Narrow Results Clear All
- Communication Improvement 1
- Culture of Safety 3
- Education and Training 1
- Error Reporting and Analysis 8
- Human Factors Engineering 4
- Legal and Policy Approaches 3
- Logistical Approaches 2
- Quality Improvement Strategies 2
- Specialization of Care 1
- Technologic Approaches 4
- Transparency and Accountability 1
- Device-related Complications 1
- Diagnostic Errors 1
- Discontinuities, Gaps, and Hand-Off Problems 3
- Medical Complications 2
- Medication Safety 5
- Nonsurgical Procedural Complications 1
- Overtreatment 1
- Psychological and Social Complications 1
- Surgical Complications 1
- Family Members and Caregivers 3
- Health Care Executives and Administrators 11
Health Care Providers
- Nurses 2
- Non-Health Care Professionals 7
- Patients 6
Search results for "Newspaper/Magazine Article"
- Newspaper/Magazine Article
- Special or Theme Issue
Hixenbaugh M, Ornstein C. Houston Chronicle and Propublica.
This news investigation chronicles a series of incidents in a transplant program that resulted in patient harm. The systemic nature of the problems such as insufficient whistleblower protection, accountability, and follow-up on patient concerns culminated in a change of hospital leadership. A previous PSNet interview with Charles Ornstein discussed the role of media in raising awareness of patient safety issues.
Simmons-Ritchie D. Penn Live. November 15, 2018.
Nursing home patients are vulnerable to preventable harm due to poor safety culture, insufficient staffing levels, lack of regulation enforcement, and misaligned financial incentives. This news investigation reports on how poor practices resulted in resident harm in Pennsylvania nursing homes and discusses strategies for improvement, such as enhancing investigation processes.
Kaiser Health News.
Young A, Kelly J, Schnaars C, Ungar L. USA Today.
New York, NY: ProPublica, Inc; 2017-2018.
William Brangham. PBS News Hour. September 29, 2017.
Middleton J, ed. Nursing Times and Health Service Journal. July 2015:s1-s20.
ISMP Medication Safety Alert! Acute Care Edition. December 4, 2014;19:1-6. March 26, 2015;20:1-4.
This newsletter series reports on 2 years of data collected during a national effort to collect vaccine administration errors. The first article summarizes information about the types of vaccine errors reported and why they occur. The second article discusses risks during vaccine use and offers recommendations to prevent them.
Flatten M. Washington Examiner. August 18–22, 2014.
ISMP Medication Safety Alert! Acute Care Edition. October 3, 2013;18:1-4. April 24, 2014;19:1-4.
The first article of this series reports the results of a survey investigating disruptive behaviors in health care. The second article explores why behaviors like bullying and intimidation exist and outlines recommendations for organizations to address the problem, including training and communication strategies.
ISMP Medication Safety Alert! Acute Care Edition. May 17, 2012;17:1-4; July 12, 2012;17:1-3.
Nurs Stand. Apr-May 2012;26.
This series explores how nurses can use human factors to enhance safety in their daily practice.
ISMP Medication Safety Alert! Acute Care Edition. September 23, 2010;15,1-6.
This piece explores the effects of drug shortages on patient safety and provides examples of resulting near misses, errors, and adverse outcomes.
ISMP Medication Safety Alert! Acute Care Edition. September 9, 2010;15:1-6.
This piece highlights nurses' responses to a national survey that explored problems associated with the Centers for Medicare and Medicaid Services (CMS) medication administration timing requirement.
PA-PSRS Patient Saf Advis. March 2008;5(suppl rev):1-50.
This failure mode and effects analysis (FMEA) explores factors contributing to near miss and adverse events related to alarm response and provides strategies to prevent monitoring failures.
Newsweek. October 16, 2006:44-68, 72.
This "Health for Life" series features 10 case studies about patient safety and quality improvement efforts as well as several short articles on safety-related topics such as disclosure and computerizing medical care.
Ebright PR, Rapala K. Indianapolis, IN: Center for Urban Policy and the Environment; September 2005:1-7.
This brief report discusses important issues for policy makers in developing a statewide incident reporting system.