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- Students 1
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- Error Reporting 44
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Quality Improvement Strategies
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- Device-related Complications 8
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Health Care Providers
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Non-Health Care Professionals
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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.
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.
Web Resource > Multi-use Website
Indiana Hospital Association.
Launched in 2006, the Indiana Patient Safety Center (IPSC) is dedicated to promoting safety culture and reliable systems of care in the state. This website provides resources related to IPSC educational activities and efforts to raise awareness of local and national safety initiatives, including the Hospital Engagement Network.
Landro L. Wall Street Journal. August. 8, 2016.
First-year residents may be reluctant to ask for assistance due to factors such as peer pressure to demonstrate competency. This newspaper article reports on one hospital's strategy to enhance communication among residents and attendings, which encourages residents to ask questions of senior clinicians who are coached to welcome learning conversations.
Ghaferi AA, Myers C, Sutcliffe KM, Pronovost PJ. Harv Bus Rev. July/August 2016;94.
Achieving high reliability is a recognized goal for health care organizations. Reviewing current technical and standardization enhancements to augment quality and safety in surgery, this article explores how implementing high reliability concepts could further improve safety in surgical care over time.
Rau J. National Public Radio. July 27, 2016.
Although quality rating systems have yet to receive approval across the health care industry, they still serve as a way for consumers to select hospitals and providers. The developers of rating services continue to refine metrics to hone their effectiveness. This news article reports on the latest set of ratings from the Hospital Compare program and concerns associated with the results.
Aleccia J. Seattle Times. June 18, 2016.
Patients who experience harm while receiving medical care can serve as powerful advocates for patient safety. This news article reports on a patient who became engaged in working to redesign processes to improve patient safety after he became paralyzed from the chest down due to a cascade of communication errors.
Luthra S. Kaiser Health News. June 15, 2016.
Alert fatigue is known to contribute to medical error. This news article reports on the problem of clinically irrelevant alarms overwhelming clinicians and what hospitals and health information technology vendors are doing to decrease them. Strategies include applying human factors engineering concepts to alert triggers and designing spaces to reduce alarm-associated interruptions and fatigue.
Tozzi J. Bloomberg News Service. June 10, 2016.
Rau J. Washington Post. May 17, 2016.
Collecting data to meet quality measurement requirements adds to resource burden for many health care organizations, and there is controversy around the benefits of such rating systems for both patients and clinicians. This news article discusses problems with the Centers for Medicare and Medicaid Services rating mechanism, Hospital Compare.
Bornstein D. New York Times. January 26, and February 2, 2016.
Discussing the importance of designing safeguards to prevent system failures that can result in patient harm, this two-part newspaper article reviews large-scale collaboratives, including the Partnership for Patients initiative, as approaches that show promise in engaging clinicians in safety improvement and explores specific areas of focus to reduce harm such as hospital-acquired infections, patient falls, and culture change.
Audiovisual > Audiovisual Presentation
Health Research and Educational Trust. September 15, 2015.
Uhlig P, Raboin WE. Overland Park, KS: Oak Prairie Health Press; 2015. ISBN: 9780991411290.
Web Resource > Multi-use Website
Lake Forest, IL.
Having a family member accompany a patient to the hospital to act as an advocate has been suggested as a way to enhance patient safety. This Web site provides resources to support collaboration and communication between health care workers and consumers, including information about medical errors (such as risks of falls and surgical complications) and safety checklists to help prevent adverse events like hospital-acquired infections.
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.
Olson J. Star Tribune. February 9, 2015.
Chicago, IL: Health Research & Educational Trust; 2015.
Patient and family advisor programs have been implemented in health care as a way to incorporate the experiences of consumers into safety improvement work. This guide provides a framework to help hospitals develop partnership initiatives that focus on advisor recruitment, education, and teamwork to enhance efforts to engage patients and families in this role.
Consumer Reports. December 2014.
This news article summarizes the results of a survey exploring how patients' perceptions of respect from hospital staff corresponds with the potential for medical error. Recommended strategies for patients and families to build relationships and enable partnerships to help ensure safe care include engaging others to assist during a hospital stay, preparing for discussions with clinicians, being conscious of weak spots in the care process, asking questions, and taking notes.
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.
Goldman B. "White Coat, Black Art." CBC Radio. October 31, 2014.
This radio segment explores whether sleep deprivation affects the safety of care delivery. Panelists discuss sleep deprivation in health care, the influence of hierarchy and peer behaviors in normalizing fatigue, and the impacts of duty hour limits on patient safety. This contributes to the continuing debate about the benefits of work hour reductions and its potential to detract from residents' competency.