Newspaper/Magazine Article The revolutionary. Citation Text: Swidey N. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL March 6, 2005 Swidey N. View more articles from the same authors. An introduction to Donald Berwick, CEO of Boston's Institute for Healthcare Improvement, and his vision for reshaping health care to improve patient safety and quality. Available at Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Swidey N. Copy Citation Related Resources From the Same Author(s) Are Workarounds Ethical? Managing Moral Problems in Health Care Systems. February 3, 2016 When should surgeons stop operating? July 1, 2015 Pathologists, patients and diagnostic errors—part 1 and part 2. August 10, 2016 All can be lost: the risk of putting our knowledge in the hands of machines. December 4, 2013 Non-technical Skills and the Future of Teamwork in Healthcare Settings. 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Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisations to Be Candid. April 2, 2014
The Economics of Patient Safety: Strengthening a Value-based Approach to Reducing Patient Harm at National Level. April 12, 2017
Medication administration errors in hospitals—challenges and recommendations for their measurement. March 26, 2014
Follow-up of markedly elevated serum potassium results in the ambulatory setting: implications for patient safety. March 29, 2006
Nursing Home Survey on Patient Safety Culture: 2011 User Comparative Database Report. September 14, 2011
Hospital adoption of information technologies and improved patient safety: a study of 98 hospitals in Florida. January 2, 2008
Medication misadventures resulting in emergency department visits at an HMO medical center. March 27, 2005
AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative Database Report. November 19, 2014
Environmental Cleaning for the Prevention of Healthcare-Associated Infections (HAIs). September 16, 2015
2012 User Comparative Database Report: Medical Office Survey on Patient Safety Culture. June 27, 2012
Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative Database Report. July 22, 2015
Investigating the Prevalence and Causes of Prescribing Errors in General Practice: The PRACtICe Study. May 16, 2012
What does safety in mental healthcare transitions mean for service users and other stakeholder groups: an open-ended questionnaire study. March 3, 2021
Redeployment of health care workers in the COVID-19 pandemic: a qualitative study of health system leaders' strategies. May 19, 2021
“I’m concerned”: a multi-site assessment of emergency medicine resident speaking up behaviors. December 21, 2022
Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis. April 5, 2023
The relationship between patient safety culture and the intentions of the nursing staff to report a near-miss event during the COVID-19 crisis. April 5, 2023
Healthcare professionals' perception of safety culture and the Operating Room (OR) Black Box technology before clinical implementation: a cross-sectional survey. March 22, 2023
Prosocial voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety incidents. March 22, 2023
Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children with complex chronic conditions. March 8, 2023
Speaking up as an extension of socio-cultural dynamics in hospital settings: a study of staff experiences of speaking up across seven hospitals. February 22, 2023
Emergency department monitor alarms rarely change clinical management: an observational study. September 16, 2020
Risk of medication errors and nurses' quality of sleep: a national cross-sectional web survey study. September 16, 2020
Deprescribing for community-dwelling older adults: a systematic review and meta-analysis. September 16, 2020
Opioid stewardship program and postoperative adverse events: a difference-in-differences cohort study. September 16, 2020
Radiologists make more errors interpreting off-hours body CT studies during overnight assignments as compared with daytime assignments. September 9, 2020
Applying thematic synthesis to interpretation and commentary in epidemiological studies: identifying what contributes to successful interventions to promote hand hygiene in patient care. September 9, 2020
Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations to 251 medical students. September 9, 2020
Missed acute myocardial infarction in the emergency department-standardizing measurement of misdiagnosis-related harms using the SPADE method. August 19, 2020
Rate of sepsis hospitalizations after misdiagnosis in adult emergency department patients: a look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology in an integrated health system. May 12, 2021
Preventable morbidity and mortality among non-trauma emergency surgery patients: the role of personal performance and system flaws in adverse events. May 12, 2021
Clinical supervision in general practice training: the interweaving of supervisor, trainee and patient entrustment with clinical oversight, patient safety and trainee learning. May 5, 2021
Cybersecurity in health is an urgent patient safety concern: we can learn from existing patient safety improvement strategies to address it. April 7, 2021
Leadership through crisis: fighting the fatigue pandemic in healthcare during COVID-19. March 31, 2021
Learning from safety incidents in high reliability organizations: a systematic review of learning tools that could be adapted and used in healthcare. March 31, 2021
We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation adaptations. March 17, 2021
COVID-19 increased the risk of ICU-acquired bloodstream infections: a case-cohort study from the multicentric OUTCOMEREA network. March 17, 2021
'It's all about patient safety': an ethnographic study of how pharmacy staff construct medicines safety in the context of polypharmacy. March 10, 2021
Preventable medication harm across health care settings: a systematic review and meta-analysis. February 17, 2021
The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the Irish healthcare system. February 3, 2021
Implicit bias in stroke care: a recurring old problem in the rising incidence of young stroke. January 27, 2021
Miscarriage treatment-related morbidities and adverse events in hospitals, ambulatory surgery centers, and office-based settings. December 16, 2020
Influences of physical layout and space on patient safety and communication in ambulatory oncology practices: a multisite, mixed method investigation. July 14, 2021
Improving safety recommendations before implementation: a simulation-based event analysis to optimize interventions designed to prevent recurrence of adverse events. July 7, 2021
Influence of gender, profession, and managerial function on clinicians' perceptions of patient safety culture: a cross-national cross-sectional study. June 9, 2021
Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive study in 5 teaching hospitals. May 26, 2021
Exploring the barriers and facilitators of psychological safety in primary care teams: a qualitative study. May 19, 2021
Measuring safety in older adult care homes: a scoping review of the international literature. May 19, 2021
Alert burden in pediatric hospitals: a cross-sectional analysis of six academic pediatric health systems using novel metrics. November 3, 2021
Survey of nurses' experiences applying The Joint Commission's medication management titration standards. November 3, 2021
The effects of three consecutive 12-hour shifts on cognition, sleepiness, and domains of nursing performance in day and night shift nurses: a quasi-experimental study. October 20, 2021
A standardized formulary to reduce pediatric medication dosing errors: a mixed methods study. October 6, 2021
Decreased incidence of cesarean surgical site infection rate with hospital-wide perioperative bundle. September 29, 2021
Patient Safety Innovations Awareness of human factors in the operating theatres during the COVID-19 pandemic October 27, 2021
Simulation-based assessment identifies longitudinal changes in cognitive skills in an anesthesiology residency training program. September 22, 2021
Diagnostic discrepancies between antemortem clinical diagnosis and autopsy findings in pediatric cancer patients. September 22, 2021
Interview In Conversation With...Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0 February 28, 2024
Interview In Conversation with... Cheryl Jones about Addressing Workplace Violence and Creating a Safer Workplace October 31, 2023
Patient Safety Innovations Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis May 31, 2023
Patient Safety Innovations Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes March 29, 2023
Knowledge, attitudes, and expectations of medical staff toward medical error management policies in humanitarian medicine: a qualitative study. February 10, 2021
The plague year. The mistakes and the struggles behind America’s coronavirus tragedy. January 13, 2021
Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. February 6, 2019
CVS taps a design legend to reinvent the prescription label. Next stop: the pharmacy. October 18, 2017
Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2. February 24, 2016
Time to tackle diagnostic errors. Physicians blame patient 'treadmill' for missed calls. April 1, 2015
Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change Health Care from the Inside Out. March 10, 2010