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.
ISMP Medication Safety Alert! Acute Care Edition. February 24, 2011;16:1-2.
This piece discusses the effects of personal behaviors and peer interactions on an organization's safety culture.
Dunklin R, Goetinck Ambrose S, Egerton B. Dallas Morning News. August 1, 2010:A01.
This newspaper article reveals how one teaching hospital facilitated error through ineffective resident training, weak oversight, and poor safety culture.
Duffy B. Patient Saf Qual Healthc. July/August 2010;7:32-36.
This piece describes how education can reduce patient harm by promoting attitude and behavior changes within the health care system.
Instructions included? Why materials managers need to make safety training part of medical device procurement process.
Keller JP Jr. Mater Manag Health Care. April 2010;19:26-29.
This article examines the potential for equipment failures stemming from insufficient training and recommends steps to improve new device implementation.
Voelker R. JAMA. 2009;302:2190-2192.
This news article reports on the growth of simulation as a teaching tool and describes several examples of its successful use in clinical education.
Chen PW. New York Times. October 1, 2009.
This column discusses how life stresses affect the reliability and safety of care provided by over-extended clinicians in light of a recent study on the topic.
Ellis O. BMJ. 2009;339:b3725.
This news piece discusses the World Health Organization (WHO) effort to craft a patient safety curriculum for medical schools internationally. WHO plans to evaluate and distribute the finished product in 2010.
Chen PW. New York Times. July 9, 2009.
This column shares one physician's experience with the deterioration of a colleague's practice after involvement in error. The piece highlights the need for effective support of physicians-in-training to manage and respond to mistakes.
PA-PSRS Patient Saf Advis. March 2009;6:16-19.
This article discusses strategies to ensure safe transitions for patients between hospital departments. These strategies include transport team development, use of standardized communication tools, and educational programming for unlicensed health care personnel.
Kuehn BM. JAMA. 2009;301:259-261.
This article summarizes findings of the recent Institute of Medicine report, which advises against resident work shifts of longer than 16 hours without sleep and recommends better supervision of residents to improve patient safety.
ISMP Medication Safety Alert! Acute Care Edition. October 18, 2007;12:1-2.
Reporting on survey results that identified common errors that student nurses make, this article offers recommendations for both educators and students.
Bohan S. Oakland Tribune. January 27, 2007.
This article describes how simulators are being used by hospitals to train medical teams on effective communication and teamwork.
Lerner BH. The Washington Post. November 28, 2006:HE01.
The author reviews the legacy of Libby Zion and how her untimely death raised awareness of the impact that resident duty hours and fatigue could have on patient care and quality.
Hallmarks of quality and patient safety recommended baccalaureate competencies and curricular guidelines to ensure high-quality and safe patient care.
J Prof Nurs. 2006;22:329-330.
This consensus document represents the work of a task force convened to identify essential competencies that should be covered by undergraduate nursing programs to provide an effective foundation in quality and safety.
Challenges ahead in technology training: a report on the training initiative of the Committee on Technology.
Olympio MA, Reinke B, Abramovich A. APSF Newsletter. Fall 2006;21:43-48.
The authors describe the complexity of keeping current on new anesthesia equipment and propose an in-depth process for physician and technician training to ensure safe use in the operating room.
Meyers S. Trustee. July/August 2006;59:12, 14, 21.
The author describes how several hospitals implemented crew resource management programs to improve communication.
Weiss GG. Med Econ. April 21, 2006;83:50-54.
This article discusses disclosure of adverse events from various perspectives and provides suggestions on apologizing and developing a disclosure policy.
Manno MS. Nursing. 2006 Mar;36:56-61.
The author provides a comprehensive introduction to adverse drug events (ADEs), their impact, and strategies to prevent them. Nursing continuing education credits are available for the test on page 62.
Young D. Am J Health Syst Pharm. 2005;62:2450-2451.
This news piece highlights a medication-use safety residency program at Johns Hopkins Hospital.
Groopman J. The New Yorker. May 2, 2005;81:48-54.
Through discussions with numerous experts and medical educators, this piece explores how simulation training has developed over the last 15 years and discusses why it has not yet been adopted more universally.