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- Communication Improvement 1
- Culture of Safety 6
- Education and Training 1
- Error Reporting and Analysis 11
- Human Factors Engineering 15
- Legal and Policy Approaches 3
- Logistical Approaches 4
- Quality Improvement Strategies 9
- Clinical Information Systems 3
- Device-related Complications 5
- Diagnostic Errors 2
- Discontinuities, Gaps, and Hand-Off Problems 1
- Identification Errors 1
- Medical Complications 2
- Medication Safety 6
- MRI safety 1
- Psychological and Social Complications 2
- Surgical Complications 4
- Health Care Executives and Administrators 25
Health Care Providers
- Nurses 4
Non-Health Care Professionals
- Engineers 13
- Media 1
- Patients 8
Search results for "North America"
Soong C. National Quality Measures Clearinghouse: Expert Commentaries; June 20, 2016.
Determining the preventability of an adverse event remains a challenge. Summarizing the evidence around identifying whether a hospital readmission was avoidable and if preventable readmission rates are a reasonable measure of quality and safety, this article proposes that research focus on developing quality indicators that are more relevant to patients.
Rice S. Mod Healthc. January 23, 2016.
Birk S. Healthc Exec. March/April 2015;30:19-20, 22-26.
Hospital senior managers have been challenged to establish a safety culture in their organizations. This magazine article reveals how three hospitals developed a culture of safety by focusing their improvement work on high reliability principles through leadership engagement, training, and teamwork.
Aston G. Hosp Health Netw. September 9, 2014.
Carr S. Patient Saf Qual Healthc. July/August 2014;11:30-35.
This magazine article summarizes experts' projections for the patient safety movement in the next 5 years. Areas discussed include expanding the focus of safety to investigate public health concerns, enhancing patient engagement, improving interoperability of electronic health records, and driving culture change.
Fibuch E, Ahmed A. Physician Exec. Jul-Aug 2014;40:28-32.
Failure mode and effects analysis (FMEA) has been recommended as a method to detect safety hazards and proactively address system flaws. This article reviews the initial purpose of FMEA, provides a breakdown of the process, describes a scoring tool applying Six Sigma designations to determine probability of failure, and discusses how FMEA is used in health care settings.
Addis LM, Cadet VN, Graham KC. Patient Saf Qual Healthc. May/June 2014.
McLeod M, Barber N, Franklin BD. National Quality Measures Clearinghouse: Expert Commentaries; March 10, 2014.
Strategies to prevent medication errors are an ongoing focus in patient safety. This expert commentary discusses challenges associated with tracking medication administration failures and recommends regular monitoring of medication delivery practices to avoid errors.
Carr N. The Atlantic. November 2013.
Increasingly, computerized systems are performing more complex tasks in high-risk industries like aviation and medical care. This magazine article reports how overreliance on automation can diminish human performance, decision-making, and situational awareness—and thereby lead to errors.
Sloane T. Hosp Health Networks. October 2013;87:34-38.
Zeis M. HealthLeaders Media. July/August 2013;16:26-28.
This article reports on the results of a survey investigating the use of metrics in hospitals to motivate quality and safety improvement work.
Galli BJ, Riebling N, Paraso C, Lehmann G, Yule M. Patient Saf Qual Healthc. July/August 2013;10:36-41.
Clark C. HealthLeaders Media. December 2012.
Cohn M. Baltimore Sun. May 27, 2011:A1.
This newspaper article reports on plans to develop the Armstrong Institute for Patient Safety and Quality at Johns Hopkins. The institute is dedicated to improving patient safety and reducing medical errors.
Measuring inappropriate medical diagnosis and treatment in survey data: the case of ADHD among school-age children.
Evans WN, Morrill MS, Parente ST. J Health Econ. 2010;29:657-673.
This study discusses diagnostic uncertainty in attention deficit hyperactivity disorder, along with the consequences of misdiagnosis and inappropriate treatment.
Jt Comm Perspect. October 2009;29:1, 20-31.
This newsletter article provides an overview of the 2010 National Patient Safety Goals (NPSGs) and explains revisions made to the NPSGs to address concerns about the resources needed to meet the NPSG requirements and to allow organizations to focus on the most urgent issues. The revisions include clarifying or deleting some of the requirements.
Krause TR, Hindley JH. Trustee. November 2008;61:24-36.
Drawing on their experience in organizational safety in high-risk environments, the authors describe a framework they have developed to support patient safety.
PA-PSRS Patient Saf Advis. March 2008;5(suppl rev):1-50.
This failure mode and effects analysis (FMEA) explores factors contributing to near miss and adverse events related to alarm response and provides strategies to prevent monitoring failures.
Patton S. CIO Magazine. December 7, 2006.
The author describes some common mistakes involving the design and launch of computerized physician order entry (CPOE) initiatives and provides suggestions to support successful CPOE implementation efforts.
Santell JP. Mater Manage Health Care. December 19, 2006;15:26-28, 30.
The author discusses the role that human error plays in the failure of technological solutions employed to minimize medical mistakes.