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- Communication Improvement 6
- Education and Training 3
- Error Reporting and Analysis 29
- Human Factors Engineering 5
Legal and Policy Approaches
- Quality Improvement Strategies 12
- Technologic Approaches 7
- Transparency and Accountability 2
- Device-related Complications 3
- Discontinuities, Gaps, and Hand-Off Problems 3
- Medical Complications 10
- Medication Errors/Preventable Adverse Drug Events 9
- MRI safety 1
- Nonsurgical Procedural Complications 1
- Surgical Complications 11
- Transfusion Complications 1
- Health Care Executives and Administrators 24
Health Care Providers
- Nurses 2
Non-Health Care Professionals
- Media 2
- Patients 33
Search results for "Regulation"
- Newspaper/Magazine Article
Jewett C, Alesia M. Kaiser Health News. August 9, 2018.
High-profile failures during office-based procedures have raised awareness of the potential safety hazards of surgery centers and the need for improved oversight. This news article reports on safety events in ambulatory surgical centers and insufficiencies in incident reporting and analysis. Enhanced transparency regarding those failures can enable informed patient decision-making when choosing care providers.
Jt Comm Perspect. August 2010;30:6-7.
This newsletter article discusses the National Patient Safety Goals (NPSG) for 2011 and describes revisions of current NPSGs.
Leape LL. Perspect Health Reform. New York, NY: The Commonwealth Fund; March 17, 2010.
Of three approaches to enhancing patient safety—regulation/accreditation, financial incentives, and public reporting—this perspective, written by the father of the modern patient safety movement, details how public reporting holds the most potential to stimulate improvement.
Kauffman M, Altimari D. The Hartford Courant. November 15, 2009;Final:A1.
This newspaper article reports that a Connecticut law intended to make hospital errors more transparent has had the opposite effect by making it easier for hospitals to limit publicly available information on adverse events.
Graham J. Chicago Tribune. August 21, 2007;Metro section:1.
This article discusses a new Illinois state law that requires hospitals to screen all intensive care patients for methicillin-resistant Staphylococcus aureus (MRSA) infections and to isolate infected patients.
ISMP Medication Safety Alert! Acute Care Edition. February 22, 2007;12:1-3.
This article lists common risks associated with opiates, a high-alert medication, as well as recommended safety improvements to reduce these risks.
Bailey B, Sevrens Lyons J. The Mercury News. November 27, 2005.
This article reports on several errors that occurred at hospitals in California and discusses the state's regulatory system.
USA Today. July 4, 2005.
This editorial supports legislation such as the Fair and Reliable Medical Justice Act, which calls for special courts to evaluate medical malpractice cases.
Rau J. Kaiser Health News. July 6, 2017.
System failures contribute to recurring problems in health care environments. This news article spotlights how lack of follow-up or action related to inspection reports that have uncovered factors in long-term care facilities that contribute to inadequate care can enable poorly performing nursing homes to remain in operation.
Clarke C. HealthLeaders Media. June 6, 2013.
This news piece examines why few hospitals participate in the AHRQ Patient Safety Organizations program.
ISMP Medication Safety Alert! Acute Care Edition. October 18, 2012;17:1-4.
This piece reviews risks associated with the use of compounding pharmacies and recommends that legislative oversight can improve medication safety.
Cohen E. CNN. April 9, 2012.
This news article reports on errors that contributed to the death of a live organ donor and describes regulations to protect organ donors' safety.
Freudenheim M. New York Times. December 13, 2010:3B.
This article reports on a committee created by the Institute of Medicine to analyze the potential impact of electronic medical records (EMR) on costs and quality of care.
Radiological Society of North America. RSNA News; October 2010.
In the context of increased magnetic resonance imaging safety problems, this article emphasizes a need for MR safety standards and incident reporting.
Jt Comm Perspect. August 2010;30:3-5.
This piece outlines the Joint Commission process to define a new direction for sentinel event management and policy.
Health IT Law & Industry Report; February 26, 2010.
This news article covers federal testimony in support of health information technology (HIT) system regulation by the United States Food and Drug Administration (FDA). The piece describes safety concerns that could result from HIT and discusses potential regulatory approaches to improvement, such as third-party reporting, confidentiality, and limited liability.
Huff C. Trustee. January 2010.
Seeking a safer surgery: some states crack down on doctors who perform unregulated outpatient procedures.
Landro L. Wall Street Journal. July 21, 2009:D1.
This article discusses growing legal oversight on outpatient surgery performed in physicians' offices and identifies ways in which patients can assess a facility before deciding to have a procedure there.
More states shred bills for awful medical errors: patients in 23 states will no longer pay for certain mistakes, hospitals say.
Aleccia J. MSNBC News. August 12, 2008.
This article reports on the implementation and expansion of several states' non-payment policies for medical mistakes in light of similar policies set by Medicare and private insurance companies.
Smith S. Boston Globe. June 19, 2008;Metro section:1B
Massachusetts government and state insurers have outlined policies whereby they will not reimburse hospitals for care related to 28 preventable errors, though they have not specified details about implementation or enforcement.