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Communication between Providers
- Sbar 1
- Communication between Providers 21
- Culture of Safety 17
Education and Training
- Simulators 16
- Students 10
- Error Reporting and Analysis 29
- Human Factors Engineering 20
- Legal and Policy Approaches 29
- Logistical Approaches 12
- Quality Improvement Strategies 39
- Specialization of Care 7
- Teamwork 15
- Clinical Information Systems 11
- Transparency and Accountability 1
- Device-related Complications 17
- Diagnostic Errors 8
- Discontinuities, Gaps, and Hand-Off Problems 10
- Fatigue and Sleep Deprivation 6
- Identification Errors 7
- Medical Complications 11
- Medication Errors/Preventable Adverse Drug Events 38
- MRI safety 1
- Nonsurgical Procedural Complications 5
- Psychological and Social Complications 13
- Second victims 2
- Surgical Complications 24
- Transfusion Complications 1
- Dentistry 1
- Internal Medicine 34
- Nursing 10
- Pharmacy 32
- Family Members and Caregivers 3
- Health Care Executives and Administrators 70
Health Care Providers
- Nurses 19
- Pharmacists 16
- Physicians 29
Non-Health Care Professionals
- Educators 25
- Patients 68
Search results for "Education and Training"
- Newspaper/Magazine Article
- Education and Training
Jauhar S. New York Times. March 3, 2016.
Performance of autopsies, previously considered an essential learning tool for clinicians, has decreased in recent years due to insufficient funding to cover costs and lack of physician endorsement of the practice. This newspaper article provides insights from a physician regarding how the decline in autopsies could affect care and highlights the benefits of autopsies in light of the current emphasis on improving diagnosis.
Nagelberg R. RDH. September 2015;35:79-85.
Duffy B. Patient Saf Qual Healthc. July/August 2010;7:32-36.
This piece describes how education can reduce patient harm by promoting attitude and behavior changes within the health care system.
Zipperer L, Sykes J. Patient Saf Qual Healthc. March/April 2009;6:28-30,32-33.
This survey explores the varied roles that medical librarians play in searching for and disseminating information on patient safety. The majority of librarians surveyed had actively participated in patient safety initiatives.
PA-PSRS Patient Saf Advis. March 2009;6:16-19.
This article discusses strategies to ensure safe transitions for patients between hospital departments. These strategies include transport team development, use of standardized communication tools, and educational programming for unlicensed health care personnel.
ISMP Medication Safety Alert! Acute Care Edition. August 14, 2008;13:1-3.
This article reports on an overdose caused by improper label placement on a patient controlled analgesia (PCA) pump and provides recommendations for preventing pump-related medication errors.
ISMP Medication Safety Alert! Acute Care Edition. July 3, 2008;13:1-3.
This article reports on the potentially fatal error of administering epidural medications intravenously and provides guidelines to safeguard against such epidural–IV route mix-ups.
ISMP Medication Safety Alert! Acute Care Edition. May 8, 2008;13:1-3.
This article describes common problems associated with insulin pen injectors and provides recommendations for their safe use.
Landro L. Wall Street Journal (Eastern edition). January 24, 2007:D5.
This article describes several initiatives and training programs for physicians on disclosing and apologizing for medical error.
Challenges ahead in technology training: a report on the training initiative of the Committee on Technology.
Olympio MA, Reinke B, Abramovich A. APSF Newsletter. Fall 2006;21:43-48.
The authors describe the complexity of keeping current on new anesthesia equipment and propose an in-depth process for physician and technician training to ensure safe use in the operating room.
Baertlein L. USA Today. May 24, 2006.
This article reports on a study that found that playing video games before surgery enhanced surgical dexterity and minimized errors.
Santell JP. Drug Topics (Health-System Edition). May 22, 2006.
This article reports on errors involving neuromuscular blocking agents (NMBAs) that were reported to Medmarx database, what factors contributed to those errors, and what can be done to minimize their occurrence.
Porter S. HealthLeaders Media. April 26, 2018.
Overreliance on technology can result in harmful medication mistakes. Reporting on a 10-fold medication overdose that led to the death of a patient with dementia, this news article describes how the hospital changed their processes to improve medication safety, which included restructuring medication safety leadership, modifying the electronic health record to address alert overrides, and enhancing information sharing to support learning and transparency.
The next generation of doctors may be learning bad habits at teaching hospitals with many safety violations.
Blau M. STAT. April 20, 2018.
The hidden curriculum, staff burnout, and other organizational norms contribute to behaviors that put both care teams and patients at risk. Reporting on clusters of safety violations the Centers for Medicare and Medicaid Services found at teaching hospitals, this news article suggests that trainees who learn in environments where patients receive unsafe care may perpetuate poor practices and reviews how teaching hospitals are working to change behavior and educate trainees about patient safety.
Headley M. Patient Saf Qual Healthc. October 4, 2017.
Burnout, stress, and personal challenges can affect clinicians' ability to provide safe care. This article explores factors that prevent clinicians from seeking support and provides suggestions for organizations to encourage health care providers to solicit help, such as establishing a culture of wellness, second victim initiatives, substance abuse assistance, and domestic violence programs.
Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences.
Woodruff E. Baltimore Sun. June 9, 2017.
Monegain B. Healthcare IT News. November 7, 2016.
Hobson K. US News News and World Report. September 13, 2016.
Diagnostic error has recently gained recognition as an important patient safety concern. This news article relates the experiences of patients who were misdiagnosed and discusses avenues for improvement such as exploring physician problem-solving behaviors and using trigger tools to detect potential lapses in care.
MacLean L, Coombs C, Breda K. Nurs Manage. 2016;47:30-34.
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.