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- Communication Improvement 28
- Culture of Safety 3
- Education and Training 13
- Error Reporting and Analysis 6
- Human Factors Engineering 3
- Legal and Policy Approaches 5
- Logistical Approaches 2
- Quality Improvement Strategies
- Specialization of Care 1
- Teamwork 1
- Technologic Approaches 6
- Transparency and Accountability 1
- Device-related Complications 1
- Diagnostic Errors 8
- Discontinuities, Gaps, and Hand-Off Problems 3
- Identification Errors 3
- Medical Complications 4
- Medication Errors/Preventable Adverse Drug Events 8
- Nonsurgical Procedural Complications 1
- Surgical Complications 5
- Internal Medicine 14
- Surgery 2
- Pharmacy 8
- Family Members and Caregivers 7
- Health Care Executives and Administrators 8
Health Care Providers
- Nurses 2
- Non-Health Care Professionals 4
Search results for "Patients"
- Patient Self-Management
Journal Article > Commentary
Fernando RJ, Shapiro FE, Rosenberg NM, Bader AM, Urman RD. J Patient Saf. 2019;15:18-23.
Boodman SG. Washington Post. June 13, 2011:E1.
Kurz M, Tobin WN. Chestnut Hill, MA: Medically Induced Trauma Support Services Inc.; 2011.
This publication reports on how to engage patients and families in improving patient safety.
Journal Article > Study
Hovey RB, Dvorak ML, Burton T, et al. Qual Health Res. 2011;21:662-672.
This article reports on the perspectives of patients and families who have experienced medical errors, and attempts to redefine the concept of patient-centered care with their experiences in mind.
Tampa, FL: Sepsis Alliance; 2010.
Revealing incidents in which diagnostic delay led to sepsis, this video provides information to help consumers recognize the condition.
Rockville, MD: Agency for Healthcare Research and Quality. September 29, 2010.
This trio of public service announcements promotes safe medication use, informed discharge, and family and friends as advocates in the hospital.
Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care: A Roadmap for Hospitals.
Oakbrook Terrace, IL: The Joint Commission; 2010.
This report reveals how hospitals can improve communication, cultural competency, and patient-centeredness to enhance patient experience of care.
The Empowered Patient Coalition; 2010.
This video series uses two real cases of patients who died due to preventable errors after elective surgery to illustrate fundamental concepts in patient safety and provide lessons for patients and families in engaging in their own care. The circumstances leading to the death of Lewis Blackman, one of the patients discussed in this video series, are discussed in more detail in a separate article that analyzes his death as an example of failure to rescue.
Oakbrook Terrace, IL: Joint Commission Resources; 2006. ISBN: 0866889965.
This book illustrates how health care providers have worked with patients to ensure safe care through improved communication, education, and health literacy assessment.
Foreman J. Los Angeles Times. September 4, 2006:F3.
This article describes what patients can do to minimize opportunities for medication error.
Chun D. Gainsville Sun. August 21, 2006.
This article describes a computerized drug ordering and dispensing system at a Florida hospital.
Tools/Toolkit > Toolkit
Tucson, AZ: University of Arizona Center for Education and Research on Therapeutics; Arizona Health Sciences Center.
This form allows consumers to record relevant information about their (or a family member's) prescription or non-prescription medications, vitamins, herbal therapy, or dietary supplements.
Journal Article > Study
DesRoches CM, Bell SK, Dong Z, et al. Ann Intern Med. 2019 May 28; [Epub ahead of print].
Watts E, Rayman G. Diabetes UK. London, UK; 2018.
Chronic disease management can add complexity to inpatient care regimens. Researchers worked with patients, system leaders, and clinicians to examine areas of risk for hospitalized patients with diabetes and determine solutions such as specialized teams, clinical leadership, and improved use of technology. A WebM&M commentary illustrated safety challenges associated with providing care for hospitalized patients with diabetes.
Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process.
St. Paul, MN: Society to Improve Diagnosis in Medicine, Maxwell School of Citizenship and Public Affairs at Syracuse University, and Jefferson Center; 2017.
Advocates for improving diagnosis emphasize the role of the patient as key to success. This report examines factors to consider when designing interventions to strengthen patient participation in the diagnostic process. Recommendations to enhance relationships with patients to reduce diagnostic error focus on managing misperceptions that can affect decision-making and communication.
Web Resource > Multi-use Website
Think About It Coalition.
This Web site provides resources to drive health care quality improvement and encourages patient involvement.
Fischer MA. AARP The Magazine. July/August 2011;54:50-53,80.
This magazine article discusses several cases of misdiagnosis, explores reasons for errors, and provides tips for patients to improve safety.
Olsen D. State Journal-Register. June 26, 2011.
This newspaper article discusses a case of diagnostic error, explores the complexity of the diagnostic process, and provides tips to help patients avoid such errors.
Oakbrook Terrace, IL: Joint Commission.
This video series illustrates techniques for patients to actively participate in their care. Episodes are available in both English and Spanish and are accompanied by transcripts.