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- Communication Improvement 2
- Culture of Safety 1
- Error Reporting and Analysis
- Logistical Approaches 2
- Technologic Approaches
- Diagnostic Errors 1
- Discontinuities, Gaps, and Hand-Off Problems 1
- Medication Safety 1
- Surgical Complications 1
Search results for "Clinical Information Systems"
Nakhleh RE, Volmar KE, eds. Cham, Switzerland: Springer Nature; 2019. ISBN: 9783030184636.
Surgical specimen and laboratory process problems can affect diagnosis. This publication examines factors that contribute to errors across the surgical pathology process and reviews strategies to reduce their impact on care. Chapters discuss areas of focus to encourage process improvement and error response, such as information technology, specimen tracking, root cause analysis, and disclosure.
Perspectives on Safety > Interview
The Transformation of Patient Safety at the VA, September 2006
James P. Bagian, MD, is the Director of the Department of Veterans Affairs National Center for Patient Safety. Dr. Bagian began his career as a mechanical engineer, then became a physician, trained in surgery and anesthesia. A NASA Astronaut for 15 years, he flew on two space shuttle flights. In 2001, the American Medical Association awarded him the Nathan S. Davis Award for outstanding public service in the advancement of public health. We asked Dr. Bagian to speak with us about his experience transforming safety at in Veterans Affairs hospitals nationwide.
Cases & Commentaries
- Spotlight Case
- Web M&M
Paul Barach, MD, MPH; February 2003
A boy undergoing knee surgery stopped breathing after inadvertently being given a paralytic medication instead of an antibiotic.