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1 - 19 of 19

Stein L, Fraser J, Penzenstadler N et al. USA Today. March 10, 2022.

Nursing home residents, staff, and care processes were particularly vulnerable to COVID-19. This collection of resources examines data and documentation involving one nursing home chain to reveal systemic problems that contributed to failure. It shares family stories that illustrate how COVID affected care in long-term care environments.

Weber L, Jewett C. Kaiser Health News. 2021-2022.

The infectious nature of COVID continues to impact the safety of hospitalized patients. This article series examines factors contributing to hospital-acquired COVID-19 infection that include weaknesses in oversight, patient legal protections, and documentation.

March 2020--January 2021.

Medication safety is improved through the sharing of frontline improvement experiences and concerns. These articles share recommendations to reduce risks associated with distinct areas of the medication use process. The topics discuss areas that require specific attention during the COVID-19 pandemic such as the use of smart pumps and automated dispensing cabinets.
Hixenbaugh M, Ornstein C. Houston Chronicle and Propublica. May 2018-May 2019.
This news investigation chronicles a series of incidents in a transplant program that resulted in patient harm. The systemic nature of the problems such as insufficient whistleblower protection, accountability, and follow-up on patient concerns culminated in a change of hospital leadership. A previous PSNet interview with Charles Ornstein discussed the role of media in raising awareness of patient safety issues.
Simmons-Ritchie D. Penn Live. November 15, 2018.
Nursing home patients are vulnerable to preventable harm due to poor safety culture, insufficient staffing levels, lack of regulation enforcement, and misaligned financial incentives. This news investigation reports on how poor practices resulted in resident harm in Pennsylvania nursing homes and discusses strategies for improvement, such as enhancing investigation processes.
Medical care overuse is emerging as a patient safety hazard that can result in harms such as unneeded testing and poor end-of-life care. This collection of articles and audiovisual resources explore factors that contribute to medical care overuse and its impact on patients and their families.
Young A, Kelly J, Schnaars C, et al. USA Today.
Incidence of maternal harm is increasing in the United States. This news article series reports on factors that contribute to preventable maternal mortality, such as omission of recommended care processes, lack of patient-centeredness, and missed or delayed diagnoses of serious conditions.
New York, NY: ProPublica, Inc; 2017-2020.
Maternal mortality is a sentinel event that affects mothers and families across a wide range of socioeconomic characteristics. This news series reports on the incidence of maternal death, individual stories of harm, and factors that contribute to the problem.
Leung PTM, Macdonald EM, Stanbrook MB, et al. New England Journal of Medicine. 2017;376.
The current opioid epidemic is a critical patient safety priority. The news video reports on factors that led to the increasing use of prescription opioids and serves as a prologue for a series of broadcasts looking at various facets of the problem and strategies for improvement.
Trivedi S; Read C; Carlisle D; Trueland J; Hodgson G; Naylor D; Middleton J.
Drawing from presentations at an annual conference in the United Kingdom, articles in this supplement discuss barcode technologies, the Sign up to Safety campaign, and improvement initiatives in emergency surgery and mental health care.

ISMP Medication Safety Alert! Acute Care Edition. December 4, 2014;19:1-6. March 26, 2015;20:1-4.

This newsletter series reports on 2 years of data collected during a national effort to collect vaccine administration errors. The first article summarizes information about the types of vaccine errors reported and why they occur. The second article discusses risks during vaccine use and offers recommendations to prevent them.
Flatten M. Washington Examiner. August 18–22, 2014.
This series offers five magazine articles exploring how diagnostic error, delayed treatment, and insufficient attention to patient concerns and medical history within the Veterans Affairs health system contributed to preventable harm and death.

ISMP Medication Safety Alert! Acute care edition. October 3, 2013;18:1-4. April 24, 2014;19:1-4.

The first article of this series reports the results of a survey investigating disruptive behaviors in health care. The second article explores why behaviors like bullying and intimidation exist and outlines recommendations for organizations to address the problem, including training and communication strategies.
Newsweek. October 15, 2006.
This "Health for Life" series features 10 case studies about patient safety and quality improvement efforts as well as several short articles on safety-related topics such as disclosure and computerizing medical care.