Narrow Results Clear All
- Communication Improvement 3
- Culture of Safety
- Education and Training 2
- Error Reporting and Analysis 3
- Human Factors Engineering 1
- Legal and Policy Approaches 2
- Quality Improvement Strategies 3
- Specialization of Care 1
- Clinical Information Systems 4
- Discontinuities, Gaps, and Hand-Off Problems 1
- Identification Errors 2
- Medical Complications
- Medication Safety 4
- Surgical Complications 4
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Perspectives on Safety > Perspective
with commentary by Ashish K. Jha, MD, MPH, The Transformation of Patient Safety at the VA, September 2006
Five years after the landmark Crossing the Quality Chasm report by the Institute of Medicine (IOM), the quality and safety of health care in the United States remains far from ideal.(1) It is easy to feel pessimistic. Can health care organizations really...
Special or Theme Issue
Baker GE, ed. Healthc Q. 2006;9:1-140.
This special issue describes projects and research in Canadian health care that are supporting improvements in patient safety.
Journal Article > Study
Casey MM, Wakefield M, Coburn AF, Moscovice IS, Loux S. Jt Comm J Qual Patient Saf. 2006;32:693-702.
This study surveyed chief executive officers (CEOs) of 29 small and rural hospitals (with a median of 28 staffed hospital beds) to determine their priorities for improving patient safety, and compared them with the recommendations of an expert panel. While both CEOs and the expert panel agreed that preventing adverse drug events (ADEs), preventing nosocomial infections, and improving the safety culture were important, they disagreed on the methods of achieving these goals. For example, rural hospitals placed less emphasis on the need for sophisticated information technology to prevent ADEs. These differences were at least in part due to rural hospitals' concerns about their ability to implement recommended interventions.
Journal Article > Review
Hwang RW, Herndon JH. Clin Orthop Relat Res. 2007;457:21-34.
The authors discuss the financial incentives of improving patient outcomes as the business case for patient safety.
Gardner E. Mod Healthc. May 18, 2009;39:28-31.
This article describes how one health system markedly improved its quality and safety by applying a safety technique used in the nuclear power industry.
Journal Article > Commentary
Unintended transplantation of three organs from an HIV-positive donor: report of the analysis of an adverse event in a regional health care service in Italy.
Bellandi T, Albolino S, Tartaglia R, Filipponi F. Transplant Proc. 2010;42:2187-2189.
This case study discusses errors that contributed to transplantation of infected organs and provides recommendations to improve test result communication and organizational safety culture.