Narrow Results Clear All
- Communication Improvement 9
- Culture of Safety 5
- Education and Training 9
- Error Reporting and Analysis 7
- Human Factors Engineering 7
- Legal and Policy Approaches 5
- Logistical Approaches
- Quality Improvement Strategies 10
- Specialization of Care 5
- Technologic Approaches 11
- Alert fatigue 1
- Device-related Complications 1
- Diagnostic Errors 5
- Discontinuities, Gaps, and Hand-Off Problems 8
- Failure to rescue 1
- Fatigue and Sleep Deprivation 10
- Identification Errors 3
- Interruptions and distractions 1
- Medical Complications 3
- Medication Errors/Preventable Adverse Drug Events 9
- MRI safety 1
- Nonsurgical Procedural Complications 3
- Psychological and Social Complications 1
- Surgical Complications 5
- Transfusion Complications 2
- Internal Medicine 22
- Surgery 5
- Nursing 1
- Pharmacy 4
- Family Members and Caregivers 1
- Health Care Executives and Administrators 24
Health Care Providers
- Nurses 3
- Non-Health Care Professionals 14
- Patients 21
Search results for "Newspaper/Magazine Article"
Partnering with families and patient advocates: another line of defense in adverse event surveillance.
ISMP Medication Safety Alert! Acute Care Edition. August 1, 2019;24.
Having family members or patient advocates present during hospitalizations can help prevent errors. This newsletter article suggests that utilizing this risk prevention strategy in peripheral care areas such as radiology and other testing units could also prevent patient harm. Recommendations to ensure success of this approach include communicating with advocates, encouraging them to speak up, and activating a rapid response to patient deterioration.
Ross C. STAT. May 13, 2019.
Nuisance alarms, interruptions, and insufficient staff availability can hinder effective monitoring and response to acute patient deterioration. This news article reports on how hospital logistics centers are working toward utilizing artificial intelligence to improve clinician response to alarms by proactively identifying hospitalized patients at the highest risk for heart failure to trigger emergency response teams when their condition rapidly declines.
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.
Hurt J. Med Econ. April 26, 2017.
Khullar D. New York Times. February 22, 2017.
Implementing design changes in care environments can improve patient safety. This newspaper article reports on how efforts to address hospital design concerns can augment infection control, patient-centeredness, fall prevention, and noise reduction. A past PSNet perspective discussed physical space redesign as a patient safety strategy.
Hester JL. The Atlantic. October 1, 2015.
Although there is no consensus regarding whether the "July effect" actually exists, it is not hard to imagine the difficulties associated with the first days of practice for a new physician. This magazine article reports on the challenges first-year residents face, including burnout and gaps in practical experience, and describes efforts meant to address this problem, such as duty-hour reform and humanistic curricula in medical schools to help physicians develop their own professional identity.
Reese SM. Information Week. March 11, 2014.
This article describes how wearable technologies for clinicians can improve workload distribution, information gathering, and staffing decisions to address safety issues, particularly nurse fatigue.
Gunderman R, Lynch J, Harrell H. The Atlantic. September 3, 2013.
This magazine article reports on the unique tension between efficiency mandates and patient-centered care through the example of a cancer patient whose suicidal thoughts might have been missed if not for a curious medical student delving further into the patient's medication concerns during a routine follow-up appointment.
Rosenbaum L. The New Yorker: Elements. August 20, 2013.
This magazine article relates the risks and benefits associated with the 2003 resident work hour limits.
Boodman SG. Kaiser Health News. July 9, 2013.
This news article reports on the clinical, educational, and economic consequences of resident work hour limits.
Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm.
ISMP Medication Safety Alert! Acute Care Edition. May 30, 2013;18:1-3.
Chen PW. New York Times. April 18, 2013.
Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit.
ISMP Medication Safety Alert! Acute Care Edition. March 21, 2013;18:1-3.
This newsletter article discusses factors that contributed to the death of a patient in an ambulatory surgery center and recommends improved monitoring practices and alarm management in post-anesthesia care units.
Joint Commission: The Source. February 2012;10:1-5.
This newsletter article describes strategies to manage the effect of fatigue on health care workers and patient safety.
Sanghavi D. New York Times Magazine. August 5, 2011.
This news article discusses the problem of fatigue in resident physicians and the fragmented systems of care that contribute to error.
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.
Olsen D. State Journal-Register. June 26, 2011.
This newspaper article discusses a case of diagnostic error, explores the complexity of the diagnostic process, and provides tips to help patients avoid such errors.
Boodman SG. Washington Post. June 7, 2011:E7.
This newspaper article discusses how nocturnists—physicians who work overnight in the hospital—may improve patient safety.
ISMP Medication Safety Alert! Acute Care Edition. April 21, 2011;16:1-3.
This article analyzes a fatal error involving parenteral nutrition and makes recommendations to prevent such incidents.