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Approach to Improving Safety
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Journal Article > Review
Electronic medical record: a balancing act of patient safety, privacy and health care delivery.
Gummadi S, Housri N, Zimmers TA, Koniaris LG. Am J Med Sci. 2014;348:238-243.
Electronic health records (EHRs) and health information technologies (IT) have been widely implemented to enhance safe care delivery, despite weaknesses linked to systems and user experience. This review explores the evidence on health IT implementation and design challenges that have hindered progress, recommends ways to address these issues, and highlights the potential benefits if EHRs are fully utilized.
Journal Article > Study
Ethics, oversight and quality improvement initiatives.
Taylor HA, Pronovost PJ, Sugarman J. Qual Saf Health Care. 2010;19:271-274.
This survey of participants in the 100,000 Lives Campaign provides an overview of oversight of quality improvement initiatives and the ethical considerations involved in conducting quality improvement research.
Meeting/Conference > Government Resource
AHRQ 2007 Annual Conference.
Rockville, MD: Agency for Healthcare Research and Quality; August 2008.
This Web site provides access to presentation materials from AHRQ's first annual conference, held in September 2007.
Newspaper/Magazine Article
New standards for hospitals call for patients to get private rooms.
Landro L. The Wall Street Journal. March 22, 2006:A1.
This article reports on design guidelines that will require newly constructed hospitals to have only private rooms. Single-patient rooms may help reduce infection rates, improve recovery time, and enhance patient safety.
Audiovisual > Meeting/Conference Proceedings
2005 Annual Patient Safety and Health Information Technology Conference: Making the Health Care System Safer through Implementation and Innovation.
Agency for Healthcare Research and Quality. June 6-10, 2005.
The Agency for Healthcare Research and Quality (AHRQ) hosted the 2005 Annual Patient Safety and Health Information Technology Conference. Transcripts and slide presentations are available from the five-day event.
Journal Article > Commentary
Learning from others: legal aspects of sharing patient safety data using provider consortia.
Liang BA, Weinger MB, Suydam S. J Patient Saf. 2005;1:83-89.
The authors present a detailed analysis of federal and state legal and regulatory protections affecting collaborative efforts to learn from patient safety data. Their discussion includes recommendations for the structure of these consortia, state privileging, and federal policy support for expanded use of consortia findings. The paper was written prior to the passage of the Patient Safety and Quality Improvement Act of 2005 (PL 109-41); this legislation should provide additional protections.
Journal Article > Commentary
HIPAA and patient care: the role for professional judgment.
Lo B, Dornbrand L, Dubler NN. JAMA. 2005;293:1766-1771.
This commentary discusses federal health privacy regulations, commonly known as the Health Insurance Portability and Accountability Act (HIPAA), and the misconceptions many providers share about its impact on incidental disclosures. The authors outline the current regulation requirements and offer strategies for interpretation, particularly in areas where gaps exist and professional judgment is needed. Discussion includes the ethical aspect of interpreting the regulations with criteria that should be met for an incidental disclosure to be permissible. Numerous examples are provided throughout the article. The authors conclude with recommendations to both comply with regulatory policy and ensure the best clinical care and professional ethics. They point out that giving absolute priority to maintaining a patient's confidentiality should never compromise care.
Book/Report
Promoting Patient Safety: An Ethical Basis for Policy Deliberation.
Sharpe VA. Hasting Center Rep. 2003;33(suppl):S1-S20.
The results of a two-year Hastings Center project to elucidate ethical concerns that affect the dialogue in developing effective patient safety policies.