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- Communication Improvement 8
- Culture of Safety 4
Education and Training
- Students 1
- Error Reporting and Analysis 8
- Human Factors Engineering 8
- Legal and Policy Approaches 6
- Logistical Approaches 1
- Quality Improvement Strategies 12
- Specialization of Care 1
- Teamwork 5
- Technologic Approaches 6
- Device-related Complications 2
- Diagnostic Errors 5
- Discontinuities, Gaps, and Hand-Off Problems 5
- Fatigue and Sleep Deprivation 1
- Identification Errors 4
- Medical Complications 3
- Medication Errors/Preventable Adverse Drug Events 10
- Nonsurgical Procedural Complications 2
- Psychological and Social Complications 1
- Surgical Complications 3
- Internal Medicine 7
- Nursing 4
- Health Care Executives and Administrators 28
Health Care Providers
- Nurses 8
- Non-Health Care Professionals 15
- Patients 19
Search results for "United Kingdom"
- Newspaper/Magazine Article
- United Kingdom
Whitaker P. New Statesman. August 2, 2019;148:38-43.
Artificial intelligence (AI) and advanced computing technologies can enhance clinical decision-making. Exploring the strengths and weaknesses of artificial intelligence, this news article cautions against the wide deployment of AI until robust evaluation and implementation strategies are in place to enhance system reliability. A recent PSNet perspective discussed emerging safety issues in the use of artificial intelligence.
O'Loughlin E. New York Times. April 30, 2018.
Large-scale adverse events should lead to system examination and improvement. This newspaper article reports on misread cervical cancer tests that resulted in 208 women receiving false negative results over a 4-year period from a publicly funded smear test program in Ireland and the government inquiry launched in response to this large-scale failure.
Vosper H, Lim R, Knight C, Bowie P, Edwards B, Hignett S; CIEHF Pharmaceutical Human Factors Special Interest Group. Clinical Pharmacist. 2018;10(2).
Traditionally, efforts to reduce medical errors have focused on modifying individual behavior rather than systems. This article reviews the use of systems thinking models to address failure and discusses how small problems can combine into organizational failure. The authors suggest that the health care workforce develop human factors engineering competencies to achieve improvements.
Donnelly L. The Telegraph. January 31, 2016.
Delays in care and diagnosis can result in patient harm. This news article reports on the trend of delays in prehospital emergency care as a safety concern in the United Kingdom and describes an incident involving an infant who died from sepsis after a call handler from the NHS 111 service failed to recognize that the child required urgent care.
Anthes E. Nature. 2015;523:516-518.
Checklists have been advocated as a safety strategy, despite challenges that hinder their success. Reporting on the unmet potential of checklists to reliably improve health care safety, this news article describes how resistance to checklist use, design problems, and implementation factors can limit their effectiveness.
Middleton J, ed. Nursing Times and Health Service Journal. July 2015:s1-s20.
Kremer W. BBC News Magazine. July 6, 2014.
This magazine article reports how weaknesses in physician understanding of statistics can lead to poorly informed discussions with patients about risks and treatment options. Using actual numbers instead of percentages may help prevent confusion.
Leslie I. New Statesman. June 4, 2014.
This magazine article reports on the experience of a pilot whose wife died due to a medical error. In response to learning about the chain of events that led to her death and how it could have been prevented, he committed to applying aviation safety concepts such as crew resource management and human factors to improve health care safety.
Jaffe E. Fast Company. November 11, 2013.
This article reports on a British initiative that studied health care processes for the purpose of designing devices to prevent medical errors.
Wright J. Nursing Times. 2013;109:11-14.
This record review study found that omitted doses of antimicrobial medications occur frequently in hospital settings in the United Kingdom.
Mangnall J. Nurs Stand. 2012;26:49-56.
This commentary discusses the patient safety ramifications of continence care.
Conroy-Smith E, Herring R, Caldwell G. Clin Teach. 2011;8:75-78.
This article describes how a rounds-based medication chart review initiative was implemented to educate physicians and medical students on medication safety behaviors.
Nursing Times. April 1, 2011.
This news article discusses medication safety risks for hospitalized diabetes patients.
Hughes J. BBC News. August 12, 2010.
This article reveals how the majority of hospitals have not acted on British National Health Services (NHS) safety alerts.
Crocker C. Nurs Times. 2009 Nov 24;105:12-15.
This article tracks the care of a United Kingdom National Health Service patient and identifies several areas for process improvement to ensure safe medication delivery.
Lamont T, Scarpello J. BMJ. 2009;339:b4489.
This news item discusses "rapid response reports," a National Patient Safety Agency initiative to alert practitioners about reported patient safety incidents.
Ellis O. BMJ. 2009;339:b3725.
This news piece discusses the World Health Organization (WHO) effort to craft a patient safety curriculum for medical schools internationally. WHO plans to evaluate and distribute the finished product in 2010.
Tremlett G. Guardian.co.uk; July 13, 2009.
This newspaper article reports on a family that experienced two medical errors, resulting in the death of both a mother and her infant.
Hawkes N. BMJ. 2009;338:b2286.
This news article summarizes a conference that educated new physicians about medical errors and encouraged them to participate in safety improvement efforts.
Carlowe J. Nursing Times. April 28, 2009.
This article focuses on the National Health Service's interest in patient safety in general practice settings and efforts to expand research in this area.