Narrow Results Clear All
- Communication Improvement 52
- Culture of Safety 13
Education and Training
- Students 2
- Error Reporting and Analysis 60
- Human Factors Engineering 23
- Legal and Policy Approaches 31
- Logistical Approaches 6
- Policies and Operations 2
- Quality Improvement Strategies 51
- Specialization of Care 4
- Teamwork 9
- Clinical Information Systems 25
- Transparency and Accountability 2
- Alert fatigue 1
- Device-related Complications 11
- Diagnostic Errors 21
- Discontinuities, Gaps, and Hand-Off Problems 10
- Fatigue and Sleep Deprivation 2
- Identification Errors 6
- Interruptions and distractions 4
- Medical Complications 9
- Medication Errors/Preventable Adverse Drug Events 43
- MRI safety 2
- Nonsurgical Procedural Complications 5
- Overtreatment 2
- Psychological and Social Complications 12
- Second victims 2
- Surgical Complications 26
- Internal Medicine 26
- Nursing 2
- Pharmacy 24
- Family Members and Caregivers 3
- Health Care Executives and Administrators 89
Health Care Providers
- Nurses 55
- Pharmacists 29
Non-Health Care Professionals
- Educators 12
- Patients 59
Search results for "Physicians"
- Newspaper/Magazine Article
Clark C. HealthLeaders Media. April 11, 2014.
Hoenig LJ. Med Econ. 2006 Jun 2;83:45-46.
The author discusses the importance of thorough discharge examinations.
Baertlein L. USA Today. May 24, 2006.
This article reports on a study that found that playing video games before surgery enhanced surgical dexterity and minimized errors.
Weiss GG. Med Econ. May 19, 2006; 83:47-49.
This article provides suggestions for physicians to ensure reliable follow-up on test results, including tracking forms, computerization, and staff compliance with processes.
Hosp Peer Rev. 2006;31:61-63.
This article reports on the efforts of the Joint Commission's Physician Engagement Advisory Group to increase physician involvement in safety initiatives.
Weiss GG. Med Econ. April 21, 2006;83:50-54.
This article discusses disclosure of adverse events from various perspectives and provides suggestions on apologizing and developing a disclosure policy.
Panner M. Forbes. August 12, 2019.
Diagnostic errors can result in harm across the spectrum of practice. Discussing cognitive and system factors in radiology that contribute to diagnostic mistakes, this magazine article recommends ways to reduce risk of errors, including peer review of practice, structured reporting, and artificial intelligence–enabled decision support.
Joseph R, Harry E. Medical Economics. June 27, 2019.
Multitasking can negatively affect cognitive load and diminish safety. This magazine article reports on how multitasking can contribute to surgeon fatigue, burnout, and decreased task completion in the perioperative environment. Checklists to automate workflow and limiting the number of patient charts that can be open at one time can help reduce extraneous cognitive load.
Chisholm P. Health Shots. National Public Radio. February 27, 2019.
Span P. New York Times. February 1, 2019.
Cognitive and functional decline can occur as individuals age. Concerns have been raised regarding the need to assess skills of aging physicians. This newspaper article reports on the implementation of mandatory evaluation programs to assess competencies of older surgeons and the profession's response to them.
Dembosky A. All Things Considered and KQED. January 23, 2019.
Policy, practice, and communication strategies have been implemented in an effort to stem the opioid crisis and prescribing activities that contribute to misuse. This news article and accompanying webcast discuss an initiative in California that sends letters to prescribers whose patients have died due to opioid overdose. The piece outlines unintended consequences associated with the practice, including clinician reluctance to prescribe opioids for pain. An Annual Perspective discussed the patient safety aspects of the opioid epidemic.
Beck DL. ASH Clinical News. December 1, 2018.
Gawande A. New Yorker. November 12, 2018.
In this magazine article, Atul Gawande describes a range of frustrations physicians experience as digitization becomes more widespread in health care. He elaborates upon several elements of electronic health record use that can degrade care processes and create conditions for errors, such as burnout, lack of patient-centeredness, and alert fatigue.
Parikh R. MIT Technol Rev. October 23, 2018.
Computerized decision support and artificial intelligence (AI) are being utilized to enhance decision-making in health care. This magazine article explains how artificial intelligence presents clinicians with an opportunity to improve practice by reducing cognitive load when determining appropriate diagnoses and treatment decisions.
Peskin SM. New York Times. October 4, 2018.
Error disclosures are difficult but important conversations that can have negative consequences for patients, clinicians, and organizations, even when they are done appropriately. This newspaper article offers insights from a doctor who experienced both sides of disclosure, as a physician disclosing an error and as a patient whose physician missed a complication, and discusses how to manage relationships once clinical mistakes are recognized.
Biel L. ProPublica. October 2, 2018.
This news article reports on systemic weaknesses that enabled a surgeon with poor skills to continue to perform procedures after numerous surgical errors that resulted in patient harm. A past PSNet perspective explored the risk of recurring medicolegal events among providers who have received unsolicited patient complaints, faced disciplinary actions by medical boards, or accumulated malpractice claims.
Liberatore K. PA-PSRS Patient Saf Advis. 2018;15(3).
Engaging patients and families in patient safety efforts is a key priority in health care. This poll of patients from Pennsylvania explores actions patients are likely to take to ensure their safe care. The results indicate a strong willingness to ask questions to help patients better understand their care, but patients were uncomfortable with raising concerns if they saw clinician behaviors that diminish safety, such as lack of hand hygiene compliance.
Canadian Medical Protective Association. CMPA Perspective. September 2018;10:8-11.
Frontline leadership should model just culture behaviors to encourage reporting and discussion of error to facilitate improvement. This news article uses a medical administration error to examine whether human error, at-risk behavior, or reckless action on the part of a clinician led to the mistake and explores leadership response to the incident to determine accountability in each type of situation.
Schulte F, Lucas E, Mahr J. Kaiser Health News and Chicago Tribune. September 5, 2018.
Sepsis is a serious condition that can be fatal if it is not promptly diagnosed and treated. This news article reports on systemic factors in nursing homes such as poor staffing and communication with families that contribute to unmanaged pressure ulcers and sepsis that result in hospital admissions and death. A WebM&M commentary discussed a case involving a patient who had a pressure ulcer and sepsis in long-term care.
Howley EK. US News & World Report. September 5, 2018.
Communication failures in health care routinely challenge patient safety. This news article describes characteristics of the hospital environment that affect nurse–physician relationships such as bullying, production pressure, and care complexity. Clarifying team roles and interdisciplinary activities can improve communication in the care environment. Patients are encouraged to have advocates with them to help prevent and address misunderstandings.