The COVID-19 pandemic extended face-masking requirements from healthcare providers to the general public and patients. This review summarizes the challenges mask wearing poses to the general public. Challenges include discomfort, communication issues, especially for people with hearing loss, and skin irritation. Despite these issues, the authors state the benefits outweigh the risks of masks and appropriate education may improve mask use.

Medication errors are a common and significant causes of patient harm. This retrospective study examined regional prescription registry (RPR) data at a single Italian hospital at 4 comparison points, pre-admission, admission, hospitalization, and post-discharge. Researchers identified 4,363 discrepancies among 14,573 prescriptions originating from 298 patients with a mean age of 71.2 years. Approximately one third of the discrepancies (1,310) were classified as unintentional and the majority (62.1%) of those were found when comparing the prescriptions during the transition from  hospital discharge and the 9-month follow up. The study points to the need for enhanced communication between hospitalists and primary care providers at the hospital-home interface.

… ergonomics (HFE) experts during the COVID-19 pandemic . … Albolino S, Dagliana G, Tanzini M, et al. Human factors and ergonomics at time of …

Failure mode and effect analysis is a process used to prospectively identify error risk within a particular process. This study describes the application of failure mode and effect analysis to better understand the patient safety hazards associated with the practice of complementary medicine, including acupuncture and homeopathy.

Focus groups of patients, hospital physicians, outpatient physicians, and nurses revealed many aspects of organizational culture that impede progress in enhancing care transitions. A recent systematic review identified promising strategies for improving continuity of care at discharge.

This study examined sensemaking within the context of the intensive care unit (ICU). The investigators used direct observation of ICU teams on rounds, in order to analyze how clinicians responded to the inherent complexity of ICU care, and to determine how clinicians attempted to avoid error and adverse outcomes. Clinicians used a variety of mechanisms to establish "cooperative conditioning," a shared understanding of the patient's acute needs and risks, which maximizes patient safety by establishing a common group culture and approach to decision making. The authors' approach is derived from the seminal study of sensemaking in organizations, an account of the Mann Gulch disaster.