Narrow Results Clear All
- Communication Improvement 4
- Culture of Safety 1
Education and Training
- Students 1
- Error Reporting and Analysis
- Human Factors Engineering 1
- Legal and Policy Approaches 5
- Logistical Approaches 1
- Policies and Operations 1
- Quality Improvement Strategies 2
- Teamwork 1
- Technologic Approaches 1
- Transparency and Accountability 4
- Device-related Complications 2
- Discontinuities, Gaps, and Hand-Off Problems 1
- Failure to rescue 1
- Medication Safety 1
- Nonsurgical Procedural Complications 1
- Psychological and Social Complications 1
- Surgical Complications 1
Search results for ""
Grant > Government Resource
Rockville, MD: Agency for Healthcare Research and Quality; June 2008.
This announcement describes the 19 projects funded by the Agency for Healthcare Research and Quality in 2006 that studies the potential of simulation to improve patient safety.
Greene L. St. Petersburg Times. August 19, 2008.
This article reports on recent apologies made by Florida hospital officials for medical errors.
Landro L. Wall Street Journal. August 25, 2009:D1.
This column shares the experience of hospitals and families whose involvement in open disclosure has resulted in improved care, reduced litigation costs, and patient partnerships.
Kauffman M, Altimari D. The Hartford Courant. November 15, 2009;Final:A1.
This newspaper article reports that a Connecticut law intended to make hospital errors more transparent has had the opposite effect by making it easier for hospitals to limit publicly available information on adverse events.
Bogdanich W. New York Times. January 24, 2010:A1.
First in a series on medical radiation, this news feature and accompanying video investigate patient deaths and injuries following mistakes related to radiation treatment. The journalists discuss the number of radiation therapy errors in New York and reveal that state law does not require public reporting of such mistakes.
The Empowered Patient Coalition; 2010.
This video series uses two real cases of patients who died due to preventable errors after elective surgery to illustrate fundamental concepts in patient safety and provide lessons for patients and families in engaging in their own care. The circumstances leading to the death of Lewis Blackman, one of the patients discussed in this video series, are discussed in more detail in a separate article that analyzes his death as an example of failure to rescue.
Shelton DL. Chicago Tribune. October 7, 2011.
Reporting on a fatal medical error, this article describes how the family became involved with patient safety, serving on an advisory council at the hospital where it occurred.
Journal Article > Study
Hinchcliff R, Westbrook J, Greenfield D, Baysari M, Moldovan M, Braithwaite J. Int J Qual Health Care. 2012;24:1-8.
Web Resource > Multi-use Website
Drawing from data reported by the Leapfrog Hospital Survey, the Agency for Healthcare Research and Quality (AHRQ), the Centers for Disease Control and Prevention (CDC), and the Centers for Medicare and Medicaid Services (CMS), this website provides grades for hospitals in the United States based on their safety. The 2018 results are the sixth generation of the scores, which now include a medication error score. A related report from the Armstrong Institute examines avoidable death associated with grading hospitals.
Makary M. New York, NY: Bloomsbury Press; 2012. ISBN: 9781608198368.
Journal Article > Study
Pinto A, Faiz O, Vincent C. BMJ Qual Saf. 2012;21:1001-1008.
This study explored current practices related to the National Health Services' being open policy for communicating unintentional harm with patients and families.
Web Resource > Database/Directory
Columbia, MO: Association of Health Care Journalists.
This Web site provides access to federal hospital inspection reports that detail deficiencies cited from complaint inspections at acute care and critical access hospitals.
Babcock CR. Bloomberg News. May 1, 2013.
Journal Article > Commentary
Petronio S, Torke A, Bosslet G, Isenberg S, Wocial L, Helft PR. Perm J. 2013;17:73-79.
This piece describes a two-step model to help physicians disclose medical errors to patients and families.
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.