patient safety quality healthcare

Looking to the Future of Patient Safety

Lionheart Publishing launched the first issue of Patient Safety & Quality Healthcare (PSQH) in August 2004. Earlier that year, Pennsylvania implemented the first statewide mandatory reporting system (“Pennsylvania Is First State,” 2004); President George Bush pledged to make electronic health records available to most patients by 2014 (White House, n.d.), and Harvard sophomore Mark Zuckerberg launched Facebook (Facebook, 2014).

Unintended Consequences of Smart Pumps: Lessons Learned from a Root Cause Analysis

Safety experts, policy makers, and regulators cite technology solutions as key strategies to create a safer healthcare environment (Kohn, Corrigan & Donaldson, 2000; Wachter, 2012). Infusion pumps with built-in decision support logic for dosing limits and clinical advisories are one such solution currently employed by many hospitals. 

Improving Interventional Lab Quality Measures with Real-Time Location Systems

Quality goals for diagnostic and interventional invasive laboratories can be difficult to measure effectively. In the lab, multiple factors can impact measurements and outcomes. Administrators typically focus on driving down costs while clinicians tend to concentrate on patient outcomes.

Misidentification of Alphanumeric Symbols

The English language uses the Latin alphabet with 26 letters and a numeric system with 10 numerals. These alphanumeric symbols (letters and numerals) work well most of the time when used to communicate information. However, problems may arise during written or electronic communication because of similarities in appearance of the alphanumeric symbols we use.

Editor's Notebook: Ten Years of PSQH

Ten years, 60 to-press deadlines, more than 240 feature articles, at least that many columns—thinking about how much material we’ve published in 10 years gives me pause, and that’s only in print.

Healthcare Analytics: Understanding Risk and Value at the Patient-Level

The change is underway. The healthcare ecosystem is officially shifting from volume- to outcome-based reimbursement. With so much at stake, risk-bearing provider organizations are well aware of the importance of “getting it right” and “doing it well.” 

Health IT & Quality: Railroads, Weed, and EMRs

As independent companies built railroad lines in the 19th century, each company chose a different gauge—the distance between the inner rails—for their track. As the railway industry first grew out of the need to transport mined materials...

Diagnostics Errors: Medical Scribes Improve Physician Satisfaction. Can They Improve Diagnosis, Too?

As the demand for clinical documentation grows, physicians find themselves torn between attending to patients and recordkeeping, often working on computer systems that are distracting for physicians and patients alike. 

Barcoding - Bars and Boxes: From Linear to Matrix Barcoding

Barcodes are everywhere. In the hospital environment, they are used for tracking medication, IV fluids, equipment and, of course, patients themselves. 

Patient and Family Centered Care - Transitions in Care: Hospital to Home

This article on the transition from hospital to home is the third in a series (see sidebar, pg. 28) that focuses on the healthcare journey of patients and families using the experiences of a real patient, Max. Vignettes have been extracted from a presentation given by Valerie, Max’s mother at One Voice: Patient- and Family-Centered Care, a program held at Mayo Clinic in 2008. These articles highlight how family-centered practices can enhance the healthcare experience for patients and their families.

Healthcare Analytics: ACO Practices Improve Reporting Process with Clinical Data Analytics Tool

Collecting and analyzing clinical data to measure performance is no simple task for many physician practices, but is becoming increasingly critical as government and commercial payers shift to value-based payment contracts and programs (Block, 2013).

Medical Devices: Who Needs to Read Device Instructions?

Essentially all medical devices used in hospitals come with a user instruction manual, commonly called Instructions for Use (IFU) or Directions for Use. Typically an IFU includes basic, operational “how to” information as well as pages of warnings, cautions, and other general or device-specific information beyond simply how to operate the device. 

News - Using the Neuroscience of Emotions to Improve Patient-Doctor Communication

Helen Riess, MD, associate professor of psychiatry at Harvard University and director of the Empathy and Relational Science Program at Massachusetts General Hospital (MGH), has devoted her career to teaching and research in the art and science of the patient-doctor relationship. 

News - IOM Recommends Long-Term Restructuring of GME Financing and Governance

An Institute of Medicine (IOM) committee has studied the system for governance and public funding of graduate medical education (GME) and finds that it suffers from a “striking absence of transparency and accountability” (IOM, 2014, p. S-13) and provides a physician workforce that is out of sync with the nation’s current needs. 



ABQAURP American Society for Quality American Society for Quality Healthcare Division Consumers Advancing Patient Safety
EMPSF Institute for Safe Medical Practices
Medically Induced Trauma Support Services (MITSS) Medication Safety Officers Society NPSF Partnership for Patient Safety Society to Improve Diagnosis in Medicine