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.
Medical Errors
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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.
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.
Implementing Standardized Operating Room Briefings and Debriefings at a Large Regional Medical Center
August 1, 2009 | Journal Article
Implementation of a standardized briefing and debriefing tool in a large regional medical center was a practical and feasible strategy to improve perceptions of interdisciplinary communication and teamwork in the operating room.
Disclosing Harmful Mammography Errors to Patients
November 1, 2009 | Journal Article
Although many professional medical organizations recommend disclosing errors to patients, studies suggest that disclosure is the exception rather than the rule. Little research examining radiologists' willingness to disclose mammography-related errors has been conducted. This study surveyed 364 radiologists at seven Breast Cancer Surveillance Consortium sites.
Reducing Health Care Hazards
April 7, 2009 | Journal Article
A proposed public-private partnership to help the health care community emulate the successes of the Commercial Aviation Safety Team in commercial aviation.
How Threat of Lawsuits Affects Tests and Procedures in Obstetrics
May 1, 2001 | Program Result Report
The Urban Institute documented trends in the medical malpractice environment and demonstrated how the malpractice environment affects defensive medicine in obstetrics practice.
States Develop Strategies to Reduce Medical Errors and Improve Patient Safety Through Hospital Reporting Systems
May 1, 2005 | Program Result Report
From 2000 to 2003, staff at the National Academy for State Health Policy assisted state officials in developing strategies to reduce medical errors and improve patient safety through mandatory hospital reporting systems.
Documenting Quality: Two Film Products
January 11, 2008 | Program Result Report
A team of filmmakers led by producer Frank Christopher created two media products that examined innovative efforts to improve the quality of health care at selected medical institutions around the country.
TEDMED's Great Challenges in Health and Medicine
June 14, 2013 | Program Result Report
TEDMED launched the Great Challenges Program to explore "20 of the most complex, multifaceted, and insufficiently understood challenges to the health and health care of Americans."