Narrow Results Clear All
Communication between Providers
- Sbar 1
- Communication between Providers 50
- Culture of Safety 26
Education and Training
- Students 3
Error Reporting and Analysis
- Error Reporting 108
Human Factors Engineering
- Checklists 17
Legal and Policy Approaches
- Regulation 33
- Logistical Approaches 33
- Policies and Operations 4
- Quality Improvement Strategies 91
- Specialization of Care 18
- Teamwork 14
- Clinical Information Systems 46
- Transparency and Accountability 11
- Alert fatigue 3
- Device-related Complications 29
- Diagnostic Errors 68
- Discontinuities, Gaps, and Hand-Off Problems 48
- Drug shortages 10
- Failure to rescue 3
- Fatigue and Sleep Deprivation 14
- Identification Errors 31
- Interruptions and distractions 3
- Delirium 1
- Medication Errors/Preventable Adverse Drug Events 76
- MRI safety 1
- Nonsurgical Procedural Complications 13
- Overtreatment 3
- Psychological and Social Complications 36
- Surgical Complications 98
- Transfusion Complications 2
- Ambulatory Care 56
- General Hospitals 129
- Long-Term Care 8
- Outpatient Surgery 11
- Patient Transport 2
- Psychiatric Facilities 3
- Allied Health Services 1
- Geriatrics 13
- Obstetrics 15
- Pediatrics 27
- Radiology 10
- Internal Medicine 137
- Nursing 21
- Palliative Care 1
- Pharmacy 49
- Family Members and Caregivers 27
- Health Care Executives and Administrators 129
Health Care Providers
- Nurses 20
- Pharmacists 15
- Physicians 58
Non-Health Care Professionals
- Educators 14
- Media 8
- Europe 18
- Canada 6
United States of America
United States Federal Government
- Department of Health and Human Services (HHS) 8
- United States Federal Government 10
Search results for "Patients"
- Newspaper/Magazine Article
Sun LH. The Washington Post. October 13, 2016.
Medical devices can contribute to the spread of health care–associated infections. This news article discusses a government report that raises concerns that patients may have been exposed to a deadly bacterial infection related to an essential piece of equipment used in cardiac surgery worldwide. The resulting infection can be difficult to diagnosis as symptoms may remain dormant for months after the initial exposure.
Shell ER. Sci Am. 2015;313(5):28-29.
Rice S. Modern Healthc. August 15, 2015.
Getting the wrong person's medicine at the pharmacy: easy steps consumers can take to help eliminate these errors.
ISMP Safe Medicine. July/August 2015;13:1-3.
Dispensing errors in the community setting are a frequent source of concern. This newsletter article describes how correctly completed medication orders can inadvertently be given to the wrong patient in the community pharmacy setting and reviews steps patients can take to avoid receiving the incorrect medication.
Overkill: An avalanche of unnecessary medical care is harming patients physically and financially. What can we do about it?
Gawande A. New Yorker. May 11, 2015.
The overuse of medical care and its negative impact on personal health and finances is an emerging concern. This magazine article provides insights from a surgeon about how providing unnecessary care can contribute to patient harm and waste. Consequences of unneeded medical care include overtesting, overdiagnosis, and overtreatment. A previous AHRQ WebM&M perspective explored overuse as a patient safety problem.
Daley J. Colorado Public Radio. February 17, 2015.
Patient and family stories of harm are increasingly promoted as a strategy to provide insights into medical errors. This radio segment interviews a patient advocate whose daughter died due to medical errors, including failure-to-rescue and a health care–associated infection, and who speaks about that experience to educate clinicians on the importance of patient safety and listening to patients' families.
Teegardin C. Atlanta Journal-Constitution. April 28, 2013.
Cohn J. The Atlantic. March 2013;311:59–67.
This magazine article reports how technology, such as IBM's Watson, can improve the efficiency and accuracy of health care decision making.
Pear R. New York Times. September 23, 2012:A20.
The newspaper article discusses a proposed federal initiative for patients and families to report experiences with medical errors.
Sanders L. New York Times Magazine. March 18, 2012.
This interactive magazine feature takes readers through the decision-making process in a case involving diagnostic error.
Lord T. Patient Saf Qual Healthc. March/April 2012;9:38-41,44.
This article details how miscommunication and lack of patient-centered care contributed to errors that led to the death of a child.
Judd A. The Atlanta Journal-Constitution. November 20, 2011.
Boodman SG. Washington Post. June 13, 2011:E1.
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.
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.
Errors test openness at Beth Israel Deaconess. Disclosures will benefit hospital, president insists.
Wen P. Boston Globe. October 27, 2008.
This newspaper article reports on one hospital executive's work on transparency regarding errors and describes reactions to these efforts.
Grant T. Washington Post. July 22, 2008:HE01
This article reports on a wrong-sided surgery near miss from the perspective of a parent, and discusses the role of family members in preventing medical errors.
Landro L. Wall Street Journal. March 5, 2008:D1.
This article reports on new policies and procedures adopted by hospitals to prevent errors in the use of high-alert medications, such as heparin.
Gulliver D. Herald Tribune. September 3, 2007.
This article describes how the culture around medical errors is evolving to include disclosure and transparency, illustrated by a physician's willingness to discuss a wrong-site surgery.