Narrow Results Clear All
- Communication Improvement 3
- Culture of Safety 1
- Error Reporting and Analysis 1
- Human Factors Engineering 2
- Logistical Approaches 2
- Technologic Approaches 1
- Transparency and Accountability 1
- Family Members and Caregivers 1
- Health Care Executives and Administrators 7
Health Care Providers
- Nurses 2
- Non-Health Care Professionals 5
- Patients 1
Search results for "Book/Report"
- Noncognitive Errors ("Slips & Lapses")
Cullen A. Uitgeverij van Brug: The Hague, The Netherlands; 2019. ISBN: 9789065232236.
Patient stories offer important insights regarding the impact medical errors have on patients and their families. This book shares the author's experience with medical error and spotlights how lack of transparency in European health care can contribute to avoidable process failures that result in patient harm.
Nurse staffing levels, missed vital signs and mortality in hospitals: retrospective longitudinal observational study.
Griffiths P, Ball J, Bloor K, et al. Health Services and Delivery Research. Southampton, UK: NIHR Journals Library; 2018.
Missed nursing care has been linked to safety problems, but ensuring reliable levels of nurse staffing remains challenging. This report provides the results of a 3-year investigation into whether tracking of vital signs by nursing staff could serve as a viable measure for safe patient coverage. The report identified correlations between low staffing, missed vital sign observation, length of stay, and likelihood of mortality. However, record review found no direct relationship between safety and staffing levels. A PSNet perspective examined the relationship between missed nursing care and patient safety.
Cortese D, Abbott P, Chassin M, Lyon GM III, Riley WJ. Dallas, TX: Texas Health Resources Leadership; 2015.
Delayed diagnosis of infectious disease can negatively affect patients, care teams, and public health. Challenges surrounding diagnosis of the first Ebola case in the United States highlighted deficits in disaster preparedness. Reviewing insights from a panel analysis of this well-known and highly publicized case of Ebola, this report underscores the need to improve information transfer and emergency department safety culture to enhance diagnostic and infection prevention processes. A previous WebM&M commentary discussed the utility of simulation training to ensure provider competency when caring for patients potentially infected with Ebola.
Grossman JM, Gourevitch R, Cross D. Washington, DC: National Institute for Health Care Reform; July 2014. NIHCR Research Brief No. 17.
According to this report, many vendors are still working to add and implement enhanced functions for electronic health records to support medication reconciliation capabilities. Health care workers are instead employing hybrid paper-electronic processes to ensure patients' medication lists remain accurate throughout their hospital stay.
Reason J. Farnham Surrey, UK: Ashgate Publishing; 2013. ISBN: 9781472418418.
This publication offers insights from James Reason about how human error concepts can be applied to augment system safety.
Donchin Y, Gopher D, eds. New York, NY: CRC Press; 2013. ISBN: 9781466573628.
This publication uses case studies to explore human factors in health care and describes an approach to augment quality and prevent errors.
Silver Spring, MD: US Food and Drug Administration; October 31, 2011.
This report outlines the complex nature of drug shortages and suggests strategies to augment the FDA's efforts to address them.
Chabris C, Simons D. New York, NY: Crown Publishing Group; 2010. ISBN: 0307459659.