Narrow Results Clear All
Communication between Providers
- Sbar 4
- Communication between Providers 146
- Culture of Safety 106
Education and Training
- Simulators 16
- Students 9
Error Reporting and Analysis
- Never Events 11
- Error Reporting 178
Human Factors Engineering
- Checklists 41
Legal and Policy Approaches
- Regulation 54
- Logistical Approaches 67
- Policies and Operations 6
Quality Improvement Strategies
- Benchmarking 15
- Specialization of Care 44
- Teamwork 50
- Clinical Information Systems 107
- Transparency and Accountability 10
- Alert fatigue 1
- Device-related Complications 67
- Diagnostic Errors 91
- Discontinuities, Gaps, and Hand-Off Problems 92
- Drug shortages 16
- Fatigue and Sleep Deprivation 21
- Identification Errors 44
- Interruptions and distractions 10
- Delirium 1
- Medication Errors/Preventable Adverse Drug Events 248
- MRI safety 4
- Nonsurgical Procedural Complications 20
- Overtreatment 3
- Psychological and Social Complications 71
- Second victims 4
- Surgical Complications 135
- Transfusion Complications 4
- Ambulatory Care 99
- General Hospitals 185
- Long-Term Care 14
- Outpatient Surgery 18
- Patient Transport 7
- Psychiatric Facilities 5
- Allied Health Services 2
- Dentistry 2
- Geriatrics 15
- Obstetrics 19
- Pediatrics 44
- Primary Care 10
- Radiology 16
- Internal Medicine 278
- Nursing 59
- Palliative Care 1
- Pharmacy 185
- Family Members and Caregivers 21
- Health Care Executives and Administrators 569
Health Care Providers
- Nurses 91
- Pharmacists 87
- Physicians 161
Non-Health Care Professionals
- Educators 34
- Engineers 37
- Media 9
- Patients 503
- Asia 1
- Europe 37
- Canada 12
United States of America
United States Federal Government
- Department of Health and Human Services (HHS) 10
- United States Federal Government 14
Search results for ""
ISMP Medication Safety Alert! Acute Care Edition. November 16, 2017;22:1-5.
Texting medication orders is convenient for providers, but there are concerns associated with safety and security risks. This newsletter article reviews the results of a national survey on the use of provider text messaging in health care. Participants reported problems such as misidentification of patients, autocorrection errors, and misunderstood abbreviations that can contribute to medication errors.
New York, NY: ProPublica, Inc; 2017.
Aleccia J, Bailey M. Kaiser Health News. October 26, 2017.
Patient safety in ambulatory hospice care is ill defined. Reporting on safety concerns associated with hospice care, including poor coordination and insufficient family education, this news article discusses how citizen complaints led to government investigations into deficiencies of end-of-life home care.
Szabo L. Kaiser Health News. October 23, 2017.
Overdiagnosis and overtreatment present a challenge to patient safety. This news article reports on the prevalence of overtreatment among patients with cancer, how it can result in patient harm, and patient stories that illustrate the impact of overtreatment. A past PSNet interview discussed the patient safety implications of diagnostic radiology overuse.
ISMP Medication Safety Alert! Acute Care Edition. October 19, 2017;22:1-3.
Quick Safety. October 16, 2017;(37):1-3.
Blank C. Drug Topics. October 13, 2017.
Kuang C. Fast Company. October 4, 2017.
Complicated systems often require more than one change to improve their safety. Poor patient understanding of prescription labels and medication dispensing processes at retail pharmacies contribute to medication errors. This news article discusses a strategy that began with color-coded labels and led to a retail pharmacy implementing redesigned pill bottles that provide an overall prescription regimen.
Headley M. Patient Saf Qual Healthc. October 4, 2017.
Burnout, stress, and personal challenges can affect clinicians' ability to provide safe care. This article explores factors that prevent clinicians from seeking support and provides suggestions for organizations to encourage health care providers to solicit help, such as establishing a culture of wellness, second victim initiatives, substance abuse assistance, and domestic violence programs.
Ready T. HealthLeaders Media. September 26, 2017.
Transitions are an error-prone process. This news article reports that organizational leadership should be engaged in enhancing safety of transitions and facilitating design of sustainable improvements. The article also highlights successful interventions that have benefited from leadership engagement, such as the I-PASS program.
Bendix J. Med Econ. September 25, 2017.
The persistent problem of opioid-related harm calls for changes in pain management practices and system processes in all care settings. This magazine article reports on ways physicians can help proactively recognize and address the potential for patient opioid misuse, such as adherence to guidelines and monitoring patient opioid use. An Annual Perspective discussed the opioid crisis as a patient safety problem.
Estes A. Boston Globe. September 16, 2017.
Psychological safety can empower staff to communicate concerns that affect patient safety. This newspaper article reports on Veterans Affairs staff concerns about safety hazards, consequences whistle-blowers have faced after speaking up about problems, and efforts to protect whistle-blowers and improve the safety of the system.
Landro L. Wall Street Journal. September 12, 2017.
Misdiagnosis has gained recognition as an important patient safety problem. This newspaper article reports on several areas of research and improvement efforts that seek to better understand the roots of diagnostic error and design solutions. Strategies discussed include artificial intelligence, lessons learned initiatives, and data-tracking mechanisms.
Hobson K. Health Shots. National Public Radio. September 8, 2017.
Medication regimen nonadherence can result in patient harm. This news article reports the results of a national poll, which found that a substantial number of patients under the age of 35 do not take their medication as directed. Patients who stopped taking medications without consulting their doctors cited various reasons, including forgetfulness, feeling better, and belief the medication did not work .
ISMP Medication Safety Alert! Acute Care Edition. September 7, 2017;22:1-4.
Workflow processes for compounded sterile preparation can affect patient safety. Discussing how pharmacies have increasingly implemented workflow management systems to automate compounded sterile solution processes, this newsletter article reviews challenges associated with these systems and recommends strategies to reduce risks.
Laposata M. The Pathologist. September 2017;(34):18-27.
R3 Report. 2017 Aug 29;11:1-7.
Headley M. Patient Saf Qual Healthc. August 21, 2017.
Health care workers face high levels of stress and production pressures, which can contribute to clinician burnout and diminish the safety of care delivery. This commentary describes stressors that affect the psychological health of clinicians, the importance of establishing an organizational culture that supports clinicians, and proactive ways to build clinician resilience in various stressful circumstances.
Mickle K. Glamour Magazine. August 11, 2017.
Wallace SC, Mamrol C, Finley E. PA-PSRS Patient Saf Advis. 2017;14.
Near misses or good catches present organizations with learning opportunities. Using data comparisons run by the Pennsylvania Patient Safety Authority, this article highlights how good catch programs can contribute to significant reductions in harmful events and offers insights from risk managers and patient safety officers regarding elements that are necessary to establish successful good catch initiatives and the culture to support them.