Narrow Results Clear All
- Communication Improvement 21
- Culture of Safety 4
Education and Training
- Students 1
- Error Reporting and Analysis 11
- Human Factors Engineering 3
- Legal and Policy Approaches 13
- Logistical Approaches 4
- Quality Improvement Strategies 7
- Specialization of Care 2
- Teamwork 2
- Clinical Information Systems
- Transparency and Accountability 1
- Alert fatigue 2
- Device-related Complications 2
- Diagnostic Errors 11
- Discontinuities, Gaps, and Hand-Off Problems 10
- Failure to rescue 1
- Identification Errors 4
- Medical Complications 1
- Medication Errors/Preventable Adverse Drug Events 18
- Psychological and Social Complications 3
- Surgical Complications 2
- Internal Medicine 9
- Pharmacy 9
- Family Members and Caregivers 2
- Health Care Executives and Administrators 22
Health Care Providers
- Nurses 1
- Physicians 11
- Non-Health Care Professionals 36
Search results for "Patients"
- Clinical Information Systems
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.
Chun D. Gainsville Sun. August 21, 2006.
This article describes a computerized drug ordering and dispensing system at a Florida hospital.
Washington, DC: Leapfrog Group.
This website offers resources related to the Leapfrog Hospital Survey investigating hospitals' progress in implementing specific patient safety practices. Updates to the survey include increased time allotted to complete computerized provider order entry evaluation, staffing of critical care physicians on intensive care units, and use of tools to measure safety culture. Reports discussing the results are segmented into specific areas of focus such as health care-associated infections and medication errors.
Ross C. STAT. May 13, 2019.
Nuisance alarms, interruptions, and insufficient staff availability can hinder effective monitoring and response to acute patient deterioration. This news article reports on how hospital logistics centers are working toward utilizing artificial intelligence to improve clinician response to alarms by proactively identifying hospitalized patients at the highest risk for heart failure to trigger emergency response teams when their condition rapidly declines.
Schulte F, Fry E. Kaiser Health News, Fortune Magazine. March 18, 2019.
Despite years of investment and government support, electronic health records (EHR) continue to face challenges as a patient safety strategy. This news article outlines the unintended consequences of EHR implementation, including patient harm linked to software glitches and user errors, fraudulent behavior (upcoding), interoperability problems, clinician burnout due to poorly designed digital health records, and lack of industry transparency.
Gawande A. New Yorker. November 12, 2018.
In this magazine article, Atul Gawande describes a range of frustrations physicians experience as digitization becomes more widespread in health care. He elaborates upon several elements of electronic health record use that can degrade care processes and create conditions for errors, such as burnout, lack of patient-centeredness, and alert fatigue.
Parikh R. MIT Technol Rev. October 23, 2018.
Computerized decision support and artificial intelligence (AI) are being utilized to enhance decision-making in health care. This magazine article explains how artificial intelligence presents clinicians with an opportunity to improve practice by reducing cognitive load when determining appropriate diagnoses and treatment decisions.
Journal Article > Study
Patient groups, clinicians and healthcare professionals agree—all test results need to be seen, understood and followed up.
Dahm MR, Georgiou A, Herkes R, et al. Diagnosis (Berl). 2018;5:215-222.
Inadequate test result follow-up places patients at risk of delayed diagnosis, especially in the ambulatory setting. Diverse stakeholders in Australia established an agenda for enhancing test result management, which included better governance, improved use of technology, and consistent patient engagement. A WebM&M commentary explored two incidents where poor test result follow-up led to patient harm.
Journal Article > Study
Patient and consumer safety risks when using conversational assistants for medical information: an observational study of Siri, Alexa, and Google Assistant.
Bickmore TW, Trinh H, Olafsson S, et al. J Med Internet Res. 2018;20:e11510.
Experts have raised safety concerns for patients seeking medical information over the Internet. This study examined whether a conversational assistant such as Siri, Alexa, or Google Assistant would provide accurate information in response to a medical question. Lay participants queried a randomly assigned conversational assistant about their own health-related question and standardized questions relating to medication use and recognition of symptoms. Conversational assistants were unable to answer the majority of questions. Among the answered questions, a significant proportion of suggested actions (29%) could lead to harm. The authors conclude that conversational assistants are neither safe nor effective in providing actionable medical information.
Lamas D. New York Times. March 27, 2018.
Advance care planning can affect patient safety if the information is unheeded, unavailable, or unread. Reporting on a physician's experience with a patient who nearly received an unwanted intubation due to poor electronic health record data quality and design, this newspaper article describes problems associated with lack of standards for advance care planning documentation and the inability to access advance directives.
Boodman SG. Washington Post. March 26, 2018.
Although providing patients with access to physician notes and test results supports transparency and patient engagement, it can also introduce certain challenges. This newspaper article reports on unintended psychological stresses associated with direct patient access to test results without appropriate contextual information. Improvement strategies include use of graphics, timely patient-centered communication, and scheduling appointments to discuss results. A PSNet perspective explored how patient-facing technologies can empower patients and improve safety.
Perspectives on Safety > Annual Perspective
with commentary by Rachel J. Stern, MD, and Urmimala Sarkar, MD, 2017
Patient engagement in safety has evolved from obscurity to maturity over the past two decades. This Annual Perspective highlights emerging approaches to engaging patients and caregivers in safety efforts, including novel technological innovations, and summarizes the existing evidence on the efficacy of such approaches.
Landro L. Wall Street Journal. September 12, 2017.
Misdiagnosis has gained recognition as an important patient safety problem. This newspaper article reports on several areas of research and improvement efforts that seek to better understand the roots of diagnostic error and design solutions. Strategies discussed include artificial intelligence, lessons learned initiatives, and data-tracking mechanisms.
Maron DF. Sci Am. July 21, 2017.
Landi H. Healthcare Informatics. June 1, 2017.
The use of copy and paste is a popular time-saving mechanism to update electronic medical documentation, but this practice can introduce risks. This news article reports on various resources that explore problems associated with the copying and pasting in electronic health records, including a recent study that highlighted how this practice can perpetuate incomplete or wrong information into patient records.
Xu R. The Atlantic. May 11, 2018.
Clinician burnout is a growing concern in health care. This magazine article illustrates how ineffective electronic health record systems contribute to the problem and recommends aligning systems and regulatory influences more tightly with actual practice workflow as a strategy for improvement. A past Annual Perspective discussed the impact of clinician burnout on patient safety.
Rowland C. Boston Globe. July 20, 2014.
Government incentives have led to rapid development and adoption of electronic health records (EHRs). This newspaper article examines some of the unintended consequences of implementing electronic systems that have not been fully optimized for use in the health care environment, such as serious adverse events and medication errors. Moreover, failure to mandate reporting of EHR-related errors hinders developing strategies to improve them. Although clinicians want to avoid returning to paper records, they find current electronic systems inadequate, difficult to use, and nonintuitive.
Landro L. Wall Street Journal. June 9, 2014.
As they become more prevalent, electronic medical records (EMRs) are being used to improve safety in increasingly creative ways. This newspaper article reports on efforts to engage patients in reviewing their medication lists by providing them with access to EMR systems in order to detect and correct discrepancies in data.
Gunderman R. The Atlantic. June 5, 2013.
This magazine article highlights the drawbacks of amassing information in electronic medical records, in that it may negatively influence real communication or clinicians' genuine understanding of the patient.
Gertner J. Fast Company. October 15, 2012.
This magazine article discusses how advanced computing can improve reliability of decision-making for activities that rely on complex information and evidence, like medicine.