… provider order entry (CPOE) help prevent many types of medication errors but poor user design can hinder these benefits. Using scores from the National Quality Forum Leapfrog Health IT Safety Measure … and physician perceptions of usability. Results indicate a positive association between safety performance and user …

… BMJ Medicine … Pharmacists play a critical role in medication safety . This article evaluated the impact of a pharmacist-led information technology intervention ( … Findings indicate that potentially dangerous prescribing (i.e., prescribing medications to patients without associated …

Electronic health records (EHR) are essential for recording patients' clinical data but may also perpetuate stigma, particularly for people of color. This article describes how the EHR can perpetuate individual, organizational, and structural racism and ways organizations, researchers, practitioners, and vendors can address racism.

Electronic health records (EHRs) are key for the collection of patient care data to inform overarching risk management and improvement strategies. This article discusses the adoption of EHRs as tools supporting patient safety and highlights the need for an expanded technology infrastructure to continue making progress.

… Jt Comm J Qual Patient Saf … Reducing diagnostic errors is a primary patient safety concern . This qualitative study based on interviews with 17 providers and two focus group with seven patient advisors found broad agreement that … perspectives on diagnostic errors in the acute care setting. Jt Comm J Qual Patient Saf. …

… with poorer clinical outcomes, and increased costs to the health system. This study describes the economic costs of implementing the Fall Tailoring Interventions for Patient Safety (Fall TIPS) Program in eight American …

… New Engl J Med … An accurate understanding of the frequency, severity, and preventability of adverse … included at least one preventable event and 1% had a severity level of serious or higher. An accompanying … for leadership to prioritize patient safety anew. … Bates DQ,  Levine DM, Salmasian H, et al. The safety of …

… reduction mechanism. This review analyzed experiences in the United Kingdom to understand strengths and weaknesses in … safety in the UK and that the implementation and use of the system was a complex endeavor. The effort produced an accompanying …

Electronic Health Record (EHR) systems are required to meet meaningful use and certification standards to receive incentive payments from the US Department of Health and Human Services (HHS). This study identified six settlements reached between EHR vendors and the Department of Justice for misconduct related to certification of meaningful use. Certification of EHR systems that don’t meet HHS meaningful use requirements may have implications for patient safety.

Structured tools are increasingly used to identify diagnostic errors and related harms using electronic health record data. In this study, researchers compared the performance of two validated tools (Safer Dx and the DEER taxonomy) to identify diagnostic errors among patients with preventable or non-preventable deaths. Findings indicate that diagnostic errors and diagnostic process failures contributing to death were higher in preventable deaths (56%) but were also present in non-preventable deaths (17%).

… J Hosp Med … I-PASS is a structured handoff tool to enhance communication … events and improved key handoff elements (e.g., frequency of handoffs with high verbal quality) across provider types …

… and voluntary reporting systems. In this comparison study, the Global Trigger Tool identified 79 AE in 88 oncology … AE. … Samal L, Khasnabish S, Foskett C, et al. Comparison of a voluntary safety reporting system to a global trigger tool …

Patient exposure to allergens healthcare settings, such as latex or certain medications, can lead to adverse outcomes. Based on data from an incident reporting system, researchers in this study developed a system for classifying allergy-related safety events. Classification categories include: (1) incomplete or inaccurate EHR documentation, (2) human factors, such as overridden allergy alerts, (3) alert limitation or malfunction, (4) data exchange and interoperability failures, and (5) issues with EHR system default options. This classification system can be used to support improvements at the individual, team, and systems levels. 

… augment care . This study found that higher usage of an electronic patient safety dashboard resulted in lower … medicine units compared to lower usage groups. … Schnock K, Roulier S, Butler J, et al. Engaging patients in the use of real-time electronic clinical data to improve the …

… reported on recent hospitalizations and their perceptions of their care and safety. Four main themes were elicited: (1) … “care stories” about their experiences, (3) there was a spectrum of trust between patients and providers , and (4) … for them was important. … Butler JM, Gibson B, Schnock K, et al. Patient perceptions of hospital experiences: …

… Lancet Digit Health … The near ubiquitous use of electronic health records has increased interest in using … medication prescribing errors) patient harm.  … Syrowatka A, Song W, Amato MG, et al. Key use cases for artificial intelligence …

Medical errors are a significant cause of morbidity and mortality, and frequently result from potentially preventable human errors associated with poor communication and teamwork. This systematic review included 16 studies that were examined for assessment tools, training interventions, safety culture improvement, and teamwork intervention outcomes. The authors conclude that training staff on teamwork and communication improve the safety culture, and may reduce medical errors and adverse events in the Emergency Department.

… J Health Serv Res Policy … A key aspect of patient safety culture is the perception that all team members should speak up about …

… decision-making. The authors reviewed design features of patient safety dashboards from 10 hospitals and discuss … for displayed metrics. The authors suggest that future research explore how specific design elements contribute to … dashboards used to monitor patient safety in the inpatient setting. JAMIA Open. 2021;4(4):ooab096. doi: …

Diagnostic errors in the acute care setting can result in increased morbidity and mortality. Using the Diagnostic Error Evaluation and Research (DEER) taxonomy, researchers reviewed 16 records of patients whose deaths were associated with at least one medical error. Most (81.3%) patients had at least one diagnostic error and a total of 113 failure points and 30 significant failure points.