Perspectives on Safety
Narrow Results Clear All
- Communication Improvement 19
- Culture of Safety 26
Education and Training
- Students 2
Error Reporting and Analysis
- Error Analysis 15
- Human Factors Engineering 15
- Legal and Policy Approaches 31
- Logistical Approaches 13
- Policies and Operations 1
- Quality Improvement Strategies 43
- Research Directions 2
- Specialization of Care 3
- Teamwork 7
- Clinical Information Systems 11
- Alert fatigue 1
- Device-related Complications 4
- Diagnostic Errors 10
- Discontinuities, Gaps, and Hand-Off Problems 9
- Fatigue and Sleep Deprivation 5
- Identification Errors 1
- Delirium 1
- Medication Errors/Preventable Adverse Drug Events 7
- Nonsurgical Procedural Complications 3
- Psychological and Social Complications 8
- Surgical Complications 9
- Dentistry 1
- Gynecology 24
- Surgery 7
- Nursing 6
- Pharmacy 6
- Family Members and Caregivers 3
- Health Care Executives and Administrators 91
Health Care Providers
- Nurses 4
- Physicians 14
Non-Health Care Professionals
- Educators 15
- Media 1
- Patients 4
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.
Building Systems Citizenship in Health Professions Education: The Continued Call for Health Systems Science Curricula
with commentary by Jed D. Gonzalo, MD, MSc, and Mamta K. Singh, MD, MSc, Teaching Patient Safety, February 2019
This piece spotlights the need for educational and cultural transformation to achieve sustainable progress in patient outcomes and health.
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.
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.
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.
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.
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 Jane Ball, PhD, and Peter Griffiths, PhD, Nursing and Patient Safety, March 2018
This piece explores how missed nursing care may explain the association between low nurse staffing levels and increased mortality in hospital patients.
with commentary by Shannon M. Dean, MD, Clinical Documentation in the Modern Era, January 2018
This piece explores concerns regarding the use of copy and paste in electronic health records and offers potential strategies to improve clinical documentation accuracy.
with commentary by Robert M. Wachter, MD, Surgical Safety, December 2017
This piece explores progress of patient safety in the surgical field and where further improvement can be made, such as ongoing assessment of procedural skills along with video recording and review of surgical procedures.
with commentary by Ronen Rozenblum, MD, MPH, and David Bates, MD, MS, Patient-facing Technologies: Opportunities and Challenges for Patient Safety, November 2017
This piece explores how patient-facing technologies can enable patients to be more responsible for their care and improve the way clinicians practice.
with commentary by Julia E. Szymczak, PhD, Presenteeism: A Patient Safety Challenge, October 2017
This piece explores the risks of presenteeism among health care workers and factors, such as cultural expectations, that contribute to its occurrence.
with commentary by Dean F. Sittig, PhD, and Hardeep Singh, MD, MPH, Health Information Technology and Safety, September 2017
This piece highlights four key lessons that the authors believe are useful for clinicians and health care organizations that seek to identify, prevent, and mitigate electronic health record–related safety issues.
with commentary by Kathy Malloy; Timothy P. Brigham, PhD; Thomas J. Nasca, MD, Resident Duty Hours Policy Changes, August 2017
This piece reviews how changes to the ACGME requirements emphasize patient safety and quality improvement, address physician well-being, strengthen expectations around team-based care, and create flexibility for work hours within the maximum 80-hour workweek.
with commentary by David Studdert, LLB, ScD, Legal Issues and Patient Safety, July 2017
This piece explores the risk of recurring medicolegal events among providers who have received unsolicited patient complaints, faced disciplinary actions by medical boards, or accumulated malpractice claims.
with commentary by Vanessa K. Martin, DO, MS; Nasim Mirnateghi, PhD; and Mahdi Khoshchehreh, MD, MS, The Weekend Effect, June 2017
This piece explores the weekend effect in cardiology and recommends allowing invasive management for patients with non ST-elevation myocardial infarction to improve outcomes in this group.
with commentary by Irene Berita Murimi, PhD, MA, and G. Caleb Alexander, MD, MS, Opioids and Patient Safety, May 2017
This piece explores the opioid epidemic in the United States, including factors that led to increased opioid prescribing, its adverse effects, and tactics to reduce opioid-related harm.
with commentary by Sara J. Singer, MBA, PhD, Approaching Safety Culture in New Ways, March 2017
This piece discusses the importance of strengthening safety culture in health care and offers insights for organizations seeking to achieve culture change.
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.
with commentary by Ross W. Simon and Elena G. Canacari, RN, Workplace Safety, January 2017
This piece explores how a team at Beth Israel Deaconess Medical Center combined tools and techniques used in manufacturing along with continuous improvement to develop a process to identify, prioritize, and mitigate hazards in health care settings.