Narrow Results Clear All
- Communication between Providers 46
- Culture of Safety 23
Education and Training
- Students 3
- Error Reporting and Analysis 80
Human Factors Engineering
- Checklists 10
- Legal and Policy Approaches 76
- Logistical Approaches 11
- Policies and Operations 5
- Quality Improvement Strategies 50
- Specialization of Care 6
- Teamwork 6
- Clinical Information Systems 20
- Transparency and Accountability 8
- Device-related Complications 21
- Diagnostic Errors 58
- Discontinuities, Gaps, and Hand-Off Problems 21
- Drug shortages 1
- Failure to rescue 2
- Fatigue and Sleep Deprivation 1
- Identification Errors 18
- Interruptions and distractions 2
- Medical Complications 22
- Medication Errors/Preventable Adverse Drug Events 73
- MRI safety 1
- Nonsurgical Procedural Complications 9
- Overtreatment 1
- Psychological and Social Complications 19
- Second victims 3
- Surgical Complications 61
- Allied Health Services 1
- Internal Medicine 92
- Pediatrics 28
- Radiology 16
- Nursing 15
- Pharmacy 24
- Family Members and Caregivers 10
- Health Care Executives and Administrators 108
Health Care Providers
- Nurses 10
- Physicians 45
- Non-Health Care Professionals 64
- Patients 143
- Europe 9
- Canada 5
Search results for "Newspaper/Magazine Article"
Landro L. Wall Street Journal. September 12, 2017.
Misdiagnosis has gained recognition as an important patient safety problem. This newspaper article reports on several areas of research and improvement efforts that seek to better understand the roots of diagnostic error and design solutions. Strategies discussed include artificial intelligence, lessons learned initiatives, and data-tracking mechanisms.
Mickle K. Glamour Magazine. August 11, 2017.
Hamilton WL. Patient Saf Qual Healthc. July 31, 2017.
Miscommunication during care transitions can contribute to medical errors. This article discusses how handoff communication tools can help to improve reliability of information transfer associated with anesthesia practice. The authors emphasize the importance of standardizing the process of perioperative data collection.
Rau J. Kaiser Health News. July 6, 2017.
System failures contribute to recurring problems in health care environments. This news article spotlights how lack of follow-up or action related to inspection reports that have uncovered factors in long-term care facilities that contribute to inadequate care can enable poorly performing nursing homes to remain in operation.
Thew J. HealthLeaders Media. June 14, 2017.
ISMP Medication Safety Alert! Acute Care Edition. May 18, 2017;22:1-4.
Verbal orders are known to increase risk of error in care. This newsletter article summarizes survey results that sought to characterize current verbal order behaviors. Notably, practices to improve the reliability of verbal orders such as read backs were not optimally integrated in medication processes. The article includes recommendations for organizations, individuals, and teams to improve the safety of verbal orders.
Martin N, Montagne R. ProPublica and National Public Radio. May 12, 2017.
Maternal mortality is increasing in the United States. This news article reports on this critical safety problem in the context of the preventable death of a patient whose diagnosis of preeclampsia was missed by her providers, despite persistent concerns raised by family about the patient's symptoms.
Baker M. Seattle Times. February 10, 2017.
Reporting on an incident involving a patient who died after a surgery, this news article discusses potential contributing factors in the incident such as concurrent surgeries and failure to consider patient and family concerns. A past WebM&M commentary highlighted the importance of listening to families when they advocate for patients in the hospital.
Shryock T. Med Econ. December 5, 2016.
Computerized decision support and advanced computing are being used to augment various processes in health care, such as medication ordering and diagnosis. This magazine article reports on the accuracy of these systems and the potential role of artificial intelligence in supporting diagnostic decision making.
ISMP Medication Safety Alert! Acute Care Edition. December 1, 2016;21:1-3.
Accidental administration of irrigation solutions are a wrong-route error that can result in harm. This newsletter article reviews factors that contribute to these incidents in the operating room, such as unlabeled solutions, look-alike labeling, and line connection issues. Recommendations to reduce risks include communicating during transitions, safe storage, and immediate labeling.
Sweeney JF. Med Econ. November 10, 2016.
Disclosure and candor with patients after a medical error has gained support from organizations, clinicians, and patients. This magazine article discusses how initiatives such as communication-and-resolution programs can reduce lawsuits, provide opportunities for learning, and improve physician–patient relationships.
Howard J. CNN. October 31, 2016.
Although genetic testing can provide proactive assessment for disease, it can also result in unnecessary care. This news article reports on the unexpected death of a child and how the family experienced psychological harm and received unnecessary care due to misdiagnosis related to false positive test results for long QT syndrome.
Sun LH. The Washington Post. October 13, 2016.
Medical devices can contribute to the spread of health care–associated infections. This news article discusses a government report that raises concerns that patients may have been exposed to a deadly bacterial infection related to an essential piece of equipment used in cardiac surgery worldwide. The resulting infection can be difficult to diagnosis as symptoms may remain dormant for months after the initial exposure.
Whitman E. Mod Healthc. September 25, 2016.
Misidentification of patients can result in problems such as medication administration delays, blood transfusion mismatches, and wrong-patient surgery. This magazine article reviews recent research on this issue and suggests several system approaches for improvement, including the use of patient photos in electronic health records and standardizing patient identification processes.
Furfaro H. Wall Street Journal. September 25, 2016.
Medication errors in pediatric care are common in the hospital and at home. This newspaper article reports on problems associated with medication safety among pediatric patients and highlights several tools both clinicians and parents can use to enhance safety when administering medicine to children, including dosage calculators and pictures depicting medication administration processes.
Hobson K. US News News and World Report. September 13, 2016.
Diagnostic error has recently gained recognition as an important patient safety concern. This news article relates the experiences of patients who were misdiagnosed and discusses avenues for improvement such as exploring physician problem-solving behaviors and using trigger tools to detect potential lapses in care.
Innes S. Arizona Daily Star. September 12, 2016.
Delayed diagnoses can have serious consequences. This news article reviews several examples of misdiagnosis and insights from the patients and families involved, explores the importance of engaging patients in determining correct diagnoses, and places the discussion in the broader context of efforts to reduce diagnostic error.
CDC Vital Signs. August 23, 2016.
Kowalczyk L. Boston Globe. August 14, 2016.
Certain elements of the ambulatory surgery environment can increase risk of adverse events. Reporting on a series of patient injuries linked to a contracted anesthesiologist at a cataract surgery center, this news article describes how factors such as production pressure and insufficient assessment of contract anesthesiologists' qualifications can contribute to adverse events in outpatient surgery.
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.