… not associated with pandemic-related change practices. … Auerbach AD, Astik GJ, O'Leary KJ, et al. Prevalence and …

Research has shown clinicians frequently have implicit biases against patients of color, women, and transgender patients. This study used Implicit Association Tests (IAT) to evaluate implicit bias in pediatric heart transplant clinicians. Results showed these clinicians had a bias, or preference for, individuals who were White, from a higher socio-economic group, and had more education. These results are similar to other adult and pediatric clinicians.

… department. It expands on the application of topics within a high-reliability framework focusing on leadership, …

Electronic health records (EHR) house and provide access to a plethora of data to inform care and management decisions. This commentary suggests that EHRs have yet to be fully embraced as a tool to proactively identify areas of risk that could lead to legal action.

… COVID-19 patients. Serum specimens were collected from a convenience sample of 3,248 frontline personnel between … percent (6%) tested positive for SARS-CoV-2 antibodies; a high proportion of these individuals did not suspect that … of SARS-CoV-2 among frontline health care personnel in a multistate hospital network - 13 academic medical centers, …

… J Hosp Med … Based on a survey of hospital medicine groups at academic medical … diagnoses in patients admitted for other reasons). … Auerbach A, O'Leary KJ, Greysen SR, et al. Hospital ward adaptation …

… staff responsibilities, adding pharmacy staff, and using a range of implementation strategies (e.g., educational tools for staff, EHR templates). … Stolldorf DP, Mixon AS, Auerbach AD, et al. Implementation and sustainability of a medication reconciliation toolkit: a mixed methods …

… et al. Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. J Allergy Clin Immunol …

This systematic review of opioid stewardship practices following surgery identified eight intervention studies intended to reduce postsurgical opioid use. Organizational-level interventions such as changing orders in the electronic health record, demonstrated clear reductions in opioid prescribing. Clinician-facing interventions such as development and dissemination of local guidelines also led to reduced opioid prescribing. The authors emphasize the need for more high-quality evidence on opioid stewardship interventions.

… as measuring the impact of residency training programs. In a past PSNet interview , Dr. Tejal Gandhi, president of the … Leape Institute, discussed improving patient safety at a national level. …

Workplace violence in health care is a particular area of concern in the emergency department (ED). Patients who are agitated present a unique management challenge for ED providers because they are at increased risk for causing harm, both to themselves and to health care workers. This mixed-methods study concludes that simulation may be a helpful tool for improving teamwork when caring for patients with behavioral issues in the ED.

The impact of electronic health records has thus far been disappointing for many clinicians, with limited effect on patient safety and growing concern that electronic health records may contribute to physician burnout. This commentary discusses the productivity paradox of information technology—the fact that digitization often initially impedes productivity rather than enhancing it. The authors highlight recent advancements in health care information technology that hold promise to overcome the productivity paradox, such as artificial intelligence, and discuss barriers that must be surmounted in order for health IT to meet its potential.

Digital tools have the potential to improve diagnosis, patient self-care, and patient–clinician communication. This commentary argues that digital tools that alter diagnosis or treatment require examination to ensure safety. The authors provide recommendations such as involving experts in evaluating the tools, engaging information technologists, and continuous local review and assessment to identify and address risks associated with use of such tools in practice.

… training has been used to develop skills in a safe manner in health care . This commentary draws from … use of simulation in health care. The authors recommend a research agenda to improve understanding of how simulation …

… safety in the ambulatory setting is gaining traction as a focus of research and improvement efforts. Discussing the … opinion on the report to propose recommendations for a research strategy on ambulatory patient safety. The authors …