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- Perspectives on Safety 1
- Journal Article 1
- Audiovisual 4
- Book/Report 4
- Legislation/Regulation 1
- Newspaper/Magazine Article 35
- Special or Theme Issue 1
- Toolkit 1
- Web Resource 6
- Award 4
- Grant 1
- Meeting/Conference 1
- Press Release/Announcement 1
- Communication Improvement 7
- Culture of Safety 2
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Error Reporting and Analysis
- Error Reporting 18
- Human Factors Engineering 4
Legal and Policy Approaches
- Regulation 12
- Quality Improvement Strategies 11
- Teamwork 2
- Clinical Information Systems 4
- Transparency and Accountability 4
- Device-related Complications 1
- Identification Errors 1
- Medical Complications 10
- Medication Errors/Preventable Adverse Drug Events 6
- Nonsurgical Procedural Complications 1
- Surgical Complications 10
- Transfusion Complications 2
- Medicine 34
- Nursing 1
- Pharmacy 3
Search results for "Incentives"
Tools/Toolkit > Multi-use Website
Institute for Healthcare Improvement.
This website provides resources for promoting patient safety during Patient Safety Awareness Week. The 2019 observance will be held March 10–16 and will focus on improving safety in the ambulatory setting. A free webcast on March 13, 2019 between 2:00–3:00 PM (Eastern) will discuss outpatient safety improvement tactics, with Dr. Tejal Gandhi, Dr. Jeff Brady, and Lisa Shilling as featured speakers.
Award > Award Recipient
The John D. and Catherine T. MacArthur Foundation.
Lives Lost, Lives Saved: An Updated Comparative Analysis of Avoidable Deaths at Hospitals Graded by The Leapfrog Group.
Austin M, Derk J. Baltimore, MD: Armstrong Institute for Patient Safety and Quality, and Johns Hopkins Medicine; May 2019.
Measures help track gaps in process and evidence of safety improvements. This white paper examines the performance of hospitals receiving Hospital Safety Grades and the relationship between high-level recognition and preventable harm. The report estimates that a substantial number of lives could have been saved if performance metrics had been met, but concludes that even high-performing hospitals exhibit areas in need of improvement.
Jewett C. Kaiser Health News. May 3, 2019.
Transparency has been heralded as a cornerstone to improvement in health care. This news article reports on a government alternative summary reporting program that allowed medical device makers to conceal safety events and malfunction reports associated with medical devices. A new program that expands access to information about device-related failures will be put in place.
Rau J. Kaiser Health News. March 1, 2019.
Financial incentives may encourage adoption of practice improvements that enhance safety. This news article reports on the increase in United States hospitals that have had Medicare payments withheld due to high rates of hospital-acquired conditions. The article is accompanied by a state-level tally of individual hospitals penalized.
Ornstein C. Health Shots. National Public Radio and ProPublica. April 18, 2017.
Summary data about serious errors in hospitals are available, but often details of accreditation investigation findings are not accessible to the public. This news article reports on efforts by the Centers for Medicare and Medicaid Services to make this information publicly available to augment transparency and enhance health care safety.
Rau J. National Public Radio. July 27, 2016.
Although quality rating systems have yet to receive approval across the health care industry, they still serve as a way for consumers to select hospitals and providers. The developers of rating services continue to refine metrics to hone their effectiveness. This news article reports on the latest set of ratings from the Hospital Compare program and concerns associated with the results.
Rau J. Washington Post. May 17, 2016.
Collecting data to meet quality measurement requirements adds to resource burden for many health care organizations, and there is controversy around the benefits of such rating systems for both patients and clinicians. This news article discusses problems with the Centers for Medicare and Medicaid Services rating mechanism, Hospital Compare.
Stock S, Putnam J, Carroll J, Pham S. NBC Bay Area. November 19, 2014.
Hospital reporting of errors in the United States has been suboptimal. This news video investigates the effectiveness of a state reporting initiative in California. Although hospitals have reported 6282 adverse events to the state in 4 years, patient safety experts suggest that those results do not reliably represent all the incidents that should have been submitted.
Clark C. HealthLeaders Media. August 7, 2014.
Although California has collected an estimated $15 million in penalties from hospitals for adverse events, this news piece describes how much of the money has yet to be allocated or spent on safety improvement projects. Moreover, some state agencies have been reluctant to provide specific data to projects that have already been funded.
Rau J. Kaiser Health News. June 22, 2014.
Financial incentives have shown both benefits and limitations in driving efforts to improve patient safety. This news article reports on Medicare penalties for hospitals with high rates of infections and other hospital-acquired conditions that have been designated as primary contributors to patient harm, longer hospitalizations, and unnecessary cost.
Eisler P, Hansen B. USA Today. August 20, 2013.
This newspaper article reports on physicians with records of misconduct and how poor oversight for monitoring and discipline allows them to continue practicing medicine.
Web Resource > Multi-use Website
c/o Academy Health, 1801 K Street, NW, Suite 701-L, Washington, DC 20006.
The Leapfrog Group is an initiative driven by health care purchasers who aim to promote improvements in the safety, quality, and affordability of health care. This voluntary program leverages the group's purchasing power to alert America’s health industry that big "leaps" in safety, quality, and customer value will receive recognition and reward.
Web Resource > Multi-use Website
This organization rates online health care report cards and provides tips for reporting quality concerns.
Allen M. Washington Monthly. March/April 2011.
This magazine article reports on medical errors in the United States health care system and discusses transparency as a tactic to improve patient safety.
Bogdanich W, Rebelo K. New York Times. December 28, 2010;A1.
This article explores inaccuracy of dosage, lack of protocol adherence, and absence of transparency as trends that hinder learning from radiological adverse events.
Grant M. AARP The Magazine. September/October 2010;53:48-51,90-91.
Allen M, Richards A. Las Vegas Sun. June 27, 2010.
This news series reports on an investigation that included hospital record review and interviews with stakeholders to explore the quality and safety of health care in Las Vegas.
Kauffman M, Altimari D. The Hartford Courant. November 15, 2009;Final:A1.
This newspaper article reports that a Connecticut law intended to make hospital errors more transparent has had the opposite effect by making it easier for hospitals to limit publicly available information on adverse events.
Award > Award Recipient
These annual awards recognize states and individual physicians for their use of e-prescribing technology.