Narrow Results Clear All
- Communication Improvement 4
- Culture of Safety 1
- Education and Training 1
- Error Reporting and Analysis
- Human Factors Engineering 2
- Legal and Policy Approaches 4
- Logistical Approaches 1
- Quality Improvement Strategies 2
- Technologic Approaches 1
- Transparency and Accountability 2
- Device-related Complications 2
- Diagnostic Errors 1
- Discontinuities, Gaps, and Hand-Off Problems 1
- Identification Errors 1
- Medical Complications 1
- Medication Errors/Preventable Adverse Drug Events 3
- Nonsurgical Procedural Complications 1
- Psychological and Social Complications 3
- Family Members and Caregivers 6
Health Care Executives and Administrators
- Risk Managers
- Health Care Providers 12
Non-Health Care Professionals
- Media 1
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.
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.
Jain M. Washington Post. May 27, 2013.
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.
Journal Article > Commentary
Helmchen LA, Richards MR, McDonald TB. Health Care Manage Rev. 2011;36:1-10.
This commentary compares two cases of preventable medical errors and suggests disclosure and remediation as tactics to establish post–adverse event trust with families and patients.
Journal Article > Study
Iedema R, Jorm C, Wakefield J, Ryan C, Sorensen R. J Lang Social Psychol. 2009;28:139-157.
Open disclosure is an important principle and policy in health care, with varying views on its implementation among providers and varying practices in different countries. This article discusses the broad context of an open disclosure policy and provides an empirical analysis of the impact on clinicians.
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.
Journal Article > Commentary
Pollock M, Bazaldua OV, Dobbie AE. Am Fam Physician. 2007;75:231-236, 239-240.
The authors expand on an internationally recognized process for good prescribing by suggesting additional steps—considering drug costs and using technology to minimize medication error.
Scobie S, Minghella E, Dale C, Thomson R, Lelliott P, Hill K. London, UK: National Patient Safety Agency; July 2006.
This report, the second in a series from the United Kingdom's National Patient Safety Agency, analyzes nearly 45,000 patient safety incidents relating to mental health that were reported to a nationwide incident reporting system. The majority of reported incidents were from inpatient mental health facilities, primarily involving patient accidents (including falls), disruptive or aggressive behavior, self-harming behavior, and missing (absconding) patients. The report summarizes existing initiatives to improve patient safety in mental health, makes specific recommendations for mental health providers, and identifies priority areas for future research.
A Consensus Statement of the Harvard Hospitals. Burlington: Massachusetts Coalition for the Prevention of Medical Errors; 2006.
This consensus paper of the Harvard-affiliated hospitals was prepared by clinicians, risk managers, and patients to provide an in-depth understanding of preventable adverse events, their impact on patients, families, and providers, and how to manage such events. The report provides detailed guidelines based on the premise that all care should be safe and patient-centered and that all actions require full disclosure. In addition to offering recommendations on how to effectively communicate with patients and families, the report discusses support for caregivers and a detailed strategy for institutions to respond to such events in a timely and appropriate fashion. Finally, the comprehensive report offers several appendices that include recommendations and a case study on communicating with patients and families.
Meisel Z. Slate. November 8, 2005.
In this article, an emergency medicine physician describes the work environment of emergency medical technicians and paramedics and why it is prone to error.
Kowalczyk L. The Boston Globe. July 24, 2005.
This article reports on a proposed disclosure policy among Harvard Medical School teaching hospitals. The policy would outline a process for discussing error with patients and for training physicians on how to apologize.
Scobie S, Thomson R. London, England: National Patient Safety Agency; 2005.
Created in 2001 to institute changes in health care across the United Kingdom, the National Patient Safety Agency (NPSA) presents their first report of patient safety incidents. The two-part report begins with a general discussion of incident reporting, the basis for a national reporting system, and the development of the Patient Safety Observatory. The second part builds on this framework by discussing how the acquired data can be used and translated into safer health care strategies. The report itself encompasses more than 85,000 collected incident reports with analysis, comparisons, and case studies to illustrate important safety issues for future efforts. This represents the first of a series of expected reports from NPSA on patient safety data to be published.
Journal Article > Review
Aftermath of an adverse event: supporting health care professionals to meet patient expectations through open disclosure.
Manser T, Staender S. Acta Anaesthesiol Scand. 2005;49:728-734.
The authors explain elements of successful disclosure, including how health care organizations can encourage it.
Journal Article > Study
Competition and health plan performance: evidence from health maintenance organization insurance markets.
Scanlon DP, Swaminathan S, Chernew M, Bost JE, Shevock J. Med Care. 2005;43:338-346.
This study of 341 health maintenance organizations found that plans in markets with greater competition showed inferior performance on three of six standard quality measures. While the cross-sectional design does not permit causal inferences, these findings argue against the frequently encountered view that greater competition will foster improvements in safety and quality of care.