Perspectives on Safety | AHRQ Patient Safety Network

Issues | AHRQ Patient Safety Network

PERSPECTIVE

Telemedicine and Patient Safety

with commentary by Stephen Agboola, MD, MPH, and Joseph Kvedar, MD, Telemedicine and Patient Safety, September 2016

This piece explores benefits and safety concerns associated with the increased adoption of telemedicine services.

INTERVIEW

In Conversation With… Bernardo Perea-Pérez, MD, DDS, PhD

Patient Safety in Dentistry, July/August 2016

Dr. Perea-Pérez is Director of the Spanish Observatory for Dental Patient Safety. We spoke with him about patient safety in dentistry.

PERSPECTIVE

Safety In Dentistry

with commentary by Rachel Badovinac Ramoni, DMD, ScD; Muhammad Walji, PhD; and Elsbeth Kalenderian, DDS, MPH, PhD, Patient Safety in Dentistry, July/August 2016

This piece examines patient safety issues unique to dental care along with strategies to reduce risks.

INTERVIEW

In Conversation With… Gregg S. Meyer, MD, MSc

Certification in Patient Safety, June 2016

Dr. Meyer is Chief Clinical Officer of Partners Healthcare System, the large Boston-based system that includes Massachusetts General and Brigham and Women's Hospitals. We spoke with him about training and certification in patient safety.

PERSPECTIVE

Becoming a Certified Professional in Patient Safety—A Registered Nurse's Perspective

with commentary by Karen Frank, DNP, RN, MSHA, Certification in Patient Safety, June 2016

This piece offers a nurse's viewpoint on the benefits of acquiring certification in patient safety.

PERSPECTIVE

Becoming a Certified Professional in Patient Safety—A Pharmacist's Perspective

with commentary by Zahra Khudeira, PharmD, Certification in Patient Safety, June 2016

In this piece, a pharmacist highlights the importance of earning patient safety certification.

PERSPECTIVE

Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue

with commentary by Samantha Jacques, PhD, and Eric Williams, MD, MS, MMM, Alert and Alarm Fatigue, May 2016

This piece describes strategies to reduce alarm fatigue in hospitals, including educating staff and patients, customizing alarm settings, and performing maintenance of lead wires.

INTERVIEW

In Conversation With... Barbara Drew, RN, PhD

Alert and Alarm Fatigue, May 2016

Dr. Drew is the David Mortara Distinguished Professor of Physiological Nursing and Clinical Professor of Medicine in Cardiology at the University of California, San Francisco. We spoke with her about the perils and prevalence of alert fatigue.

INTERVIEW

In Conversation With… Thomas J. Nasca, MD, MACP

CLER and I-PASS, April 2016

Dr. Nasca is CEO of the Accreditation Council for Graduate Medical Education, the major accreditor of residency and fellowship training programs, and CEO of ACGME International. We spoke with him about ACGME's Clinical Learning Environment Review (CLER) program and its impact on medical education.

INTERVIEW

In Conversation With… Amy J. Starmer, MD, MPH

CLER and I-PASS, April 2016

Dr. Starmer is Director of Primary Care Quality Improvement and Assistant Professor of Pediatrics at Boston Children's Hospital and Harvard Medical School. We spoke with her about handoffs and the implementation and findings of the landmark I-PASS study.

INTERVIEW

In Conversation With… Richard Kronick, PhD

Federal Organizations in Patient Safety, March 2016

Dr. Kronick has served as director of the Agency for Healthcare Research and Quality since August 2013, and will be stepping down from the role this month. We spoke with him about AHRQ's efforts to develop measurements and implement improvements in patient safety.

INTERVIEW

In Conversation With… Paul McGann, MD

Federal Organizations in Patient Safety, March 2016

Dr. McGann is the Chief Medical Officer for Quality Improvement at the Centers for Medicare & Medicaid Services (CMS) and the Co-Director of the CMS Partnership for Patients. We spoke with him about his work at CMS and with the Partnership for Patients initiative.

ANNUAL PERSPECTIVE

Accountability in Patient Safety

with commentary by Christopher Moriates, MD, and Robert M. Wachter, MD, 2015

While the patient safety world has largely embraced the concept of a just culture for many years, in 2015 the discussion moved toward tackling some of the specifics and many gray areas that must be addressed to realize this ideal. This Annual Perspective reviews the context of the "no blame" movement and the recent shift toward a framework of a just culture, which incorporates appropriate accountability in health care.

ANNUAL PERSPECTIVE

Burnout Among Health Professionals and Its Effect on Patient Safety

with commentary by Audrey Lyndon, PhD, 2015

Clinician burnout is prevalent across health care settings and may impair clinicians' ability to maintain safe practices and detect emerging safety threats. This Annual Perspective summarizes studies published in 2015, with a particular focus on the relationship between burnout and patient safety, and interventions to address burnout among clinicians.

ANNUAL PERSPECTIVE

Computerized Provider Order Entry and Patient Safety

with commentary by Urmimala Sarkar, MD, and Kaveh Shojania, MD, 2015

Computerized provider order entry is a cornerstone of patient safety efforts, and the increasingly widespread implementation of electronic health records has made it a standard practice in health care. This Annual Perspective summarizes novel findings and research directions in computerized provider order entry in 2015.

INTERVIEW

In Conversation With…Christine A. Sinsky, MD

Joy in Practice, February 2016

Dr. Sinsky is the Vice President for Professional Satisfaction at the American Medical Association and a primary care physician in Dubuque, IA. We spoke with her about physician professional satisfaction, including its relationship to patient outcomes and safety.

PERSPECTIVE

Relationships Between Physician Professional Satisfaction and Patient Safety

with commentary by Mark Friedberg, MD, MPP, Joy in Practice, February 2016

This piece highlights the importance of focusing on physician professional satisfaction as a way to determine potential patient safety hazards and improve health care quality.

INTERVIEW

In Conversation With… Mark L. Graber, MD

Update on Diagnostic Errors, January 2016

Dr. Graber founded the Society to Improve Diagnosis in Medicine and the journal, Diagnosis. We spoke with him about the recent National Academy of Medicine (formerly Institute of Medicine) Improving Diagnosis in Health Care report, and about diagnostic errors more generally.

PERSPECTIVE

Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice

with commentary by Hardeep Singh, MD, MPH, Update on Diagnostic Errors, January 2016

This piece discusses momentum in the field of diagnostic error over the past several years (culminating in the recent Improving Diagnosis in Health Care report) and outlines future avenues to ensure progress in diagnostic safety.

INTERVIEW

In Conversation With… Kaveh Shojania, MD

Ten years of AHRQ Patient Safety Network: A Window Into the Evolution of the Patient Safety Literature, November 2015

Dr. Shojania is Editor-in-Chief of BMJ Quality and Safety and Director of the Centre for Quality Improvement and Patient Safety at the University of Toronto. We spoke with him about the evolution of patient safety research over the past 15 years.