Narrow Results Clear All
- Communication Improvement 5
- Culture of Safety
- Education and Training 4
- Error Reporting and Analysis 7
- Human Factors Engineering 4
- Legal and Policy Approaches 2
- Logistical Approaches 2
- Quality Improvement Strategies 2
- Teamwork 1
- Technologic Approaches 3
- Transparency and Accountability 2
- Device-related Complications 2
- Diagnostic Errors 3
- Medication Safety 7
- Nonsurgical Procedural Complications 2
- Psychological and Social Complications 1
- Second victims 2
- Surgical Complications 1
- Family Members and Caregivers 1
- Health Care Executives and Administrators 11
Health Care Providers
- Nurses 3
- Non-Health Care Professionals 4
- Patients 1
Search results for "Newspaper/Magazine Article"
Quick Safety. April 15, 2019;(48):1-3.
Fatigue, emotional stress, and illness can affect decision-making and lead to misuse of medications. This newsletter article describes the patient safety impacts of drug diversion among health care workers and notes the importance of a culture of constructive reporting to uncover and address this unsafe behavior.
Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just culture.
ISMP Medication Safety Alert! Acute Care Edition. February 14, 2019;24.
Park A. Time Magazine. January 24, 2019.
This news article reports on the documentary To Err Is Human, which was produced and directed by the son of patient safety leader Dr. John M. Eisenberg. The film is structured around patient safety advocate Sue Sheridan's experience with diagnostic errors that resulted in harm for both her son and husband. It features a wide range of experts who discuss the impact of error on all involved, the role of culture in facilitating both mistakes and progress, and why continued work in health care safety is needed.
Canadian Medical Protective Association. CMPA Perspective. September 2018;10:8-11.
Frontline leadership should model just culture behaviors to encourage reporting and discussion of error to facilitate improvement. This news article uses a medical administration error to examine whether human error, at-risk behavior, or reckless action on the part of a clinician led to the mistake and explores leadership response to the incident to determine accountability in each type of situation.
Weber DO. Hosp Health Networks Daily. February 25, 2014.
This article reports on the pervasive challenges to error disclosure and advocates for establishing a just culture to promote these conversations and enhance safety. The author discusses a study that highlighted the need for a patient-centered approach to facilitate peer-to-peer conversations about errors, along with responses solicited regarding a disclosure scenario.
ISMP Medication Safety Alert! Acute Care Edition. October 3, 2013;18:1-4. April 24, 2014;19:1-4.
The first article of this series reports the results of a survey investigating disruptive behaviors in health care. The second article explores why behaviors like bullying and intimidation exist and outlines recommendations for organizations to address the problem, including training and communication strategies.
ISMP Medication Safety Alert! Acute Care Edition. August 8, 2013;18:1-4.
Relating how an infant died after ingesting a medication patch, this newsletter article advocates for clinician and organizational engagement in educating consumers about risks.
Diamond F. Manag Care. July 2013;22:30-32.
Kromis L. Outpatient Surgery Magazine. March 2013.
This article describes examples of medication safety failures and details methods to help prevent them.
Blum K. Pharmacy Practice News. November 16, 2011.
Exploring the impact of medication errors on clinicians, this article discusses efforts to support second victims affected by medical error.
Butcher L. Hosp Health Netw. November 2011.
This article discusses wrong-site surgeries and efforts to prevent them.
PA-PSRS Patient Saf Advis. September 2010;7:76-86.
Analyzing reports of diagnostic errors, this article discusses common causes and provides suggestions for physicians and patients to prevent such events.
ISMP Medication Safety Alert! Acute Care Edition. September 11, 2008;13:1-3.
This article discusses a medication error associated with a new smart pump system and describes strategies to prevent errors when well-established processes are changed.
No more blame & shame: developing event-reporting systems may go a long way to reducing patient care errors in EMS.
Rajasekaran K, Fairbanks RJ, Shah MN. EMS Mag. 2008 Sep;37:61-67.
This article describes how applying a just culture and systems approach to adverse events may help change the "blame-and-shame" mentality in emergency medical service provision.
Whitehead S. Emergency Medical Services. July 2007.
The author, a paramedic, recounts his experience with an intubation error and discusses patient care errors within the broader context of human error, necessary fallibility, and quality assurance.
van der Grinten P. Patient Safety & Quality Healthcare. May/June 2006;3:46-48.
This article reports on how regional health information organizations (RHIOs) increase access to patient information and benefit patient safety.