Tootsie’s Story: Medical Error Takes a Life
February 6, 2013 | Human Capital Blog Post
RWJF Nurse Faculty Scholar Jennifer Bellot writes about losing her grandmother to complications from a medical error.
Medical Errors
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An RWJF Investment that Helped to Seed the Quality Revolution
September 11, 2012 | Story
Susan Elster tells how an RWJF investment made it possible for Pittsburgh Regional Health Initiative (PRHI) champions to aim for continuous improvement in the pursuit of perfection.
Better Environments for Nurses Mean Fewer Medication Errors
August 28, 2012 | News Release
Interdisciplinary study affirms vital role of nurses in ensuring patient safety, focuses on work environment factors that improve health and fiscal outcomes.
Nurse-Scientist Explores Ways to Prevent Patient Safety Events in the Operating Room
February 26, 2012 | Story
RWJF Nurse Faculty Scholar explores how perioperative practices, processes and staffing policies may contribute to postoperative infections.
Preventing Bloodstream Infections
April 1, 2011 | Journal Article
Over the past decade, advances in the quality of care have been slow. One area of success, however, has been in combating central line–associated bloodstream infections.
University of Pittsburgh Medical Center (UPMC) Implements Transforming Care at the Bedside with a Focus on Medical Errors
July 5, 2011 | Story
"You can't deliver sustainable, long-term quality and safety improvement without infrastructure dedicated to the work," Minnier says. "And the amount you have will be a very strong predictor of the change and the sustainability of that change."
Learning Accountability for Patient Outcomes
July 14, 2010 | Commentary
In this commentary, Dr. Pronovost calls for greater accountability for patient safety within the U.S. health care system. He emphasizes the role of teamwork in reducing CLABSI and other preventable infections.
Reducing Potentially Avoidable Complications in Patients with Chronic Diseases
December 1, 2010 | Journal Article
Payment reforms show promise in reducing costs while improving care for people with several chronic conditions.
Diet Wheel to Ensure Correct Patient Diets and Reduce Errors
May 13, 2010 | Toolkit
Goal was to reduce errors and ensure patients receive the correct diet ordered by physicians. Satisfaction improved among nursing associates and dietary associates. Communication between the various hospital departments also improved.
A 62-Year-Old Woman with Skin Cancer Who Experienced Wrong-Site Surgery
August 12, 2009 | Journal Article
This article looks at how medical errors are handled in the health professions and suggests that full disclosure of the mistake, in addition to an apology and follow-up, may be the best way to approach this sensitive topic.