Narrow Results Clear All
- WebM&M Cases 2
- Study 7
- Audiovisual 5
- Book/Report 5
- Newspaper/Magazine Article 48
- Special or Theme Issue 1
- Glossary 1
- Toolkit 4
- Web Resource 9
- Grant 1
Communication between Providers
- Sbar 1
- Communication between Providers 22
- Culture of Safety 3
Education and Training
- Students 1
- Error Reporting and Analysis 15
- Human Factors Engineering 5
- Legal and Policy Approaches 17
- Logistical Approaches 11
- Quality Improvement Strategies 17
- Specialization of Care 4
- Teamwork 2
- Clinical Information Systems 10
- Transparency and Accountability 1
- Device-related Complications 4
- Diagnostic Errors 11
- Discontinuities, Gaps, and Hand-Off Problems
- Fatigue and Sleep Deprivation 4
- Identification Errors 5
- Medical Complications 6
- Medication Safety 19
- Nonsurgical Procedural Complications 1
- Psychological and Social Complications 3
- Surgical Complications 5
- Ambulatory Care 11
- General Hospitals 14
- Long-Term Care 1
- Outpatient Surgery 1
- Patient Transport 1
- Internal Medicine 21
- Nursing 2
- Pharmacy 5
- Family Members and Caregivers 7
- Health Care Executives and Administrators 31
Health Care Providers
- Nurses 5
Non-Health Care Professionals
- Media 1
Search results for "Patients"
Cases & Commentaries
- Web M&M
Russ Cucina, MD, MS; July 2006
Despite full documentation and a wristband regarding her severe food allergy, an inpatient is advertently fed eggs and suffers an allergic reaction.
Landro L. Wall Street Journal (Eastern edition). June 28, 2006:D1. [reprinted on Post-gazette.com].
This article reports on communication interventions such as SBAR (Situation-Background-Assessment-Recommendation) that make patient hand-offs more reliable.
Scathing report on Kaiser kidney program. Transplant delays assailed -- Medicare threatens to end coverage.
Russell S. San Francisco Chronicle. June 24, 2006.
This article reports on a Centers for Medicare & Medicaid Services report that details deficiencies in Kaiser's kidney transplant program.
Stout D. New York Times. June 17, 2006;National desk:9.
This article reports on the investigation following the death of New York Times reporter David E. Rosenbaum. The investigation uncovered a range of failures in emergency care and is described in a report available via the link below.
Feldman R. The Washington Post. May 2, 2006:HE01.
In this article, a nurse shares her firsthand account of what it was like to be a surgical patient and the surprising safety and quality shortcomings she encountered during her hospital stay.
Cases & Commentaries
- Web M&M
Glenn Flores, MD; April 2006
With no one to interpret for them and pharmacy instructions printed only in English, nonEnglish-speaking parents give their child a 12.5-fold overdose of a medication.
Institute for Healthcare Improvement Web site. March 20, 2006.
This article reviews the importance of medication reconciliation, discusses the difficulties of building the process into patient care, and shares stories from hospitals that have successfully implemented programs.
Hua V. San Francisco Chronicle. February 17, 2006:B6.
This article reports on a study conducted by the Discrimination Research Center that found non-English speakers were not connected to a staff member who spoke the language in about half of calls to the emergency department.
Tools/Toolkit > Toolkit
Massachusetts Coalition for the Prevention of Medical Errors, Betsy Lehman Center for Patient Safety and Medical Error Reduction, Massachusetts Medical Society.
This form can help patients document their prescriptions and other health information prior to visits with health care providers.
Berwick DM. Newsweek. December 12, 2005;46:75-78.
Institute for Healthcare Improvement President Don Berwick summarizes the six improvement measures of the 100K Lives Campaign.
Dublin, Ireland: Irish Society for Quality & Safety in Healthcare; 2005.
This report provides results from a 26-hospital survey investigating areas of service and care weakness in Irish hospitals. The research revealed problems related to information transfer, overwork, and lack of patient involvement in decision making about their care.
Meisel Z. Slate. November 8, 2005.
In this article, an emergency medicine physician describes the work environment of emergency medical technicians and paramedics and why it is prone to error.
Fischman J. US News and World Report. August 1, 2005;139:45,49-50,52.
This article reports on activities at several hospitals that illustrate how information technology can help improve the safety of health care.
Weber T, Ornstein C. Los Angeles Times. April 12, 2005.
This article reports on a death that occurred at the Martin Luther King Jr./Drew Medical Center after a patient's deteriorating vitals signs went unnoticed.