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.
In the past several decades, technological advances have opened new possibilities for improving patient safety. Using technology to digitize healthcare processes has the potential to increase standardization and efficiency of clinical workflows and... Read More
This piece focuses on perinatal mental health and efforts to improve maternal safety.
Christie Allen is the Senior Director of Quality Improvement at the American College of Obstetrics and Gynecology (ACOG). We spoke to her about her experience in maternal safety and improving perinatal mental... Read More
Throughout 2022, the impact of system failures on healthcare workers was a recurrent theme of articles on AHRQ PSNet. This Year in Review explores these impacts and ways to support healthcare workers involved in a system failure.
Dr. Neal Sikka and Dr. Colton Hood are emergency medicine physicians who work in the Innovative Practice & Telemedicine section at George Washington University Hospital (GW). We spoke with them about their... Read More
This piece discusses the evolution of remote patient monitoring, emergence into use with acute conditions, patient safety considerations, and the continued challenges of telehealth implementation.
All Perspectives (353)
- Quality Improvement Strategies(118)
- Error Reporting and Analysis(104)
- Technologic Approaches(84)
- Education and Training(79)
- Legal and Policy Approaches(79)
- Communication Improvement(76)
- Culture of Safety(69)
- Human Factors Engineering(39)
- Logistical Approaches(29)
- Computerized Decision Support(13)
- Specialization of Care(10)
- Transparency and Accountability(9)
- Policies and Operations(8)
- Care Coordination(7)
- Research Directions(7)
- Computerized Provider Order Entry (CPOE)(5)
- Medication Safety(52)
- Diagnostic Errors(41)
- Medical Complications(41)
- Discontinuities, Gaps, and Hand-Off Problems(34)
- Psychological and Social Complications(34)
- Surgical Complications(22)
- Device-Related Complications(14)
- Fatigue and Sleep Deprivation(13)
- Nonsurgical Procedural Complications(9)
- Transitions of Care(8)
- Alert fatigue(7)
- Identification Errors(6)
- Failure to rescue(4)
- Drug shortages(2)
- Second victims(1)
- Transfusion Complications(1)
This piece discusses prevalent adverse events in dental care and the challenges in identifying these patient safety events.
Elsabeth Kalenderian, DDS, MPH, PhD is a professor at UCSF. Muhammad F. Walji, PhD is the Associate Dean for Technology Services and Informatics and professor for Diagnostic and Biomedical Sciences at the UT Health Science Center at Houston, School of Dentistry. We spoke to them about the identification and prevention of adverse events in dentistry.
This piece discusses overprescribing of antibiotics and opioids in dental care and challenges in implementing stewardship programs.
Katie J. Suda, PharmD, MS is a professor at the University of Pittsburgh School of Medicine in the Division of General Internal Medicine. She is a pharmacist by training with a specialty in infectious diseases and a research concentration in the area of dental antibiotic and opioid stewardship. We discussed antibiotic and opioid prescribing in dental care and challenges for implementing stewardship programs.
This piece discusses the challenges faced by long-term care facilities in responding to the COVID-19 pandemic, with a particular focus on visitor restrictions, staffing turnover, and infection prevention and control.
Charles A Crecelius, MD, PhD CMD, is the Medical Director for post-acute care at BJC Medical Group and the Project Medical Director for the Missouri Quality Initiative (MOQI). Lori L Popejoy, PhD, RN, FAAN is an Associate Dean for Innovation and Partnerships and an Associate Professor at the University of Missouri Sinclair School of Nursing. We discussed with them the response to the COVID-19 pandemic in long-term care facilities.
This piece discusses the concept of Safety Across the Board and reviews the three key components necessary for successful implementation in a healthcare organization: culture, strong safety processes, and engagement.
Edwin Loftin, DNP, MBA, RN, NEA-BC-FACHE is the Senior Vice President of Integrated and Acute Care Services and the Chief Nursing Officer (CNO) at Parrish Medical Center in Titusville, Florida. We spoke with him about his experiences with the concept of safety across the board at his medical center.
This Perspective differs from the typical Perspective in that it compiles findings and insights into a series of case studies from interviews and written responses from leaders at three different health systems who had to increase their telehealth capacities in response to the COVID-19 pandemic.