U.S. flag

An official website of the Department of Health & Human Services

AHRQ: Agency for Healthcare Research and Quality
Provide Feedback |
Submit a Case
Patient Safety Network
Search Tips

Perspectives

Our Perspectives on Safety section features expert viewpoints on current themes in patient safety, including interviews and written essays published monthly. Annual Perspectives highlight vital and emerging patient safety topics.

Latest Perspectives

Beyond the Pandemic: Creating Total Systems Safety
Patricia McGaffigan, MS, RN, CPPS; Cindy Manaoat Van, MHSA, CPPS; Sarah E. Mossburg, RN, PhD |

This piece focuses on the importance of patient safety following the end of the public health emergency and how organizations can move beyond the pandemic.

Kathleen Sanford
In Conversation with Kathleen Sanford and Sue Schuelke about Virtual Nursing
Kathleen Sanford DBA, RN, FAAN, FACHE; Sue Schuelke PhD, RN-BC, CNE, CCRN-K; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD |

Editor’s note: Kathleen Sanford is the chief nursing officer and an executive vice president at CommonSpirit. Sue Schuelke is an assistant professor at the College of Nursing–Lincoln Division, University of Nebraska... Read More

Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges
Kathleen Sanford DBA, RN, FAAN, FACHE; Sue Schuelke PhD, RN-BC, CNE, CCRN-K; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD |

This piece discusses virtual nursing, an approach to care that incorporates an advanced practice nurse into hospital-based patient care through telehealth. Virtual nursing increases patient safety and may enable expert nurses to... Read More

Building Capacity for Patient Safety
Regina M. Hoffman, MBA, RN, Cindy Manaoat Van, MHSA, CPPS, Sarah E. Mossburg, RN, PhD |

This piece focuses on the importance of building the capacity of the workforce and organizations for patient safety using patient safety education.

All Perspectives (8)
Published Date
PSNet Publication Date
Perspective Type
Additional Filters
Approach to Improving Safety
Clinical Area
Error Types
Safety Target
Setting of Care
Target Audience
Displaying 1 - 8 of 8 Results
  • 20
  • 50
  • 100
    • Missed Nursing Care: A Key Measure for Patient Safety
    Jane Ball, PhD, and Peter Griffiths, PhD |
    Save to Library
  • Facebook
  • Twitter
  • Linkedin
  • Copy URL
    • This piece explores how missed nursing care may explain the association between low nurse staffing levels and increased mortality in hospital patients.
    In Conversation With… Linda Aiken, PhD, RN
    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.
    Errors and Near Misses: What Health Care Could Learn From Aviation
    Carl Macrae, PhD |
    Save to Library
  • Facebook
  • Twitter
  • Linkedin
  • Copy URL
    • This piece explores how strategies from aviation, such as just culture and monitoring technologies, can be applied in health care to improve patient safety.
    In Conversation with...James P. Bagian, MD
    James P. Bagian, MD, is the Director of the Department of Veterans Affairs National Center for Patient Safety. Dr. Bagian began his career as a mechanical engineer, then became a physician, trained in surgery and anesthesia. A NASA Astronaut for 15 years, he flew on two space shuttle flights. In 2001, the American Medical Association awarded him the Nathan S. Davis Award for outstanding public service in the advancement of public health. We asked Dr. Bagian to speak with us about his experience transforming safety at in Veterans Affairs hospitals nationwide.
    Measuring and Responding to Deaths From Medical Errors
    Sumant Ranji, MD |
    Save to Library
  • Facebook
  • Twitter
  • Linkedin
  • Copy URL
    • The toll of medical errors is often expressed in terms of mortality attributable to patient safety problems. In 2016, there was considerable debate regarding the number of patients who die due to medical errors. This Annual Perspective explores the methodological approaches to estimating mortality attributable to preventable adverse events and discusses the benefits and limitations of existing approaches.
    Computerized Provider Order Entry and Patient Safety
    Urmimala Sarkar, MD, and Kaveh Shojania, MD |
    Save to Library
  • Facebook
  • Twitter
  • Linkedin
  • Copy URL
    • Computerized provider order entry is a cornerstone of patient safety efforts, and the increasingly widespread implementation of electronic health records has made it a standard practice in health care. This Annual Perspective summarizes novel findings and research directions in computerized provider order entry in 2015.
    African Partnerships for Patient Safety: Lessons Learned
    Shams B. Syed, MD, MPH |
    Save to Library
  • Facebook
  • Twitter
  • Linkedin
  • Copy URL
    • This piece describes the evolution of the World Health Organization's African Partnerships for Patient Safety program and its implications for global patient safety improvement.
    In Conversation With… Edward Kelley, PhD
    Dr. Kelley, PhD, is Director of Service Delivery and Safety for the World Health Organization (WHO). We spoke with him about his work with WHO and the global impact of the organization on patient safety.
    Can Research Help Us Improve the Medical Liability System?
    Allen Kachalia, MD, JD |
    Save to Library
  • Facebook
  • Twitter
  • Linkedin
  • Copy URL
    • This piece describes how evidence-based improvements to the medical liability system could influence both accountability and compensation for errors.
    In Conversation With… Richard C. Boothman, JD
    An attorney and chief risk officer for the University of Michigan Health System, Mr. Boothman developed a pioneering approach to medical mistakes and risk management, emphasizing an honest approach to errors, early apology, and rapid settlement offers when the system was at fault.
    Balancing Supervision and Autonomy: An Ongoing Tension
    C. Jessica Dine, MD, MA; and Jennifer S. Myers, MD |
    Save to Library
  • Facebook
  • Twitter
  • Linkedin
  • Copy URL
    • This piece discusses how increased supervision influences the educational experience for trainees.
    In Conversation With… Lawrence Smith, MD
    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.
    The Role of the Patient in Improving Patient Safety
    Rosemary Gibson, MSc |
    Save to Library
  • Facebook
  • Twitter
  • Linkedin
  • Copy URL
    • Patients have three roles in improving patient safety: helping to ensure their own safety, working with health care organizations to improve safety at the organization and unit level, and advocating as citizens for public reporting and accountability of hospital and health system performance. The following case illustrates how patients can help ensure their own safety.
    In Conversation with...Sorrel King
    Sorrel King is the mother of Josie King, who died tragically in 2001 at age 18 months because of medical errors during a hospitalization at Johns Hopkins Hospital. She has subsequently become one of the nation’s foremost patient advocates for safety, forming an influential foundation (the Josie King Foundation) and partnering with Johns Hopkins to promote the field of patient safety around the world.
    Back To Top
    Terms and Conditions | Privacy Policy | External Link Disclaimer | RSS Feed

    Connect With Us

    Facebook Twitter You Tube LinkedIn

    Sign up for Email Updates

    Agency for Healthcare Research and Quality

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

    Submit Your Innovations