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Communication between Providers
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Legal and Policy Approaches
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Search results for "Newspaper/Magazine Article"
- Newspaper/Magazine Article
- Hospital Medicine
Frakt A. New York Times. April 29, 2019.
Health care providers are a known source of potentially harmful bacteria due to their perpetual interaction with germs during practice. This newspaper article reports on how clinician attire, stethoscopes, and technology can be contaminated with bacteria. Hand sanitizer placement, sleeve length, and laundering behaviors can reduce transmission of pathogens.
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.
Ghaferi AA, Myers C, Sutcliffe KM, Pronovost PJ. Harv Bus Rev. July/August 2016;94.
Achieving high reliability is a recognized goal for health care organizations. Reviewing current technical and standardization enhancements to augment quality and safety in surgery, this article explores how implementing high reliability concepts could further improve safety in surgical care over time.
Rau J. National Public Radio. July 27, 2016.
Although quality rating systems have yet to receive approval across the health care industry, they still serve as a way for consumers to select hospitals and providers. The developers of rating services continue to refine metrics to hone their effectiveness. This news article reports on the latest set of ratings from the Hospital Compare program and concerns associated with the results.
Soong C. National Quality Measures Clearinghouse: Expert Commentaries; June 20, 2016.
Determining the preventability of an adverse event remains a challenge. Summarizing the evidence around identifying whether a hospital readmission was avoidable and if preventable readmission rates are a reasonable measure of quality and safety, this article proposes that research focus on developing quality indicators that are more relevant to patients.
Aleccia J. Seattle Times. June 18, 2016.
Patients who experience harm while receiving medical care can serve as powerful advocates for patient safety. This news article reports on a patient who became engaged in working to redesign processes to improve patient safety after he became paralyzed from the chest down due to a cascade of communication errors.
ISMP Medication Safety Alert! Acute Care Edition. June 16, 2016;21:1-6.
Neuromuscular blockers can result in serious harm if administered incorrectly. This newsletter article reports the types of errors associated with the use of these high-alert medications, such as look-alike and sound-alike problems that lead to the wrong drug being administered. Recommended strategies to reduce risks include use of standardized prescribing and smart pump technologies.
Luthra S. Kaiser Health News. June 15, 2016.
Alert fatigue is known to contribute to medical error. This news article reports on the problem of clinically irrelevant alarms overwhelming clinicians and what hospitals and health information technology vendors are doing to decrease them. Strategies include applying human factors engineering concepts to alert triggers and designing spaces to reduce alarm-associated interruptions and fatigue.
Hunt JM, Sine DM. Patient Saf Qual Healthc. May/June 2016;13:20-28.
Design is emerging as an important tactic to augment safe care delivery. Hospitals that provide care for psychiatric patients must make unique considerations to protect this vulnerable population from harming themselves and other individuals that come into contact with them. This magazine article provides recommendations for hospitals to enhance room and fixture designs to reduce risks for mental health patients.
Tozzi J. Bloomberg News Service. June 10, 2016.
ED Manag. June 2016;28:S1-S4.
ISMP Medication Safety Alert! Acute Care Edition. May 19, 2016;21:1-4.
Rau J. Washington Post. May 17, 2016.
Collecting data to meet quality measurement requirements adds to resource burden for many health care organizations, and there is controversy around the benefits of such rating systems for both patients and clinicians. This news article discusses problems with the Centers for Medicare and Medicaid Services rating mechanism, Hospital Compare.
Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin.
ISMP Medication Safety Alert! Acute Care Edition. May 5, 2016;21:1-4.
Insulin is a high-alert drug, and its use is becoming more complex due to the insulin resistance in diabetic patients with obesity. This newsletter article describes the experience of one hospital system that worked to ensure safe insulin administration by implementing a strategy that combined single-use pens and health information technology.
Bornstein D. New York Times. January 26, and February 2, 2016.
Discussing the importance of designing safeguards to prevent system failures that can result in patient harm, this two-part newspaper article reviews large-scale collaboratives, including the Partnership for Patients initiative, as approaches that show promise in engaging clinicians in safety improvement and explores specific areas of focus to reduce harm such as hospital-acquired infections, patient falls, and culture change.
Birk S. Healthc Exec. March/April 2015;30:19-20, 22-26.
Hospital senior managers have been challenged to establish a safety culture in their organizations. This magazine article reveals how three hospitals developed a culture of safety by focusing their improvement work on high reliability principles through leadership engagement, training, and teamwork.
Daley J. Colorado Public Radio. February 17, 2015.
Patient and family stories of harm are increasingly promoted as a strategy to provide insights into medical errors. This radio segment interviews a patient advocate whose daughter died due to medical errors, including failure-to-rescue and a health care–associated infection, and who speaks about that experience to educate clinicians on the importance of patient safety and listening to patients' families.
ISMP Medication Safety Alert! Acute Care Edition. February 12, 2015;20:1-5.
Benchmarks tracking a wide spectrum of care activities enable comparison that can drive organizational commitment to improving safety. This newsletter article examines survey responses from nearly 400 hospitals which demonstrated modest progress in implementation of medication safety best practices that recommended strategies to augment safety, such as utilizing metric units as the only scale of measure for patient weight.
Olson J. Star Tribune. February 9, 2015.
Butler M. J AHIMA. March 2015;86:18-23.
Although health information technology presents opportunities to improve patient safety, it can also introduce risks. This commentary discusses how insufficient interoperability, data integrity, training, and protection against copy-and-paste errors can hinder optimal use of electronic health record systems.