Narrow Results Clear All
- Patient Safety Primers 1
- WebM&M Cases 6
- Perspectives on Safety 4
- Commentary 19
- Review 4
- Study 31
- Slideset 1
- Book/Report 58
- Legislation/Regulation 4
- Newspaper/Magazine Article 398
- Newsletter/Journal 1
- Special or Theme Issue 5
- Glossary 1
- Toolkit 9
- Web Resource 61
- Award 3
- Meeting/Conference 3
- Press Release/Announcement 4
Communication between Providers
- Sbar 1
- Communication between Providers 50
- Culture of Safety 44
Education and Training
- Students 2
Error Reporting and Analysis
- Never Events 11
- Error Reporting 136
Human Factors Engineering
- Checklists 24
Legal and Policy Approaches
- Regulation 30
- Logistical Approaches 34
- Policies and Operations 5
Quality Improvement Strategies
- Benchmarking 15
- Research Directions 2
- Specialization of Care 23
- Teamwork 14
- Clinical Information Systems 35
- Transparency and Accountability 10
- Alert fatigue 3
- Device-related Complications 36
- Diagnostic Errors 51
- Discontinuities, Gaps, and Hand-Off Problems 56
- Drug shortages 5
- Failure to rescue 3
- Fatigue and Sleep Deprivation 15
- Identification Errors 39
- Interruptions and distractions 3
- Delirium 1
- Medication Errors/Preventable Adverse Drug Events 57
- Nonsurgical Procedural Complications 15
- Overtreatment 3
- Psychological and Social Complications 39
- Surgical Complications 128
- Transfusion Complications 4
- Ambulatory Care 44
- General Hospitals 175
- Long-Term Care 5
- Outpatient Surgery 11
- Patient Transport 2
- Psychiatric Facilities 3
- Allied Health Services 1
- Internal Medicine 198
- Obstetrics 17
- Pediatrics 39
- Radiology 11
- Nursing 20
- Palliative Care 2
- Pharmacy 25
- Family Members and Caregivers 51
- Health Care Executives and Administrators 201
Health Care Providers
- Nurses 25
- Physicians 52
Non-Health Care Professionals
- Educators 15
- Media 11
- Australia and New Zealand 5
- Europe 43
- Canada 14
United States of America
United States Federal Government
- Department of Health and Human Services (HHS) 23
- United States Federal Government 27
Search results for "Hospitals"
Consumer Reports. July 29, 2015.
Ungar L. USA Today. February 1, 2015.
San Francisco, CA: The Leapfrog Group; May 2, 2006.
This news release announces that 22 California hospitals have been recognized for their achievements in addressing The Leapfrog Group's standards of quality and safety.
Golden, CO: Health Grades, Inc.; April 2006.
This third annual report on the safety of hospitalized Medicare patients builds on past efforts to evaluate hospital performance. The report uses the Agency for Healthcare Research and Quality's Patient Safety Indicators to provide benchmarks for such performance, identify current trends in safety issues, and estimate preventable events nationally. The report suggests that the patient safety incidents captured account for more than $9 billion in excess cost during 2002-2004, and more than 250,000 potentially preventable deaths occurred during the same time period. Grading for all states and a selected group of highly rated hospitals is included with the implication that, if all hospitals performed at a level comparable to the ones acknowledged, more than 44,000 Medicare deaths could be avoided with a costs savings of $2.45 million. As with the second annual report, several methodological limitations exist, and the reports themselves did not receive external peer review.
Kowalczyk L. The Boston Globe. December 22, 2005.
This article reports on several hospitals in Massachusetts that continue to perform obesity surgeries, despite falling short of the recommended number of operations per year to meet voluntary patient safety guidelines.
Journal Article > Commentary
Cohen T, Ellis WS, Morrissey JJ, Bakuzonis C, David Y, Paperman WD. J Healthc Inf Manag. Fall 2005;19:38-48.
After reviewing the literature and several case studies, the authors conclude that cell phones can be safely used in hospitals if steps are taken to avoid electromagnetic interference.
Weise E. USA Today. May 18, 2005.
Colino S. Fam Circle. August 2019;132:66,69.
Patients and families can play a role in ensuring care is effective and safe. This news article recommends ways for patients to reduce risk of errors during a hospitalization, including using a patient portal to identify mistakes, asking questions, bringing an advocate, and working with hospitalists as key care partners.
Appleby J, Lucas E. Kaiser Health News. June 21, 2019.
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.
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.
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.
Palmer J. Patient Saf Qual Healthc. May/June 2019.
Organizations must learn from adverse events to prevent similar incidents. Reporting on lessons to be learned from the cascade of failures connected with the preventable death of a patient during an acute asthma attack at the door of a hospital emergency department, this magazine article outlines the importance of effective signage, appropriate security staff placement, and acceptance of the responsibility for failure.
Frakt A. New York Times. April 29, 2019.
Health care providers are a known source of potentially harmful bacteria due to their perpetual interaction with germs during practice. This newspaper article reports on how clinician attire, stethoscopes, and technology can be contaminated with bacteria. Hand sanitizer placement, sleeve length, and laundering behaviors can reduce transmission of pathogens.
Gordon M. Health Shots. National Public Radio. April 10, 2019.
Punitive responses to medical errors persist despite continued efforts to reduce them. This news article reports on an incident involving the mistaken use of a neuromuscular blocking agent that resulted in the death of a patient, the prosecution of the nurse who made the error, and systemic and human factors that contribute to similar events.
Cullen A. Uitgeverij van Brug: The Hague, The Netherlands; 2019. ISBN: 9789065232236.
Patient stories offer important insights regarding the impact medical errors have on patients and their families. This book shares the author's experience with medical error and spotlights how lack of transparency in European health care can contribute to avoidable process failures that result in patient harm.
US Food and Drug Administration. March 8, 2019.
Errors of commission during complex procedures can contribute to patient harm. Drawing from an analysis of medical device reports submitted to the Food and Drug Administration, this announcement seeks to raise awareness of common adverse events associated with surgical staplers and implantable staples. User-related problems include opening of the staple line, misapplied staples, and staple gun difficulties. Recommendations include ensuring availability of various staple sizes and avoiding use of staples on large blood vessels.
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.
Journal Article > Study
Making infection prevention and control everyone's business? Hospital staff views on patient involvement.
Sutton E, Brewster L, Tarrant C. Health Expect. 2019 Feb 17; [Epub ahead of print].
Interviews with frontline hospital staff and executive leaders revealed that they were generally supportive of engaging families and patients to promote infection prevention in the clinical setting when using a collaborative approach. Staff identified certain challenges including concerns related to the extent of responsibility patients and families should bear with regard to infection prevention as well as risks to infection control posed by patients themselves.
Span P. New York Times. February 1, 2019.
Cognitive and functional decline can occur as individuals age. Concerns have been raised regarding the need to assess skills of aging physicians. This newspaper article reports on the implementation of mandatory evaluation programs to assess competencies of older surgeons and the profession's response to them.