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- Communication Improvement 3
- Culture of Safety 3
- Education and Training 2
- Error Reporting and Analysis 1
- Logistical Approaches
- Quality Improvement Strategies 2
- Specialization of Care
- Technologic Approaches 1
- Alert fatigue 1
- Discontinuities, Gaps, and Hand-Off Problems 2
- Failure to rescue 1
- Medical Complications 1
- Medication Safety 5
- Nonsurgical Procedural Complications 1
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Perspectives on Safety > Interview
Nursing and Patient Safety , July-August 2005
Barbara A. Blakeney, MS, RN, is President of the 150,000-member American Nurses Association (ANA). A nurse practitioner and expert in public health practice, policy, and primary care, Ms. Blakeney is on leave from the Boston Public Health Commission, where she has been director of health care services for the homeless. She is the recipient of numerous awards and has been named to Modern Healthcare Magazine's list of the 100 most influential people in health care for the past 3 years.
Journal Article > Study
Pronovost P, Weast B, Rosenstein B. J Patient Saf. 2005;1:33-40.
The authors implemented a comprehensive unit-based safety program (CUSP) in two intensive care settings. They conclude that the program improved safety culture and decreased length of stay, medication errors, and nursing turnover rates.
Journal Article > Study
Manno M, Hogan P, Heberlein V, Nyakiti J, Mee CL. Nursing. 2006 May;36:54-63.
The investigators analyzed the results of a 2005 survey of approximately 4500 U.S. and Canadian nurses to assess their perceptions of patient safety in hospitals. They provide a short discussion on the results for each question.
Journal Article > Commentary
Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council.
Fleischut PM, Evans AS, Nugent WC, et al. Am J Med Qual. 2011;26:89-94.
This commentary describes one hospital's approach to engage residents in improving patient safety.
Ross C. STAT. May 13, 2019.
Nuisance alarms, interruptions, and insufficient staff availability can hinder effective monitoring and response to acute patient deterioration. This news article reports on how hospital logistics centers are working toward utilizing artificial intelligence to improve clinician response to alarms by proactively identifying hospitalized patients at the highest risk for heart failure to trigger emergency response teams when their condition rapidly declines.
Partnering with families and patient advocates: another line of defense in adverse event surveillance.
ISMP Medication Safety Alert! Acute Care Edition. August 1, 2019;24.
Having family members or patient advocates present during hospitalizations can help prevent errors. This newsletter article suggests that utilizing this risk prevention strategy in peripheral care areas such as radiology and other testing units could also prevent patient harm. Recommendations to ensure success of this approach include communicating with advocates, encouraging them to speak up, and activating a rapid response to patient deterioration.