Narrow Results Clear All
- Communication Improvement 5
- Culture of Safety 1
- Education and Training 8
- Error Reporting and Analysis 7
- Human Factors Engineering 2
- Legal and Policy Approaches 13
- Logistical Approaches 2
- Quality Improvement Strategies 7
- Specialization of Care 1
- Technologic Approaches 6
- Device-related Complications 2
- Diagnostic Errors 3
- Discontinuities, Gaps, and Hand-Off Problems 2
- Identification Errors 2
- Medical Complications 10
- Medication Errors/Preventable Adverse Drug Events 15
- Nonsurgical Procedural Complications 2
- Overtreatment 2
- Psychological and Social Complications 1
- Surgical Complications 4
- Allied Health Services 1
- Internal Medicine 12
- Nursing 3
- Pharmacy 8
- Family Members and Caregivers 5
- Health Care Executives and Administrators 9
- Health Care Providers 11
- Non-Health Care Professionals 4
- Patients 31
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CDC Vital Signs. May 7, 2019.
Maternal morbidity and mortality is a worldwide patient safety problem. This analysis describes the prevalence of pregnancy-related death and areas of concern during pregnancy, at delivery, and up to a year postpartum. It reports that 60% of these deaths are preventable and provides suggestions for families, clinicians, and systems to reduce risks.
Dembosky A. All Things Considered and KQED. January 23, 2019.
Policy, practice, and communication strategies have been implemented in an effort to stem the opioid crisis and prescribing activities that contribute to misuse. This news article and accompanying webcast discuss an initiative in California that sends letters to prescribers whose patients have died due to opioid overdose. The piece outlines unintended consequences associated with the practice, including clinician reluctance to prescribe opioids for pain. An Annual Perspective discussed the patient safety aspects of the opioid epidemic.
Kaiser Health News.
Montagne R. Weekend Edition Sunday. National Public Radio. March 11, 2018.
Maternal death is a sentinel event. This news audio segment reports on childbirth-related death in the United States and firsthand accounts of complications associated with childbirth, such as infection. The interview also discusses how misdiagnosis contributes to the severity of problems. This piece is part of an ongoing series on the safety of maternal care.
William Brangham. PBS News Hour. September 29, 2017.
CDC Vital Signs. August 23, 2016.
CDC Vital Signs. March 3, 2016.
Health care–associated infections (HAI) are a worldwide patient safety problem. This article and accompanying set of infographics spotlight the importance of addressing HAIs and provide updates on improvements associated with better use of catheters, appropriate patient isolation, and increased vigilance to reduce the risks of antibiotic-resistant infections.
Rosenthal E. New York Times. February 12, 2016.
Raising concerns around the use of armed security guards in health care settings, this newspaper article and companion podcast report on the experience of a patient who disclosed a need for mental health treatment upon arriving at a hospital where staff failed to appropriately address his psychiatric condition and instead treated his physical injuries. The patient became increasingly agitated and hospital security personnel ultimately used weapons to subdue him.
Lundberg GD. Medscape. December 1, 2015.
Spotlighting the author's experience with autopsies to provide context regarding diagnostic errors as a patient safety problem, this commentary outlines recommendations from the recent Improving Diagnosis in Healthcare report and calls for the creation of diagnostic management teams to enhance care quality.
Graham LR, Scudder L, Stokowski L. Medscape Multispecialty. October 22, 2015.
Errors in the prescribing process can lead to adverse drug events. This slide set provides information about common problems in prescribing such as selecting the wrong drug in a drop-down menu, formulation mix-ups, alert fatigue, poor quality of data in health information systems, and use of ambiguous abbreviations.
Cavanaugh M, Clark C, Bazzo D. KPBS Midday Edition. August 18, 2015.
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.
McKinnon C. WBZ-TV. February 13, 2015.
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.
Suares W. FOX 25 KOKH-TV. July 30, 2014.
This video news segment reports how incorrect medications can be dispensed from pharmacies, notes a lack of regulation mandating that pharmacy errors are reported, and offers tips for patients to reduce risks.
Jones R. WXYZ. November 13, 2013.
This news piece reports on risks associated with medication delivery in nursing homes and reveals several incidents that resulted in significant patient harm.
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.
Tomsic M. WFAE Charlotte. National Public Radio. March 21–23, 2013.
This news series reports on the drug shortage problem, its impact on providers and patients, how it began, and concerns that wholesale companies are making it worse.
Saltzman W. ABC/WPVI. February 5, 2013.