Narrow Results Clear All
- Communication Improvement 2
- Culture of Safety 1
- Education and Training 4
Error Reporting and Analysis
- Error Reporting 10
- Human Factors Engineering 7
- Legal and Policy Approaches 12
- Logistical Approaches 1
- Quality Improvement Strategies 9
- Technologic Approaches 1
- Transparency and Accountability 1
- Device-related Complications 2
- Diagnostic Errors 1
- Identification Errors 1
- Delirium 1
- Medication Safety 2
- Surgical Complications 3
- Transfusion Complications 1
- Family Members and Caregivers 2
- Health Care Executives and Administrators 11
Health Care Providers
- Nurses 1
Non-Health Care Professionals
- Media 1
- Patients 22
- Canada 1
Search results for "Newspaper/Magazine Article"
Frakt A. New York Times. April 29, 2019.
Health care providers are a known source of potentially harmful bacteria due to their perpetual interaction with germs during practice. This newspaper article reports on how clinician attire, stethoscopes, and technology can be contaminated with bacteria. Hand sanitizer placement, sleeve length, and laundering behaviors can reduce transmission of pathogens.
Rau J. Kaiser Health News. March 1, 2019.
Financial incentives may encourage adoption of practice improvements that enhance safety. This news article reports on the increase in United States hospitals that have had Medicare payments withheld due to high rates of hospital-acquired conditions. The article is accompanied by a state-level tally of individual hospitals penalized.
Rau J. Kaiser Health News. December 3, 2018.
Peskin SM. New York Times. October 4, 2018.
Error disclosures are difficult but important conversations that can have negative consequences for patients, clinicians, and organizations, even when they are done appropriately. This newspaper article offers insights from a doctor who experienced both sides of disclosure, as a physician disclosing an error and as a patient whose physician missed a complication, and discusses how to manage relationships once clinical mistakes are recognized.
Decerbo M. Pharmacy Practice News. September 13, 2018.
Parenteral nutrition errors can result in patient malnutrition and harm. Reporting on how insufficient understanding of malnutrition contributes to its presence in health care, this news article suggests that both general guidelines and tailored approaches to nutrition are necessary to keep hospitalized patients safe. Improvements in addressing the complicated needs of patients who are older or have cancer illustrate progress made toward the effective delivery of nutrition.
Quick Safety. March 27, 2018;(40):1-2.
Falls are a common patient safety concern for adults but are rarely discussed as a threat to newborn safety. This newsletter article provides a definition for a newborn fall or drop, highlights factors that increase risks of such incidents, and offers recommendations to augment safety such as rounding to monitor parent fatigue and reporting of events to inform improvements.
Jewett C. Kaiser Health News. May 9, 2017.
The Centers for Medicare and Medicaid Services decision to withhold payment for certain hospital-acquired conditions has prompted widespread efforts to prevent such events. This news article reports on an evaluation by the Office of Inspector General that found regulator review of hospital-acquired infection reports submitted to Medicare to be insufficient, which hinders hospitals' ability to learn from factors that contribute to infections.
Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes.
ISMP Medication Safety Alert! Acute Care Edition. March 23, 2017;22:1-5.
Levine H. Consum Rep. 2017 Jan;82:32-40.
Hospital rating systems have yet to receive approval across the health care industry, but they still serve as a way for consumers to select hospitals and providers. This news article reports on publicly available data for central line infections in hospitals across the United States and spotlights checklists as a strategy that contributes to improvement. The article also ranks teaching hospitals based on their performance at preventing central line infections.
Branswell H. STAT. October 25, 2016.
McNeill R, Nelson DJ, Abutaleb Y. Reuters Investigation. September 7, 2016.
Antimicrobial resistance is a pervasive threat to patient safety. This news article discusses incidents involving methicillin-resistant Staphylococcus aureus (MRSA) infection to spotlight the need for health care to develop system-level approaches to measuring the problem and enforce regulations designed to prevent health care–associated infections. A PSNet perspective described one nurse's experience with MRSA as a patient.
CDC Vital Signs. March 3, 2016.
Health care–associated infections (HAI) are a worldwide patient safety problem. This article and accompanying set of infographics spotlight the importance of addressing HAIs and provide updates on improvements associated with better use of catheters, appropriate patient isolation, and increased vigilance to reduce the risks of antibiotic-resistant infections.
Freyer FJ. Boston Globe. November 19, 2015.
Consumer Reports. July 29, 2015.
Boodman SG. The Atlantic. June 7, 2015.
Delirium is a common unintended consequence of hospitalization, most often following a surgical procedure. This magazine article discusses characteristics of the condition, contributing factors, challenges to diagnosing it, and strategies to reduce its incidence. A previous AHRQ WebM&M commentary describes the key diagnostic differences between delirium and dementia.
Daley J. Colorado Public Radio. February 17, 2015.
Patient and family stories of harm are increasingly promoted as a strategy to provide insights into medical errors. This radio segment interviews a patient advocate whose daughter died due to medical errors, including failure-to-rescue and a health care–associated infection, and who speaks about that experience to educate clinicians on the importance of patient safety and listening to patients' families.
Hospital Engagement Networks participants make big strides in reducing patient harm and readmissions.
Vesely R. Hosp Health Netw. November 2014;88:26-31.
The Hospital Engagement Network initiative serves as an example of engaging health care organizations in a large-scale collaborative effort to raise awareness of certain safety challenges and implement changes to address them. This magazine article reveals insights from hospitals involved in the initiative and reports results as compiled by its organizers, including reductions in early elective deliveries, pressure ulcers, central line–associated infections, ventilator-associated pneumonia, and readmissions.
Rodricks D. Baltimore Sun. October 14, 2014.
Although significant progress has been made in improving patient safety over the past decade, many medical errors continue to occur. In light of the recent incident involving transmission of the Ebola virus from a patient to a nurse at a Dallas hospital, this newspaper article reports on how lapses in following standard procedures in care environments, such as insufficient handwashing, can result in preventable harm.
Clark C. HealthLeaders Media. September 18, 2014.
This news article explores the validity of recent reports by an interdisciplinary consortium that one in three hospitalized patients is malnourished and suggests further research is required to understand this potential patient safety problem.
O'Donnell J. USA Today. August 6, 2014.
This newspaper article reports on changes to publicly reported data on the Hospital Compare Web site. Several avoidable hospital-acquired conditions, such as air embolism or retained foreign objects, are no longer included. Working with the National Quality Forum, the Centers for Medicare and Medicaid Services (CMS) decided to modify the list to make it easier for consumers to use and understand.