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- WebM&M Cases 1
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Search results for "Medical Complications"
- Medical Complications
Rau J. Kaiser Health News. March 1, 2019.
Financial incentives may encourage adoption of practice improvements that enhance safety. This news article reports on the increase in United States hospitals that have had Medicare payments withheld due to high rates of hospital-acquired conditions. The article is accompanied by a state-level tally of individual hospitals penalized.
Journal Article > Commentary
Schroeder AR, Duncan JR. JAMA Pediatr. 2016;170:1037-1038.
Overuse of CT scans can expose patients to levels of radiation linked to increased rates of cancer. Describing efforts to raise awareness of problems associated with using medical imaging in children, this commentary calls for more targeted work to standardize the process for this population to reduce overuse to ensure safer care for pediatric patients.
Bernhard B. St. Louis Post-Dispatch. May 5, 2013:A10.
This newspaper article relates how medical mistakes affect both patients and clinicians and offers tips for patients and families to prepare for surgery.
Rau J. Kaiser Health News. October 17, 2011.
The Centers for Medicare & Medicaid Services (CMS) published data on hospital-acquired conditions in a 2011 report. This news article discusses new data available on the Hospital Compare Web site, including preventable complications and certain types of medical errors.
Woodall A. Oakland Tribune. September 27, 2011.
This newspaper article reports how a medical error, which occurred during a nursing strike, resulted in a patient's death.
Tools/Toolkit > Fact Sheet/FAQs
Patient Fact Sheet. Rockville, MD: Agency for Healthcare Research and Quality; September 2011. AHRQ Publication No. 11-0089.
This fact sheet for patients provides recommendations to help them prevent medical errors when taking medications, during a hospital stay, and prior to having surgery.
Tampa, FL: Sepsis Alliance; 2010.
Revealing incidents in which diagnostic delay led to sepsis, this video provides information to help consumers recognize the condition.
Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.
This documentary reports on families affected by medical errors; it includes the story of a high-profile heparin overdose and how it transformed the family of actor Dennis Quaid into advocates for patient safety.
Tools/Toolkit > Fact Sheet/FAQs
Patient Fact Sheet. Rockville, MD: Agency for Healthcare Research and Quality; September 2002. AHRQ Publication No. 02-P034.
This consumer fact sheet advises parents on how to help their children avoid medical errors pertaining to medicine, hospital stays, surgeries, and other medical needs.
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.
Peskin SM. New York Times. October 4, 2018.
Error disclosures are difficult but important conversations that can have negative consequences for patients, clinicians, and organizations, even when they are done appropriately. This newspaper article offers insights from a doctor who experienced both sides of disclosure, as a physician disclosing an error and as a patient whose physician missed a complication, and discusses how to manage relationships once clinical mistakes are recognized.
Schulte F, Lucas E, Mahr J. Kaiser Health News and Chicago Tribune. September 5, 2018.
Sepsis is a serious condition that can be fatal if it is not promptly diagnosed and treated. This news article reports on systemic factors in nursing homes such as poor staffing and communication with families that contribute to unmanaged pressure ulcers and sepsis that result in hospital admissions and death. A WebM&M commentary discussed a case involving a patient who had a pressure ulcer and sepsis in long-term care.
St. Paul, MN: Minnesota Department of Health; March 2019.
The National Quality Forum has defined 29 never events—patient safety problems that should never occur, such as wrong-site surgery and patient falls. Since 2003, Minnesota hospitals have been required to report such incidents. The 2018 report summarizes information about 384 adverse events that were reported and found pressure ulcers and invasive procedure events increased, while fall-related deaths decreased. Reports from previous years are also available.
Chicago, IL: American Hospital Association and Health Research & Educational Trust; September 2016.
The Partnership for Patients program has supported the Hospital Engagement Networks since 2011. This report reviews the results of the second round of funded effort, which involved more than 1500 hospitals in the United States that prevented 34,000 harms from September 2015 to September 2016. Areas of improvement included reductions in surgical site infections, adverse drug events, and postoperative complications. The authors also highlight core strategies of the program, such as evidence dissemination and coaching.
McNeill R, Nelson DJ, Abutaleb Y. Reuters Investigation. September 7, 2016.
Antimicrobial resistance is a pervasive threat to patient safety. This news article discusses incidents involving methicillin-resistant Staphylococcus aureus (MRSA) infection to spotlight the need for health care to develop system-level approaches to measuring the problem and enforce regulations designed to prevent health care–associated infections. A PSNet perspective described one nurse's experience with MRSA as a patient.
CDC Vital Signs. August 23, 2016.
Freyer FJ. Boston Globe. November 19, 2015.
Consumer Reports. July 29, 2015.
Boodman SG. The Atlantic. June 7, 2015.
Delirium is a common unintended consequence of hospitalization, most often following a surgical procedure. This magazine article discusses characteristics of the condition, contributing factors, challenges to diagnosing it, and strategies to reduce its incidence. A previous AHRQ WebM&M commentary describes the key diagnostic differences between delirium and dementia.