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- Error Reporting and Analysis 6
- Legal and Policy Approaches 4
- Quality Improvement Strategies 3
- Technologic Approaches 2
- Transparency and Accountability
Search results for "Transparency and Accountability"
- Newspaper/Magazine Article
- Transparency and Accountability
Porter S. HealthLeaders Media. April 26, 2018.
Overreliance on technology can result in harmful medication mistakes. Reporting on a 10-fold medication overdose that led to the death of a patient with dementia, this news article describes how the hospital changed their processes to improve medication safety, which included restructuring medication safety leadership, modifying the electronic health record to address alert overrides, and enhancing information sharing to support learning and transparency.
Wachter R, Kaplan GS, Gandhi T, Leape L. Health Affairs Blog. June 22, 2015.
Transparency is recognized as a key element of safe, patient-centered care. This article offers insights from patient safety experts on how transparency can augment patient safety, barriers such as discomfort with disclosure and fears about negative consequences, and steps leaders can take to achieve greater transparency in their organizations.
Butcher L. Hosp Health Netw. June 2013.
This magazine article explores patient falls and describes strategies to prevent them, including transparency, teach-back, and hallway monitor screens.
Judd A. The Atlanta Journal-Constitution. November 20, 2011.
Allen M. Washington Monthly. March/April 2011.
This magazine article reports on medical errors in the United States health care system and discusses transparency as a tactic to improve patient safety.
Bogdanich W, Rebelo K. New York Times. December 28, 2010;A1.
This article explores inaccuracy of dosage, lack of protocol adherence, and absence of transparency as trends that hinder learning from radiological adverse events.
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.
Kauffman M, Altimari D. The Hartford Courant. November 15, 2009;Final:A1.
This newspaper article reports that a Connecticut law intended to make hospital errors more transparent has had the opposite effect by making it easier for hospitals to limit publicly available information on adverse events.
Errors test openness at Beth Israel Deaconess. Disclosures will benefit hospital, president insists.
Wen P. Boston Globe. October 27, 2008.
This newspaper article reports on one hospital executive's work on transparency regarding errors and describes reactions to these efforts.
Gulliver D. Herald Tribune. September 3, 2007.
This article describes how the culture around medical errors is evolving to include disclosure and transparency, illustrated by a physician's willingness to discuss a wrong-site surgery.
Boodman SG. Washington Post. March 26, 2018.
Although providing patients with access to physician notes and test results supports transparency and patient engagement, it can also introduce certain challenges. This newspaper article reports on unintended psychological stresses associated with direct patient access to test results without appropriate contextual information. Improvement strategies include use of graphics, timely patient-centered communication, and scheduling appointments to discuss results. A PSNet perspective explored how patient-facing technologies can empower patients and improve safety.
Cohen SS. Healthc Exec. July-August 2005;20:16-20.
The author presents the importance of transparency in health care to support hospital financial and improvement goals.