… and physician perceptions of usability. Results indicate a positive association between safety performance and user …

… This randomized clinical trial compares standard care with a multi-modal discharge intervention targeting patients at …

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.

COVID-19 ushered in new diagnostic challenges and changes in care practices. In this study conducted during the first wave of the pandemic, charts for hospitalized adult patients under investigation (PUI) for COVID-19 were reviewed for potential diagnostic error. Diagnostic errors were identified in 14% of cases; patients with and without diagnostic errors were statistically similar and errors were not associated with pandemic-related change practices.

Implementing successful interventions to support effective medication reconciliation is an ongoing challenge. The MARQUIS2 study examined whether system- and patient-level interventions plus physician mentors can improve medication reconciliation and reduce medication discrepancies. This analysis based on patient exposure in the MARQUIS2 study found that patient receipt of a best possible medication history (BPMH) in the emergency department and medication reconciliation at admission and discharge were associated with the largest reductions in medication discrepancy rates.

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.

… safety for staff, providers, and patients. … Benishek LE, Kachalia A, Daugherty Biddison L. Improving clinician well-being and patient safety through …

… Jt Comm J Qual Patient Saf … Reducing diagnostic errors is a primary patient safety concern . This qualitative study … advisors found broad agreement that diagnostic errors pose a significant threat to patient safety, as participants had … contributing to diagnostic errors. … Schnock KO, Garber A, Fraser H, et al. Providers' and patients' perspectives on …

Patient falls are associated 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 hospitals. Results show the Fall TIPS program reduced falls by 19%, avoiding over $14,000 of costs per 1,000 patient days.

… included at least one preventable event and 1% had a severity level of serious or higher. An accompanying … by Dr. Donald Berwick sees the results of this study as a needed stimulus for leadership to prioritize patient safety anew. … Bates DQ,  Levine DM, Salmasian H, et al. The safety of …

… UK and that the implementation and use of the system was a complex endeavor. The effort produced an accompanying … in e-prescribing system decision making. … Sheikh A, Coleman J, Chuter A, et al.  Programme Grants Appl Res.  2022;10(7): 1-196.  …

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 during … I-PASS handoff program in diverse clinical environments: A multicenter prospective effectiveness implementation study. …

… 4 NICU between February 2017 and July 2019, identified a high risk for post-discharge adverse events, (including …

… multiple sources should be used to detect 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. 

Patient safety dashboards are used to communicate real-time patient data to appropriately augment care. This study found that higher usage of an electronic patient safety dashboard resulted in lower 30-day readmission rates among patients discharged from adult medicine units compared to lower usage groups.

… “care stories” about their experiences, (3) there was a spectrum of trust between patients and providers , and (4) …