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- Communication Improvement 9
- Culture of Safety 3
Education and Training
- Students 1
- Error Reporting and Analysis 3
- Human Factors Engineering 6
- Legal and Policy Approaches 7
- Logistical Approaches 1
- Quality Improvement Strategies 1
- Teamwork 3
- Technologic Approaches 4
- Alert fatigue 1
- Device-related Complications 1
- Diagnostic Errors 1
- Interruptions and distractions 1
- Medication Safety 2
- Psychological and Social Complications
- Second victims 2
- Surgical Complications 1
- Family Members and Caregivers 1
- Health Care Executives and Administrators 16
- Health Care Providers 14
- Non-Health Care Professionals
- Patients 11
Search results for "Newspaper/Magazine Article"
Joseph R, Harry E. Medical Economics. June 27, 2019.
Multitasking can negatively affect cognitive load and diminish safety. This magazine article reports on how multitasking can contribute to surgeon fatigue, burnout, and decreased task completion in the perioperative environment. Checklists to automate workflow and limiting the number of patient charts that can be open at one time can help reduce extraneous cognitive load.
Schulte F, Fry E. Kaiser Health News, Fortune Magazine. March 18, 2019.
Despite years of investment and government support, electronic health records (EHR) continue to face challenges as a patient safety strategy. This news article outlines the unintended consequences of EHR implementation, including patient harm linked to software glitches and user errors, fraudulent behavior (upcoding), interoperability problems, clinician burnout due to poorly designed digital health records, and lack of industry transparency.
Gawande A. New Yorker. November 12, 2018.
In this magazine article, Atul Gawande describes a range of frustrations physicians experience as digitization becomes more widespread in health care. He elaborates upon several elements of electronic health record use that can degrade care processes and create conditions for errors, such as burnout, lack of patient-centeredness, and alert fatigue.
Wachter R, Goldsmith J. Harv Bus Rev. March 30, 2018.
Increased workload associated with electronic health record (EHR) documentation contributes to physician burnout. Describing challenges associated with poor user interface of EHRs, this magazine article recommends use of artificial intelligence, redesigning workflow, and enhancing alert systems to improve the usefulness of EHRs.
Xu R. The Atlantic. May 11, 2018.
Clinician burnout is a growing concern in health care. This magazine article illustrates how ineffective electronic health record systems contribute to the problem and recommends aligning systems and regulatory influences more tightly with actual practice workflow as a strategy for improvement. A past Annual Perspective discussed the impact of clinician burnout on patient safety.
Couch C. Fast Company. April 3, 2017.
ED Manag. June 2016;28:S1-S4.
Landro L. Wall Street Journal. January 4, 2016.
Alert fatigue is a well-known problem in hospitals. This newspaper article reports on efforts to reduce unnecessary alarms in hospitals to prevent staff from overlooking critical alerts. Highlighting strategies such as using secondary notification systems and recalibrating alerts according to the severity of physiologic change, the article also describes organizational guidelines to improve alarm safety. A recent WebM&M commentary explored how alarm fatigue can result in patient harm.
McFarling UL. STAT. September 7, 2016.
Intensive care units (ICUs) are complex environments that harbor various challenges to safe care delivery. Reporting on alarm fatigue and insufficient interoperability between devices in ICUs, this news article describes solutions to address data overload and highlights the efforts of several hospitals working toward developing ICUs that are more respectful of patients and the clinical teams caring for them.
Addis LM, Cadet VN, Graham KC. Patient Saf Qual Healthc. May/June 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.
MacLeod L. Physician Exec. Jan-Feb 2014;40:8-12.
Second victims are clinicians who experience considerable emotional distress, shame, and self-doubt after being involved in a medical error. This magazine article discusses the need for hospitals to provide care for these clinicians and spotlights the role of physician leaders in promoting and facilitating support programs.
ISMP Medication Safety Alert! Acute Care Edition. October 3, 2013;18:1-4. April 24, 2014;19:1-4.
The first article of this series reports the results of a survey investigating disruptive behaviors in health care. The second article explores why behaviors like bullying and intimidation exist and outlines recommendations for organizations to address the problem, including training and communication strategies.
ISMP Medication Safety Alert! Acute Care Edition. June 27, 2013.
This newsletter article reviews studies that show how disrespectful behavior continues to affect safety and quality in health care. The Institute for Safe Medication Practices seeks to collect health care workers' experiences with such behaviors in a related survey.
Feil M. PA-PSRS Patient Saf Advis. March 2013;10:1-10.
Analyzing data submitted to the Pennsylvania Patient Safety Reporting System, this piece outlines the types of distractions that contribute to medical errors and recommends strategies to mitigate them.
Boodman SG. Washington Post. March 4, 2013.
This newspaper article reports on how anger management courses can address physicians' disruptive behavior and improve their coping and communication skills.
ISMP Medication Safety Alert! Acute Care Edition. July 14, 2011;16:1-3.
Crane M. Medscape Medical News. December 11, 2010.
This news piece discusses one study's findings that clinician disruptive behavior affects an institution's bottom line.
Robeznieks A. Modern Physician. September 13, 2010.
Price M. Monitor. January 2010;41:50.
This feature article explains how cognitive errors contribute to medical mistakes and describes ways to lessen their occurrence.