Narrow Results Clear All
- Communication Improvement 2
- Culture of Safety 1
- Education and Training 1
- Error Reporting and Analysis
- Human Factors Engineering 3
- Legal and Policy Approaches 4
- Logistical Approaches 1
- Quality Improvement Strategies 2
- Specialization of Care 2
- Technologic Approaches 5
- Diagnostic Errors 2
- Discontinuities, Gaps, and Hand-Off Problems 2
- Fatigue and Sleep Deprivation 1
- Identification Errors 2
- Medical Complications
- Medication Safety 3
- Psychological and Social Complications 1
- Surgical Complications 2
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Perspectives on Safety > Perspective
with commentary by Ashish K. Jha, MD, MPH, The Transformation of Patient Safety at the VA, September 2006
Five years after the landmark Crossing the Quality Chasm report by the Institute of Medicine (IOM), the quality and safety of health care in the United States remains far from ideal.(1) It is easy to feel pessimistic. Can health care organizations really...
Special or Theme Issue
Pediatr Crit Care Med. 2007;8(suppl):S1-S43.
This supplement covers issues related to safety indicators, fatigue, electronic medical records, infection, and disclosure of medical errors in the care of critically ill children.
Sydney, Australia: Australian Commission on Safety and Quality in Health Care; 2008. ISBN: 9780980346275.
This report compiles public and private data to provide insight into the quality and safety of patient care in Australian hospitals.
Legislation/Regulation > Government Resource
Council recommendation on patient safety, including the prevention and control of healthcare associated infections.
Council of the European Union (2009).
This document provides a series of suggestions to improve patient safety in health care systems across the European Union.
Journal Article > Study
Schneider AK, Brinsley-Rainisch KJ, Schaefer MK, Camilli T, Perz JF, Cochran RL. J Patient Saf. 2013;9:8-12.
Tools/Toolkit > Government Resource
Atlanta, GA: Centers for Disease Control and Prevention; June 6, 2013.
This toolkit provides guidance and resources to help organizations inform patients about infection control lapses.
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.
Special or Theme Issue
Health Aff (Millwood). 2018;37:1723-1908.
The Institute of Medicine report, To Err Is Human, marked the founding of the patient safety field. This special issue of Health Affairs, published 20 years after that report, highlights achievements and progress to date. One implementation study of evidence-based surgical safety checklists demonstrated that leadership involvement, intensive activities, and engagement of frontline staff are all critical to successful adoption of safety practices. Another study demonstrated that communication-and-resolution programs either decreased or did not affect malpractice costs, providing further support for implementing such programs. Experts describe the critical role of human factors engineering in patient safety and outline how to enhance the use of these methods. The concluding editorial by David Bates and Hardeep Singh points to progress in reducing hospital-acquired infections and improving medication safety in acute care settings and highlights remaining gaps in the areas of outpatient care, diagnostic errors, and electronic health record safety. In the related information, the Moore Foundation provides free access to five articles in this special issue.