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Journal articles on the topic 'Error for the patient safety'

Author: Grafiati

Published: 4 June 2021

Last updated: 7 February 2022

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1

Buetow, Stephen, and Glyn Elwyn. "Patient safety and patient error." Lancet 369, no. 9556 (2007): 158–61. http://dx.doi.org/10.1016/s0140-6736(07)60077-4.

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2

Raab, Stephen S., Dana M. Grzybicki, Richard J. Zarbo, Frederick A. Meier, Stanley J. Geyer, and Chris Jensen. "Anatomic Pathology Databases and Patient Safety." Archives of Pathology & Laboratory Medicine 129, no. 10 (2005): 1246–51. http://dx.doi.org/10.5858/2005-129-1246-apdaps.

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Abstract Context.—The utility of anatomic pathology discrepancies has not been rigorously studied. Objective.—To outline how databases may be used to study anatomic pathology patient safety. Design.—The Agency for Healthcare Research and Quality funded the creation of a national anatomic pathology errors database to establish benchmarks for error frequency. The database is used to track more frequent errors and errors that result in more serious harm, in order to design quality improvement interventions intended to reduce these types of errors. In the first year of funding, 4 institutions (Uni

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3

Mattox, Elizabeth. "Medical Devices and Patient Safety." Critical Care Nurse 32, no. 4 (2012): 60–68. http://dx.doi.org/10.4037/ccn2012925.

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Errors related to health care devices are not well understood. Nurses in intensive care and progressive care environments can benefit from understanding manufacturer-related error and device-use error, the principles of human factors engineering, and the steps that can be taken to reduce risk of errors related to health care devices.

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4

Saproo, Sanjay, Dr Sanjeev Bansal, and Dr Amit Kumar Pandey. "Human Factors to Minimize the Human Error and Improving Patient Safety." Indian Journal of Applied Research 1, no. 11 (2011): 82–86. http://dx.doi.org/10.15373/2249555x/aug2012/28.

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5

Flemons, W. "Patient safety and "medical error"." Canadian Medical Association Journal 186, no. 2 (2013): 141. http://dx.doi.org/10.1503/cmaj.130962.

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6

U, David. "Medication Error and Patient Safety." HealthcarePapers 2, no. 1 (2001): 71–76. http://dx.doi.org/10.12927/hcpap..16934.

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7

Schwappach, David L. B., and Martin Wernli. "Chemotherapy Patients' Perceptions of Drug Administration Safety." Journal of Clinical Oncology 28, no. 17 (2010): 2896–901. http://dx.doi.org/10.1200/jco.2009.27.6626.

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Purpose To explore chemotherapy patients' experiences of drug administration safety and to investigate the relationship between perceptions of risk and harm from error, staff safety practices, and patients' engagement in error prevention strategies. Patients and Methods Four hundred seventy-nine chemotherapy patients treated at the oncology/hematology department of a large regional hospital in Switzerland completed a self-administered survey (53% response rate). Results Sixteen percent of patients reported having experienced an error in their care, and 11% were currently very concerned about e

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8

Raab, Stephen S. "Improving Patient Safety Through Quality Assurance." Archives of Pathology & Laboratory Medicine 130, no. 5 (2006): 633–37. http://dx.doi.org/10.5858/2006-130-633-ipstqa.

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Abstract Context.—Anatomic pathology laboratories use several quality assurance tools to detect errors and to improve patient safety. Objective.—To review some of the anatomic pathology laboratory patient safety quality assurance practices. Design.—Different standards and measures in anatomic pathology quality assurance and patient safety were reviewed. Main Outcome Measures.—Frequency of anatomic pathology laboratory error, variability in the use of specific quality assurance practices, and use of data for error reduction initiatives. Results.—Anatomic pathology error frequencies vary accordi

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9

Greer, Melody Lynn. "4294 Patient Matching Errors and Associated Safety Events." Journal of Clinical and Translational Science 4, s1 (2020): 42. http://dx.doi.org/10.1017/cts.2020.160.

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OBJECTIVES/GOALS: Errors in patient matching could result in serious adverse safety events. Unlike publicized mix-ups by healthcare providers these errors are insidious and with increased data sharing, this is a growing concern in healthcare. The following project will examine patient matching errors and quantify their association with safety. METHODS/STUDY POPULATION: EHR systems perform matching out-of-the-box with unknown quality. Using matching processes outside the EMR, the rate at which matching errors are present was quantified and the erroneous records were flagged providing both compa

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10

Nakhleh, Raouf E. "Patient Safety and Error Reduction in Surgical Pathology." Archives of Pathology & Laboratory Medicine 132, no. 2 (2008): 181–85. http://dx.doi.org/10.5858/2008-132-181-psaeri.

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Abstract Context.—National patient safety goals and error reduction efforts should be addressed by each surgical pathology laboratory. Objective.—To review issues relevant to patient safety and error reduction in surgical pathology in the context of continuous quality improvement. Data Sources.—The literature is reviewed. Conclusions.—Patient safety goals can and should be addressed within the context of a quality improvement plan. Multiple factors that contribute to errors in surgical pathology are discussed. The current literature defines the extent of these problems within specific segments

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11

Bell, Linda. "Patient Safety and Medical Error Recovery." American Journal of Critical Care 19, no. 6 (2010): 510. http://dx.doi.org/10.4037/ajcc2010159.

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12

Bogner, Marilyn Sue. "Error as Behavior:Implications for Patient Safety." Biomedical Instrumentation & Technology 40, no. 1 (2006): 61–63. http://dx.doi.org/10.2345/0899-8205(2006)40[61:eabifp]2.0.co;2.

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13

Webster, Craig S., and Diana J. Grieve. "Attitudes to Error and Patient Safety." Prometheus 23, no. 3 (2005): 253–63. http://dx.doi.org/10.1080/08109020500209946.

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14

Tivers, Mickey. "Reducing error and improving patient safety:." Veterinary Record 177, no. 17 (2015): 436–37. http://dx.doi.org/10.1136/vr.h5653.

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15

Walz, Stacy E., and Teresa P. Darcy. "Patient Safety & Post-analytical Error." Clinics in Laboratory Medicine 33, no. 1 (2013): 183–94. http://dx.doi.org/10.1016/j.cll.2012.10.001.

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16

Plebani, Mario, and Elisa Piva. "Medical Errors: Pre-Analytical Issue in Patient Safety." Journal of Medical Biochemistry 29, no. 4 (2010): 310–14. http://dx.doi.org/10.2478/v10011-010-0039-2.

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Medical Errors: Pre-Analytical Issue in Patient SafetyThe last few decades have seen a significant decrease in the rates of analytical errors in clinical laboratories, while a growing body of evidence demonstrates that the pre- and post-analytical steps of the total testing process (TTP) are more error-prone than the analytical phase. In particular, most errors are identified in pre-pre-analytic steps outside the walls of the laboratory, and beyond its control. However, in a patient-centred approach to the delivery of health care services, there is the need to investigate, in the total testing

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17

Smith, Felicity. "Patient safety and patient error: the carer's perspective." Lancet 369, no. 9564 (2007): 823. http://dx.doi.org/10.1016/s0140-6736(07)60402-4.

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18

McCrone, Daniel, Cecilia Tran, and Nelly Stone. "Improving patient safety by minimizing chemotherapy dosing errors." Journal of Clinical Oncology 30, no. 34_suppl (2012): 99. http://dx.doi.org/10.1200/jco.2012.30.34_suppl.99.

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99 Background: Medication dosing errors in adult outpatient settings continues to be a significant source of morbidity. One recent study reported that approximately 7% of adult patients receiving chemotherapy experience medication errors (Kathleen E. Walsh, et al. Medication Errors Among Adults and Children with Cancer in the Outpatient Setting, Journal of Clinical Oncology, 2009). In 2011, New Century Health implemented a quality improvement project focused on minimizing chemotherapy medication errors. This study describes the oncology quality management program used with the Midwestern oncol

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19

Meaney, Mark E. "Error Reduction, Patient Safety and Institutional Ethics Committees." Journal of Law, Medicine & Ethics 32, no. 2 (2004): 358–64. http://dx.doi.org/10.1111/j.1748-720x.2004.tb00482.x.

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Institutional ethics committees remain largely absent from the literature on error reduction and patient safety. This paper attempts to fill the gap. Healthcare professionals are on the front lines in the defense against medical error, but the changes that are needed to reduce medical errors and enhance patient safety are cultural and systemic in nature. As noted in the Hastings Centers recent report, Promoting Patient Safety, the occurrence of medical error involves a complex web of multiple factors. Human misstep is certainly one such factor, but not the only one. In this paper, I build on t

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20

Méndez, Concepción Meléndez, Rosalinda Garza Hernández, Juana Fernanda González Salinas, Socorro Rangel Torres, Gloria Acevedo Porras, and Hortensia Castañeda-Hidalgo. "Patients’ perception of safety in four hospitals in Tamaulipas, Mexico." Journal of Hospital Administration 6, no. 6 (2017): 15. http://dx.doi.org/10.5430/jha.v6n6p15.

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Objective: To determine the perceived patient safety related to health care during hospitalization. To identify the number of patients who report having suffered a clinical error and describe the patients’ experience with the clinical error.Methods: A cross-sectional descriptive study performed of patients who were hospitalized between August-November 2013 in four second-level hospitals.Results: A total of 631 patients were surveyed. Regarding the errors suffered during the hospitalization, 7.9% of the patients reported having suffered a complication, 7.9% reported having an infection, 5.2% ha

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21

Sultana, Mahmuda, Md Sazzad Hossain, Kazi Khairul Alam, Iffat Ara, and Humayan Kabir Talukder. "Views of teachers regarding medical errors and patient safety education." Bangladesh Journal of Medical Education 7, no. 1 (2017): 8–13. http://dx.doi.org/10.3329/bjme.v7i1.32222.

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Background: Recently medical errors and patient safety have become increasingly important in the area of medical research Different international committees have long been demanding the early integration of education about errors and patient safety in undergraduate and graduate medical education .To integrate patient safety education into existing curriculum views of the teachers towards patient safety education is an important issue.Study objectives: To explore the views of the teachers regarding medical errors and patient safety education.Study design: Cross-sectional descriptive study.Place

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22

Howanitz, Peter J. "Errors in Laboratory Medicine: Practical Lessons to Improve Patient Safety." Archives of Pathology & Laboratory Medicine 129, no. 10 (2005): 1252–61. http://dx.doi.org/10.5858/2005-129-1252-eilmpl.

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Abstract Context.—Patient safety is influenced by the frequency and seriousness of errors that occur in the health care system. Error rates in laboratory practices are collected routinely for a variety of performance measures in all clinical pathology laboratories in the United States, but a list of critical performance measures has not yet been recommended. The most extensive databases describing error rates in pathology were developed and are maintained by the College of American Pathologists (CAP). These databases include the CAP's Q-Probes and Q-Tracks programs, which provide information o

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23

Wilson, Augustine R., Peter J. Fabri, and Jay Wolfson. "Human Error and Patient Safety: Interdisciplinary Course." Teaching and Learning in Medicine 24, no. 1 (2012): 18–25. http://dx.doi.org/10.1080/10401334.2012.641482.

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24

Leape, Lucian L. "Promoting Patient Safety by Preventing Medical Error." JAMA 280, no. 16 (1998): 1444. http://dx.doi.org/10.1001/jama.280.16.1444.

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25

Pierce, E. C. "Promoting Patient Safety by Preventing Medical Error." JAMA: The Journal of the American Medical Association 281, no. 13 (1999): 1174—b—1174. http://dx.doi.org/10.1001/jama.281.13.1174-b.

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26

Erlen, Judith A. "Patient Safety, Error Reduction, and Ethical Practice." Orthopaedic Nursing 26, no. 2 (2007): 130–33. http://dx.doi.org/10.1097/01.nor.0000265872.57018.88.

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27

Alshahrani, Saeed, Ahmad Alswaidan, Ala Alkharaan, et al. "Medical Students’ Insights Towards Patient Safety." Sultan Qaboos University Medical Journal [SQUMJ] 21, no. 2 (2021): e253-259. http://dx.doi.org/10.18295/squmj.2021.21.02.014.

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Objectives: This study aimed to explore Saudi Arabian medical students’ perceptions of patient safety. Methods: A cross-sectional descriptive study was conducted in the College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia, in September 2019. The Attitudes to Patient Safety Questionnaire (APSQ III) was used to explore undergraduate medical students’ attitudes towards and knowledge of PS. The main outcomes measured were the APSQ III’s nine domains. Data were analysed using Statistical Package for the Social Sciences and students’ attitudes were commun

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28

Paul, James E., Barbara Bertram, Karen Antoni, et al. "Impact of a Comprehensive Safety Initiative on Patient-controlled Analgesia Errors." Anesthesiology 113, no. 6 (2010): 1427–32. http://dx.doi.org/10.1097/aln.0b013e3181fcb427.

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Background Adverse drug events related to patient-controlled analgesia (PCA) place patients at risk. Methods We reviewed all critical incident reports at three tertiary care hospitals dated January 1, 2002, to February 28, 2009. In this longitudinal cohort study, critical incidents attributable to PCA errors were identified, and each incident was investigated. A safety intervention was implemented in February 2006 and involved new PCA pumps, new preprinted physician orders, nursing and patient education, a manual independent double-check, and a formal nursing transfer of accountability. Result

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29

Bujandric, Nevenka, Jasmina Grujic, and Mirjana Krga-Milanovic. "Improving blood safety: Errors management in transfusion medicine." Srpski arhiv za celokupno lekarstvo 142, no. 5-6 (2014): 384–90. http://dx.doi.org/10.2298/sarh1406384b.

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Introduction. The concept of blood safety includes the entire transfusion chain starting with the collection of blood from the blood donor, and ending with blood transfusion to the patient. The concept involves quality management system as the systematic monitoring of adverse reactions and incidents regarding the blood donor or patient. Monitoring of near-miss errors show the critical points in the working process and increase transfusion safety. Objective. The aim of the study was to present the analysis results of adverse and unexpected events in transfusion practice with a potential risk to

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30

Traynor, Kate. "Patient safety standards focus on medical-error reduction, patient notification." American Journal of Health-System Pharmacy 58, no. 15 (2001): 1389. http://dx.doi.org/10.1093/ajhp/58.15.1389a.

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31

Mohiuddin, AK. "Patient Safety: A Deep Concern to Caregivers." INNOVATIONS in pharmacy 10, no. 1 (2019): 7. http://dx.doi.org/10.24926/iip.v10i1.1639.

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Patient safety is a global concern and is the most important domains of health-care quality. Medical error is a major patient safety concern, causing increase in health-care cost due to mortality, morbidity, or prolonged hospital stay. A definition for patient safety has emerged from the health care quality movement that is equally abstract, with various approaches to the more concrete essential components. Patient safety was defined by the IOM as “the prevention of harm to patients.” Emphasis is placed on the system of care delivery that prevents errors; learns from the errors that do occur;

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32

Fein, Stephanie, Lee Hilborne, Margie Kagawa-Singer, et al. "A Conceptual Model for Disclosure of Medical Errors." Journal of Medical Regulation 92, no. 3 (2006): 20–27. http://dx.doi.org/10.30770/2572-1852-92.3.20.

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ABSTRACT Objective Patient safety is fundamental to high-quality patient care. Critical steps toward improving the safety of the health care system include ensuring the system is aware of its errors so effective remedies can be applied, and enhancing the trustworthiness of the health care system for patients by disclosing errors that are meaningful to them. This study aimed to construct a conceptual model of the factors that facilitate or hinder disclosure of medical errors. Methods We conducted 25 separate focus groups with attending physicians, nurses, residents, patients and hospital admini

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33

Jang, Sun-Joo, Haeyoung Lee, and Youn-Jung Son. "Perceptions of Patient Safety Culture and Medication Error Reporting among Early- and Mid-Career Female Nurses in South Korea." International Journal of Environmental Research and Public Health 18, no. 9 (2021): 4853. http://dx.doi.org/10.3390/ijerph18094853.

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Reporting medication errors is crucial for improving quality of care and patient safety in acute care settings. To date, little is known about how reporting varies between early and mid-career nurses. Thus, this study used a cross-sectional, secondary data analysis design to investigate the differences between early (under the age of 35) and mid-career (ages 35–54) female nurses by examining their perceptions of patient safety culture using the Korean Hospital Survey on Patient Safety Culture (HSPSC) and single-item self-report measure of medication error reporting. A total of 311 hospital nur

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34

Roh, Hye Rin, Ho Jun Seol, Seong-Sik Kang, In Bum Suh, and Se Min Ryu. "Using Medical Error Cases for Patient Safety Education." Korean Journal of Medical Education 20, no. 3 (2008): 265–71. http://dx.doi.org/10.3946/kjme.2008.20.3.265.

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35

Scarpello, John. "Diagnostic error: the Achilles' heel of patient safety?" Clinical Medicine 11, no. 4 (2011): 310–11. http://dx.doi.org/10.7861/clinmedicine.11-4-310.

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36

Guillod, Olivier. "Medical error disclosure and patient safety: legal aspects." Journal of Public Health Research 2, no. 3 (2013): 31. http://dx.doi.org/10.4081/jphr.2013.e31.

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<p>Reducing the number of preventable adverse events has become a public health issue. The paper discusses in which ways the law can contribute to that goal, especially by encouraging a culture of safety among healthcare professionals. It assesses the need or the usefulness to pass so-called <em>disclosure laws </em>and <em>apology laws</em>, to adopt mandatory but strictly confidential Critical Incidents Reporting Systems in hospitals, to change the fault-based system of medical liability or to amend the rules on criminal liability. The paper eventually calls for

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37

Gunderson, Anne, David Mayer, and Ara Tekian. "Breaking the cycle of error: patient safety training." Medical Education 41, no. 5 (2007): 518–19. http://dx.doi.org/10.1111/j.1365-2929.2007.02746.x.

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38

Bogner, Marilyn Sue. "Human Factors, Human Error and Patient Safety Panel." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 42, no. 14 (1998): 1053–57. http://dx.doi.org/10.1177/154193129804201410.

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39

Hobgood, Cherri, Armando Hevia, and Paul Hinchey. "Profiles in Patient Safety: When an Error Occurs." Academic Emergency Medicine 11, no. 7 (2004): 766–70. http://dx.doi.org/10.1111/j.1553-2712.2004.tb00745.x.

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40

Saracino, Sharon. "Patient Safety: The Changing Face of Error Reporting." Rehabilitation Nursing 31, no. 2 (2006): 52–53. http://dx.doi.org/10.1002/j.2048-7940.2006.tb00124.x.

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41

Heher, Yael K., Yigu Chen, and Paul A. VanderLaan. "Pre‐analytic error: A significant patient safety risk." Cancer Cytopathology 126, S8 (2018): 738–44. http://dx.doi.org/10.1002/cncy.22019.

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42

Anderson, Britta, Paul G. Stumpf, and Jay Schulkin. "Medical Error Reporting, Patient Safety, and the Physician." Journal of Patient Safety 5, no. 3 (2009): 176–79. http://dx.doi.org/10.1097/pts.0b013e3181b320b0.

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43

Mileder, Lukas P. "Medical error and patient safety in the spotlight." Wiener klinische Wochenschrift 129, no. 21-22 (2017): 852–53. http://dx.doi.org/10.1007/s00508-017-1282-z.

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44

Etchells, Edward, Catherine O’Neill, and Mark Bernstein. "Patient Safety in Surgery: Error Detection and Prevention." World Journal of Surgery 27, no. 8 (2003): 936–41. http://dx.doi.org/10.1007/s00268-003-7097-2.

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45

Groszkruger, Dan. "Diagnostic error: Untapped potential for improving patient safety?" Journal of Healthcare Risk Management 34, no. 1 (2014): 38–43. http://dx.doi.org/10.1002/jhrm.21149.

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46

Khan, Gulam Muhammad. "Drug Error beyond the Hospital and Role of Pharmacists in drug Safety Process." Janapriya Journal of Interdisciplinary Studies 8 (December 31, 2019): 169–76. http://dx.doi.org/10.3126/jjis.v8i0.27316.

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Medication related error is one of the most common error prevailing in this time. Medication error can be defined as a ‘failure in the treatment process that leads to or has potential to lead to harm to the patient. Medication error can occur from the process of ordering to the administration to the patient. Among the healthcare professionals; a pharmacist can be responsible in identification of contributing factors and reducing its occurrence. Great efforts are needed in this area, due to diversity in the types of errors, the relationship between the provider and the patient, information tran

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47

Dewing, Jan. "Editorial: Seven steps to patient safety? … If only." International Practice Development Journal 4, no. 1 (2014): 1–2. http://dx.doi.org/10.19043/ipdj.41.ed.

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Working with fellow practice developers at an IPDC practice development school in Northern Ireland recently has made me think some more about patient safety and effective cultures. Apparently there are seven steps to patient safety (National Reporting and Learning Service, 2004).These are: 1. Building a safety culture 2. Leading and supporting staff 3. Integrating risk management activity 4. Promoting better reporting 5. Involving and communicating with patients and the public 6. Learning and sharing safety lessons 7. Implementing solutions to prevent harm One look at these steps and the pract

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48

Tingle, John. "Patient safety: a multifaceted issue." British Journal of Nursing 29, no. 21 (2020): 1294–95. http://dx.doi.org/10.12968/bjon.2020.29.21.1294.

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John Tingle, Lecturer in Law, Birmingham Law School, University of Birmingham, discusses the need for an integrated approach to patient safety, and the argument that error is inevitable and risk can only be managed

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49

Everett, Ashlyn S., Ginna Blalock, and Drexell Hunter Boggs. "Improving patient safety: Utilization of standardized radiation oncology simulation templates." Journal of Clinical Oncology 36, no. 30_suppl (2018): 259. http://dx.doi.org/10.1200/jco.2018.36.30_suppl.259.

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259 Background: Increasing patient volume and treatment complexity in the field of radiation oncology has resulted in increased number of errors possibly affecting patient safety. Effective methods of mitigating these errors include automation, computerization, simplification, and standardization. To improve quality of care and patient safety, our institution established consensus standardized treatment guidelines for each cancer site. However, physician orders for computed tomography (CT) simulation for radiation treatment planning continued to have extreme variability, with error rates of 31

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50

Sirota, Ronald L. "Error and Error Reduction in Pathology." Archives of Pathology & Laboratory Medicine 129, no. 10 (2005): 1228–33. http://dx.doi.org/10.5858/2005-129-1228-eaerip.

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Abstract Context.—Since publication of the Institute of Medicine's report on medical error in late 1999, there has been widespread interest in improving patient safety and in error reduction in all disciplines of medicine. In fields other than medicine, considerable knowledge has been obtained concerning error and error reduction. This body of knowledge can be successfully applied to pathology in order to make the specialty safer and less error prone. Objectives.—To review the fundamental conclusions of the Institute of Medicine's report on medical error, to provide a taxonomy of error that ca

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