.

December 7, 2023 - December 7, 2023

Frequency of medication administration timing error in hospitals: a systematic review.

March 29, 2023

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

March 15, 2023

Implement strategies to prevent persistent medication errors and hazards.

April 5, 2023

Diagnostic Centers of Excellence (X01 Clinical Trial Not Allowed).

March 22, 2023

Evaluating the relationship between health information technology and safer-prescribing in the long-term care setting: a systematic review.

March 17, 2021

Building a Culture of Safety in Health Care.

June 28, 2023

Examining causes and prevention strategies of adverse events in deceased hospital patients: a retrospective patient record review study in the Netherlands.

June 16, 2021

Addressing patient safety hazards using critical incident reporting in hospitals: a systematic review.

January 18, 2023

First do no harm: practitioners' ability to 'diagnose' system weaknesses and improve safety is a critical initial step in improving care quality.

March 3, 2021

Optimizing Geriatric Safety and Well-being: Implementing Best Practices and Strategies.

March 12, 2024 - March 12, 2024

An interdisciplinary approach to safer blood transfusion.

April 2, 2008

CHPSO Annual Reports.

August 15, 2023

A novel study of situational awareness among out-of-hospital providers during an online clinical simulation.

October 5, 2022

Preventing home medication errors.

April 12, 2023

Interventions to improve communication at hospital discharge and rates of readmission: a systematic review and meta-analysis.

September 29, 2021

Now is the time to routinely ask patients about safety.

March 15, 2023

Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from Pennsylvania hospitals.

October 6, 2021

The Economic Measurement of Medical Errors.

August 18, 2010

Towards conceptualizing patients as partners in health systems: a systematic review and descriptive synthesis.

March 8, 2023

Insurers' Medical Loss Ratios and Quality Improvement Spending in 2011.

April 10, 2013

Lessons learned from medical malpractice claims involving critical care nurses.

August 5, 2020

Medication safety issue brief. Counterfeit drug prevention and identification.

September 21, 2005

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

April 14, 2021

View More

Related Resources

Annual Perspective

Equity in Patient Safety

March 27, 2024

RaDonda Vaught says some system practices contributed to fatal mistake.

March 27, 2024

Creating a just culture in the perioperative setting.

March 13, 2024

Patient safety near misses – still missing opportunities to learn.

March 13, 2024

Top 10 Patient Safety Concerns.

March 12, 2024

Healthcare wants to fly as high as the aviation industry. Can it?

November 8, 2023

Inside the preventable deaths that happened within a prominent transplant center.

June 28, 2023

As cancer drug shortages grow, some doctors are forced to ration doses or delay care.

June 7, 2023

A national safety board made transportation safer and could do the same for health care, advocates say.

June 7, 2023

Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law.

May 31, 2023

Why do so many Black women die in pregnancy? One reason: doctors don't take them seriously.

May 31, 2023

How the opioid backlash went wrong.

May 17, 2023

Medical errors kill thousands of people each year. But are hospitals getting any safer?

May 17, 2023

Individual characteristics that promote or prevent psychological safety and error reporting in healthcare: a systematic review.

May 10, 2023

Laura Levis' death outside ER has changed hospital signage, lighting in Mass.

May 10, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative studies and meta-synthesis.

April 19, 2023

Listening, Learning, Responding to Concerns.

April 12, 2023

Minnesota lets nurses practice while disciplinary investigations drag on. Patients keep getting hurt.

April 12, 2023

Mothers face broken addiction treatment system.

April 12, 2023

The influence of professional identity on how the receiver receives and responds to a speaking up message: a cross-sectional study.

March 29, 2023

Few hospitals are willing to bear the cost of providing psychiatric care for kids.

March 22, 2023

Do no unconscious harm.

March 15, 2023

NHS staff cried in safety interviews, says watchdog.

March 8, 2023

Examples of Medical Device Misconnections.

March 8, 2023

Lessons learned from the RaDonda Vaught ruling.

March 1, 2023

Health care professionals' perceptions of unprofessional behaviour in the clinical workplace.

March 1, 2023

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

January 11, 2023

From heart disease to IUDs: how doctors dismiss women’s pain.

December 21, 2022

Her child was stillborn at 39 weeks. She blames a system that doesn’t always listen to mothers.

November 30, 2022

View More

See More About The Topic

Quality and Safety Professionals

Psychological and Social Complications

To sign up for updates or to access your subscriber preferences, please enter your email address below.

5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364