Perspectives on Safety
Narrow Results Clear All
- Communication Improvement 8
- Culture of Safety 10
Education and Training
- Students 1
- Error Reporting and Analysis 29
- Human Factors Engineering 8
- Legal and Policy Approaches 17
- Logistical Approaches 7
- Quality Improvement Strategies 28
- Research Directions 2
- Specialization of Care 2
- Teamwork 3
- Clinical Information Systems 14
- Transparency and Accountability 1
- Alert fatigue 1
- Device-related Complications 2
- Diagnostic Errors 10
- Discontinuities, Gaps, and Hand-Off Problems 6
- Fatigue and Sleep Deprivation 2
- Identification Errors 1
- Medical Complications 4
- Medication Safety 9
- Nonsurgical Procedural Complications 5
- Psychological and Social Complications 12
- Surgical Complications 13
- Family Members and Caregivers 2
- Health Care Executives and Administrators 73
Health Care Providers
- Nurses 3
- Physicians 16
- Non-Health Care Professionals 43
- Patients 3
with commentary by Audrey Lyndon, RN, PhD, 2018
This perspective examines the troubling decline in maternal health outcomes in the United States and summarizes recent national initiatives to improve safety in maternity care.
with commentary by Rachel J. Stern, MD, and Urmimala Sarkar, MD, 2018
Patient engagement is widely acknowledged as a cornerstone of patient safety. Research in 2018 demonstrates that patient engagement, when done correctly, can help health care systems identify safety hazards, regain trust after they occur, and codesign sustainable solutions.
The Comprehensive Care Physician Model, November 2018
Dr. Meltzer is the Fanny L. Pritzker Professor of Medicine, Chief of the Section of Hospital Medicine, and Director of the Center for Health and the Social Sciences at the University of Chicago. His research aims to improve the quality and lower the cost of hospital care. We spoke with him about the Comprehensive Care Physician Model, which he pioneered and was recently featured in an article in The New York Times Magazine.
with commentary by Robert Wachter, MD, The Comprehensive Care Physician Model, November 2018
This piece, written by the physician who coined the term "hospitalist," provides an overview of the hospitalist model and reflects on key advantages of and challenges faced by the Comprehensive Care Physician Model.
Safety in the Retail Pharmacy, October 2018
Dr. Cohen is President of the Institute for Safe Medication Practices, a nonprofit organization that operates the voluntary and confidential ISMP Medication Errors Reporting Program. He is also coeditor of the ISMP consumer website, chairperson of the International Medication Safety Network, and a consultant to the Food and Drug Administration. We spoke with him about patient safety in the community pharmacy, including challenges associated with production pressures and the importance of reporting concerns.
with commentary by Michelle A. Chui, PharmD, PhD, Safety in the Retail Pharmacy, October 2018
This piece reviews unique characteristics of community pharmacies that can affect medication safety and spotlights the need for further research examining medication errors in community settings.
Patient Engagement, September 2018
Professor Lawton is Director of the Yorkshire and Humber Patient Safety Translational Research Center, a Professor in the Psychology of Healthcare at the University of Leeds, and a health psychologist who conducts research on human factors and patient involvement in patient safety. We spoke with her about her experience with patient engagement and insights gleaned from her research.
Patient Engagement, September 2018
Dr. Bell is Director of Patient Safety and Discovery at OpenNotes, Beth Israel Deaconess Medical Center, and Associate Professor of Medicine at Harvard Medical School. Her research focuses on transparency in health care delivery systems and partnering with patients to improve health care. We spoke with her about patient engagement and her experience with the OpenNotes project.
Update on Simulation, August 2018
Dr. Weinger is Director of the Center for Research and Innovation in Systems Safety and Professor of Anesthesiology, Biomedical Informatics, and Medical Education at Vanderbilt University. He holds the Norman Ty Smith Chair in Patient Safety and Medical Simulation. We spoke with him about the current state of simulation training in health care, barriers to progress, and potential innovations.
with commentary by Joseph O. Lopreiato, MD, MPH, Update on Simulation, August 2018
This piece explores health care simulation including the four main methods used and the evidence base for its impact on learning and patient care.
Point-of-Care Ultrasound: Safety and Utility, June 2018
Dr. Hoppmann is the Dorothea H. Krebs Endowed Chair of Ultrasound Education, Professor of Medicine, and Director of the Ultrasound Institute of the University of South Carolina School of Medicine. He founded and served as the first President of the Society of Ultrasound in Medical Education. We talked to him about safety and usability of point-of-care ultrasound.
with commentary by Chris Moore, MD, Point-of-Care Ultrasound: Safety and Utility, June 2018
This piece highlights how point-of-care ultrasound can improve and expedite diagnosis and advocates for having an individual responsible for overseeing point-of-care ultrasound use within a health care delivery organization.
A Decade After HITECH, May 2018
Dr. Blumenthal is President of the Commonwealth Fund and served as the National Coordinator for Health Information Technology from 2009-2011, during early implementation of the Health Information Technology for Economic and Clinical Health (HITECH) Act and the accompanying Meaningful Use program. We spoke with him about the HITECH Act and lessons learned in health care since it was enacted.
A Decade After HITECH, May 2018
Dr. Halamka is the International Healthcare Innovation Professor at Harvard Medical School, Chief Information Officer of Beth Israel Deaconess Medical Center, and an emergency physician. He is widely known as one of the most thoughtful and provocative experts on the subject of health IT. We spoke with him about the HITECH Act and the consequences—anticipated and otherwise—of the digitization of health care.
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.
Nursing and Patient Safety, March 2018
Dr. Aiken is Claire M. Fagin Leadership Professor of Nursing, Professor of Sociology, and Director of the Center for Health Outcomes and Policy Research at University of Pennsylvania. She is generally considered the nation's foremost expert on health policy as it relates to the nursing workforce. We spoke with her about how nurse staffing and the work environment can affect patient safety and outcomes.
with commentary by Sumant Ranji, MD, 2017
A considerable body of evidence demonstrates worsened clinical outcomes for patients admitted to the hospital on weekends compared to those admitted on weekdays. This Annual Perspective summarizes innovative studies published in 2017 that helped clarify the magnitude of this effect and identify possible mechanisms by which it occurs.
with commentary by Rachel J. Stern, MD, and Urmimala Sarkar, MD, 2017
Patient engagement in safety has evolved from obscurity to maturity over the past two decades. This Annual Perspective highlights emerging approaches to engaging patients and caregivers in safety efforts, including novel technological innovations, and summarizes the existing evidence on the efficacy of such approaches.
Clinical Documentation in the Modern Era, January 2018
Dr. Hirschtick is Associate Professor of Medicine at Northwestern Medicine, and the author of a number of prominent articles—many quite amusing—about the changes in medical practice wrought by information technology. We spoke with him about what it means to be a clinician in the modern era, particularly how digitization of health records has affected clinicians' notes.