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Communication between Providers
- Sbar 1
- Communication between Providers 5
- Culture of Safety 1
Education and Training
- Students 1
- Error Reporting and Analysis 7
- Human Factors Engineering 5
Legal and Policy Approaches
- Credentialing, Licensure, and Discipline
- Logistical Approaches 2
- Quality Improvement Strategies 7
- Specialization of Care 1
- Teamwork 2
- Technologic Approaches 6
- Transparency and Accountability 1
- Device-related Complications 1
- Discontinuities, Gaps, and Hand-Off Problems 3
- Identification Errors 6
- Medical Complications 2
- Medication Errors/Preventable Adverse Drug Events 13
- Overtreatment 1
- Psychological and Social Complications 4
- Surgical Complications 10
- Medicine 20
- Nursing 2
- Pharmacy 9
- Family Members and Caregivers 2
- Health Care Executives and Administrators 14
Health Care Providers
- Nurses 2
- Non-Health Care Professionals 10
- Patients 18
Search results for "Credentialing, Licensure, and Discipline"
- Newspaper/Magazine Article
- Credentialing, Licensure, and Discipline
Span P. New York Times. February 1, 2019.
Cognitive and functional decline can occur as individuals age. Concerns have been raised regarding the need to assess skills of aging physicians. This newspaper article reports on the implementation of mandatory evaluation programs to assess competencies of older surgeons and the profession's response to them.
Dembosky A. All Things Considered and KQED. January 23, 2019.
Policy, practice, and communication strategies have been implemented in an effort to stem the opioid crisis and prescribing activities that contribute to misuse. This news article and accompanying webcast discuss an initiative in California that sends letters to prescribers whose patients have died due to opioid overdose. The piece outlines unintended consequences associated with the practice, including clinician reluctance to prescribe opioids for pain. An Annual Perspective discussed the patient safety aspects of the opioid epidemic.
Harasim P. Las Vegas Review-Journal. March 15, 2011:1A.
This newspaper article reports how a physician reused single-use equipment and put patients at risk for blood-borne diseases.
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.
ISMP Medication Safety Alert! Acute Care Edition. December 3, 2009;14:1-3.
This article discusses how a criminal prosecution has deeply affected an Ohio pharmacist who lost his license and is serving a prison sentence for failing to detect a medical error, which led to the death of a child.
ISMP Medication Safety Alert! Acute Care Edition. October 10, 2008;13:1-3.
Reporting that recalled medications were found in hospital pharmacies, this article describes recommendations to improve the process for removing recalled products.
ISMP Medication Safety Alert! Acute Care Edition. July 3, 2008;13:1-3.
This article reports on the potentially fatal error of administering epidural medications intravenously and provides guidelines to safeguard against such epidural–IV route mix-ups.
ISMP Medication Safety Alert! Acute Care Edition. September 6, 2007;12:1-4.
This article analyzes a lethal error involving TPN (total parenteral nutrition), in which dosing and compounding were based on incorrect order entry, and provides recommendations to prevent similar errors.
Fernandez J. Drug Topics. May 7, 2007.
This article discusses a chemotherapy overdose that led to a child's death and the punitive measures taken against the pharmacist involved.
Kowalczyk L. Boston Globe. April 21, 2007:B1.
This article reports on the results from Joint Commission site inspections of five Boston-area hospitals.
ISMP Medication Safety Alert! Acute Care Edition. May 19, 2005;10:1-2.
A survey of 1572 nurses, pharmacists, and physicians revealed that blame, shame, and fear of punishment still affect the reporting behaviors of practitioners.
Whitehead N. National Public Radio. June 18, 2015.
Dubeck D. PA-PSRS Patient Saf Advis. September 2014;11:93-101.
Research has documented a substantial learning curve for surgeons as they develop skills to use robotic technologies. Drawing from data submitted to the Pennsylvania Patient Safety Authority, this article analyzes the 722 safety events involving robotic-assisted surgery reported since 2005—approximately 75% of these incidents did not result in harm but 10 patient deaths were recorded—and discusses the challenges introduced as robotic-assisted surgery becomes accepted as standard surgical practice.
Tarkan L. New York Times. January 25, 2011:D1.
This newspaper article reports on the aging of the physician population and its potential risks to patient safety.
Bernhard B, Kohler J. St. Louis Post-Dispatch. August 1, 2010:A1
In the context of system failures that contributed to the death of a patient, this newspaper article describes how never events are rarely publicized, even though hospital inspection reports are public records.
Stein L. St. Petersburg Times. June 21, 2010.
Reporting on wrong-site surgeries in Florida hospitals, this newspaper article describes how timeouts have changed the nature and frequency of surgical errors.
Quintero F. Orlando Sentinel. June 16, 2010;A1.
This newspaper article reports how one hospital system introduced advanced training programs to ensure safe use of surgical robots.
Sandrick K. Trustee. November 2009.
This article discusses how physician disrespect, harassment, and physical intimidation affect staff morale, retention, and team communication. The piece also offers suggestions for board members and hospital leadership on how to address disruptive individuals.
Young A. The Atlanta Journal-Constitution; September 20, 2009:B1.
This newspaper article reports on numerous prescription mistakes in retail pharmacies in Georgia and offers tips for consumers to help prevent errors with their medications.
Kowalczyk L. The Boston Globe. August 10, 2008;Metro section:1A.
This article describes how physician outbursts can affect patient safety and discusses a new Joint Commission policy that supports actions against providers who engage in disruptive behavior.