Narrow Results Clear All
Communication between Providers
- Sbar 4
- Communication between Providers 140
- Culture of Safety 104
Education and Training
- Simulators 16
- Students 9
Error Reporting and Analysis
- Never Events 10
- Error Reporting 167
Human Factors Engineering
- Checklists 41
Legal and Policy Approaches
- Regulation 53
- Logistical Approaches 65
Quality Improvement Strategies
- Benchmarking 15
- Specialization of Care 43
- Teamwork 50
- Clinical Information Systems 102
- Alert fatigue 1
- Device-related Complications 67
- Diagnostic Errors 82
- Discontinuities, Gaps, and Hand-Off Problems 87
- Drug shortages 16
- Fatigue and Sleep Deprivation 20
- Identification Errors 44
- Interruptions and distractions 10
- Delirium 1
- Medication Errors/Preventable Adverse Drug Events 242
- MRI safety 4
- Nonsurgical Procedural Complications 20
- Psychological and Social Complications 64
- Second victims 3
- Surgical Complications 132
- Transfusion Complications 4
- Ambulatory Care 89
- General Hospitals 178
- Outpatient Surgery 18
- Patient Transport 7
- Psychiatric Facilities 4
- Residential Facilities 13
- Allied Health Services 2
- Dentistry 2
- Geriatrics 15
- Obstetrics 16
- Pediatrics 44
- Primary Care 11
- Radiology 16
- Internal Medicine 274
- Nursing 60
- Pharmacy 181
- Family Members and Caregivers 20
- Health Care Executives and Administrators 550
Health Care Providers
- Nurses 91
- Pharmacists 83
- Physicians 159
Non-Health Care Professionals
- Educators 33
- Engineers 36
- Media 9
- Patients 486
- Asia 1
- Europe 37
- Canada 12
United States of America
United States Federal Government
- Department of Health and Human Services (HHS) 9
- United States Federal Government 12
Search results for "Search Query"
Lewis M. Nautilus. February 9, 2017.
Physicians' decision-making can be diminished when they are tired, distracted, or too narrowly task-focused. This article discusses cognitive biases and other limitations that affect physicians' ability to process information effectively and explores how these factors can contribute to uncertainty and clinical misjudgment.
Shryock T. Med Econ. December 5, 2016.
Computerized decision support and advanced computing are being used to augment various processes in health care, such as medication ordering and diagnosis. This magazine article reports on the accuracy of these systems and the potential role of artificial intelligence in supporting diagnostic decision making.
Boodman SG. Washington Post. December 4, 2016.
Delays in diagnosis can both diminish the patient–physician relationship and result in harm. This newspaper article describes steps patients can take to enable effective diagnosis, including reviewing their medical records, asking questions during discussions with clinicians, and bringing an advocate to appointments.
Herman B, Fei F. Mod Healthc. December 2, 2016.
Underserved communities face challenges to receiving high quality care. This magazine article reports on pervasive problems in the Indian Health Service (IHS) that result in an unsafe care system, such as chronic lack of funding and high workforce turnover. The article includes insights from tribe advocates seeking improvement in the IHS.
ISMP Medication Safety Alert! Acute Care Edition. December 1, 2016;21:1-3.
Accidental administration of irrigation solutions are a wrong-route error that can result in harm. This newsletter article reviews factors that contribute to these incidents in the operating room, such as unlabeled solutions, look-alike labeling, and line connection issues. Recommendations to reduce risks include communicating during transitions, safe storage, and immediate labeling.
Levine H. Consum Rep. 2017 Jan;82:32-40.
Hospital rating systems have yet to receive approval across the health care industry, but they still serve as a way for consumers to select hospitals and providers. This news article reports on publicly available data for central line infections in hospitals across the United States and spotlights checklists as a strategy that contributes to improvement. The article also ranks teaching hospitals based on their performance at preventing central line infections.
ISMP Medication Safety Alert! Acute Care Edition. November 17, 2016;21:1-5.
Health information technology has enhanced prescribers' ability to document the purpose of medications they order. This newsletter article reviews weaknesses in electronic prescribing systems and recommends incorporating indication-based prescribing as the "sixth right" of safe medication use. The piece highlights how making indication information available can help inform medication communication, selection, adherence, and reconciliation.
Sweeney JF. Med Econ. November 10, 2016.
Disclosure and candor with patients after a medical error has gained support from organizations, clinicians, and patients. This magazine article discusses how initiatives such as communication-and-resolution programs can reduce lawsuits, provide opportunities for learning, and improve physician–patient relationships.
Monegain B. Healthcare IT News. November 7, 2016.
Howard J. CNN. October 31, 2016.
Although genetic testing can provide proactive assessment for disease, it can also result in unnecessary care. This news article reports on the unexpected death of a child and how the family experienced psychological harm and received unnecessary care due to misdiagnosis related to false positive test results for long QT syndrome.
Branswell H. STAT. October 25, 2016.
Sun LH. The Washington Post. October 13, 2016.
Medical devices can contribute to the spread of health care–associated infections. This news article discusses a government report that raises concerns that patients may have been exposed to a deadly bacterial infection related to an essential piece of equipment used in cardiac surgery worldwide. The resulting infection can be difficult to diagnosis as symptoms may remain dormant for months after the initial exposure.
Gittlen S. HealthLeaders Media. October 1, 2016.
The recent recognition of diagnostic error as a blind spot in health care has driven the need to enhance diagnosis. This news article reports how health systems, academic medical centers, and ambulatory care facilities are working to address diagnostic error with efforts focused on teamwork, cognitive bias, and improved reporting.
Whitman E. Mod Healthc. September 25, 2016.
Misidentification of patients can result in problems such as medication administration delays, blood transfusion mismatches, and wrong-patient surgery. This magazine article reviews recent research on this issue and suggests several system approaches for improvement, including the use of patient photos in electronic health records and standardizing patient identification processes.
Furfaro H. Wall Street Journal. September 25, 2016.
Medication errors in pediatric care are common in the hospital and at home. This newspaper article reports on problems associated with medication safety among pediatric patients and highlights several tools both clinicians and parents can use to enhance safety when administering medicine to children, including dosage calculators and pictures depicting medication administration processes.
Hobson K. US News News and World Report. September 13, 2016.
Diagnostic error has recently gained recognition as an important patient safety concern. This news article relates the experiences of patients who were misdiagnosed and discusses avenues for improvement such as exploring physician problem-solving behaviors and using trigger tools to detect potential lapses in care.
Innes S. Arizona Daily Star. September 12, 2016.
Delayed diagnoses can have serious consequences. This news article reviews several examples of misdiagnosis and insights from the patients and families involved, explores the importance of engaging patients in determining correct diagnoses, and places the discussion in the broader context of efforts to reduce diagnostic error.
ISMP Medication Safety Alert! Acute Care Edition. September 8, 2016;21:1-4.
Over-reliance on technology can contribute to error due to user complacency. Reviewing how the tendency to trust in the correctness of information from technology can diminish human decision-making, this newsletter article offers strategies to address the problem including training clinicians to assess the reliability of the technology with monitoring and verification activities.
McNeill R, Nelson DJ, Abutaleb Y. Reuters Investigation. September 7, 2016.
Antimicrobial resistance is a pervasive threat to patient safety. This news article discusses incidents involving methicillin-resistant Staphylococcus aureus (MRSA) infection to spotlight the need for health care to develop system-level approaches to measuring the problem and enforce regulations designed to prevent health care–associated infections. A PSNet perspective described one nurse's experience with MRSA as a patient.
MacLean L, Coombs C, Breda K. Nurs Manage. 2016;47:30-34.