Narrow Results Clear All
- Communication Improvement 5
- Culture of Safety 1
- Education and Training 3
- Error Reporting and Analysis 3
- Human Factors Engineering 1
- Legal and Policy Approaches 2
- Logistical Approaches 1
- Quality Improvement Strategies 3
- Teamwork 1
- Technologic Approaches 2
- Transparency and Accountability 1
- Device-related Complications 1
- Diagnostic Errors 4
- Discontinuities, Gaps, and Hand-Off Problems 2
- Medication Safety 3
- Surgical Complications 1
Search results for "Health Care Providers"
Cullen A. Uitgeverij van Brug: The Hague, The Netherlands; 2019. ISBN: 9789065232236.
Patient stories offer important insights regarding the impact medical errors have on patients and their families. This book shares the author's experience with medical error and spotlights how lack of transparency in European health care can contribute to avoidable process failures that result in patient harm.
FDA Safety Communication: caution when using robotically-assisted surgical devices in women's health including mastectomy and other cancer-related surgeries.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; February 28, 2019.
This announcement seeks to raise awareness of the potential risks associated with the use of robotic-assisted surgical devices in mastectomies or cancer-related care. Recommendations for patients who may seek to have robotically assisted surgery include asking about their surgeon's experience with these procedures and discussing benefits, risks, and alternatives regarding available treatment options with their health care provider. Suggestions for health care providers include completing specialized training on procedures they perform. A WebM&M commentary described the challenges and benefits associated with robotic surgery.
Improving Diagnosis: Teenage Cancer Trust Report on Improving the Diagnostic Experience of Young People With Cancer.
London, England: Teenage Cancer Trust; 2013.
This report spotlights challenges to early diagnosis of cancer in pediatrics and offers guidance for clinicians and families to improve care for these patients.
Journal Article > Study
Wolf JA, Moreau J, Akilov O, et al. JAMA Dermatol. 2013;149:422-426.
Smartphones provide opportunities to share information and may become invaluable tools for certain health care functions, such as assisting smoking cessation or monitoring medication adverse effects. Recently, several mobile health care applications have been developed and marketed directly to non-clinician consumers. This study evaluates the accuracy of four smartphone applications intended to assess photographs of skin lesions to help users decide whether the lesion is potentially dangerous. Overall, the applications performed poorly, with three incorrectly classifying 30% or more of melanomas as unconcerning. In the more accurate fourth application, images are sent to a board-certified dermatologist for evaluation, rather than using a preset algorithm. The concern is that reliance on these dermatologic applications could delay diagnoses and ultimately harm patients.
Web Resource > Government Resource
Centers for Disease Control and Prevention.
This Web site provides resources for patients and practitioners to help reduce risk of infection during outpatient chemotherapy.
Journal Article > Study
Weingart SN, Simchowitz B, Kahlert Eng T, et al. Jt Comm J Qual Patient Saf. 2009;35:63-71.
This study combined two approaches widely advocated for improving safety: teamwork training and involving patients in safety efforts. In response to prior research on safety problems in outpatient chemotherapy suites, the investigators implemented a teamwork training intervention with the assistance of patient volunteers. Based on safety principles such as situational awareness and closed-loop communication, the intervention focused on encouraging patients to ask specific questions regarding their care. Patients who were aware of the program reported that they changed their behaviors as a result. This is one of the first studies to report on engaging patients in a teamwork intervention.
Breast Cancer Services in Trafford and North Manchester. An Investigation Into The Circumstances Surrounding A Serious Clinical Incident In Symptomatic Breast Services – The Baker Report.
Baker M. Manchester, England: NHS North West; February 2007.
This report shares findings from an investigation into individual and system failures that contributed to a radiologist misreading mammograms for a 2-year period.
Journal Article > Study
Rohrer JE, Esler WV, Saeed Q, et al. Support Care Cancer. 2006;14:871-873.
This survey of community cancer center patients found that approximately 70% misunderstood the meaning of do-not-resuscitate (DNR).
Perspectives on Safety > Perspective
Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience
with commentary by James B. Conway; Saul N. Weingart, MD, PhD, Errors in the Media and Organizational Change, May 2005
A decade ago, two tragic medical errors rocked one of the world’s great cancer hospitals, Dana-Farber Cancer Institute (DFCI) in Boston, to its core. The errors led to considerable soul searching and, ultimately, a major change in institutional practices a...
Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death of Globe columnist, damage to second woman.
Knox RA. The Boston Globe. March 23, 1995; Metro/Region section: 1.
This column chronicles the tragic death of Betsy Lehman, a Boston Globe health columnist, who fell victim to an inadvertent overdose of chemotherapy while receiving treatment for breast cancer at the Dana-Farber Cancer Institute. The story details the events surrounding the case, the reactions among family and the public, and the response from Dana-Farber.