Perspectives on Safety
Narrow Results Clear All
- Communication Improvement 14
- Culture of Safety 7
Education and Training
- Students 1
- Error Reporting and Analysis 5
- Human Factors Engineering 5
- Legal and Policy Approaches 11
- Logistical Approaches 5
- Quality Improvement Strategies 10
- Specialization of Care 1
- Teamwork 6
- Technologic Approaches 4
- Discontinuities, Gaps, and Hand-Off Problems 7
- Fatigue and Sleep Deprivation 3
- Medical Complications 4
- Medication Safety 5
- Psychological and Social Complications 3
- Surgical Complications 1
- Family Members and Caregivers 2
- Health Care Executives and Administrators
Health Care Providers
- Nurses 2
- Non-Health Care Professionals 15
- Patients 2
with commentary by Paul E. Phrampus, MD, Health System Consolidation and Patient Safety, March 2019
This piece outlines how large integrated health care systems can implement effective patient safety programs and spotlights the importance of leadership engagement and a just culture.
Post-Hospital Syndrome, April 2018
Dr. Krumholz is Professor of Medicine at the University of Yale School of Medicine and Director of the Yale-New Haven Hospital Center for Outcomes Research and Evaluation. We spoke with him about readmissions and post-hospital syndrome, a term he coined in an article in the New England Journal of Medicine to describe the risk of adverse health events in recently hospitalized patients.
with commentary by Katherine Liang and Eric Alper, MD, Post-Hospital Syndrome, April 2018
This piece explores the risks patients face after hospital discharge and strategies to address them, such as patient education, Project RED, and the Care Transitions Intervention.
with commentary by David P. Baker, PhD; James B. Battles, PhD; Heidi B. King, MS, Update on Teamwork, February 2017
This piece outlines 10 insights about team training in health care learned from experience with the AHRQ-supported teamwork training program, TeamSTEPPS.
Certification in Patient Safety, June 2016
Dr. Meyer is Chief Clinical Officer of Partners Healthcare System, the large Boston-based system that includes Massachusetts General and Brigham and Women's Hospitals. We spoke with him about training and certification in patient safety.
with commentary by Karen Frank, DNP, RN, MSHA, Certification in Patient Safety, June 2016
This piece offers a nurse's viewpoint on the benefits of acquiring certification in patient safety.
New Insights on Safety and Health IT, July/August 2015
Dr. Wachter is Professor and the Interim Chairman of the Department of Medicine at UCSF. We talked with him about his new book, The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age.
Using Video to Assess Quality and Safety, May 2015
Dr. Birkmeyer is Chief Academic Officer and Executive Vice President at Dartmouth-Hitchcock Medical Center. We spoke with him about his seminal New England Journal of Medicine video study that found a link between practicing surgeons' directly observed technical skills and surgical outcomes.
Overuse as a Patient Safety Problem, September 2014
Ms. Gibson is Senior Advisor to The Hastings Center, an editor for JAMA Internal Medicine, and co-author of Wall of Silence and The Treatment Trap. We spoke with her about overuse of medical care and its effect on patient safety.
Update on Simulation in Health Care, March 2013
Stanford anesthesiologist David M. Gaba, MD, helped introduce the modern full-body patient simulator and the concept of crew resource management training to health care.
with commentary by Saul N. Weingart, MD, PhD, Engaging the Patient and Family in Safety, February 2013
This piece highlights the advantages to and limitations of engaging patients in patient safety.
Resident Supervision and Patient Safety, February 2012
The founding Dean of Hofstra North Shore-LIJ School of Medicine, Dr. Smith has held numerous senior leadership positions within the field of medical education and residency training.
with commentary by C. Jessica Dine, MD, MA; and Jennifer S. Myers, MD, Resident Supervision and Patient Safety, February 2012
This piece discusses how increased supervision influences the educational experience for trainees.
with commentary by Frances Healey, RN, PhD, Fall Prevention, December 2011
This piece discusses the multiple, complex causes of falls in hospitalized patients along with prevention strategies.
Update on Teamwork, November 2011
Dr. Salas is one of the world’s leading experts in the use of simulation and teamwork training, having studied these areas extensively in a variety of fields.
with commentary by Julia Neily, RN, MS, MPH; Peter D. Mills, PhD, MS; Lisa M. Mazzia, MD; and Douglas E. Paull,MD, Update on Teamwork, November 2011
This piece describes how the Medical Team Training program has improved safety, staff morale, and patient outcomes in the VA.
Unintended Consequences, June 2011
His seminal work in patient safety is generally credited with introducing the concept of unintended consequences.
with commentary by Sunil Kripalani, MD, MSc, Handoffs and Patient Safety, March 2011
This piece discusses how medical centers can improve handover quality and patient safety.
Educating Practitioners in Safety and Quality, February 2011
Brent C. James, MD, MStat, is Chief Quality Officer and Executive Director of the Institute for Health Care Delivery Research at Intermountain Healthcare.
Medical Education and Patient Safety, February 2010
Thomas J. Nasca, MD, is the executive director and chief executive officer of the Accreditation Council for Graduate Medical Education (ACGME). Prior to joining the ACGME in 2007, Dr. Nasca, a nephrologist, was dean of Jefferson Medical College and Senior Vice President for Academic Affairs of Thomas Jefferson University. We asked him to speak with us about the role of the ACGME in patient safety.