Leapfrog safety data spotlights persistent gaps; Florida hospitals sue
Editor's Note For the first time, the Spring 2025 Hospital Safety Grade from The Leapfrog Group introduces a “Straight A” designation for facilities that have earned top marks across five or more consecutive grading cycles. Published May 1, the latest edition of this biannual safety grade shows 346 hospitals—just 12%…
Advance of AI in nursing prompts safety, autonomy concerns
Editor's Note Although hospitals are already integrating artificial intelligence (AI), nurses warn that the technology may undermine their expertise and compromise patient care, The Associated Press (AP) reported March 16. The push for AI in healthcare stems from widespread nursing shortages. More than 100,000 nurses left the workforce during the…
Analysis: How the new US malpractice standard puts evidence-based ‘reasonable care’ over customary practice
Editor's Note A February 26 letter in JAMA Network reported a revised legal standard for medical negligence in the US, shifting from traditional reliance on customary practice toward a more patient-centered, evidence-based definition of “reasonable care.” The American Law Institute (ALI) updated its framework in 2024, retaining elements of prevailing…
Medical gaslighting tops ECRI’s 2025 patient safety threat list
Editor's Note Misdiagnosis, delayed treatment, and a breakdown of trust in healthcare can all result from time and resource constraints preventing proper engagement with patients—a concern that tops ECRI’s list of the most significant patient safety risks for 2025. As detailed in the global healthcare safety nonprofit’s March 10 announcement,…
New legal standard redefines medical negligence
Editor's Note A revised legal standard for assessing medical negligence in the US shifts away from customary medical practice and toward a more patient-centered definition of reasonable care, according to a February 26 letter published in Jama Network. Following a 2024 update from the American Law Institute, the new framework…
Criminalizing anesthesia errors has unintended consequences, experts warn
Editor's Note Treating unintended anesthesia errors as criminal acts could exacerbate workforce shortages, increase malpractice costs, and drive clinicians to defensive medicine, according to experts quoted in a January 15 report from Anesthesiology News. Instead, fostering a culture of safety and learning could more effectively reduce errors and improve patient…
Health data inaccuracies cost millions, threaten care quality
Editor's Note Healthcare data inaccuracies occur at rates as high as 26.9% in hospitals, with related inefficiencies costing providers up to $20 million annually, HealthLeaders reported January 8. According to the article, these inaccuracies stem from factors such as data entry mistakes, outdated information, inconsistent data standards, and system integration…
Study finds high rates of preventable, adverse events in perioperative care
Editor's Note Adverse events (AEs) remain widespread in perioperative care, affecting nearly one in three patients and resulting in substantial and often preventable patient harm, according to a retrospective cohort study published November 13 in The BMJ. The study analyzed 1,009 weighted admissions from a sample of 64,121 surgical patients…
Hospital safety grades show progress in reducing medical errors, infections
Editor's Note During the past few years, US hospitals have improved significantly in reducing healthcare-associated infections (HAIs), adhering to hand hygiene best practices, and preventing medical errors, according to the fall 2024 Hospital Safety Grades from The Leapfrog Group, a nonprofit focused on patient safety. Released November 15, the rankings…
Study: Improper arm positioning during blood pressure measurements can lead to hypertension overdiagnosis
Editor's Note A recent randomized crossover trial conducted at Johns Hopkins University reveals that improper arm positioning during blood pressure measurements can lead to significant overestimation, potentially contributing to over-diagnosis of hypertension. The findings appeared in Jama Network October 7. The study, which included 133 participants, compared readings in three…
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