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- Communication Improvement 1
- Culture of Safety 1
Education and Training
- Students 1
- Error Reporting and Analysis
- Legal and Policy Approaches
- Quality Improvement Strategies 2
- Transparency and Accountability 1
- Device-related Complications 1
- Diagnostic Errors 1
- Discontinuities, Gaps, and Hand-Off Problems 1
- Drug shortages 1
- Identification Errors 1
- Medical Complications 4
- Medication Safety 1
- Surgical Complications 5
Search results for "Newspaper/Magazine Article"
Hixenbaugh M, Ornstein C. Houston Chronicle and Propublica.
This news investigation chronicles a series of incidents in a transplant program that resulted in patient harm. The systemic nature of the problems such as insufficient whistleblower protection, accountability, and follow-up on patient concerns culminated in a change of hospital leadership. A previous PSNet interview with Charles Ornstein discussed the role of media in raising awareness of patient safety issues.
Miller N. The Pathologist. June 2016(20):18-29; July 2016(21):18-33.
In light of the growing focus on diagnostic errors, this magazine series reports on unique challenges that pathologists face when they discover potential errors. The first article in the series discusses how pathologists may experience barriers to disclosure including feeling shame in disclosing their own error, discomfort with raising concerns about a colleague who has misdiagnosed a patient, and lack of direct relationships with patients. The second article expands the discussion to focus on how industry support of open transparency can enable pathologists to participate in reporting and disclosure activities.
Inside Canada's secret world of medical error: 'There is a lot of lying, there's a lot of cover-up.'
Blackwell T. National Post. January 16, 2015.
Koba M. Fortune. January 6, 2015.
Gubar S. New York Times. October 30, 2014.
This newspaper article describes how surgical complications, health care–associated infections, and ineffective patient–provider communication contributed to a patient's experience with harm and suggests that transparency around the incident and preoperative patient briefings could have improved the situation.
Kowalczyk L. Boston Globe. August 31, 2014.
Reporting on an incident involving administration of an inappropriate dye which led to a patient's death, this newspaper article reveals how cognitive biases may have played a role and steps the hospital took to prevent similar errors. Six Massachusetts hospitals have launched a pilot program for early apology and resolution in an effort to enhance patient satisfaction and safety.
O'Donnell J. USA Today. August 6, 2014.
This newspaper article reports on changes to publicly reported data on the Hospital Compare Web site. Several avoidable hospital-acquired conditions, such as air embolism or retained foreign objects, are no longer included. Working with the National Quality Forum, the Centers for Medicare and Medicaid Services (CMS) decided to modify the list to make it easier for consumers to use and understand.
Cohn M. Baltimore Sun. July 26, 2014.
This news article reports weaknesses in a Maryland reporting program, including poor understanding about which errors should be reported and lack of regulations regarding disclosure. Limited public access to comprehensive incident reports and insufficient performance measurement hinder consumers' ability to select hospitals based on safety.
Khullar D. New York Times. May 15, 2014.
Rosenberg T. New York Times. December 4, 2013.
Preventable adverse events may result in more harm than previously thought. Highlighting inconsistencies in publicly reported hospital safety data, this newspaper article explains how information is collected, analyzed, and presented by organizations such as Hospital Compare, Consumer Reports, and Leapfrog.
Allen M. ProPublica. September 19, 2013.
Jain M. Washington Post. May 27, 2013.
Howard B. AARP The Magazine. April/May 2013;56:46-50,52,71.
This magazine article details how several hospitals have taken a comprehensive approach to improving patient safety in their organizations. An interactive graphic displays many of the methods being used; an accompanying tool lists hospitals and their safety features.
Kolata G. New York Times. August 22, 2012.
Despite strict infection controls placed around a patient carrying a deadly antibiotic-resistant bacteria, 17 other patients also became infected and 6 died. This newspaper article details the approach used to track the chain of transmission.
Rau J. Washington Post. February 12, 2012:A03.
This news article describes problems with analyzing data from a 2011 report on hospital-acquired conditions to accurately measure a hospital's overall quality of care.
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.
ISMP Medication Safety Alert! Acute Care Edition. February 28, 2008;13:1-2.
This article contextualizes a recent news series on medication errors in community pharmacies, identifies important causes of errors not described in the series, and offers a broader perspective on the factors involved in pharmacy errors.
Wolosin R, Vercler L, Matthews J. Patient Safety & Quality Healthcare. November/December 2005;2:40-44.
The authors examined patients' perceptions of safety in hospital settings and factors that affect their perceptions.