Narrow Results Clear All
- WebM&M Cases 1
- Study 1
- Slideset 1
- Book/Report 10
- Newspaper/Magazine Article 36
- Special or Theme Issue 2
- Tools/Toolkit 5
- Web Resource 11
- Meeting/Conference 1
- Press Release/Announcement 1
- Communication Improvement 16
- Culture of Safety 4
- Education and Training 15
Error Reporting and Analysis
- Error Reporting 16
- Human Factors Engineering 8
- Legal and Policy Approaches 17
- Logistical Approaches 4
- Quality Improvement Strategies 17
- Specialization of Care 4
- Teamwork 3
- Technologic Approaches 7
- Device-related Complications 8
- Diagnostic Errors 3
- Discontinuities, Gaps, and Hand-Off Problems 5
- Fatigue and Sleep Deprivation 1
- Identification Errors 8
- Medical Complications
- Medication Safety 23
- Nonsurgical Procedural Complications 2
- Psychological and Social Complications 1
- Surgical Complications 26
- Transfusion Complications 3
- Internal Medicine 31
- Surgery 11
- Nursing 2
- Palliative Care 1
- Pharmacy 2
- Family Members and Caregivers 1
- Health Care Executives and Administrators 26
Health Care Providers
- Nurses 1
Non-Health Care Professionals
- Media 1
Search results for "Medical Complications"
- Medical Complications
Tools/Toolkit > Fact Sheet/FAQs
Patient Fact Sheet. Rockville, MD: Agency for Healthcare Research and Quality; September 2011. AHRQ Publication No. 11-0089.
This fact sheet for patients provides recommendations to help them prevent medical errors when taking medications, during a hospital stay, and prior to having surgery.
Tools/Toolkit > Fact Sheet/FAQs
Patient Fact Sheet. Rockville, MD: Agency for Healthcare Research and Quality; September 2002. AHRQ Publication No. 02-P034.
This consumer fact sheet advises parents on how to help their children avoid medical errors pertaining to medicine, hospital stays, surgeries, and other medical needs.
St. Paul, MN: Minnesota Department of Health; March 2019.
The National Quality Forum has defined 29 never events—patient safety problems that should never occur, such as wrong-site surgery and patient falls. Since 2003, Minnesota hospitals have been required to report such incidents. The 2018 report summarizes information about 384 adverse events that were reported and found pressure ulcers and invasive procedure events increased, while fall-related deaths decreased. Reports from previous years are also available.
Bowser BA. PBS News Hour. February 8, 2010.
Consumer Reports. March 2010;75:16-21.
Chen PW. New York Times. January 28, 2010.
This newspaper column explains how simulation training is being integrated into medical education to help clinical teams improve their skills and ensure patient safety.
Gawande A. New York, NY: Metropolitan Books; 2009. ISBN: 9780805091748.
Harvard surgeon Atul Gawande has emerged as this generation's preeminent physician–author, through his articles in The New Yorker on topics ranging from quality improvement to the costs of health care, and his books, Complications and Better. In his new book, The Checklist Manifesto: How to Get Things Right, Dr. Gawande elegantly describes the history of the checklist as a quality and safety tool, in fields ranging from flying airplanes to building skyscrapers. In health care, he focuses on the Michigan Keystone Project, in which the use of checklists led to a remarkable decrease in the rate of central line–associated bloodstream infections, and on his own work with the World Health Organization's Safe Surgery Saves Lives program, where checklist use was associated with a striking decrease in surgical complications. An AHRQ WebM&M interview with Dr. Gawande discusses professionalism, surgical errors, and patient safety. A Patient Safety Primer on checklists is also featured on AHRQ PSNet.
Chen PW. New York Times. September 17, 2009.
The author uses personal experience to explain how sterile technique is strict in the operating room. The column highlights the Joint Commission effort to improve hand hygiene compliance in the health care system as a whole.
Goldhill D. The Atlantic. September 2009.
In the context of his father's death from a hospital-associated infection, the author discusses health system reform and quality of care in the United States.
Consumer Reports Health. September 2009.
Drawing from surveys of nurses and patients, this article offers tips on how to improve safety during a hospital stay.
Rein L. Washington Post. July 21, 2009:E1.
This news article reports on Washington, DC–area initiatives to track preventable patient injury and discusses strategies to hold hospitals accountable to reduce the number of avoidable incidents.
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.
May H. Salt Lake Tribune. June 26, 2009.
Jewell K, McGiffert L. Austin, TX: Consumers Union; 2009.
The 10 years since the release of the Institute of Medicine's To Err Is Human report have yielded some improvements in patient safety, but this Consumers Union report reminds clinicians and consumers alike that much work remains to be done. As the report notes, preventable safety problems such as medication errors and health care–associated infections still cause significant morbidity and mortality, despite the existence of effective preventive strategies. The report advocates for standardized measurement and public reporting of errors and calls for tighter accreditation standards for health care professionals.
Fillo KT. Bureau of Health Care Safety and Quality, Department of Public Health. Boston, MA: Commonwealth of Massachusetts; July 2018.
This report compiles patient safety data documented by Massachusetts hospitals. The latest numbers represent a modest decrease in serious reportable events recorded in acute care hospitals, from 1012 the previous year to 922. This presentation also includes events from ambulatory surgery centers. Previous years reports are also available.
Golden, CO: HealthGrades, Inc.; April 2009.
This analysis of patient safety in Medicare patients from 2005–2007 concludes that while modest improvements have been made, patient safety incidents still account for nearly 100,000 preventable deaths and nearly $7 billion in excess costs yearly. The report also recognizes the best performing hospitals with a "Patient Safety Excellence Award"—hospitals scoring in the top 15% according to a ranking methodology developed by the authors. As with prior HealthGrades reports, the study uses the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSIs) to measure the incidence of patient safety problems and compare hospitals. The limitations of using PSIs as a performance measure have been discussed in a prior study and AHRQ WebM&M commentary, and it is important to note that this report did not undergo external peer review.
Information for healthcare professionals: risk of transmission of blood-borne pathogens from shared use of insulin pens.
FDA Alert [US Food and Drug Administration Web site]. March 19, 2009.
This announcement alerts clinicians and patients that insulin pens and insulin cartridges are never to be used on more than one patient.
Berens MJ, Armstrong K. Seattle Times. November 16-18, 2008.
This three-part journalistic investigation highlights efforts in Washington State to track and minimize the spread of methicillin-resistant Staphylococcus aureus (MRSA) and to address organizational resistance to changes needed to mitigate the problem.
National Priorities Partnership. Washington, DC: National Quality Forum; 2008. ISBN: 1933875194.
This report resulted from a consensus program involving 28 national organizations that sought to outline goals for improving the US health care system and share examples of such efforts in patient safety and other identified areas.
Herper M, Lindner M. Forbes. August 25, 2008.
This article discusses common medical complications and care failures, and provides an annotated picture gallery of several hospital complications and how they can be prevented.