Narrow Results Clear All
- Communication Improvement 27
- Culture of Safety 5
- Education and Training 8
- Error Reporting and Analysis 17
- Human Factors Engineering 9
- Legal and Policy Approaches 12
- Logistical Approaches 4
- Quality Improvement Strategies 11
- Teamwork 3
- Technologic Approaches 7
- Transparency and Accountability 1
- Device-related Complications 3
- Diagnostic Errors 2
- Discontinuities, Gaps, and Hand-Off Problems 5
- Identification Errors
- Medical Complications 9
- Medication Safety 12
- Nonsurgical Procedural Complications 2
- Psychological and Social Complications 2
- Surgical Complications 27
- Transfusion Complications 1
- Family Members and Caregivers 3
- Health Care Executives and Administrators 22
Health Care Providers
- Nurses 4
- Non-Health Care Professionals 11
Search results for ""
Stein L. St. Petersburg Times. June 21, 2010.
Reporting on wrong-site surgeries in Florida hospitals, this newspaper article describes how timeouts have changed the nature and frequency of surgical errors.
Bernhard B, Kohler J. St. Louis Post-Dispatch. August 1, 2010:A1
In the context of system failures that contributed to the death of a patient, this newspaper article describes how never events are rarely publicized, even though hospital inspection reports are public records.
Rojas-Burke J. The Oregonian. May 25, 2011.
Boodman SG. Washington Post. June 21, 2011:E1.
Clarke JR. PA-PSRS Patient Saf Advis. 2015;12:19-27.
Wrong-site surgeries are considered never events by the National Quality Forum and sentinel events by The Joint Commission. Drawing from data submitted to the Pennsylvania Patient Safety Authority, this article analyzes 83 wrong-site extremity procedures in orthopedic surgery reported over 9 years and recommends site marking and time outs as strategies to prevent these incidents.
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.
Graham J. Kaiser Health News. November 21, 2018.
Patients can identify errors in their medical records that health care providers may not recognize. This news article highlights the importance of patients correcting seemingly simple mistakes such as name misspellings and phone numbers as these errors can contribute to situations that result in patient harm.