Narrow Results Clear All
- Communication Improvement 9
- Culture of Safety 2
- Education and Training 2
- Error Reporting and Analysis
- Human Factors Engineering 4
- Legal and Policy Approaches 6
- Logistical Approaches 2
- Quality Improvement Strategies 4
- Teamwork 2
- Technologic Approaches 2
- Transparency and Accountability 2
- Device-related Complications 2
- Diagnostic Errors 2
- Discontinuities, Gaps, and Hand-Off Problems 2
- Medication Safety 7
- MRI safety 1
- Nonsurgical Procedural Complications 2
- Family Members and Caregivers 4
Health Care Executives and Administrators
- Risk Managers
Health Care Providers
- Nurses 3
- Physicians 10
- Non-Health Care Professionals 11
- Patients 8
Search results for "Risk Managers"
Hertz BT. Med Econ. 2015;92:40-44.
Communication and response strategies have been shown to improve how organizations, clinicians, and patients and their families recover from adverse incidents. This news article discusses apology laws which protect certain statements regarding disclosure from being admissible in court and highlights how sensitivity to patients and transparent communication about the failure can be beneficial for both clinicians and patients after a medical error.
Fibuch E, Ahmed A. Physician Exec. Jul-Aug 2014;40:28-32.
Failure mode and effects analysis (FMEA) has been recommended as a method to detect safety hazards and proactively address system flaws. This article reviews the initial purpose of FMEA, provides a breakdown of the process, describes a scoring tool applying Six Sigma designations to determine probability of failure, and discusses how FMEA is used in health care settings.
Beaulieu-Volk D. Med Econ. 2014;91:52-55.
Apology laws have been explored as a tactic to encourage conversations between patients and clinicians involved in errors, and many states have instituted laws that protect certain statements regarding disclosure from being used in court. This article describes efforts to improve error disclosure and transparency, such as policies to disclose, apologize, and offer compensation to patients who experience adverse events.
Jewett C. Kaiser Health News. May 3, 2019.
Transparency has been heralded as a cornerstone to improvement in health care. This news article reports on a government alternative summary reporting program that allowed medical device makers to conceal safety events and malfunction reports associated with medical devices. A new program that expands access to information about device-related failures will be put in place.
Park A. Time Magazine. January 24, 2019.
This news article reports on the documentary To Err Is Human, which was produced and directed by the son of patient safety leader Dr. John M. Eisenberg. The film is structured around patient safety advocate Sue Sheridan's experience with diagnostic errors that resulted in harm for both her son and husband. It features a wide range of experts who discuss the impact of error on all involved, the role of culture in facilitating both mistakes and progress, and why continued work in health care safety is needed.
Mohr H, Weiss M. Associated Press. November 27, 2018.
Latino RJ. Patient Saf Qual Healthc. September/October 2013;10:32-34,36-37.
This article relates how root cause analysis, typically used after an adverse event, can be utilized as a proactive risk assessment tool to enhance reliability.
Jain M. Washington Post. May 27, 2013.
Joint Commission: The Source. September 2012;10:1-19.
Gallegos A. American Medical News. May 21, 2012.
ISMP Medication Safety Alert! Acute Care Edition. May 5, 2011;16:1-3.
Cherry RA, Marcus L, Dorn B. Physician Exec. 2010 May–Jun;36:4-6, 8-9.
This article discusses seven steps to appropriately communicate with patients and families about errors in their medical care.
ISMP Medication Safety Alert! Acute Care Edition. April 22, 2010;15:1-4.
This piece highlights common failures in root cause analysis (RCA) and explains how each undermines the effectiveness of the technique.
PA-PSRS Patient Saf Advis. December 2009;6:109-114.
This article discusses adverse incidents submitted to the Pennsylvania reporting system involving neuromuscular blocking agents and shares strategies to minimize errors with this type of high-alert drug.
Turner SH, Kurtz WD. Patient Saf Qual Healthc. November/December 2008:5:42-44,46.
This article provides guidelines for effective clinical debriefings and suggests how to position these conversations as learning opportunities.
ISMP Medication Safety Alert! Acute Care Edition. June 5, 2008;13:1-3.
This article describes recommendations for involving patients in incident analysis along with potential benefits and challenges of this strategy.
Wilson L. Mod Healthc. June 2, 2008;38:C8.
This article discusses the potential systematic and financial repercussions of Medicare's new policy of not paying for certain hospital-acquired conditions.
Marella WM. Patient Saf Qual Healthc. Sept/Oct 2007;4:22-26.
The author describes the collection and management of information on near misses as well as using such data to support learning opportunities for hospital staffs.
Smerd J. Workforce Management. June 11, 2007;1, 16-19.
This article discusses the financial impact on employers when an employee is affected by medical error.
Spath P. Hosp Peer Review. April 2007;32:49-52.
This article discusses the use of a fault tree diagram to identify root causes of an incident within complex system relationships.