Narrow Results Clear All
- Communication between Providers 10
- Culture of Safety 1
- Education and Training 1
- Error Reporting and Analysis 5
- Human Factors Engineering 1
- Legal and Policy Approaches 8
- Logistical Approaches 4
- Quality Improvement Strategies 3
- Teamwork 1
- Technologic Approaches 3
- Diagnostic Errors 9
- Discontinuities, Gaps, and Hand-Off Problems
- Fatigue and Sleep Deprivation 1
- Medical Complications 2
- Medication Safety 3
- Psychological and Social Complications 1
- Surgical Complications 4
- Family Members and Caregivers 1
- Health Care Executives and Administrators 12
Health Care Providers
- Nurses 2
Non-Health Care Professionals
- Media 1
- Patients 13
Search results for "Newspaper/Magazine Article"
Cierniak KH, Gaunt MJ, Grissinger M. PA-PSRS. Patient Saf Advis. 2018;15(4).
The operating room environment harbors particular patient safety hazards. Drawing from 1137 perioperative medication error reports submitted over a 1-year period, this analysis found that more than half of the recorded incidents reached the patient and the majority of those stemmed from communication breakdowns during transitions or handoffs. The authors provide recommendations to reduce risks of error, including using barcode medication administration, standardizing handoff procedures, and stocking prefilled syringes.
Simmons-Ritchie D. Penn Live. November 15, 2018.
Nursing home patients are vulnerable to preventable harm due to poor safety culture, insufficient staffing levels, lack of regulation enforcement, and misaligned financial incentives. This news investigation reports on how poor practices resulted in resident harm in Pennsylvania nursing homes and discusses strategies for improvement, such as enhancing investigation processes.
Hamilton WL. Patient Saf Qual Healthc. July 31, 2017.
Miscommunication during care transitions can contribute to medical errors. This article discusses how handoff communication tools can help to improve reliability of information transfer associated with anesthesia practice. The authors emphasize the importance of standardizing the process of perioperative data collection.
ISMP Medication Safety Alert! Acute Care Edition. May 18, 2017;22:1-4.
Verbal orders are known to increase risk of error in care. This newsletter article summarizes survey results that sought to characterize current verbal order behaviors. Notably, practices to improve the reliability of verbal orders such as read backs were not optimally integrated in medication processes. The article includes recommendations for organizations, individuals, and teams to improve the safety of verbal orders.
Aleccia J. Seattle Times. June 18, 2016.
Patients who experience harm while receiving medical care can serve as powerful advocates for patient safety. This news article reports on a patient who became engaged in working to redesign processes to improve patient safety after he became paralyzed from the chest down due to a cascade of communication errors.
Khullar D. New York Times. March 17, 2016.
Preventing readmissions after hospital discharge is a national policy priority. This newspaper article discusses how poor communication between hospital-based and outpatient physicians, lack of involvement of the frontline care team in the discharge process, and production pressures can diminish the safety of discharge. The piece also describes strategies to enhance transitions and reduce readmission rates.
Gabler E. Milwaukee Journal Sentinel. May 15, 2015.
Reporting on weaknesses in laboratory testing methods, this news article discusses patients' experiences with testing errors to illustrate how such failures can contribute to patient harm—such as missed or delayed diagnosis—and raises concerns about insufficient transparency, investigations, and regulations around laboratory facilities with poor processes.
The high cost of low morale in the clinical laboratory: how workplace environment impacts patient safety.
Barker T, Noguez J. Clinical Laboratory News. January 1, 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.
Flatten M. Washington Examiner. August 18–22, 2014.
Njoroge S, Nichols JH. Clinical Laboratory News. July 2014.
Highlighting how the disconnect between clinicians conducting point-of-care testing as a patient care action and laboratory staff performing the analysis of the test can affect detection of errors, this news article suggests quality control strategies to address risks related to monitoring, testing, and device use.
Shaw G. Hearing J. July 2014;67:11,14-16.
Lerner M. Star Tribune. October 11, 2012.
This newspaper article reports on how transition coaches can help improve transfer and discharge communication to prevent readmissions.
Hartocollis A. New York Times. July 28, 2012.
This newspaper article reports on the missteps that contributed to the death of a young woman after she was hospitalized in an incident reminiscent of Libby Zion.
Dwyer J. New York Times. July 11, 2012:A15.
This newspaper article reports on gaps in communication and a missed sepsis diagnosis that led to a patient's death.
Eban K. Self Magazine. November 2011.
This magazine article reports on cases in which outsourcing the interpretation of radiology tests contributed to patient harm.
Hamill SD. Pittsburgh Post-Gazette. July 10, 2011:A6.
This newspaper article reports how a missed test result alert led to a disease-free transplant patient being infected with hepatitis.
Crocker C. Nurs Times. 2009 Nov 24;105:12-15.
This article tracks the care of a United Kingdom National Health Service patient and identifies several areas for process improvement to ensure safe medication delivery.
Alexander M. Reader's Digest. June 2007.
This article reports on the potential for medical errors to occur during the night shift and the factors that contribute to these mistakes.