Perspectives on Safety
Narrow Results Clear All
- Communication Improvement 1
- Culture of Safety 3
Education and Training
- Students 1
- Error Reporting and Analysis 5
- Legal and Policy Approaches 7
- Quality Improvement Strategies
- Technologic Approaches 2
The Second Victim, May 2011
A Professor at Johns Hopkins University, he coined the term “second victim” to describe the toll that errors take on providers.
with commentary by Amy K. Rosen, PhD, Measuring Patient Safety, November 2010
Emergency medicine has evolved from a location, with variably trained and experienced providers ("the ER"), to a discipline with a well-defined knowledge base and skill set that focus on the diagnosis and care of undifferentiated acute problems.
The Business Case for Improving Safety, May 2009
The Business Case for Improving Safety
The Board's Role in Patient Safety, July-August 2007
James L. Reinertsen, MD, heads the Reinertsen Group, a prominent health care consulting firm based in Wyoming. Prior to that, he was CEO at Beth Israel Deaconess Medical Center, where he developed a reputation for his unwavering focus on safety and quality. He is also a senior faculty member at the Institute for Healthcare Improvement (IHI), where he has taken a role in teaching leadership skills and promoting the engagement of health care boards and "C-suites" in patient safety efforts. He was a prime driver behind the IHI's decision to include the "Boards on Board" initiative as part of its recent 5 Million Lives Campaign. We asked him to speak with us about the role of boards in improving patient safety.
with commentary by John L. Haughom, MD, The Board's Role in Patient Safety, July-August 2007
In recent years, the case for improving the quality and safety of care has become irrefutable. Over the next few years, failure to act will likely have far-reaching consequences for hospitals and health systems including loss of market share, increased liability, a demoralized workforce, and a sharp rise in fear and distrust among patients who lack confidence in the ability of their provider to deliver safe care...
with commentary by Jill Rosenthal, MPH, State Error Reporting Systems, June 2007
Seven years ago, the Institute of Medicine (IOM) called on states to create mandatory reporting systems as part of a strategy to identify and learn about medical errors and ultimately to improve patient safety. Since then, many states have responded by creating or improving reporting systems to collect information about hospital-based adverse events. These systems can provide states with an opportunity to strengthen their facility oversight functions, safeguard the public, and partner with providers to improve health care quality.
with commentary by Susan Burnett and Charles Vincent, PhD, International Perspectives on Safety, May 2007
The dangers of health care in Britain have been long understood. Systematic data collection of the hazards of health care can be traced back at least to the time of Florence Nightingale's publications in the 1860s. In this short paper, we outline the evolution of patient safety and trace its development and progress over the last 10 years in Britain, where a nationalized health service and sustained commitment from Chief Medical Officer Sir Liam Donaldson and other senior figures have brought patient safety to considerable prominence.
with commentary by Ashish K. Jha, MD, MPH, The Transformation of Patient Safety at the VA, September 2006
Five years after the landmark Crossing the Quality Chasm report by the Institute of Medicine (IOM), the quality and safety of health care in the United States remains far from ideal.(1) It is easy to feel pessimistic. Can health care organizations really...