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1 - 13 of 13

Garman AN, McAlearney AS, Harrison MI, et al. Health Care Manag Rev. 2011-2020.

In this continuing series, high-performance work practices are explored and defined through literature review, case analysis, and research. The authors summarize findings and discuss how best practices can influence quality, safety, and efficiency outcomes. Topics covered include speaking up, central line infection prevention, and business case development.

Levett-Jones T, ed. Clin Sim Nurs. 2020;44(1):1-78; 2020;45(1):1-60.

Simulation is a recognized technique to educate and plan to improve care processes and safety. This pair of special issues highlights the use of simulation in nursing and its value in work such as communication enhancement, minority population care, and patient deterioration.   

GMS J Med Educ. 2019;36:Doc11-Doc22.

Patient safety has been described as an unmet need in physician training. This special issue covers areas of focus for a patient safety curriculum drawn from experience in the German medical education system. Topics covered include human error, blame, and responsibility. Articles also review the epidemiology of common problems such as medication safety, organizational contributors to failure, and diagnostic error.
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.

Health Aff (Millwood). 2018;37(11):1723-1908.

The Institute of Medicine report, To Err Is Human, marked the founding of the patient safety field. This special issue of Health Affairs, published 20 years after that report, highlights achievements and progress to date. One implementation study of evidence-based surgical safety checklists demonstrated that leadership involvement, intensive activities, and engagement of frontline staff are all critical to successful adoption of safety practices. Another study demonstrated that communication-and-resolution programs either decreased or did not affect malpractice costs, providing further support for implementing such programs. Experts describe the critical role of human factors engineering in patient safety and outline how to enhance the use of these methods. The concluding editorial by David Bates and Hardeep Singh points to progress in reducing hospital-acquired infections and improving medication safety in acute care settings and highlights remaining gaps in the areas of outpatient care, diagnostic errors, and electronic health record safety. In the related information, the Moore Foundation provides free access to five articles in this special issue.
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.
Bagian JP. Human Factors and Ergonomics in Manufacturing & Service Industries. 2011;22.
Articles in this special issue detail how human factors and ergonomics concepts can contribute to patient safety efforts through improving design, training, and equipment usability.
Berner ES, Graber ML, eds. Adv Health Sci Educ Theory Pract. 2009;14(suppl 1):1-112.
This supplement consists of 12 articles drawn from a 2008 conference on diagnostic error, covering topics such as medical problem solving, clinical decision making, diagnostic decision support systems, and educational approaches to reducing diagnostic errors.
Adlassnig KP, Blobel B, Mantas J, Masic I, eds. Stud Health Technol Inform. 2009;150:497-566. In: Medical Informatics in a United and Healthy Europe. Washington, DC: IOS Press. ISBN: 9781607500445.
Part of a comprehensive electronic compilation on medical informatics, this series of papers examines topics surrounding the use of health information technology (HIT) to detect, report, and learn from adverse events.

Baker GR, ed. Healthc Q. 2009;12(Spec No Patient):1-198.  

This special issue discusses Canadian patient safety efforts in identifying risks, designing safe systems, implementing solutions, developing learning systems, and understanding legal decision making.
Matlow A; Laxer RM; Morath JM; Sharek PJ; Classen D; Keatings M; Martin M; McCallum A; Lewis J; Stevens P; Harrison C; Scanlon MC; Karsh BT; Densmore EM; Luria JW; Muething SE; Schoettker PJ; Kotagal UR; Parshuram CS; Kozer E; Berkovitch M; Koren G; Lehmann C; Kim GR; Streitenberger K; Breen-Reid K; Harris C; Flores G; Ngui E; Dunn KL; Moulden A; McDougall P; Bowes G; Curley MAQ; Schwalenstocker E; Deshpande JK; Ganser CC; Bertoch D; Brandon J; Kurtin P; Stevens P.
This special issue examines patient safety through the perspectives of parents, hospital leadership, human factors experts, and clinicians.

Healthc Q. 2006;9 Spec No:1-140.

This special issue describes projects and research in Canadian health care that are supporting improvements in patient safety.