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- Communication Improvement 2
- Culture of Safety 1
- Education and Training 3
- Error Reporting and Analysis 1
- Human Factors Engineering 3
- Legal and Policy Approaches 1
- Logistical Approaches
- Quality Improvement Strategies 1
- Technologic Approaches 1
- Transparency and Accountability 1
- Discontinuities, Gaps, and Hand-Off Problems 1
- Fatigue and Sleep Deprivation 3
- Identification Errors 1
- Medical Complications 3
- Medication Safety 2
- Surgical Complications 1
Search results for "Logistical Approaches"
- Logistical Approaches
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.
Caruso CC, Geiger-Brown J, Takahashi M, Trinkoff A, Nakata A. Cincinnati, OH: US Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health; May 2015. DHHS NIOSH Publication No. 2015-115.
Nurse fatigue has been associated with diminished decision-making skills that can contribute to patient harm. This online training program for clinicians and administrators will explore hazards related to nurse fatigue and provide strategies to address behaviors and systems that increase these risks.
McKinnon C. WBZ-TV. February 13, 2015.
Ryan J. All Things Considered. National Public Radio. October 16, 2013.
This radio news segment reports on patient falls, including risk factors and prevention strategies.
Weinstein DF, Arora V, Drolet B, Reynolds EE. N Engl J Med. 2013;369:e32.
The implementation of resident duty hours over the past decade has been controversial. The New England Journal of Medicine hosted a roundtable discussion exploring the effects of duty hour regulations on residency training. Moderated by Dr. Debra Weinstein, the discussion featured Dr. Vineet Arora, Dr. Eileen Reynolds, and surgical resident Dr. Brian Drolet as panelists. The discussants noted the evidence for patient safety after duty-hour restrictions has not been as robust as people had predicted. They also focused on the increase in supervision, changes in sense of professionalism, and challenges of handoffs that have followed duty hours. Accompanying the video are two perspective articles written by physicians from different generations describing the benefits and drawbacks of their overnight experiences. A recent AHRQ WebM&M perspective and interview also discussed the potential impact of resident duty hours on patient safety.
Audiovisual > Audiovisual Presentation
Schiff GD. Institute for Healthcare Improvement; Journal of the American Medical Association. July 20, 2011.
Featuring an discussion with the author of a recent JAMA article, this archived webinar explored systemic causes for delays in test follow-up and offered strategies to address them.
Herper M, Lindner M. Forbes. August 25, 2008.
This article discusses common medical complications and care failures, and provides an annotated picture gallery of several hospital complications and how they can be prevented.
Rockville, MD: Agency for Healthcare Research and Quality. June 20, 2007.
This podcast discusses the importance of handwashing to reduce infections in hospitals as well as how consumers can help improve clinician compliance.
Rockville, MD: Agency for Healthcare Research and Quality. September 27, 2006.
This podcast features an interview with Agency for Healthcare Research and Quality (AHRQ) Director Carolyn Clancy discussing several AHRQ-funded studies on lack of sleep, fatigue, and medical error.