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- Legislation/Regulation 1
- Newspaper/Magazine Article
- Special or Theme Issue 3
- Tools/Toolkit 1
- Web Resource 5
- Award 3
- Grant 1
Communication between Providers
- Sbar 1
- Communication between Providers 12
- Culture of Safety 17
Education and Training
- Students 2
- Error Reporting and Analysis 96
- Human Factors Engineering 24
Legal and Policy Approaches
- Regulation 57
- Logistical Approaches 8
- Policies and Operations 3
- Quality Improvement Strategies 49
- Specialization of Care 2
- Teamwork 3
- Clinical Information Systems 12
- Transparency and Accountability 8
- Device-related Complications 14
- Diagnostic Errors 25
- Discontinuities, Gaps, and Hand-Off Problems 17
- Drug shortages 4
- Failure to rescue 1
- Fatigue and Sleep Deprivation 3
- Identification Errors 11
- Medical Complications 39
- Medication Errors/Preventable Adverse Drug Events 43
- MRI safety 1
- Nonsurgical Procedural Complications 4
- Overtreatment 1
- Psychological and Social Complications 18
- Second victims 2
- Surgical Complications 52
- Transfusion Complications 1
- Ambulatory Care 33
- General Hospitals 53
- Long-Term Care 10
- Outpatient Surgery 8
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- Internal Medicine 87
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- Health Care Executives and Administrators 109
Health Care Providers
- Nurses 11
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Non-Health Care Professionals
- Media 4
- Patients 213
Search results for "Legal and Policy Approaches"
- Newspaper/Magazine Article
- Legal and Policy Approaches
Simmons-Ritchie D. Penn Live. November 15, 2018.
Nursing home patients are vulnerable to preventable harm due to poor safety culture, insufficient staffing levels, lack of regulation enforcement, and misaligned financial incentives. This news investigation reports on how poor practices resulted in resident harm in Pennsylvania nursing homes and discusses strategies for improvement, such as enhancing investigation processes.
Hoffman RM, Mirarchi FL. PA-PSRS Patient Saf Advis. June 2018;15.
Patient harm associated with advance directive interpretation errors is rare, but these mistakes can have negative psychological consequences for care teams, patients, and families. Discussing research exploring factors that contribute to these misunderstandings, this article recommends actions to help patients articulate end-of-life care preferences and ensure those instructions are accurately shared with their families and the clinical teams acting on their behalf.
Rau J. Kaiser Health News. January 5, 2018.
Abelson J, Saltzman J, Kowalcyzk L, Allen S. Boston Globe. October 26, 2015.
Scheduling concurrent surgeries can have negative effects on staff and patients. This investigative news article explores the practice of overlapping procedures at a leading hospital, potential risks associated with double-booked cases, lack of transparency with patients involved, as well as the potential impact on patient safety.
LaFraniere S. New York Times. April 19, 2015.
Reporting on a case involving an overlooked test result that contributed to the death of a patient in the military medical system, this newspaper article highlights how insufficient transparency can prevent patients and their families from learning about what happened during their care and hinder opportunities to recognize processes in need of improvement.
Gallegos A. American Medical News. August 29, 2012.
This article reports on a court ruling on the confidentiality of records associated with medical error cases.
ISMP Medication Safety Alert! Acute Care Edition. March 8, 2012;17:1-3.
This newsletter piece discusses the pros and cons of physicians dispensing medications and its impact on patient safety.
ISMP Medication Safety Alert! Acute Care Edition. July 14, 2011;16:1-3.
Mello MM, Kachalia A, Studdert DM. Issue Brief (Commonw Fund). 2011;14:1-18.
This piece discusses the no-fault medical injury compensation programs of Denmark, Sweden, and New Zealand and explores how elements of these programs can be applied to compensation efforts in the United States.
Terry K. Hosp Health Netw. July 2011;85:38-40, 42.
This article discusses strategies that health care leaders use to drive hospital-based patient safety efforts.
ISMP Medication Safety Alert! Acute Care Edition. January 13, 2011;16:1-4.
This article reports results from a survey on the Centers for Medicare & Medicaid Services "30-minute rule" and provides a set of revised guidelines.
Wetzel TG. Hosp Health Netw. 2010 Oct;84:41-2, 44, 2.
This article describes how hospital responses to adverse events have affected disclosure process strategies.
Harris G. New York Times. August 21, 2010:A1.
This article describes documented look-alike issues with medical equipment that have yet to be addressed by federal regulation.
Ivill DS, Kearbey AH. New York Law J. November 2, 2009.
This news feature discusses legal aspects of Patient Safety Organizations' (PSO) role in data collection and evaluation, work product designation, confidentiality protection, and organizational structure. In addition, the authors suggest key considerations to guide effective PSO implementation.
Larkin H. Hosp Health Netw. October 21, 2009.
In this piece, five health care leaders briefly assess the impact of To Err Is Human and describe future directions for the patient safety community.
Peters PG Jr. Regulation. Summer 2009;32:30-36.
The author explains how shifting liability from individual physicians to hospitals could deter systems-based failures and improve working conditions for clinicians.
Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter.
ISMP Medication Safety Alert! Acute Care Edition. April 23, 2009;14:1-2.
This article examines a case in which a health care professional faces criminal charges for a medication error. The piece discusses how criminalization of errors in health care could thwart broader efforts to learn from mistakes.
Barishansky RM, Glick DE. EMS Magazine. 2009 Mar;38:43-47.
This article explains the elements of preparing policies and procedures for reportable incidents in emergency medical services.
Lerner M. Star Tribune.com. March 29, 2008.
This article reports on the evolution in policy among Minnesota hospitals and practitioners to disclose and apologize for medical errors as well as near misses.
ISMP Medication Safety Alert! Acute Care Edition. August 9, 2007;12:1-3.
This article discusses efforts of regulatory agencies, pharmaceutical companies, organizations, clinicians, and consumers to prevent name confusion medication errors.