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| New This Month: The Role of the Media in Patient Safety | |
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August 2009: Workarounds IN CONVERSATION WITH... In Conversation with...Steven J. Spear, DBA, MS, MS PERSPECTIVE Workarounds and Resiliency on the Front Lines of Health Care Anita L. Tucker, DBA, MS
May 2009: The Business Case for Improving Safety IN CONVERSATION WITH... In Conversation with…William B. Weeks, MD, MBA PERSPECTIVE Patient Safety: A Perspective from Office Practice Richard J. Baron, MD
April 2009: Accreditation and Regulation IN CONVERSATION WITH... In Conversation with...Mark Chassin, MD, MPP, MPH PERSPECTIVE Accreditation and Regulation: Can They Help Improve Patient Safety? Rebecca N. Warburton, PhD
February/March 2009: Health Literacy and Safety IN CONVERSATION WITH... In Conversation with...Dean Schillinger, MD PERSPECTIVE The Role of Health Literacy in Patient Safety Michael S. Wolf, PhD, MPH; Stacy Cooper Bailey, MPH
January 2009: Patient Disclosure and Apology IN CONVERSATION WITH... In Conversation with…Thomas H. Gallagher, MD PERSPECTIVE Disclosure of Medical Error Allen Kachalia, MD, JD
November 2008: Prevention of Urinary Tract Infections: Lessons for Patient Safety IN CONVERSATION WITH... In Conversation with…Sanjay Saint, MD, MPH PERSPECTIVE Health Care–Acquired Urinary Tract Infection: The Problem and Solutions Lindsay E. Nicolle, MD
October 2008: Not Paying for Errors: A Policy Perspective IN CONVERSATION WITH... In Conversation with…Robert M. Wachter, MD PERSPECTIVE Identifying Adverse Events Not Present on Admission: Can We Do It? James M. Naessens, ScD
September 2008: Bar Coding for Medication Safety IN CONVERSATION WITH... In Conversation with…Eric G. Poon, MD, MPH PERSPECTIVE The Role of Bar Coding and Smart Pumps in Safety Jeffrey M. Rothschild, MD, MPH; Carol Keohane, RN, BSN
July 2008: Does Root Cause Analysis Work? IN CONVERSATION WITH... In Conversation with...Albert Wu, MD, MPH PERSPECTIVE The Soil, Not the Seed: The Real Problem with Root Cause Analysis Patrice Spath, BA, RHIT, and William Minogue, MD
May 2008: Computerization and Information Technology IN CONVERSATION WITH... In Conversation with…David W. Bates, MD, MSc PERSPECTIVE Integrating Multiple Medication Decision Support Systems: How Will We Make It All Work? Josh Peterson, MD, MPH
April 2008: MRSA and Patient Safety PERSPECTIVE Methicillin-Resistant Staphylococcus aureus Gary A. Noskin, MD PERSPECTIVE Connie's Story: A Nurse's Personal Experience with MRSA
March 2008: A Procedure Service to Improve Safety IN CONVERSATION WITH... In Conversation with...Bradley T. Rosen, MD, MBA PERSPECTIVE Creation of a Medical Procedure Service to Improve Patient Safety C. Christopher Smith, MD, and Grace C. Huang, MD
January 2008: Improving Safety in Large Systems IN CONVERSATION WITH... In Conversation with…Jennifer Daley, MD PERSPECTIVE Implementing a Patient Safety Program at a Large National Health System Loran Hauck, MD, and Jan Jacob, MBA, RN
December 2007: Improving Transitions in Care IN CONVERSATION WITH... In Conversation with...Eric Coleman, MD, MPH PERSPECTIVE Care Transitions Sunil Kripalani, MD, MSc
October 2007: Just Culture IN CONVERSATION WITH... In Conversation with...David Marx, JD PERSPECTIVE Making Just Culture a Reality: One Organization's Approach Alison H. Page, MS, MHA
September 2007: Surgical Errors IN CONVERSATION WITH... In Conversation with...Atul Gawande, MD, MA, MPH PERSPECTIVE Rediscovering the Power of the Surgical M&M Conference: The M+M Matrix Leo A. Gordon, MD
July/August 2007: The Board's Role in Patient Safety IN CONVERSATION WITH... In Conversation with...James L. Reinertsen, MD PERSPECTIVE The PeaceHealth Governance Journey in Support of Quality and Safety John L. Haughom,
MD
June 2007: State Error Reporting Systems IN CONVERSATION WITH... In Conversation with...Diane Rydrych, MA PERSPECTIVE Advancing Patient Safety through State Reporting Systems Jill Rosenthal, MPH LETTER In response to "Failure to Report" (March 2007)
May 2007: International Perspectives on Safety IN CONVERSATION WITH... In Conversation with...Sir Liam Donaldson, MD, MSc PERSPECTIVE Patient Safety in the United Kingdom: Evolution and Progress Susan Burnett and Charles Vincent, PhD
March 2007: The Patient's Role in Safety PERSPECTIVE The Role of the Patient in Improving Patient Safety Rosemary Gibson, MSc IN CONVERSATION WITH... In Conversation with...Sorrel King
February 2007: Diagnostic Errors PERSPECTIVE Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? Mark L. Graber, MD IN CONVERSATION WITH... In Conversation with...Joseph Britto, MD
December 2006: Safety Culture IN CONVERSATION WITH... In Conversation with...J. Bryan Sexton, PhD, MA PERSPECTIVE Establishing a Safety Culture: Thinking Small Timothy J. Hoff, PhD
November 2006: Human Factors PERSPECTIVE Human Factors Engineering Can Teach You How to Be Surprised Again John Gosbee, MD, MS IN CONVERSATION WITH... In Conversation With...Donald A. Norman, PhD
September 2006: The Transformation of Patient Safety at the VA IN CONVERSATION WITH... In Conversation with...James P. Bagian, MD PERSPECTIVE What Can the Rest of the Health Care System Learn from the VA’s Quality and Safety Transformation? Ashish K. Jha, MD, MPH
August 2006: Reflections on the History of the Patient Safety Movement IN CONVERSATION WITH... In Conversation with...Lucian Leape, MD PERSPECTIVE Getting Into Patient Safety: A Personal Story Jeffrey B. Cooper, PhD
July 2006: Patient Safety Programs IN CONVERSATION WITH... In Conversation with...Allan Frankel, MD PERSPECTIVE Key Issues in Developing a Successful Hospital Safety Program John Whittington, MD
May 2006: Outpatient Safety PERSPECTIVE The Wild West: Patient Safety in Office-Based Anesthesia Rainu Kaushal, MD MPH; Sekhar Upadhyayula, MD; David M. Gaba, MD; Lucian L. Leape, MD PERSPECTIVE Patient Safety in the Physician Office Setting Nancy C. Elder, MD, MSPH
April 2006: Pharmacy and Safety IN CONVERSATION WITH... In Conversation with…Michael Cohen, RPh, MS, ScD PERSPECTIVE Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety Brian K. Alldredge, PharmD; Mary Anne Koda-Kimble, PharmD
March 2006: Point–Counterpoint: Simulation vs. Team Training POINT-COUNTERPOINT What Does Simulation Add to Teamwork Training? David M. Gaba, MD POINT-COUNTERPOINT Team Training: Classroom Training vs. High-Fidelity Simulation Stephen D. Pratt, MD and Benjamin P. Sachs, MB
Febuary 2006: Disclosing Mistakes PERSPECTIVE Removing Insult from Injury—Disclosing Adverse Events Albert W. Wu, MD, MPH IN CONVERSATION WITH… In Conversation with…John Banja, PhD
January 2006: Aviation and Patient Safety PERSPECTIVE Aviation Safety Methods: Quickly Adopted but Questions Remain Eric J. Thomas, MD, MPH IN CONVERSATION WITH… In Conversation with…Jack Barker, PhD
December 2005: The Law and Patient Safety IN CONVERSATION WITH… In Conversation with…Troyen A. Brennan, MD, JD, MPH PERSPECTIVE The Unintended Consequences of Florida Medical Liability Legislation Paul Barach, MD, MPH
November 2005: 100,000 Lives Campaign: Concept and Implementation IN CONVERSATION WITH… In Conversation with…Donald M. Berwick, MD, MPP PERSPECTIVE Rapid Response Teams: Lessons from the Early Experience William S. Krimsky, MD
September 2005: Patient Safety Initiatives IN CONVERSATION WITH… In Conversation with…Carolyn Clancy, MD PERSPECTIVE Playing Well with Others: “Translocational Research” in Patient Safety Robert M. Wachter, MD LETTER In response to “Getting to the Root of the Matter” (June 2005)
July/August 2005: Nursing and Patient Safety
PERSPECTIVE The Unfinished Patient Safety Agenda Linda H. Aiken, PhD, RN IN CONVERSATION WITH… In Conversation with…Barbara A. Blakeney, MS, RN
June 2005: Research in Patient Safety
PERSPECTIVE Interpreting the Patient Safety Literature Kaveh G. Shojania, MD IN CONVERSATION WITH… In Conversation with…Peter J. Pronovost, MD, PhD
May 2005: Errors in the Media and Organizational Change PERSPECTIVE Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience James B. Conway; Saul N. Weingart, MD, PhD PERSPECTIVE Organizational Change in the Face of Highly Public Errors—II. The Duke Experience Karen Frush, MD
April 2005: EDITORIAL Introducing the New AHRQ WebM&M and AHRQ Patient Safety Network (PSNet) Robert M. Wachter, MD IN CONVERSATION WITH… In Conversation with…Christopher P. Landrigan, MD
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