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- Communication Improvement
- Culture of Safety 3
- Education and Training 4
- Error Reporting and Analysis
- Human Factors Engineering 1
- Legal and Policy Approaches 2
- Quality Improvement Strategies 2
- Technologic Approaches 1
Search results for "Error Reporting"
- Error Reporting
- Health Literacy Improvement
Smerd J. Workforce Management. June 11, 2007;1, 16-19.
This article discusses the financial impact on employers when an employee is affected by medical error.
Journal Article > Study
A patient reported approach to identify medical errors and improve patient safety in the emergency department.
Glickman SW, Mehrotra A, Shea CM, et al. J Patient Saf. 2016 Nov 2; [Epub ahead of print].
Patients' perceptions of care may provide valuable insights for improving safety. Researchers surveyed patients seen in an academic emergency department over a one-year period. They found that patients were able to accurately identify adverse events and near misses, only a small fraction of which were also submitted to an existing incident reporting system.
Gardner LA. PA-PSRS Patient Saf Advis. June 2016;13:58-65.
Insufficient health literacy is a known patient safety hazard. This article reviews incidents submitted to a state reporting initiative where insufficient patient understanding may have played a role in delayed or missed care and describes a program to encourage adoption of teach-back and other strategies to help patients better comprehend their health care instructions. A past PSNet perspective discussed the role of health literacy in patient safety.
Legislation/Regulation > Government Resource
Council recommendation on patient safety, including the prevention and control of healthcare associated infections.
Council of the European Union (2009).
This document provides a series of suggestions to improve patient safety in health care systems across the European Union.
Bunting RF Jr, Schukman J, Wong WB. Washington, DC: Atlantic Information Services, Inc.; 2009. ISBN: 1933801557.
This biannually updated publication and companion CD provide detailed health care risk management strategies and tools to reduce adverse events.
Journal Article > Commentary
Jenkins RH, Vaida AJ. Fam Pract Manag. 2007;14:41-47.
The authors highlight low-cost strategies that support safe medication use in office-based care.
St. Paul, MN: Minnesota Department of Health; January 2009.
This report provides background on the Minnesota Never Events reporting initiative, tips for patients on how to receive the safest care possible, and a table of events reported by all hospitals in the state.
Kaiser Family Foundation, Agency for Healthcare Research and Quality; September 2006.
This survey follows up on a prior study from 2004, asking patients about their perceptions of health care quality and medical errors. The study found minimal change since 2004 in overall impression of US health care quality, with approximately half of respondents stating they are "dissatisfied" with quality, particularly with coordination of care. More patients are aware of information comparing the quality of hospitals, health care plans, or providers, but only a small minority report using this information to make health care decisions. A large proportion of patients reported taking recommended actions to improve safety, such as bringing a list of their medications to appointments or following up on test or procedure results. As found in other studies, survey respondents overwhelmingly expressed support for full, mandatory disclosure of all preventable errors, and two-thirds felt errors should be publicly reported.
Journal Article > Commentary
The Risk Management Reporter. June 2005;24:1,3-7.
This commentary provides a definition of patient-centered care, lists potential impediments to implementation, and highlights several successful initiatives in acute care hospitals.