Narrow Results Clear All
- Communication Improvement 1
- Culture of Safety 1
Education and Training
- Students 1
- Error Reporting and Analysis 10
- Human Factors Engineering 2
Legal and Policy Approaches
- Role of the Media
- Logistical Approaches 3
- Quality Improvement Strategies 2
- Technologic Approaches 1
- Transparency and Accountability 1
- Device-related Complications 1
- Discontinuities, Gaps, and Hand-Off Problems 3
- Fatigue and Sleep Deprivation 3
- Medical Complications 9
- Medication Safety 1
- Psychological and Social Complications 3
- Surgical Complications 1
Search results for "Role of the Media"
- Hospital Medicine
- Role of the Media
Rau J. National Public Radio. July 27, 2016.
Although quality rating systems have yet to receive approval across the health care industry, they still serve as a way for consumers to select hospitals and providers. The developers of rating services continue to refine metrics to hone their effectiveness. This news article reports on the latest set of ratings from the Hospital Compare program and concerns associated with the results.
Aleccia J. Seattle Times. June 18, 2016.
Patients who experience harm while receiving medical care can serve as powerful advocates for patient safety. This news article reports on a patient who became engaged in working to redesign processes to improve patient safety after he became paralyzed from the chest down due to a cascade of communication errors.
Journal Article > Study
High-profile investigations into hospital safety problems in England did not prompt patients to switch providers.
Laverty AA, Smith PC, Pape UJ, Mears A, Wachter RM, Millett C. Health Aff (Millwood). 2012;31:593-601.
While medical errors continue to affect patients on a daily basis, most organizations fear high-profile cases that land on front pages of newspapers or lead to extensive regulatory intervention. This study evaluated the role of England's Care Quality Commission in their own regulatory investigation of major issues occurring in three hospitals. The investigations led to considerable media attention, but whether this influenced patient behavior was unknown. The authors found that the investigations had zero impact on utilization at two of the hospitals. The third experienced a decrease in inpatient admissions and new patient visits, but the effect dissipated 6 months following the public report. In an era of greater transparency and increased attention on patient safety, these findings suggest that patients' decision-making is perhaps less influenced than expected by such events. Two past AHRQ WebM&M perspectives discussed organizational change in the face of highly public errors at Duke and the Dana Farber Cancer Institute.
Vaida B. The Washingtonian. January 27, 2012.
This magazine article discusses patient safety improvement efforts as well as challenges hindering more widespread error reduction.
Journal Article > Study
Hinchcliff R, Westbrook J, Greenfield D, Baysari M, Moldovan M, Braithwaite J. Int J Qual Health Care. 2012;24:1-8.
Ghaferi AA, Myers C, Sutcliffe KM, Pronovost PJ. Harv Bus Rev. July/August 2016;94.
Achieving high reliability is a recognized goal for health care organizations. Reviewing current technical and standardization enhancements to augment quality and safety in surgery, this article explores how implementing high reliability concepts could further improve safety in surgical care over time.
Rau J. Washington Post. May 17, 2016.
Collecting data to meet quality measurement requirements adds to resource burden for many health care organizations, and there is controversy around the benefits of such rating systems for both patients and clinicians. This news article discusses problems with the Centers for Medicare and Medicaid Services rating mechanism, Hospital Compare.
Stock S, Putnam J, Carroll J, Pham S. NBC Bay Area. November 19, 2014.
Hospital reporting of errors in the United States has been suboptimal. This news video investigates the effectiveness of a state reporting initiative in California. Although hospitals have reported 6282 adverse events to the state in 4 years, patient safety experts suggest that those results do not reliably represent all the incidents that should have been submitted.
Goldman B. "White Coat, Black Art." CBC Radio. October 31, 2014.
This radio segment explores whether sleep deprivation affects the safety of care delivery. Panelists discuss sleep deprivation in health care, the influence of hierarchy and peer behaviors in normalizing fatigue, and the impacts of duty hour limits on patient safety. This contributes to the continuing debate about the benefits of work hour reductions and its potential to detract from residents' competency.
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.
O'Donnell J. USA Today. September 7, 2014.
Parikh R. The Atlantic. August 18, 2014.
The inappropriate use of physical restraints on patients is considered a sentinel event. Although restraints may be used to protect patients from harm, this magazine article highlights risks related to their use—such as increased rates of pressure ulcers and delirium—and advocates for a more patient-sensitive approach to ensure the safety of both patients and caregivers.
Hobson K. US News World Report. August 13, 2014.
This magazine article highlights advances in patient safety efforts along with documented challenges to progress. Surgical checklists, forcing functions in electronic health records, and daily huddles for leaders to talk about concerns are discussed as strategies implemented to reduce adverse events in hospitals.
Clark C. HealthLeaders Media. August 7, 2014.
Although California has collected an estimated $15 million in penalties from hospitals for adverse events, this news piece describes how much of the money has yet to be allocated or spent on safety improvement projects. Moreover, some state agencies have been reluctant to provide specific data to projects that have already been funded.
O'Donnell J. USA Today. August 6, 2014.
This newspaper article reports on changes to publicly reported data on the Hospital Compare Web site. Several avoidable hospital-acquired conditions, such as air embolism or retained foreign objects, are no longer included. Working with the National Quality Forum, the Centers for Medicare and Medicaid Services (CMS) decided to modify the list to make it easier for consumers to use and understand.
Cohn M. Baltimore Sun. July 26, 2014.
This news article reports weaknesses in a Maryland reporting program, including poor understanding about which errors should be reported and lack of regulations regarding disclosure. Limited public access to comprehensive incident reports and insufficient performance measurement hinder consumers' ability to select hospitals based on safety.
Lichtblau E. New York Times. June 15, 2014.
This newspaper article reports how a "culture of silence" at Veterans Affairs hospitals discouraged staff from speaking up about safety and quality concerns related to the use of inaccurate wait time data.
Khullar D. New York Times. May 15, 2014.
Catalanello R. The Times-Picayune. April 15, 2014.
Is your hospital really as safe as you think? Our updated hospital safety score can help you find out.
Consumer Reports. March 27, 2014.
Despite lack of consensus on the value of comparative hospital safety scores, they continue to generate interest and discussion around safety improvement efforts. This news article reports one analysis of patient safety in United States hospitals using five federal measures of safety: mortality, readmission, computed tomography scanning, hospital-acquired infections, and communication regarding medications and discharge planning.