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- Communication Improvement 3
- Education and Training 3
- Error Reporting and Analysis 3
- Human Factors Engineering 2
- Legal and Policy Approaches 1
- Logistical Approaches 2
- Quality Improvement Strategies 4
- Discontinuities, Gaps, and Hand-Off Problems 1
- Fatigue and Sleep Deprivation 1
- Interruptions and distractions 1
- Medical Complications 1
- Medication Safety 1
- Nonsurgical Procedural Complications 1
- Psychological and Social Complications 1
- Surgical Complications 1
Search results for "Physicians"
- State Governments and Agencies
Feil M. PA-PSRS Patient Saf Advis. June 2014;11:45-52.
Operating rooms are complex environments with particular risks regarding interruptions and distractions. This article draws from data reported to the Patient Safety Authority to explore how distractions affect surgeons and other team members. The author reviews strategies to limit distractions, including applying sterile cockpit principles, performing preoperative briefings, and utilizing checklists.
Web Resource > Multi-use Website
Beth Israel Deaconess Medical Center and Massachusetts Medical Society.
Journal Article > Study
Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directors.
Shea JA, Willett LL, Borman KR, et al. Acad Med. 2012;87:895-903.
Conducted before implementation of the 2011 ACGME duty hour limits, this survey found that the majority of internal medicine and surgery program directors believed the new regulations would negatively affect the learning environment and continuity of care, as well as result in increased faculty workload and require changes in clinical services.
PA-PSRS Patient Saf Advis. September 2006;3:1, 5-10.
This article discusses the Pennsylvania Patient Safety Reporting System (PA-PSRS) reports of skin tears and provides suggestions to help keep patients safe from this common injury.
PA-PSRS Patient Saf Advis. June 2006;3:1-5.
This article shares several examples of errors made while verbally communicating medication orders and includes recommendations for safe practices. A set of tools for educating hospital personnel about this issue is available via the link below.
Postman D. The Seattle Times. February 21, 2006:A1.
This article reports on a compromise reached by doctors and lawyers in Washington state. The proposed bill would allow physicians to apologize for mistakes without the apology being used against them in court.
Journal Article > Study
Durbin J, Hansen MM, Sinkowitz-Cochran R, Cardo D. Am J Infect Control. 2006;34:25-30.
The investigators surveyed health care providers to determine their perceptions on patient safety in the health care system. They found that clinicians believed systemwide interventions and stronger patient involvement would improve safety.
PA-PSRS Patient Saf Advis. June 2005;2:19-21.
This advisory from the Pennsylvania Patient Safety Reporting System discusses 125 reports of tourniquets being inappropriately left on patients and provides strategies to reduce these occurrences.
Tools/Toolkit > Toolkit
Burlington, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2003.