The PSNet Collection

The Media’s Role in Patient Safety

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April 27, 2022

This piece discusses the role that media plays in affecting patient safety.

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Medication/Drug Errors

National Healthcare Quality and Disparities Reports.

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Rockville, MD: Agency for Healthcare Research and Quality.

In this annual publication, AHRQ reviews the results of the National Healthcare Quality Report and National Healthcare Disparities Report. This 2021 report highlights that a wide range of quality measures have shown improvement in quality, access, and cost.

Healthcare Excellence Canada.

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150 Kent Street, Suite 200, Ottawa, Ontario, K1P 0E4 Canada.

This new organization fosters collaboration between governments and stakeholders in developing patient safety initiatives. This Web site provides tools for health care professionals and patients. It was formed in March 2021 through the merging of the Canadian Foundation for Healthcare Improvement and the Canadian Patient Safety Institute.

Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis

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Dinnen T, Williams H, Yardley S, et al. BMJ Support Palliat Care. 2019.

Advance care planning (ACP) allows patients to express and document their preferences about medical treatment; however, there are concerns about uptake and documentation due to human error. This study used patient safety incident reports in the UK to characterize and explore safety issues arising from ACP and to identify areas for improvement. Over a ten-year period, there were 70 reports of an ACP-related patient safety incident (due to incomplete documentation, inaccessible documentation or miscommunication, or ACP directives not being followed) which led to inappropriate treatment, transfer or admission. The importance of targeting the human factors of the ACP process to improve safety is discussed. A PSNet Human Factors Primer on human factors expands on these concepts.

Strengthening the medical error "meme pool."

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Mazer BL, Nabhan C. J Gen Intern Med. 2019;34:2264-2267.

Published estimates on the number preventable medical errors have generated some controversy. This perspective discusses the inaccuracy of these estimates, the role of the media in disseminating them, and how physicians can bring context to conversations on the prevalence of medical error.

Critical Deficiencies at the Washington DC VA Medical Center.

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Washington, DC: Department of Veterans Affairs, Office of Inspector General. March 7, 2018. Report No. 17-02644-130.

Systemic weaknesses in the Veterans Affairs health system have resulted in high-profile failures. Highlighting concerns at one medical center that were found to contribute to opportunities for waste, fraud, and poor health care delivery, this report by the Office of Inspector General outlines 40 recommendations to address deficiencies.

2014 John M. Eisenberg Patient Safety and Quality Award Recipients Announced.

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Joint Commission.

The Eisenberg Award honors individuals and organizations who have made vital accomplishments in improving patient safety and quality. The 2014 honorees are Mark L. Graber, MD, the American College of Surgeons National Surgical Quality Improvement Program, and North Shore-LIJ Health System in New York. The awards were presented at the National Quality Forum's annual conference on March 23, 2015, in Washington, DC.

2013 John M. Eisenberg Patient Safety and Quality Award Recipients Announced.

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Joint Commission. January 27, 2014.

The Eisenberg Award honors individuals and organizations who have made vital accomplishments in improving patient and quality. The 2013 honorees are Institute for Clinical Systems Improvement, Minnesota Hospital Association, and Stratis Health, from Minnesota; Anthem Blue Cross, National Health Foundation, Hospital Association of Southern California, Hospital Association of San Diego & Imperial Counties, and the Hospital Council of Northern & Central California, from California; Vidant Health, of North Carolina; and Gail L. Warden, in Michigan. The awards were presented at the National Quality Forum's Annual Conference on February 13, 2014, in Washington, DC.

Delivering safety over convenience.

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Clark C.

This news piece highlights concern around the safety of elective premature deliveries and describes techniques organizations have used to prevent such procedures.

Five Years of Quality: Working Together to Improve Care.

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Florida Hospital Association; FHA.

This report outlines successful state initiatives to address safety concerns in health care, including readmissions, surgical complications, and central line–associated bloodstream infections.

European Union Network for Patient Safety and Quality of Care.

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European Union Network for Patient Safety and Quality of Care; PaSQ.

This organization aims to promote implementation of recommended patient safety practices in European Union member states with a goal of developing a collaborative network to ensure long-term safety and quality improvement.

Sentinel Event Program.

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Division of Licensing and Regulatory Services; Maine Department of Health and Human Services.

This Web site provides information about Maine's statewide incident reporting initiative and includes annual sentinel event reports.

HospitalInspections.org

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Columbia, MO: Association of Health Care Journalists.

This Web site provides access to federal hospital inspection reports that detail deficiencies cited from complaint inspections at acute care and critical access hospitals.

Sterile compounding tragedy is a symptom of a broken system on many levels.

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ISMP Medication Safety Alert! Acute Care Edition. October 18, 2012;17:1-4.

This piece reviews risks associated with the use of compounding pharmacies and recommends that legislative oversight can improve medication safety.

ISQua Networks.

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International Society for Quality in Health Care; ISQua.

This Web site provides access to communities of practice, online learning activities, and discussions exploring safety and quality.

Medicare releases patient safety ratings for hospitals.

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Rau J. Kaiser Health News. October 17, 2011.

The Centers for Medicare & Medicaid Services (CMS) published data on hospital-acquired conditions in a 2011 report. This news article discusses new data available on the Hospital Compare Web site, including preventable complications and certain types of medical errors.

Tennessee Center for Patient Safety.

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Tennessee Center for Patient Safety.

This Web site summarizes patient safety improvement efforts in Tennessee, shares information on their patient safety organization activities and a calendar of training opportunities.

Interactive effects of nurse-experienced time pressure and burnout on patient safety: a cross-sectional survey.

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Teng C-I, Shyu Y-IL, Chiou W-K, et al. Int J Nurs Stud. 2010;47:1442-50.

The combination of burnout and time pressures appeared to be associated with patient safety risks, according to this survey of Taiwanese nurses.

Patient Safety Culture Report: Focusing on Indicators.

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Utrecht, Netherlands: European Network for Patient Safety; 2010.

This report identifies care process and outcome indicators in the European Union and describes how the indicators relate to patient safety culture.

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