Narrow Results Clear All
- Communication Improvement 8
- Culture of Safety 4
Education and Training
- Students 1
- Error Reporting and Analysis 8
- Human Factors Engineering 8
- Legal and Policy Approaches 6
- Logistical Approaches 1
- Quality Improvement Strategies 12
- Specialization of Care 1
- Teamwork 5
- Technologic Approaches 5
- Device-related Complications 2
- Diagnostic Errors 4
- Discontinuities, Gaps, and Hand-Off Problems 5
- Fatigue and Sleep Deprivation 1
- Identification Errors 4
- Medical Complications 3
- Medication Errors/Preventable Adverse Drug Events 10
- Nonsurgical Procedural Complications 2
- Surgical Complications 3
- Internal Medicine 7
- Nursing 4
- Health Care Executives and Administrators 28
Health Care Providers
- Nurses 8
- Non-Health Care Professionals 14
- Patients 18
Search results for "United Kingdom"
- Newspaper/Magazine Article
- United Kingdom
O'Loughlin E. New York Times. April 30, 2018.
Large-scale adverse events should lead to system examination and improvement. This newspaper article reports on misread cervical cancer tests that resulted in 208 women receiving false negative results over a 4-year period from a publicly funded smear test program in Ireland and the government inquiry launched in response to this large-scale failure.
Vosper H, Lim R, Knight C, Bowie P, Edwards B, Hignett S; CIEHF Pharmaceutical Human Factors Special Interest Group. Clinical Pharmacist. 2018;10(2).
Traditionally, efforts to reduce medical errors have focused on modifying individual behavior rather than systems. This article reviews the use of systems thinking models to address failure and discusses how small problems can combine into organizational failure. The authors suggest that the health care workforce develop human factors engineering competencies to achieve improvements.
Donnelly L. The Telegraph. January 31, 2016.
Delays in care and diagnosis can result in patient harm. This news article reports on the trend of delays in prehospital emergency care as a safety concern in the United Kingdom and describes an incident involving an infant who died from sepsis after a call handler from the NHS 111 service failed to recognize that the child required urgent care.
Anthes E. Nature. 2015;523:516-518.
Checklists have been advocated as a safety strategy, despite challenges that hinder their success. Reporting on the unmet potential of checklists to reliably improve health care safety, this news article describes how resistance to checklist use, design problems, and implementation factors can limit their effectiveness.
Middleton J, ed. Nursing Times and Health Service Journal. July 2015:s1-s20.
Kremer W. BBC News Magazine. July 6, 2014.
This magazine article reports how weaknesses in physician understanding of statistics can lead to poorly informed discussions with patients about risks and treatment options. Using actual numbers instead of percentages may help prevent confusion.
Leslie I. New Statesman. June 4, 2014.
This magazine article reports on the experience of a pilot whose wife died due to a medical error. In response to learning about the chain of events that led to her death and how it could have been prevented, he committed to applying aviation safety concepts such as crew resource management and human factors to improve health care safety.
Jaffe E. Fast Company. November 11, 2013.
This article reports on a British initiative that studied health care processes for the purpose of designing devices to prevent medical errors.
Wright J. Nursing Times. 2013;109:11-14.
This record review study found that omitted doses of antimicrobial medications occur frequently in hospital settings in the United Kingdom.
Mangnall J. Nurs Stand. 2012;26:49-56.
This commentary discusses the patient safety ramifications of continence care.
Conroy-Smith E, Herring R, Caldwell G. Clin Teach. 2011;8:75-78.
This article describes how a rounds-based medication chart review initiative was implemented to educate physicians and medical students on medication safety behaviors.
Nursing Times. April 1, 2011.
This news article discusses medication safety risks for hospitalized diabetes patients.
Hughes J. BBC News. August 12, 2010.
This article reveals how the majority of hospitals have not acted on British National Health Services (NHS) safety alerts.
Crocker C. Nurs Times. 2009 Nov 24;105:12-15.
This article tracks the care of a United Kingdom National Health Service patient and identifies several areas for process improvement to ensure safe medication delivery.
Lamont T, Scarpello J. BMJ. 2009;339:b4489.
This news item discusses "rapid response reports," a National Patient Safety Agency initiative to alert practitioners about reported patient safety incidents.
Ellis O. BMJ. 2009;339:b3725.
This news piece discusses the World Health Organization (WHO) effort to craft a patient safety curriculum for medical schools internationally. WHO plans to evaluate and distribute the finished product in 2010.
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.
Hawkes N. BMJ. 2009;338:b2286.
This news article summarizes a conference that educated new physicians about medical errors and encouraged them to participate in safety improvement efforts.
Carlowe J. Nursing Times. April 28, 2009.
This article focuses on the National Health Service's interest in patient safety in general practice settings and efforts to expand research in this area.
Vaitheeswaran V. Economist. April 16, 2009;Special Report:6-8.
This article explores how information technology and smart software could potentially improve quality and reduce medical errors.
Donaldson L. BBC News. Feb 26, 2009.
This article explores the importance of apology, its benefits, and some barriers to its expression in health care.
Feinmann J. BMJ. 2009;338:b420.
This news article highlights a National Patient Safety Agency campaign to achieve safer care through five interventions.
Gould M. Health Service Journal. September 15, 2008:22-24.
This article describes the state of general practitioner incident reporting in the United Kingdom.
Sower VE, Duffy JA, Kohers G. American Society for Quality. August 2008.
This article describes the application of Formula One pit stop techniques to improving hand-off systems within a health care setting in the context of one British hospital's research on teamwork in Formula One pit crews.
Morris S. Guardian. February 13, 2007.
This story reports on an investigation into the death of an infant after heart surgery.
Gledhill V. The Evening Chronicle. January 25, 2007;News section:9.
This article reports on a patient death caused by medical omission and the communication failures that occurred with both the family and regulatory body after the incident.
Naik G. Wall Street Journal. November 14, 2006:A1. [reprinted on Post-gazette.com].
This story describes how hospitals in the United Kingdom have incorporated teamwork principles used by auto racing pit crews to improve patient safety during handoffs.
Feinmann J. The Independent. November 14, 2006.
This article reports on a husband's investigation into his wife's death following a routine surgery and his subsequent efforts to bring human factors training to National Health Service hospitals.
BBC News. August 11, 2006.
This story reports findings from the UK Healthcare Commission's assessment of medication error in the National Health Service. The story is accompanied by an audiovisual news report.
Gulati G. Saferhealthcare. July 4, 2006.
The investigators asked National Health Service consultants and house officers what they would consider an ideal handoff in psychiatric care. They found that practitioners preferred written and/or face-to-face handoffs.
Oakeshott I. The Sunday Times. June 18, 2006.
This article reports on incidents of wrong drug and wrong route administration of epidurals in the United Kingdom's National Health Service.
Edozien L. Saferhealthcare. June 2, 2006.
This article discusses how misidentification can occur in the medical environment and provides several illustrations of its negative consequences.
BBC News. May 16, 2006.
As evidence that identification errors occur in industries other than health care, this article describes how a graduate student interviewing for a job at the BBC studios was mistakenly put on television to comment on a legal case (he haltingly answered three questions and later told the BBC that he would be "happy to return" to "speak about any situation"). This mishap demonstrates the need to use multiple means of identification to avoid "wrong-person" errors.
Moroney N, Knowles C. Nurs Manag (Harrow). April 2006;13:28-31.
The authors describe the development, testing, and results of a multidisciplinary rounding initiative. They found that patients appreciated the rounds and that nurses felt more engaged, empowered, and respected.
Gray R. Scotland on Sunday. January 8, 2006.
This story discusses the impact of a computer glitch in a system used by more than 80% of general practitioners in Scotland. In addition to physician notes being inadvertently attached to the wrong patient's medical record, reports suggest that some patients actually received incorrect prescriptions due to printing errors caused by the system.
BBC News. August 9, 2005.
This article reports on a prototype electronic wristband that checks medications against a patient's prescription.
Harrison S. Nurs Stand. June 1-7, 2005;19:14-16.
This article reports on a British code of practice that could cause nurses to be held legally accountable for poor infection control.
Dyer C. BMJ. 2005;330:1228.
This article reports on the National Health Service's plan to handle small claims from medical mistakes without litigation.
Revill J. The Observer. May 15, 2005.
This article describes how reduced work hours for physicians in the United Kingdom may be leaving hospitals understaffed at night. Some junior doctors report being asked to perform duties for which they have not been trained.
Watson R. BMJ. 2005;330:866.
This news extra from the British Medical Journal reports that European governments and health professionals have endorsed a culture of safety throughout the entire European Union health care system.