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.

… technology infrastructure to continue making progress. … Bates DW, Williams EA. Quality and Safety: Learning from the …

… full picture of gaps in care that could result in harm. … Gandhi T. Now is the time to routinely ask patients about …

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 diagnostic errors pose a significant threat to patient safety, as participants had difficulty defining and describing, and correctly identifying. the frequency of diagnostic errors in acute care settings. Participants cited issues such as communication failures, diagnostic uncertainty, and cognitive load as the primary factors contributing to diagnostic errors.

… of costs per 1,000 patient days. … Dykes PC,  Curtin-Bowen M, Lipsitz S, et al. Cost of inpatient falls and cost-benefit …

An accurate understanding of the frequency, severity, and preventability of adverse events is required to effectively improve patient safety. This study included review of more than 2,800 inpatient records from 11 American hospitals with nearly one quarter having at least one preventable or not preventable adverse event. Overall, approximately 7% of all admissions included at least one preventable event and 1% had a severity level of serious or higher. An accompanying editorial by Dr. Donald Berwick sees the results of this study as a needed stimulus for leadership to prioritize patient safety anew.

Electronic prescribing (e-prescribing) is an established medication error reduction mechanism. This review analyzed experiences in the United Kingdom to understand strengths and weaknesses in e-prescribing. The work concluded that e-prescribing did improve safety in the UK and that the implementation and use of the system was a complex endeavor. The effort produced an accompanying toolkit to assist organizations in e-prescribing system decision making.

… Clinical Health Act. JAMA Health Forum. 2022;3(11):e223872-e. 10.1001/jamahealthforum.2022.3872 …

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%).

… multiple sources should be used to detect AE. … Samal L, Khasnabish S, Foskett C, et al. Comparison of a voluntary safety reporting system …

Prior research has found that electronic health record (EHR) implementation has introduced risks to patient safety. Using data from one hospital’s EHR system, this study reviewed active allergy alerts in patient records and concluded that 37% of those records required reconciliation of allergy information across different areas of the EHR. These findings highlight the need for automated reconciliation algorithms and clinical decision support tools to help clinicians identify potential allergy discrepancies and avoid patient safety risks.

… team, and systems levels.  … Phadke NA, Wickner P, Wang L, et al. Allergy safety events in healthcare: development …

… medicine units compared to lower usage groups. … Schnock K, Roulier S, Butler J, et al. Engaging patients in the use …

… for them was important. … Butler JM, Gibson B, Schnock K, et al. Patient perceptions of hospital experiences: …

… promising areas where AI could be used to predict (e.g., therapeutic response) or detect (e.g., medication prescribing errors) patient harm.  … Syrowatka A, Song W, Amato MG, et al. Key use cases for artificial intelligence …

… and adverse events in the Emergency Department. … Alsabri M, Boudi Z, Lauque D, et al. Impact of teamwork and …

… incident is considered a voiceable concern. … Dixon-Woods M, Aveling EL, Campbell A, et al. What counts as a voiceable …

… visitation, both during the pandemic and beyond. … Gandhi TK. Don't go to the hospital alone: ensuring safe, …

Dashboards can be used to synthesize data and visualize patient safety indicators and metrics to facilitate decision-making. The authors reviewed design features of patient safety dashboards from 10 hospitals and discuss the variation in the use of performance indicators, style, and timeframe for displayed metrics. The authors suggest that future research explore how specific design elements contribute to usability, and which approaches are associated with improved outcomes.

… and 30 significant failure points. … Griffin JA, Carr K, Bersani K, et al. Analyzing diagnostic errors in the acute setting: a …