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- Communication Improvement 4
- Culture of Safety 1
- Error Reporting and Analysis 1
- Human Factors Engineering 1
- Legal and Policy Approaches 1
- Logistical Approaches
- Quality Improvement Strategies 6
- Technologic Approaches 4
Search results for "Newspaper/Magazine Article"
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.
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.
PA-PSRS Patient Saf Advis. September 2009;6:93-97.
This article reports on failures surrounding critical test results and describes mechanisms to standardize communication and reduce patient harm.
LaRocco M, Brient K. Patient Safety & Quality Healthcare. March-April 2008;5:22-26.
This article reports on one hospital's efforts to improve blood transfusion safety by implementing new technologies and process improvements.
Kowalczyk L. Boston Globe. April 21, 2007:B1.
This article reports on the results from Joint Commission site inspections of five Boston-area hospitals.
Landro L. Wall Street Journal (Eastern edition). June 14, 2006:D1. [Reprinted on Post-gazette.com].
This article reports on a laboratory mix-up resulting in misdiagnosis and unneeded surgery and discusses the problem of laboratory errors.
Weiss GG. Med Econ. May 19, 2006; 83:47-49.
This article provides suggestions for physicians to ensure reliable follow-up on test results, including tracking forms, computerization, and staff compliance with processes.
PA-PSRS Patient Saf Advis. September 2005;2:1-5.
This article draws from the reporting system in Pennsylvania to discuss lost surgical pathology specimens and recommend a systems-oriented approach to improvement.
Shaw G. ACP Observer. May 2005.
This article responds to a 2005 study, which discovered missing clinical information in more than 13% of patient visits to 32 primary care practices. Physicians interviewed suggest electronic medical records as a possible solution to this problem, as well as other, low-tech options.