Category Archives: Patient Safety

Patient Safety

New Framework for Patient-Reported Misdiagnosis Taps the Experts

A new framework developed by Boston-based researchers categorizes patient-reported problems in a way that can be used by health care providers and organizations to better understand errors in diagnoses that are unique to the ambulatory setting, where the majority of missed or delayed diagnoses occur. Recognizing that patients and family caregivers have a unique perspective […]

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Susan Carr Susan Carr is a medical editor and writer specializing in patient safety and engagement. In addition to curating the EngagingPatients blog, she produces publications for the Betsy Lehman Center in Boston and the Society to Improve Diagnosis in Medicine. Susan lives and works in Lunenburg, Massachusetts.

Susan Carr has 185 post(s) at EngagingPatients.org

Check out my: Twitter


Patient Safety

Pandemic prolongs ED boarding for young behavioral health patients

Editor’s note: This post first appeared in Patient Safety Beat, the digital newsletter of the Betsy Lehman Center for Patient Safety. The pandemic has complicated efforts to eliminate prolonged stays in the emergency department (ED), especially for children and adolescents in need of inpatient mental health care. A recent survey from the Massachusetts College of […]

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Susan Carr Susan Carr is a medical editor and writer specializing in patient safety and engagement. In addition to curating the EngagingPatients blog, she produces publications for the Betsy Lehman Center in Boston and the Society to Improve Diagnosis in Medicine. Susan lives and works in Lunenburg, Massachusetts.

Susan Carr has 185 post(s) at EngagingPatients.org

Check out my: Twitter


Patient Safety

Engaged and Persistent, Cancer Patient Tracks Down an Error

In his latest post, Bill Gardner describes the shock of discovering that he now has lung cancer, in addition to throat cancer that was diagnosed in July 2020. Gardner has been blogging about the experience of being a cancer patient in 2020, juggling concerns about COVID-19 together with worries and challenges more typical for someone […]

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Susan Carr Susan Carr is a medical editor and writer specializing in patient safety and engagement. In addition to curating the EngagingPatients blog, she produces publications for the Betsy Lehman Center in Boston and the Society to Improve Diagnosis in Medicine. Susan lives and works in Lunenburg, Massachusetts.

Susan Carr has 185 post(s) at EngagingPatients.org

Check out my: Twitter


Patient Safety

Learning From the Pandemic: Support for All

Editor’s Note: In late 2020, the Betsy Lehman Center for Patient Safety asked four healthcare leaders how the pandemic had affected their organization’s approach to an overarching issue in patient safety. Patricia McGaffigan, vice president of safety programs at the Institute for Healthcare Improvement in Boston, Massachusetts, was asked to reflect on how the pandemic had […]

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Susan Carr Susan Carr is a medical editor and writer specializing in patient safety and engagement. In addition to curating the EngagingPatients blog, she produces publications for the Betsy Lehman Center in Boston and the Society to Improve Diagnosis in Medicine. Susan lives and works in Lunenburg, Massachusetts.

Susan Carr has 185 post(s) at EngagingPatients.org

Check out my: Twitter


Patient Safety

Accessing Open Notes to Improve Patient Safety and Reduce Disparities

Editor’s note: This article was first published in Patient Safety Beat, newsletter of the Betsy Lehman Center. New, more comprehensive research confirms earlier findings that patients who access clinical notes of ambulatory care visits – “open notes” – often spot errors in their electronic health records. And there are indications from additional research that people […]

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Susan Carr Susan Carr is a medical editor and writer specializing in patient safety and engagement. In addition to curating the EngagingPatients blog, she produces publications for the Betsy Lehman Center in Boston and the Society to Improve Diagnosis in Medicine. Susan lives and works in Lunenburg, Massachusetts.

Susan Carr has 185 post(s) at EngagingPatients.org

Check out my: Twitter


Patient Safety, Uncategorized

Engage in Patient Safety Awareness Week 2019

Patient Safety Awareness Week (PSAW) – observed next week, March 10-16 –  recognizes ongoing efforts to improve the safety of healthcare. It is a time both to acknowledge contributions from all quarters in the way of projects, research, education and support and to inspire everyone to become more involved. Started by the National Patient Safety […]

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Susan Carr Susan Carr is a medical editor and writer specializing in patient safety and engagement. In addition to curating the EngagingPatients blog, she produces publications for the Betsy Lehman Center in Boston and the Society to Improve Diagnosis in Medicine. Susan lives and works in Lunenburg, Massachusetts.

Susan Carr has 185 post(s) at EngagingPatients.org

Check out my: Twitter


Patient Safety

Finding Solutions in the Grassroots When Culture and Leadership Fail

A few years back, I injured my right leg and had to go urgently to an emergency room in a busy suburban hospital not far from my home. As both a physician and engaged patient, I observed numerous patient safety lapses during my care, none of which, fortunately, resulted in harm. Although I was distressed […]

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Daniel L. Cohen, MD, FRCPCH, FAAP Daniel Cohen is a consultant with Martin, Blanck & Associates in Alexandria, Virginia. Previously he was chief medical officer for Datix, Ltd, a patient safety software company headquartered in London, England. He also served as chief medical officer for the U.S. Department of Defense (DoD) TRICARE health plan, covering over 9.5 million beneficiaries worldwide, where he provided oversight for the DoD’s patient safety, clinical quality, and population health programs. Cohen was initially trained in pediatrics and hematology/oncology at the Boston Medical Center, Boston University, and the Boston Children’s Hospital, Dana Farber Cancer Institute, Harvard Medical School. He is a senior fellow of the Royal College of Paediatrics and Child Health and a fellow of the American Academy of Pediatrics.

Daniel L. Cohen, MD, FRCPCH, FAAP has 1 post(s) at EngagingPatients.org


Patient Safety

Gaining Insight From the Public

For those of us who specialize in patient safety, the field is very much about the science of improvement, measuring performance, testing initiatives, and keeping on top of the latest research. Patient engagement is critical to our efforts, because the voice of experience adds valuable insight and direction to health professionals and leaders seeking to […]

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Tejal K. Gandhi, MD, MPH, CPPS Tejal K. Gandhi, MD, MPH, CPPS, is chief clinical and safety officer at the Institute for Healthcare Improvement (IHI). Previously, she was president and CEO of the National Patient Safety Foundation, which merged with IHI in May 2017. An internist and associate professor of medicine at Harvard Medical School, Gandhi was formerly the chief quality and safety officer at Partners Healthcare in Boston, Massachusetts. In 2009 she received the John M. Eisenberg Patient Safety and Quality Award for her contributions to understanding the epidemiology and possible prevention strategies for medical errors in the outpatient setting.

Tejal K. Gandhi, MD, MPH, CPPS has 9 post(s) at EngagingPatients.org

Check out my: LinkedIn


Patient Safety

Patient Engagement is Critical for a Strong Culture of Patient Safety

Readers of this blog likely know that for the past several years, the National Patient Safety Foundation’s Lucian Leape Institute has partnered with EngagingPatients.org in presenting the John Q. Sherman Awards for Excellence in Patient Engagement. The purpose of the award is to recognize organizations and individuals who excel at patient engagement efforts and to […]

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Tejal K. Gandhi, MD, MPH, CPPS Tejal K. Gandhi, MD, MPH, CPPS, is chief clinical and safety officer at the Institute for Healthcare Improvement (IHI). Previously, she was president and CEO of the National Patient Safety Foundation, which merged with IHI in May 2017. An internist and associate professor of medicine at Harvard Medical School, Gandhi was formerly the chief quality and safety officer at Partners Healthcare in Boston, Massachusetts. In 2009 she received the John M. Eisenberg Patient Safety and Quality Award for her contributions to understanding the epidemiology and possible prevention strategies for medical errors in the outpatient setting.

Tejal K. Gandhi, MD, MPH, CPPS has 9 post(s) at EngagingPatients.org

Check out my: LinkedIn