BEHAVIOR

​September 2017

​A broken system forgives sexually abusive doctors in every state, investigation finds


February 2017

Surgeons who are rude to patients and others may pose a problem in the operating room.


January 2016

Some physicians need to heal themselves before focusing on their patients.


COST

October 2017

When Charles Thompson of Greenville, S.C., checked into the hospital one July morning in 2011, he expected a standard colonoscopy.
He never anticipated how wrong things would go. Partway through, a doctor emerged from the operating room to tell Thompson's wife, Ann, that there had been complications: His colon may have been punctured. He needed emergency surgery.


April 2008

In addition to the harm they cause to patients, medical errors are expensive: the Institute of Medicine has estimated that medical errors cost $17 billion to $29 billion per year. But since most of these costs are shifted to outside parties—often to payers, like Medicare—hospital leaders do not have strong economic incentives to improve patient safety, according to a new Commonwealth Fund–supported study.


​​DISPARITIES AND BIAS IN HEALTHCARE

April 11,  2018​​

For black women, the rate of preeclampsia/eclampsia was 70 per 1,000 deliveries in 2014—60 percent higher than for white women (43 per 1,000).  


Woman says her doctor told her she was just fat, when in fact she had cancer

April 2018

Video


December 2017

Despite years of improvements in cancer care, the disease still disproportionately kills black people, according to three sobering new reports from a study funded by U.S. Centers for Disease Control and Prevention.


December 2017

On a melancholy Saturday this past February, Shalon Irving's "village" — the friends and family she had assembled to support her as a single mother — gathered at a funeral home in a prosperous black neighborhood in southwest Atlanta to say goodbye.


November 2017

(CNN)It was her second time lying numb in a hospital bed in North Bergen, New Jersey, with blood streaming down her legs and fear creeping into her heart.At that moment, Timoria McQueen Saba thought to herself, "there's no way in the world that I'm the only woman who had this happen," she said.


May 2017

(CNN)When it comes to the overall health of black Americans, there's good news and bad news, according to a report released by the US Centers for Disease Control and Prevention on Tuesday.


May 2017

Black mothers are 60 percent more likely than white mothers to have preterm births and twice as likely to have a baby with low birth weight. We examine whether these black-white gaps in birth outcomes are larger in counties with higher levels of racial prejudice.


May 2017
(CNN)When it comes to the overall health of black Americans, there's good news and bad news, according to a report released by the US Centers for Disease Control and Prevention on Tuesday.


January 2017 WYNC
When she went into Kings County Hospital for a Week 40 checkup, she wasn’t in labor and did not expect to deliver a baby that day. During what she thought was a routine pelvic examination, the doctor kept going deeper. It was uncomfortable and confusing; when she hit what she figured was 10 on the 1-to-10 pain scale, she cried out, “What’s happening?”


​​April 2016

There is extensive evidence and research that finds unconscious biases can lead to differential treatment of patients by race, gender, weight, age, language, income and insurance status. The purpose of this issue of Quick Safety is to discuss the impact of implicit bias on patient safety. Bias in clinical decision-making does result in overuse or underuse problems that can directly lead to patient harm.


April 2016

The present work examines beliefs associated with racial bias in pain management, a critical health care domain with well-documented racial disparities. Specifically, this work reveals that a substantial number of white laypeople and medical students and residents hold false beliefs about biological differences between blacks and whites and demonstrates that these beliefs predict racial bias in pain perception and treatment recommendation accuracy. 


​​March 2016

​​Sixteen years into the new millennium, many white Americans see racial and ethnic inequalities as belonging to a bygone era of blatant discrimination and legal segregation that ended with the Civil Rights protections enacted a half century ago or more.


February 2016

Mounting research finds that facing discrimination, in general, is a risk factor for poor health


​No Date

 Although the term disparities is often interpreted to mean racial or ethnic disparities, many dimensions of disparity exist in the United States, particularly in health. If a health outcome is seen to a greater or lesser extent between populations, there is disparity. Race or ethnicity, sex, sexual identity, age, disability, socioeconomic status, and geographic location all contribute to an individual’s ability to achieve good health. It is important to recognize the impact that social determinants have on health outcomes of specific populations. Healthy People strives to improve the health of all groups.​


December 2010

Seventy-nine percent of African Americans had health coverage in 2009 compared to 88 percent of white Americans.
A total of 16.6 percent of African Americans aged 18 years and over do not have a regular source of health care.


Centers for Disease Control and Prevention

Health disparities are preventable differences in the burden of disease, injury, violence, or opportunities to achieve optimal health that are experienced by socially disadvantaged populations.1 Populations can be defined by factors such as race or ethnicity, gender, education or income, disability, geographic location (e.g., rural or urban), or sexual orientation. Health disparities are inequitable and are directly related to the historical and current unequal distribution of social, political, economic, and environmental resources.


The National Academies of Sciences Engineering Medicine

​March 2002

Congress, in 1999, requested an IOM study to assess the extent of disparities in the types and quality of health services received by U.S. racial and ethnic minorities and non-minorities; explore factors that may contribute to inequities in care; and recommend policies and practices to eliminate these inequities.


ACOG

​December 2005

ABSTRACT: Projections suggest that people of color will represent most of the U.S. population by 2050, and yet significant racial and ethnic disparities persist in women’s health and health care. Although socioeconomic status accounts for some of these disparities, factors at the patient, practitioner, and health care system levels contribute to existing and evolving disparities in women’s health outcomes.


FALLS

September 2014

​ Many people who have experienced the birth of a newborn baby most likely have warm  thoughts of going to see the baby in the hospital and holding the baby for the first time. However, accidents can happen while families are bonding with their newborn baby while in the hospital


June 2016

Open and candid communication with patients and their families is a key component of safe and effective health              care.  However, communication between caregivers and patients is sometimes hindered by longstanding myths and        misconceptions about the sharing of information.  The Joint Commission, with input from its Patient and Family                Advisory Council, has issued a white paper designed to dispel those myths and to help organizations design more            effective communication practices.​​


​​INFECTIONS

February 2017

Antibiotic resistance could make c-sections, transplants and chemotherapy too dangerous to perform, warns World Health Organisation


 March 2014

 On any given day, approximately one in 25 U.S. patients has at least one infection contracted during the course of             their hospital care, adding up to about 722,000 infections in 2011, according to new data from the Centers for                     Disease Control and Prevention. This information is an update to previous CDC estimates of healthcare-associated           infections.


August 2013
About 1.7 million Americans acquire infections in health care settings each year, killing 99,000 patients and adding $45 billion to the nation’s annual medical expenses, said a report issued in July by the Alliance for Aging Research


The Peggy Lillis Foundation is building a nationwide clostridium difficile awareness movement by educating the                 public, empowering advocates, and shaping policy.


One and Only Campaign: Make Every Injection Safe


LGBT CARE AND SAFETY

March 2016
Experiencing the world as a different gender than the one assigned to you at birth can take a toll. Nearly all research         into transgender individuals' mental health shows poorer outcomes. A study looking specifically at transgender                 women, predominantly women of color, only further confirms that reality.


 August 2016

Stigma and discrimination experienced during adolescence can have lifelong health consequences.1 In addition,               risky health behaviors are often established during adolescence and can be particularly prevalent among those                 aged 13 to 18   years experiencing stigma.


With almost 28,000 respondents, the U.S. Transgender Survey (USTS) is the largest survey ever devoted to the lives and experiences of trans people


2011

A Report of the National Transgender Discrimination Survey  


LITERACY AND COMMUNICATION

April 2016
Former New York Mayor Rudy Giuliani thought he was cancer-free when his doctor told him his prostate biopsy was “positive.”


MEDICATION SAFETY & ERRORS

August 2017

Most patients who are prescribed opioids after surgery don't take all of the prescribed pills, leaving leftover opioids that could be used inappropriately, a new review of studies finds.

Non-health care facility medication errors resulting in serious medical outcomes


June ​2017

AMERICANS OVER 50 are using narcotic pain pills in surprisingly high numbers, and many are becoming addicted. While media attention has focused on younger people buying illegal opioids on the black market, dependence can also start with a legitimate prescription from a doctor: A well-meant treatment for knee surgery or chronic back troubles is often the path to a deadly outcome.


​March 2017

Teenagers who abuse opioid drugs, in most cases began when they received the medication from their doctor. Studies show that teens start taking drugs for medical reasons and then continue when they are no longer needed.


​March 29, 2017

WHO today launched a global initiative to reduce severe, avoidable medication-associated harm in all countries by 50% over the next 5 years.

The Global Patient Safety Challenge on Medication Safety aims to address the weaknesses in health systems that lead to medication errors and the severe harm that results. It lays out ways to improve the way medicines are prescribed, distributed and consumed, and increase awareness among patients about the risks associated with the improper use of medication.


2017

Objective: The objective of this study is to provide an epidemiologic analysis of medication errors occurring outside of health care facilities that result in serious medical outcomes (defined by the National Poison Database System as “moderate effect,” “major effect,” “death,” or “death, indirect report”).


September 2016

Americans are  taking more medications than ever before.
Nearly 60 to 70 percent of us take at least one prescribed drug, depending upon the estimate; for many it amounts to a fistful, potpourri of pills per day. Meanwhile, new drug approvals have reached a 19-year high.

December 2015

From 2000 to 2014 nearly half a million Americans died from drug overdoses. Opioid overdose deaths,             including both opioid pain relievers and heroin, hit record levels in 2014, with an alarming 14 percent             increase in just one year.


April 2010

Between 2005 and 2007, medical errors cost Medicare more than $6.9 billion and were responsible for more than             92,000 potentially preventable in-hospital deaths among the plan’s beneficiaries.1 Of all medical errors, medication           administration mistakes have ranked among the most common, harming at least 1.5 million people every year,                 according to a 2006 report from the Institute of Medicine of the National Academies (IMNA).


To advance patient safety worldwide by empowering the healthcare community, including consumers, to prevent               medication errors.


MISDIAGNOSIS

August 11, 2017

Emily was bedridden with severe cramps, but five doctors told her she was simply “unlucky” to have painful periods. Tina had crushing chest pain yet was sent home from the hospital and told she had a gastrointestinal problem. Tanieka’s doctor attributed her fatigue and heart palpitations to stress. Jennifer’s M.D. diagnosed her terrible abdominal pain as a side effect of depression.All these women have one thing in common: Their doctors were wrong.


June 20, 2017

Prevention magazine contributing editor Dr. Holly Phillips joined Kathie Lee Gifford and Hoda Kotb to discuss how one woman’s cancer diagnosis led her to seek a second opinion, ultimately resulting in a misdiagnosis. Dr. Phillips suggests how to be more communicative with doctors and how to ask the right question.


​April 17, 2014

Each year in the U.S., approximately 12 million adults who seek outpatient medical care are misdiagnosed, according to a new study published in the journal BMJ Quality & Safety. This figure amounts to 1 out of 20 adult patients, and researchers say in half of those cases, the misdiagnosis has the potential to result in severe harm.


PATIENT AND FAMILY INVOLVEMENT

June 2016
Open and candid communication with patients and their families is a key component of safe and effective health              care.  However, communication between caregivers and patients is sometimes hindered by longstanding myths and        misconceptions about the sharing of information.  The Joint Commission, with input from its Patient and Family                Advisory Council, has issued a white paper designed to dispel those myths and to help organizations design more            effective communication practices.


June 19
Rudy Giuliani’s wife discusses her partnership with her husband during his prostate cancer journey and their team approach to the experience


​May 2016

In recent years, there has been a shift toward a greater role for patients in health delivery. We are all aware of the greater focus on shared decision-making, patient satisfaction scores, information on provider price and quality to patients, and the use of incentives embedded in benefit design (such as high-deductible health plans) that put the onus on the patient to behave like a consumer and assess the value of different health services they could receive.​​


February 2013

Patient engagement is an increasingly important component of strategies to reform health care. In this article we review the available evidence of the contribution that patient activation-the skills and confidence that equip patients to become actively engaged in their health care-makes to health outcomes, costs, and patient experience. 


VETERANS CARE & SAFETY

July 2015

A senior official at the Department of Veterans Affairs is warning Congress on Monday that it needs to fill a $3 billion        shortfall or risk shutting down VA hospitals in August.
 “It is essential that Congress pass legislation to provide the requested budget flexibility by the end of July 2015,”                Deputy Secretary Sloan Gibson wrote in a letter to lawmakers.


June 2015

 The Department of Veterans Affairs is at risk of shutting down an unspecified number of hospitals by August if                   Congress doesn't fill a $3 billion shortfall by the end of July, according to The Hill.


Pulse Center for Patient Safety Education and Advocacy (CPSEA) is dedicated to raising awareness about patient safety through education, advocacy, and support.

We envision a world in which the patient's voice is heard and no one is harmed by healthcare.

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