Previous research found that a pharmacist-led information technology intervention (PINCER) reduced dangerous prescribing (i.e., medication monitoring and drug-disease errors) among a subset of primary care practices in the United Kingdom (UK). This longitudinal analysis examined the impact of the PINCER intervention after implementation across a large proportion of general practices in one region in the UK. Researchers found the PINCER intervention decreased dangerous prescribing by 17% and 15% at 6-month and 12-month follow-ups, particularly among dangerous prescribing related to gastrointestinal bleeding.

Rapid response team (RRT) activations bring together a team of providers to immediately assess and treat a patient who is rapidly deteriorating. This mixed-methods study examined the characteristics of a collaborative RRT model in one Australian tertiary care hospital. The majority of activations occurred in general medicine units and some patients (approximately 5%) had more than five activations. Qualitative interviews with nurses and physicians highlighted how the collaborative RRT model improves patient safety and optimized early detection and management of patient deterioration.

… J Patient Saf Risk Manag … The July effect is a phenomenon … Vincent C, Shapiro DW, et al. Mitigating the July effect. J Patient Saf Risk Manag. 2021;26(3):93-96. …

… Am J Med Qual … The COVID-19 pandemic has necessitated rapid … improvement adaptation during the COVID-19 pandemic. Am J Med Qual . 2021;36(1):57-59. doi:  …

This study explored the role of machine-learning based clinical decision support (CDS) algorithms to support (rather than replace) human decision-making and the impact on diagnostic performance. This systematic review of 37 studies found limited evidence that the use of machine learning-based CDS systems contributes to improved diagnostic performance among clinicians. Interobserver agreement, user feedback, and clinician override were the most commonly reported outcomes. The authors emphasize the importance of further evaluation of human-computer interaction.

… J Perinatol … High levels of healthcare worker (HCW) burnout … and patient safety climate amid the COVID-19 pandemic.  J Perinatol . 2021;41(5):961-969. …

The burden of the COVID-19 pandemic has placed healthcare workers at higher risk for poor mental health outcomes. This survey of doctors, nurses, and other healthcare staff working in intensive care units (ICUs) identified significant rates of probable mental health disorders and thoughts of self-harm. These findings reinforce the need to support the emotional well-being of healthcare workers during this crisis.

… studies focused specifically on radiology professionals. … Elliott J, Williamson K. The radiology impact of healthcare errors during shift …

… J Patient Saf Risk Manag … In this editorial, patient safety … the dark side and the sunny side for patient safety. J Patient Saf Risk Manag. 2020;25(4):137-141. …

… J Patient Saf Risk Manag … This editorial discusses priority … of health care workers during the COVID-19 pandemic. J Patient Saf Risk Manag. 2020;25(3):93–96. doi: …

This study combined previously published error prevalence estimates in the United Kingdom to estimate the annual number and burden of medication errors to the National Health Service (NHS). The authors estimate that 237 million medication errors occur annually in the UK. The majority of errors occur during medication administration and prescribing and occur most frequently in long-term care and primary care settings. While the majority of errors have little or no potential for harm, 66 million errors were deemed potentially clinically significant; prescribing in primary care settings accounts for one-third of these potentially significant errors. These medication errors result in hospital admissions or longer length of stay, as well as death. 

… e.g., equipment before transport). … Haydar B, Baetzel A, Elliott A, MacEachern M, Kamal A, Christensen R. Adverse …

… Jt Comm J Qual Patient Saf … Jt Comm J Qual Patient Saf … This study describes the implementation …

… of the American Society for Healthcare Risk Management … J Healthc Risk Manag … Health care executives and board …

Determining which harms are truly preventable remains an ongoing challenge in the field of patient safety. In a 2016 report, the National Academies of Sciences, Engineering, and Medicine called for achieving zero preventable trauma deaths, but the actual number of preventable trauma deaths in the United States remains unknown. Analyzing administrative data from more than 18 million patients across 2198 hospitals, investigators determined that if low-performing hospitals could provide the same quality of trauma care as high-performing centers, 100,000 lives could be saved over a 5-year period.

… Journal of hospital medicine … J Hosp Med … Interdisciplinary rounds , in which physicians …

… journal of the American College of Medical Quality … Am J Med Qual … Strategies to educate residents and fellows in …