Narrow Results Clear All
Approach to Improving Safety
Safety Target
- Device-related Complications 2
- Diagnostic Errors 12
- Discontinuities, Gaps, and Hand-Off Problems 6
- Drug shortages 1
- Fatigue and Sleep Deprivation 3
- Identification Errors 2
- Medical Complications 15
- Medication Safety 4
- Psychological and Social Complications 5
- Surgical Complications 17
Clinical Area
- Medicine 87
- Nursing 3
- Pharmacy 1
Target Audience
Search results for "Hospitals"
- Hospitals
- Role of the Media
Download Citation File:
- View: Basic | Expanded
- Sort: Best Match | Most Recent
Newspaper/Magazine Article
The next wave of hospital innovation to make patients safer.
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.
Newspaper/Magazine Article
Many well-known hospitals fail to score high in Medicare rankings.
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.
Newspaper/Magazine Article
Paralyzed by errors, this Xbox designer is taking on hospital safety.
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.
Newspaper/Magazine Article
Mean girls of the ER: the alarming nurse culture of bullying and hazing.
Robbins A. Good Housekeeping. May 20, 2016.
Disruptive behaviors are receiving increased attention as a cultural factor that contributes to medical error. Although much of the focus has been on physicians, the presence of bullying among nurses is also a concern. This magazine article explores nurse behaviors such as withholding information, intimidation, and name calling that negatively affect patient safety and nurse retention.
Newspaper/Magazine Article
Rating hospitals by the stars: the feds' latest plan to measure quality is the most controversial.
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.
Newspaper/Magazine Article
Clues to better health care from old malpractice lawsuits.
Landro L. Wall Street Journal. May 9, 2016.
Closed claims have been considered a source for adverse event data for years, and recently such data has been utilized to inform safety improvement work. This newspaper article reviews several organizational efforts that use claims data to determine factors that contribute to failure and strategies to address them, including process redesign and enhanced patient education.
Journal Article > Study
Can social media be used as a hospital quality improvement tool?
Lagu T, Goff SL, Craft B, et al. J Hosp Med. 2016;11:52-55.
Researchers in this study reviewed patient feedback posted on a hospital's Facebook page to determine whether social media may be a helpful mechanism for identifying patient safety and quality improvement issues. In this small sample of 37 respondents over a 3-week period, insights from social media comments did not seem to add much to the feedback already collected by more traditional methods, such as patient satisfaction surveys.
Newspaper/Magazine Article
Inside Canada's secret world of medical error: 'There is a lot of lying, there's a lot of cover-up.'
Blackwell T. National Post. January 16, 2015.
Reporting on the lack of transparency around medical errors in Canada, this news article relates how errors are being repeated across the country due to the systemic failure to have open discussions about adverse events.
Newspaper/Magazine Article
The US has a drug shortage—and people are dying.
Koba M. Fortune. January 6, 2015.
National drug shortages are a persisting and serious patient safety issue in the United States. Reporting on the drug shortage problem, this magazine article explores underlying causes, economic factors involved, and how shortages threaten the safety and timeliness of patients receiving treatment.
Newspaper/Magazine Article
ER doctor discusses role in Ebola patient's initial misdiagnosis.
Dunklin R, Thompson S. Dallas Morning News. December 6, 2014.
This news article reports on the widely publicized delayed diagnosis of Ebola at a Dallas hospital and reveals previously undisclosed details from the emergency room physician who misdiagnosed the patient when he first presented, including information and communication gaps that may have contributed to the failure.
Audiovisual
California hospitals make hundreds of errors every year, public is unaware.
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.
Newspaper/Magazine Article
Hamilton father misdiagnosed with lung cancer demands answers.
Carville O. The Star. November 14, 2014.
This news article reports on a case involving a patient who was misdiagnosed with terminal cancer and touches on the psychological impact of diagnostic error on the patient and his family. The potential causes of the mistake include laboratory sample confusion and misinterpretation of biopsy results.
Audiovisual
Is a tired doctor a safe doctor?
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.
Newspaper/Magazine Article
Living with cancer: not talking about medical mistakes.
Gubar S. New York Times. October 30, 2014.
This newspaper article describes how surgical complications, health care–associated infections, and ineffective patient–provider communication contributed to a patient's experience with harm and suggests that transparency around the incident and preoperative patient briefings could have improved the situation.
Newspaper/Magazine Article
Is surgery safer at a teaching hospital?
Webster H. US News & World Report. October 27, 2014.
This magazine article explores whether receiving care at a teaching hospital affects patient safety and highlights how the demands of the educational process can actually augment safety, as attendings at these institutions typically remain up-to-date on new evidence to respond to students' questions and supervision is required for students performing procedures.
Audiovisual
To reduce patient falls, hospitals try alarms, more nurses.
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.
Newspaper/Magazine Article
Ebola case raises concern about everyday hospital safety.
Rodricks D. Baltimore Sun. October 14, 2014.
Although significant progress has been made in improving patient safety over the past decade, many medical errors continue to occur. In light of the recent incident involving transmission of the Ebola virus from a patient to a nurse at a Dallas hospital, this newspaper article reports on how lapses in following standard procedures in care environments, such as insufficient handwashing, can result in preventable harm.
Newspaper/Magazine Article
Dallas Ebola case shows even sound plans can fail spectacularly.
Loftis RL. Dallas Morning News. October 5, 2014.
Guidelines and rules are developed to help augment safety, but they cannot guarantee it. This news article explores the potential causes for a missed diagnosis of Ebola despite screening procedures for the virus, including weaknesses in an electronic health record system, complacency, and poor communication.
Newspaper/Magazine Article
Feds reverse course, will release hospital mistake data.
O'Donnell J. USA Today. September 7, 2014.
This newspaper article reports on the decision to reinstate distribution of publicly-reported information on hospital-acquired conditions that, in an attempt to simplify content for consumers, had been removed from the Hospital Compare Web site.
Newspaper/Magazine Article
Surgical error at Tufts prompts widespread changes.
Kowalczyk L. Boston Globe. August 31, 2014.
Reporting on an incident involving administration of an inappropriate dye which led to a patient's death, this newspaper article reveals how cognitive biases may have played a role and steps the hospital took to prevent similar errors. Six Massachusetts hospitals have launched a pilot program for early apology and resolution in an effort to enhance patient satisfaction and safety.
