The increased use of telehealth during the COVID-19 pandemic has not been without challenges. This article uses the Systems Engineering Initiative for Patient Safety (SEIPS) model to assess barriers related to telehealth implementation during the pandemic and the impact on patients, providers, technology, care processes, organizations, and the environment.

… & safety … BMJ Qual Saf … Over the last decade, the Lucian Leape Institute has explored five key areas in health care to … , Dr. Tejal Gandhi, president of the IHI/NPSF Lucian Leape Institute, discussed improving patient safety at a …

The publication of To Err Is Human spurred efforts to improve safety in health care. This commentary reviews key patient safety concepts, interventions that successfully reduced harm (e.g., the Keystone ICU project), and persistent barriers to improvement (e.g., disruptive behavior). The author offers recommendations for health care workers interested in contributing to safer care.

This commentary describes the partnerships and consensus efforts involved in the PROMISES Project to promote communication and support error disclosure in the ambulatory setting. The authors review a plan to disseminate and assess the impact of the initiative and its associated tools.

Despite availability of multiple publicly reported patient safety accountability measures, a composite score for hospital safety has yet to be developed. The Leapfrog Group convened a panel of experts to develop such a score for hospitals in the United States. The group synthesized 26 distinct safety indicators into a score comprised equally of process measures (e.g., barcode medication ordering), which recognize safety efforts, and outcome measures (e.g., catheter-associated infections). The panel also weighted the metrics based on the strength of evidence, the opportunity for improvement (i.e., the variation in performance), and the impact (i.e., the potential number of patients affected). After calculating the score for all US hospitals for which data were available, they found lower scores for rural, publicly owned hospitals with a higher percentage of patients with Medicaid as their insurance.

… apologizing to patients. In this interview , Dr. Lucian Leape calls for institutions to establish full disclosure, … these policies can lead to fewer malpractice lawsuits. Dr. Leape emphasizes that hospital leadership must take … such errors as opportunities for system improvement. … Leape LL. Front Health Serv Manage. 2012;28:3-12. …