Health care safety: what needs to be done?

George L. Rubin; Stephen R. Leeder

Commentary

Health care safety: what needs to be done?

December 7, 2005

Rubin GL, Leeder SR. Med J Aust. 2005;183(10):529-31.

View more articles from the same authors.

The authors assert that enhancements in measuring safety, financial incentives, education, and management would improve patient safety in Australia.

PubMed citation

Available at

Free full text (PDF)

Related Resources From the Same Author(s)

Rapid response systems: a prospective study of response times.

August 17, 2011

Racial differences in antibiotic prescribing by primary care pediatricians.

March 20, 2013

Get a clue: it can be all too easy to make assessment errors in the field; here's some tips to prevent you from making mistakes.

October 26, 2011

Limits on opioid prescribing leave patients with chronic pain vulnerable.

May 15, 2019

Addressing medicine's bias against patients who are overweight.

March 27, 2019

Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR.

October 19, 2005

A systematic review to evaluate the accuracy of electronic adverse drug event detection.

January 4, 2012

The cost of opioid–related adverse drug events.

October 8, 2014

Exploring the concept of medication discrepancy within the context of patient safety to improve population health.

December 9, 2009

Characteristics of paid malpractice claims settled in and out of court in the USA: a retrospective analysis.

August 7, 2013

The effects of stress and coping on surgical performance during simulations.

January 13, 2010

Rethinking diagnostic delay in cancer: how difficult is the diagnosis?

January 7, 2015

Patient safety rounds in a pediatric tertiary care center.

January 9, 2008

Medication-error alerts for warfarin orders detected by a bar-code-assisted medication administration system.

March 9, 2011

Utilization of pharmacy technicians to increase the accuracy of patient medication histories obtained in the emergency department.

July 13, 2016

Trainee autonomy and patient safety.

December 6, 2017

Postoperative sepsis in the United States.

January 19, 2011

Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center.

March 6, 2005

EACTS guidelines for the use of patient safety checklists.

March 29, 2012

Assessment of latent factors contributing to error: addressing surgical pathology error wisely.

November 16, 2011

Directed peer review in surgical pathology.

September 1, 2012

Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting of cardiac surgery.

May 26, 2010

Understanding the roles of three academic communities in a prospective learning health ecosystem for diagnostic excellence.

February 26, 2020

Improving surgical complications and patient safety at the nation's largest military hospital: an analysis of National Surgical Quality Improvement Program data.

March 29, 2017

Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP).

December 3, 2014

Impact of a computerized physician order entry system on compliance with prescription accuracy requirements.

August 5, 2009

Diagnostic errors in pediatric radiology.

March 30, 2011

Medical morbidity and mortality conferences: past, present and future.

December 21, 2016

Body CT: technical advances for improving safety.

August 3, 2011

Introduction of a mobile adverse event reporting system is associated with participation in adverse event reporting.

July 25, 2018

Identifying unintended consequences of quality indicators: a qualitative study.

December 14, 2011

Dementia and risk of adverse warfarin-related events in the nursing home setting.

November 21, 2012

Retrospective review of emergency response activations during a 13-year period at a tertiary care children's hospital.

December 22, 2010

Decoding laboratory test names: a major challenge to appropriate patient care.

January 16, 2013

The CARE approach to reducing diagnostic errors.

March 22, 2017

Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care.

February 7, 2007

Medical errors in orthopaedics. Results of an AAOS member survey.

March 18, 2009

Nontechnical skills in pediatric surgery: factors influencing operative performance.

April 13, 2016

The patient's right to safety—improving the quality of care through litigation against hospitals.

May 17, 2006

Impact of incorporating pharmacy claims data into electronic medication reconciliation.

March 4, 2015

Patient safety and quality improvement adaptation during the COVID-19 pandemic.

April 21, 2021

On error management: lessons from aviation.

March 27, 2005

Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach.

February 23, 2011

Interventions to increase clinical incident reporting in health care.

September 5, 2012

The effectiveness of inking needle core prostate biopsies for preventing patient specimen identification errors: a technique to address Joint Commission patient safety goals in specialty laboratories.

February 25, 2009

Decreasing errors in pediatric continuous intravenous infusions.

May 24, 2006

The economics of health care quality and medical errors.

November 14, 2012

Effects of weekend admission and hospital teaching status on in-hospital mortality.

March 6, 2005

Accountability measures—using measurement to promote quality improvement.

June 30, 2010

What's that sound? Managing alarm fatigue.

September 24, 2014

Why stigma matters in addressing alcohol harm.

August 9, 2023

Interdisciplinary communication: an uncharted source of medical error?

November 15, 2006

Interruptive communication patterns in the intensive care unit ward round.

October 26, 2005

Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children.

September 10, 2008

Infection prevention in the emergency department.

November 12, 2014

The effect of a Lean quality improvement implementation program on surgical pathology specimen accessioning and gross preparation error frequency.

September 1, 2012

Assessing the impact of an electronic chemotherapy order verification checklist on pharmacist reported errors in oncology infusion centers of a health-system.

January 24, 2024

Building a culture of safety in ophthalmology.

November 2, 2016

Patient safety incidents in hospice care: observations from interdisciplinary case conferences.

November 20, 2013

Disclosure of medical errors: what factors influence how patients respond?

June 21, 2006

Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiologists.

August 15, 2007

Patient safety in surgery: non-technical aspects of safe surgical performance.

April 7, 2010

Diagnostic errors with inserted tubes, lines and catheters in children.

December 5, 2012

Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites.

June 25, 2014

Pediatric aspects of inpatient health information technology systems.

February 4, 2009

The reliability of AHRQ Common Format Harm Scales in rating patient safety events.

October 23, 2013

Quality of outpatient clinical notes: a stakeholder definition derived through qualitative research.

February 6, 2013

Surgical specimen management: a descriptive study of 648 adverse events and near misses.

October 5, 2016

The well-defined pediatric ICU: active surveillance using nonmedical personnel to capture less serious safety events.

November 25, 2015

Neuroradiology diagnostic errors at a tertiary academic centre: effect of participation in tumour boards and physician experience.

August 17, 2022

The impact of major intraoperative adverse events on hospital readmissions.

August 17, 2016

Operating at night does not increase the risk of intraoperative adverse events.

January 24, 2018

Narrative feedback from OR personnel about the safety of their surgical practice before and after a surgical safety checklist intervention.

July 12, 2017

Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis.

May 10, 2006

Improving handoff communications in critical care: utilizing simulation-based training toward process improvement in managing patient risk.

July 30, 2008

Communication failures contributing to patient injury in anaesthesia malpractice claims.

September 1, 2021

Simulation-based training: the missing link to lastingly improved patient safety and health?

April 27, 2016

Innovative teaching in situational awareness.

June 24, 2015

Patient safety in plastic surgery.

September 12, 2012

Preventing patient harms through systems of care.

August 22, 2012

Improvements in the safety of patient care can help end the medical malpractice crisis in the United States.

January 9, 2008

Hospital performance trends on national quality measures and the association with Joint Commission accreditation.

October 26, 2011

Automated adverse event detection collaborative: electronic adverse event identification, classification, and corrective actions across academic pediatric institutions.

December 18, 2013

Residents' perspective on the impact of the 80-hour workweek policy.

June 11, 2008

The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures outside the operating room: a report from the Pediatric Sedation Research Consortium.

March 18, 2009

Intercepting wrong-patient orders in a computerized provider order entry system.

February 4, 2015

ISMP medication error report analysis.

April 21, 2010

ISMP medication error report analysis.

March 10, 2010

ISMP medication error report analysis.

May 12, 2010

Why it is so hard to talk about overuse in pediatrics and why it matters.

August 30, 2017

Intimidation: practitioners speak up about this unresolved problem.

October 5, 2005

Unlabeled containers lead to patient's death.

July 13, 2005

Adverse events associated with sedatives, analgesics, and other drugs that provide patient comfort in the intensive care unit.

June 8, 2005

Implementation of the surgical safety checklist in South Carolina hospitals is associated with improvement in perceived perioperative safety.

May 11, 2016

The role of housestaff in implementing medication reconciliation on admission at an academic medical center.

June 16, 2010

Predicting potential postdischarge adverse drug events and 30-day unplanned hospital readmissions from medication regimen complexity.

December 3, 2014

Chronic kidney disease adversely influences patient safety.

September 24, 2008

Health plan members' views about disclosure of medical errors.

March 6, 2005

Surgical case listing accuracy: failure analysis at a high-volume academic medical center.

August 4, 2010

Interventions to improve employee health and well-being within health care organizations: a systematic review.

June 20, 2018

Related Resources

Patient Safety Innovations

Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner

April 10, 2024

Annual Perspective

Equity in Patient Safety

March 27, 2024

Annual Perspective

Communication During Transitions of Care

March 27, 2024

Interview

In Conversation With...Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0

February 28, 2024

Anesthesia Patient Safety Foundation (APSF) Grant Program.

February 5, 2024

Challenge Competition: Impact of Patient Safety Tools.

December 12, 2023

Interview

In Conversation with... Cheryl Jones about Addressing Workplace Violence and Creating a Safer Workplace

October 31, 2023

Perspectives on Safety

Addressing Workplace Violence and Creating a Safer Workplace

October 31, 2023

Interview

In Conversation with... Kathleen Sanford and Sue Schuelke about Virtual Nursing

August 30, 2023

Perspectives on Safety

Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges

August 30, 2023

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada.

June 28, 2023

The Patient Safety Adoption Framework: a practical framework to bridge the know-do gap.

May 31, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Identifying safety practices perceived as low value: an exploratory survey of healthcare staff in the United Kingdom and Australia.

March 8, 2023

AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Engaging Patients and Families.

February 15, 2023

Positive approaches to safety: learning from what we do well.

August 31, 2022

Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case studies.

June 8, 2022

Multifactorial interventions to reduce duration and variability in delays to identification of serious injury after falls in hospital inpatients.

April 27, 2022

Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident analysis.

April 13, 2022

Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries.

July 7, 2021

Becoming a High Reliability Organization.

September 2, 2020

Perspective

Safety Across The Board

August 31, 2020

Interview

In Conversation With... Edwin Loftin, DNP, MBA, RN, NEA-BC-FACHE

August 31, 2020

The use of anatomical side markers in general radiology: a systematic review of the current literature.

August 26, 2020

The application of strong matrix management and PDCA cycle in the management of severe COVID-19 patients.

May 20, 2020

A model for improving health care quality for transgender and gender nonconforming patients.

January 23, 2020

Patient safety issues continue to plague American hospitals.

August 14, 2019

What interventions could reduce diagnostic error in emergency departments? A review of evidence, practice and consumer perspectives.

July 24, 2019

The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes.

July 10, 2019

See More About The Topic

Hospitals

Health Care Executives and Administrators

Continuous Quality Improvement

Financial

Teamwork

Health care safety: what needs to be done?

Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Health care safety: what needs to be done?

Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site