Narrow Results Clear All
- Communication Improvement 9
- Culture of Safety 3
- Education and Training 1
- Error Reporting and Analysis 3
- Human Factors Engineering 1
- Legal and Policy Approaches 4
- Logistical Approaches 2
- Quality Improvement Strategies 4
- Specialization of Care 2
- Clinical Information Systems 25
- Transparency and Accountability 1
- Alert fatigue 2
- Device-related Complications 1
- Diagnostic Errors 8
- Discontinuities, Gaps, and Hand-Off Problems 2
- Failure to rescue 1
- Identification Errors 2
- Medical Complications 1
- Medication Safety 10
- Psychological and Social Complications 4
- Family Members and Caregivers 3
- Health Care Executives and Administrators 14
Health Care Providers
- Nurses 1
- Non-Health Care Professionals
Search results for ""
Perspectives on Safety > Perspective
with commentary by Ronen Rozenblum, MD, MPH, and David Bates, MD, MS, Patient-facing Technologies: Opportunities and Challenges for Patient Safety, November 2017
This piece explores how patient-facing technologies can enable patients to be more responsible for their care and improve the way clinicians practice.
Perspectives on Safety > Annual Perspective
with commentary by Rachel J. Stern, MD, and Urmimala Sarkar, MD, 2017
Patient engagement in safety has evolved from obscurity to maturity over the past two decades. This Annual Perspective highlights emerging approaches to engaging patients and caregivers in safety efforts, including novel technological innovations, and summarizes the existing evidence on the efficacy of such approaches.
Journal Article > Commentary
Galvin RS, Delbanco S, Milstein A, Belden G. Health Aff (Millwood). 2005;24:228-233.
The Leapfrog Group was formed in 2000 as an initiative among large employers and purchasers of health care services to articulate a uniform voice for promoting improvements in quality. This article summarizes the organization's activities, their progress to date, and the anticipated challenges that lie ahead. The authors conclude that the impact of Leapfrog's efforts is difficult to assess, but their role as a market catalyst remains strong.
Wherry R. Forbes Magazine. June 20, 2005.
This article uses examples from several hospitals to illustrate the behavioral and financial issues involved in implementing information technologies such as electronic health records and order entry systems.
Fischman J. US News and World Report. August 1, 2005;139:45,49-50,52.
This article reports on activities at several hospitals that illustrate how information technology can help improve the safety of health care.
BBC News. August 9, 2005.
This article reports on a prototype electronic wristband that checks medications against a patient's prescription.
Gray R. Scotland on Sunday. January 8, 2006.
This story discusses the impact of a computer glitch in a system used by more than 80% of general practitioners in Scotland. In addition to physician notes being inadvertently attached to the wrong patient's medical record, reports suggest that some patients actually received incorrect prescriptions due to printing errors caused by the system.
National Patient Safety Agency. London, UK: National Health Service.
These documents summarize National Patient Safety Agency incident reporting data from the first year of data collection. They are accompanied by workbooks for data review, slide sets and trends analysis.
The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy.
Kutner M, Greenberg E, Jin Y, Paulsen C. US Department of Education. Washington, DC: National Center for Education Statistics; September 2006. Report No: NCES 2006-483.
This report provides an assessment of health literacy data analyzed for different demographic characteristics.
Caplan J. Time.com. January 15, 2007.
This article reports on an industry-supported initiative to reduce medication errors by encouraging physicians to use electronic prescribing through a free Web-based tool.
Borzo J. Wall Street Journal. May 23, 2005:R10.
This article discusses decision support system implementation and use, and its role in preventing physician misdiagnosis.
Journal Article > Commentary
Health information technology is a vehicle, not a destination: a conversation with David J. Brailer.
Milstein A. Health Aff (Millwood). 2007;26:w236-w241.
Brailer, the National Coordinator for Health Information Technology ("the IT Czar") from 2004-2006, discusses the fundamental changes needed for the United States to optimize the use of health information technology, including patient ownership of their health care information, universal access to provider performance data, and changes in health care policy.
Cohen R. Star-Ledger. August 12, 2007;Business section:1.
This article describes how electronic prescribing can help reduce miscommunication and improve safety, although its universal adoption faces numerous barriers.
Donaghue E. USA Today. September 5, 2007.
This article discusses how diagnostic decision-support systems can assist physicians in correctly diagnosing patients.
Cooney E. Worcester Telegram & Gazette. January 28, 2008;Living section:E1.
This article discusses an AHRQ-funded program to study information technology tools and their ability to minimize medication errors in a geriatric patient population.
US News & World Report. July 3, 2008.
This article discusses the findings of a recent study that reported deficiencies in barcode systems requiring numerous overrides and "workarounds" by nurses.
Vaitheeswaran V. Economist. April 16, 2009;Special Report:6-8.
This article explores how information technology and smart software could potentially improve quality and reduce medical errors.
Gertner J. Fast Company. October 15, 2012.
This magazine article discusses how advanced computing can improve reliability of decision-making for activities that rely on complex information and evidence, like medicine.
Freudenheim M. New York Times. December 13, 2010:3B.
This article reports on a committee created by the Institute of Medicine to analyze the potential impact of electronic medical records (EMR) on costs and quality of care.
Web Resource > Multi-use Website
Silverspring, MD: US Food and Drug Administration.
This Web site provides access to large publicly available datasets for adverse drug events to enable developers, researchers, and consumers to use this information when designing medication safety improvement plans or projects. Planned updates to this site include data on recalls and product documentation.