Narrow Results Clear All
- Communication Improvement 13
- Culture of Safety 1
- Education and Training 8
- Error Reporting and Analysis 10
- Human Factors Engineering 4
- Legal and Policy Approaches 15
- Quality Improvement Strategies 8
- Specialization of Care 1
- Technologic Approaches 7
- Alert fatigue 1
- Device-related Complications 1
- Diagnostic Errors 9
- Discontinuities, Gaps, and Hand-Off Problems 6
- Drug shortages 1
- Fatigue and Sleep Deprivation 1
- Identification Errors 2
- Medical Complications 4
- Medication Errors/Preventable Adverse Drug Events 6
- Psychological and Social Complications 1
- Surgical Complications 3
- Family Members and Caregivers 2
- Health Care Executives and Administrators 15
- Health Care Providers 19
Non-Health Care Professionals
- Media 1
- Europe 3
- Canada 1
Search results for "Hospitals"
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.
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.
St. Paul, MN: Minnesota Department of Health; March 2019.
The National Quality Forum has defined 29 never events—patient safety problems that should never occur, such as wrong-site surgery and patient falls. Since 2003, Minnesota hospitals have been required to report such incidents. The 2018 report summarizes information about 384 adverse events that were reported and found pressure ulcers and invasive procedure events increased, while fall-related deaths decreased. Reports from previous years are also available.
Kast S. "On the Record." WYPR. October 31, 2017.
Diagnostic error continues to motivate improvement efforts in patient safety. This audio news segment discusses challenges that contribute to misdiagnosis, strategies to prevent diagnostic errors, and recommendations for patients to reduce risks such as preparing for appointments and asking questions.
Tools/Toolkit > Government Resource
Centers for Disease Control and Prevention.
The opioid crisis is a persisting patient safety problem. One approach to prevent misuse of opioids is to raise awareness of the addictive nature of the medication. This national campaign enlists communities and individual clinicians to provide patient education to address the opioid epidemic. The website offers videos and other resources to assist community-level efforts to reduce risk for opioid addiction.
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.
Boodman SG. Washington Post. December 4, 2016.
Delays in diagnosis can both diminish the patient–physician relationship and result in harm. This newspaper article describes steps patients can take to enable effective diagnosis, including reviewing their medical records, asking questions during discussions with clinicians, and bringing an advocate to appointments.
Furfaro H. Wall Street Journal. September 25, 2016.
Medication errors in pediatric care are common in the hospital and at home. This newspaper article reports on problems associated with medication safety among pediatric patients and highlights several tools both clinicians and parents can use to enhance safety when administering medicine to children, including dosage calculators and pictures depicting medication administration processes.
Landro L. Wall Street Journal. May 9, 2016.
Closed claims have been considered a source for adverse event data for years, and recently such data has been utilized to inform safety improvement work. This newspaper article reviews several organizational efforts that use claims data to determine factors that contribute to failure and strategies to address them, including process redesign and enhanced patient education.
Hertz BT. Med Econ. 2015;92:40-44.
Communication and response strategies have been shown to improve how organizations, clinicians, and patients and their families recover from adverse incidents. This news article discusses apology laws which protect certain statements regarding disclosure from being admissible in court and highlights how sensitivity to patients and transparent communication about the failure can be beneficial for both clinicians and patients after a medical error.
Brown E, Lin RG II R, Xia R. Los Angeles Times. January 26, 2015.
In light of the recent outbreak of measles in California, this newspaper article reports on how lack of familiarity with measles among clinicians can contribute to diagnostic errors and spread of the disease.
Boodman SG, Kaiser Health News. Washington Post. May 19, 2014.
Consumer Reports on Health. November 2013;25:6-7.
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.
Web Resource > Government Resource
Division of Licensing and Regulatory Services, Maine Department of Health and Human Services.
This Web site provides information about Maine's statewide incident reporting initiative and includes annual sentinel event reports.
Jain M. Washington Post. May 27, 2013.
Saltzman W. ABC/WPVI. February 5, 2013.
Web Resource > Multi-use Website
CERTAIN. Rockville, MD: Agency for Healthcare Research and Quality. SCOAP. Seattle, WA: Foundation for Health Care Quality.
This Web site offers resources for both practitioners and patients to optimize safety through pre-procedure planning.
Sanghavi D. Boston Globe Magazine. January 27, 2013.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; December 6, 2012.