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Public reporting of safety measures is considered a hallmark of health care transparency. This article discusses a proposed change to reporting requirements in the Hospital-Acquired Condition Reduction Program (HACRP). The change would limit the sharing of patient safety indicator data that informs Care Compare and hospital Medicare reimbursements.

Criminalization of medical mistakes typifies the blame-focused approach patient safety leaders have worked to reduce in health care. This article covers a high-profile case of medication error involving an automated dispensing system that is ubiquitous in health care.

This story discusses failures related emergency psychiatric assessment, including premature discharge, implicit bias, patient management discontinuity and inappropriate physical restraint that contributed to the death of a patient at risk for suicide.

This organization shares best practices to align and optimize efforts toward eliminating patient harm by the year 2030. The Foundation supports several awareness initiatives to drive improvements associated with its strategic aims that include promoting transparency, realigning safer care incentives, and informing patients and families about patient safety.

System weaknesses are often at the root of never events. This news story discusses the suicide of a concussed woman whose care failed due to gaps in team communication, discharge and transition practices.

This news story illustrates the potential for failure - attributable to human error, inexperience or external stressors - in response to a large-scale emerging threat to public health.

Sharing information from large-scale failure investigations provides insights on latent factors that contribute to patient harm. This analysis discusses a criminal case involving one surgeon in the National Health Service. The examination uncovered problems perpetuated by culture, lack of respect for patient concerns, poor complaint follow-up and organizational blindness. The report summarizes recommendations to reduce similar situations through improving patient communication, organizational accountability and complaints management.

The Leapfrog Group announces their 2019 grading assigning “A,” “B,” “C,” “D” and “F” letter grades to general acute-care hospitals in the U.S. The report reveals states with highest percentages with “A” grades as well as states with no “A” grades. The Leapfrog Hospital Safety Grade is peer-reviewed, fully transparent and free to the public. It shares critical patient safety information to consumers.