Narrow Results Clear All
- Communication Improvement 2
- Culture of Safety 2
- Education and Training 2
- Error Reporting and Analysis 4
- Legal and Policy Approaches 2
- Logistical Approaches 1
Quality Improvement Strategies
- Teamwork 1
- Technologic Approaches 3
- Device-related Complications 1
- Discontinuities, Gaps, and Hand-Off Problems 1
- Identification Errors
- Medical Complications 4
- Medication Safety 2
- Psychological and Social Complications 1
- Surgical Complications 6
Search results for "Benchmarking"
- Identification Errors
Harrisburg, PA: Patient Safety Authority; May 2019.
This report summarizes patient safety improvement work in the state of Pennsylvania and reviews the 2018 activities of the Patient Safety Authority, including the launch of the Center of Excellence for Improving Diagnosis, outreach programs, liaison efforts, and the convening of the first patient safety conference for the state.
Pelczarski KM, Braun PA, Young E. Patient Saf Qual Healthc. Sept/Oct 2010;7:20-22,25-26.
This article describes a wrong-site surgery prevention program and how it was successfully implemented in 30 hospitals.
Gardner E. Mod Healthc. May 18, 2009;39:28-31.
This article describes how one health system markedly improved its quality and safety by applying a safety technique used in the nuclear power industry.
Cases & Commentaries
- Web M&M
Ross Koppel, PhD; April 2009
A patient hospitalized with Pneumocystis jiroveci pneumonia and advanced AIDS is given another patient's malignant biopsy results, leading his primary physician to mistakenly recommend hospice care.
Oakbrook Terrace, IL: The Joint Commission; March 2007.
This report reveals that the overall quality of care delivered by US hospitals improved steadily between 2003 and 2005, as measured by adherence to evidence-based treatments for myocardial infarction, congestive heart failure, and pneumonia. Adherence to the Joint Commission's National Patient Safety Goals, which include measures to prevent wrong-site surgery and promote medication reconciliation, was also measured. Although results on these measures showed a more mixed picture, the report cautions that changes in measurement during the study period limit interpretability of the results.
Association of PeriOperative Registered Nurses.
This survey will gather comments from the field regarding The Joint Commission's Universal Protocol to help eliminate wrong site surgeries.
Perspectives on Safety > Perspective
with commentary by Ashish K. Jha, MD, MPH, The Transformation of Patient Safety at the VA, September 2006
Five years after the landmark Crossing the Quality Chasm report by the Institute of Medicine (IOM), the quality and safety of health care in the United States remains far from ideal.(1) It is easy to feel pessimistic. Can health care organizations really...
Journal Article > Commentary
Howanitz PJ. Arch Pathol Lab Med. 2005;129:1252-1261.
This study utilized the College of American Pathologists' (CAP) database to outline a series of performance measures targeted at improving patient safety. Investigators examined summarized data from ongoing studies of the CAP database and evaluated the error rates and prevention strategies implemented to develop recommendations. The author discusses eight performance measures, including customer satisfaction, test turnaround times, patient identification, and critical value reporting, while generating benchmarks and practical guidance for integrating the measures into every laboratory. Conclusions call for wide application of such performance improvement activities, both to establish best practices and to ensure standards for patient safety in the laboratory setting.