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Communication between Providers
- Sbar 1
- Communication between Providers 11
- Culture of Safety 5
- Education and Training 4
- Error Reporting and Analysis 9
- Human Factors Engineering
- Legal and Policy Approaches 5
- Policies and Operations 1
- Quality Improvement Strategies 16
- Specialization of Care 3
- Teamwork 8
- Technologic Approaches 5
- Device-related Complications 4
- Diagnostic Errors 1
- Discontinuities, Gaps, and Hand-Off Problems 3
- Identification Errors 3
- Interruptions and distractions 1
- Medical Complications 8
- Medication Safety 9
- Psychological and Social Complications 1
- Surgical Complications 19
- Internal Medicine 9
- Pharmacy 4
- Health Care Executives and Administrators 23
Health Care Providers
- Nurses 2
- Non-Health Care Professionals 9
- Patients 17
Search results for "Newspaper/Magazine Article"
- Newspaper/Magazine Article
Hilton K, Anderson A. Harv Bus Rev. May 20, 2019.
This commentary describes how one health system worked to combat resistance to change associated with implementation of a checklist initiative. The success of the program was built on empowering team members to drive the process, clinician motivation to provide safe care, and engaging leadership. A PSNet interview with Lucian Leape discussed surgical safety checklists.
Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm.
ISMP Medication Safety Alert! Acute Care Edition. October 4, 2018;23:1-4.
Increased urgency to prevent maternal mortality has uncovered various factors that diminish safety. This newsletter article reports on incidents involving the accidental misuse of epidural analgesia and intravenous antibiotics in labor and delivery care, describes contributing factors (e.g., health technology missteps, barcoding mistakes, and look-alike medications), and offers improvement strategies to mitigate harm.
Mukherjee S. New York Times Magazine. May 9, 2018.
Checklists can coordinate action and communication to augment safety, but human and system factors may hinder their effectiveness. This magazine article reports on how the checklist phenomenon evolved into a global patient safety effort and spotlights the impact of human behavior on reliable implementation of checklist programs in different care environments.
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.
Bornstein D. New York Times. January 26, and February 2, 2016.
Discussing the importance of designing safeguards to prevent system failures that can result in patient harm, this two-part newspaper article reviews large-scale collaboratives, including the Partnership for Patients initiative, as approaches that show promise in engaging clinicians in safety improvement and explores specific areas of focus to reduce harm such as hospital-acquired infections, patient falls, and culture change.
Rice S. Mod Healthc. January 23, 2016.
SafeMedicineUse. August 19, 2015;6:1-2.
Anthes E. Nature. 2015;523:516-518.
Checklists have been advocated as a safety strategy, despite challenges that hinder their success. Reporting on the unmet potential of checklists to reliably improve health care safety, this news article describes how resistance to checklist use, design problems, and implementation factors can limit their effectiveness.
ISMP Canada. August 26, 2015;15:1-4.
Checklists are cognitive aids that help clinicians remember important steps to ensure safe practice. In response to an incident involving a chemotherapy administration error as a result of utilizing the incorrect infusion pump, this newsletter article discusses the development of a point-of-care checklist to assist in use of infusion pumps to improve safety.
Landro L. Wall Street Journal. February 16, 2015.
ISMP Medication Safety Alert! Acute Care Edition. January 15, 2015;20:1-4.
Aston G. Hosp Health Netw. September 9, 2014.
Clark C. HealthLeaders Media. July 24, 2014.
The Hospital Compare Web site has begun to publicly report which hospitals are using checklists, and the results are concerning. Investigating reasons behind these findings, this news piece offers insights from physicians into why checklists have not been universally implemented and highlights the importance of developing a culture of safety to drive improvement efforts.
Betbeze P. HealthLeaders Media. May 2, 2014.
Hamblin J. The Atlantic. March 17, 2014.
Reporting on the use of checklists, this magazine article describes studies that identified benefits, such as reduced complication rates, along with research that questioned the effectiveness of checklists in improving safety. The article also discusses how these assessments may influence checklist application in health care over time.
Rydrych D, Apold J, Harder K. Patient Saf Qual Healthc. November/December 2012;9:24-27,30-32,34.
Dwyer J. New York Times. October 25, 2012.
Stempniak M. Hosp Health Netw. 2012 Oct;86:8 p following 40.
Butcher L. Hosp Health Netw. November 2011.
This article discusses wrong-site surgeries and efforts to prevent them.
McCook A. Anesthesiology News. Sept 2011;37:9.
This news article highlights a program at Johns Hopkins Medicine that engages clinician reporting of errors and near misses to improve patient safety.