Narrow Results Clear All
- Communication Improvement 9
- Culture of Safety 3
Education and Training
- Students 11
- Error Reporting and Analysis 5
- Legal and Policy Approaches 6
- Logistical Approaches 4
- Quality Improvement Strategies 3
- Specialization of Care 1
- Teamwork 3
- Technologic Approaches 1
- Device-related Complications 2
- Diagnostic Errors 5
- Discontinuities, Gaps, and Hand-Off Problems 2
- Fatigue and Sleep Deprivation 4
- Medication Safety 5
- Nonsurgical Procedural Complications 1
- Psychological and Social Complications 3
- Surgical Complications 3
- Family Members and Caregivers 1
- Health Care Executives and Administrators 23
Health Care Providers
- Nurses 3
- Physicians 12
- Non-Health Care Professionals
- Patients 14
Search results for "Newspaper/Magazine Article"
- Newspaper/Magazine Article
CDC Vital Signs. May 7, 2019.
Maternal morbidity and mortality is a worldwide patient safety problem. This analysis describes the prevalence of pregnancy-related death and areas of concern during pregnancy, at delivery, and up to a year postpartum. It reports that 60% of these deaths are preventable and provides suggestions for families, clinicians, and systems to reduce risks.
Chisholm P. Health Shots. National Public Radio. February 27, 2019.
Students have a key role in a culture of safety: analysis of student-associated medication incidents.
ISMP Medication Safety Alert! Acute Care Edition. July 26, 2018;23:1-4.
Previous studies have discussed concerns associated with new clinician involvement in care delivery. This data analysis highlights how organizational culture affects student-related errors and summarizes the positive contribution students bring to medication safety, including new perspectives, recently acquired evidence, and a willingness to ask questions.
The next generation of doctors may be learning bad habits at teaching hospitals with many safety violations.
Blau M. STAT. April 20, 2018.
The hidden curriculum, staff burnout, and other organizational norms contribute to behaviors that put both care teams and patients at risk. Reporting on clusters of safety violations the Centers for Medicare and Medicaid Services found at teaching hospitals, this news article suggests that trainees who learn in environments where patients receive unsafe care may perpetuate poor practices and reviews how teaching hospitals are working to change behavior and educate trainees about patient safety.
Hurt J. Med Econ. April 26, 2017.
Landro L. Wall Street Journal. August. 8, 2016.
First-year residents may be reluctant to ask for assistance due to factors such as peer pressure to demonstrate competency. This newspaper article reports on one hospital's strategy to enhance communication among residents and attendings, which encourages residents to ask questions of senior clinicians who are coached to welcome learning conversations.
Gardner LA. PA-PSRS Patient Saf Advis. June 2016;13:58-65.
Insufficient health literacy is a known patient safety hazard. This article reviews incidents submitted to a state reporting initiative where insufficient patient understanding may have played a role in delayed or missed care and describes a program to encourage adoption of teach-back and other strategies to help patients better comprehend their health care instructions. A past PSNet perspective discussed the role of health literacy in patient safety.
Hess L, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. March 2016;13:18-23.
Dubeck D. PA-PSRS Patient Saf Advis. September 2014;11:93-101.
Research has documented a substantial learning curve for surgeons as they develop skills to use robotic technologies. Drawing from data submitted to the Pennsylvania Patient Safety Authority, this article analyzes the 722 safety events involving robotic-assisted surgery reported since 2005—approximately 75% of these incidents did not result in harm but 10 patient deaths were recorded—and discusses the challenges introduced as robotic-assisted surgery becomes accepted as standard surgical practice.
Boodman SG, Kaiser Health News. Washington Post. May 19, 2014.
Khullar D. New York Times. May 15, 2014.
Yurkiewicz I. Aeon Magazine. January 29, 2014.
Disruptive behavior is a well-known and pervasive issue in health care. Describing disrespectful behaviors that clinicians face, such as sarcasm and intimidation, this magazine article emphasizes how they can hinder effective interactions and communication to reduce patient safety.
Landro L. Wall Street Journal. November 17, 2013.
This newspaper article describes efforts to prevent diagnostic errors, including improving follow-up of abnormal test results and implementing decision support programs.
Rudolph J, Raemer D, Shapiro J. Clin Teach. 2013;10:186-189.
This commentary describes techniques for providing feedback to clinicians after an error.
Chen PW. New York Times. April 18, 2013.
Yasgur BS. Medscape Business of Medicine. March 27, 2013.
Highlighting how diagnostic errors affect patient safety, this article reviews tactics physicians use to assess patients and determine a diagnosis.
Fanning RM. Patient Saf Qual Healthc. March/April 2013;10:18-20,22-23.
Ross K. Health Facil Manage. 2012 Nov;25:23-28.
This article outlines key issues for hospital administrators to consider when establishing a simulation center.
Huff C. Hosp Health Netw. October 2011;85:34-35,37-38,2.
Conroy-Smith E, Herring R, Caldwell G. Clin Teach. 2011;8:75-78.
This article describes how a rounds-based medication chart review initiative was implemented to educate physicians and medical students on medication safety behaviors.