Narrow Results Clear All
- Communication Improvement 8
- Culture of Safety 2
- Education and Training 3
- Error Reporting and Analysis 6
- Human Factors Engineering 5
- Legal and Policy Approaches 5
- Logistical Approaches 3
- Policies and Operations 2
- Quality Improvement Strategies 6
- Specialization of Care 3
- Teamwork 2
- Technologic Approaches 5
- Transparency and Accountability 1
- Device-related Complications 1
- Diagnostic Errors 11
- Discontinuities, Gaps, and Hand-Off Problems 9
- Failure to rescue 2
- Fatigue and Sleep Deprivation 1
- Identification Errors 1
- Interruptions and distractions 1
- Medication Errors/Preventable Adverse Drug Events 4
- Nonsurgical Procedural Complications 2
- Psychological and Social Complications 2
- Family Members and Caregivers 2
- Health Care Executives and Administrators 15
Health Care Providers
- Nurses 2
- Non-Health Care Professionals 4
- Patients 18
Search results for "Newspaper/Magazine Article"
- Newspaper/Magazine Article
- Emergency Departments
Palmer J. Patient Saf Qual Healthc. May/June 2019.
Organizations must learn from adverse events to prevent similar incidents. Reporting on lessons to be learned from the cascade of failures connected with the preventable death of a patient during an acute asthma attack at the door of a hospital emergency department, this magazine article outlines the importance of effective signage, appropriate security staff placement, and acceptance of the responsibility for failure.
DeMarco P. Globe Magazine. November 3, 2018.
This magazine article reports on the preventable death of a patient during an acute asthma attack. Written by the patient's husband, the article outlines the failures that led to her death despite the fact that she was at the door of a hospital emergency department and on the phone with an emergency dispatcher. Factors discussed include overreliance on poorly functioning technology, communication failures, and lack of fail-safes.
Daley J. Colorado Public Radio. February 23, 2018.
Innovations in the prescribing of opioids in the emergency department are needed to change practice and help address the opioid crisis. This news article reports the results of a 10-hospital pilot program, the Colorado Opioid Safety Collaborative, which used alternative pain control approaches to reduce opioid prescriptions by an average of 36%. The program builds on multidisciplinary teamwork to modify pain management in the emergency department. An Annual Perspective highlighted opioid misuse as a patient safety challenge.
Hofmann PB, Bagian JP. Patient Saf Qual Healthc. February 20, 2017.
Lewis M. Nautilus. February 9, 2017.
Physicians' decision-making can be diminished when they are tired, distracted, or too narrowly task-focused. This article discusses cognitive biases and other limitations that affect physicians' ability to process information effectively and explores how these factors can contribute to uncertainty and clinical misjudgment.
Hoffman J. New York Times. June 10, 2016.
Overprescribing of opioids for pain management contributes to the growing crisis involving opioid-related harm. This newspaper article reports on one hospital's efforts to avoid opioid use for patients presenting to the emergency department with pain. Alternative treatments included nonnarcotic infusions, nitrous oxide, music therapy, and holistic techniques.
Robbins A. Good Housekeeping. May 20, 2016.
Disruptive behaviors are receiving increased attention as a cultural factor that contributes to medical error. Although much of the focus has been on physicians, the presence of bullying among nurses is also a concern. This magazine article explores nurse behaviors such as withholding information, intimidation, and name calling that negatively affect patient safety and nurse retention.
Luthra S. Kaiser Health News. March 1, 2016.
Many emergency departments have recently implemented electronic health records, which has introduced new safety hazards. This news article reports on challenges associated with the growing use of electronic health records in emergency care, including insufficient usability and increased risk of documentation errors.
Donnelly L. The Telegraph. January 31, 2016.
Delays in care and diagnosis can result in patient harm. This news article reports on the trend of delays in prehospital emergency care as a safety concern in the United Kingdom and describes an incident involving an infant who died from sepsis after a call handler from the NHS 111 service failed to recognize that the child required urgent care.
Shell ER. Sci Am. 2015;313(5):28-29.
ISMP Medication Safety Alert! Acute Care Edition. December 18, 2014;19:1,4.
This newsletter article discusses an adverse drug event involving a patient who died after receiving a neuromuscular blocker instead of a seizure control agent. The preparation error was associated with incorrect labeling. Because neuromuscular blocking agents are considered high-alert medications, more robust administration processes should be employed to reduce the potential for mix-ups.
Dunklin R, Thompson S. Dallas Morning News. December 6, 2014.
This news article reports on the widely publicized delayed diagnosis of Ebola at a Dallas hospital and reveals previously undisclosed details from the emergency room physician who misdiagnosed the patient when he first presented, including information and communication gaps that may have contributed to the failure.
Loftis RL. Dallas Morning News. October 5, 2014.
Guidelines and rules are developed to help augment safety, but they cannot guarantee it. This news article explores the potential causes for a missed diagnosis of Ebola despite screening procedures for the virus, including weaknesses in an electronic health record system, complacency, and poor communication.
Dwyer J. New York Times. October 25, 2012.
Dwyer J. New York Times. July 11, 2012:A15.
This newspaper article reports on gaps in communication and a missed sepsis diagnosis that led to a patient's death.
Eban K. Self Magazine. November 2011.
This magazine article reports on cases in which outsourcing the interpretation of radiology tests contributed to patient harm.
ED Manag. 2011;23:78-80.
Landro L. Wall Street Journal. May 10, 2011:D3.
This newspaper article reports on efforts to reduce errors in emergency medicine, including improving physician–nurse communication, adopting timeouts before discharge, and using trigger systems.
PA-PSRS Patient Saf Advis. March 2011;8:1-7.
This piece reports on the prevalence of medication errors in the emergency department and suggests expanding pharmacy involvement as a strategy to reduce risks.
PA-PSRS Patient Saf Advis. 2010;7:123-134.
This report examines how optimizing patient flow from emergency department arrival to diagnosis can enhance quality and safety.