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Device-related Complications

•Indwelling Tubes and Catheters (68)

•Infusion Pumps (28)

•Prostheses and Implants (1)

•Restraints (5)

Origin/Sponsor

•Australia and New Zealand (3)

•North America (213)

Resource Types

•Audiovisual (6)

•Book/Report (9)

•Clinical Guideline (1)

•Journal Article (137)

•Legislation/Regulation (8)

•Meeting/Conference (1)

•Newspaper/Magazine Article (55)

•Press Release/Announcement (11)

•Special or Theme Issue (1)

•Tools/Toolkit (4)

•Web Resource (8)

Error Types

•Epidemiology of Errors and Adverse Events (52)

•Active Errors (53)

•Latent Errors (33)

•Near Miss (3)

Approach to Improving Safety

•Quality Improvement Strategies (78)

•Legal and Policy Approaches (29)

•Error Reporting and Analysis (66)

•Communication Improvement (29)

•Human Factors Engineering (115)

•Teamwork (8)

•Specialization of Care (5)

•Logistical Approaches (6)

•Culture of Safety (28)

•Technologic Approaches (33)

•Education and Training (56)

Clinical Areas

•Allied Health Services (4)

•Medicine (181)

•Nursing (16)

•Pharmacy (22)

Target Audience

•Health Care Providers (168)

•Health Care Executives and Administrators (179)

•Non-Health Care Professionals (76)

•Patients (45)

Setting of Care

•Hospitals (178)

•Residential Facilities (1)

•Ambulatory Care (11)

•Outpatient Surgery (2)

•Patient Transport (1)

1 - 20 of 244

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NEWSPAPER/MAGAZINE ARTICLE

Get me out alive.

Feldman R. The Washington Post. May 2, 2006:HE01.

BOOK/REPORT

Consumer Guide to Adverse Health Events.

St. Paul, MN: Minnesota Department of Health; January 2009.

NEWSPAPER/MAGAZINE ARTICLE

Health for life. Keys to safer hospitals.

Berwick DM. Newsweek. December 12, 2005;46:75-78.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals save money, but safety is questioned.

Klein A. The Washington Post. December 11, 2005:A01.

NEWSPAPER/MAGAZINE ARTICLE

Sarasota Memorial Hospital reviewed after restrained patient dies.

Gulliver D. Sarasota Herald Tribune. November 7, 2006:BS1.

NEWSPAPER/MAGAZINE ARTICLE

Order scanning systems may pull multiple pages through the scanner at the same time, leading to drug omissions.

ISMP Medication Safety Alert! Acute Care Edition. November 5, 2009;14:1-3.

STUDY

Use of cellular telephones in the hospital environment.

Tri JL, Severson RP, Hyberger LK, Hayes DL. Mayo Clin Proc. 2007;82:282-285.

NEWSPAPER/MAGAZINE ARTICLE

Spike in MR imaging accidents underscores need for regulation.

Radiological Society of North America. RSNA News; October 2010.

NEWSPAPER/MAGAZINE ARTICLE

MRI safety 10 years later.

Gilk T, Latino RJ. Patient Saf Qual Healthc. November/December 2011;8:22-23,26-29.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2009;44:654-657.

ORGANIZATIONAL POLICY/GUIDELINES

Medical device alarm safety in hospitals.

Sentinel Event Alert. April 8, 2013;(50):1-3.

COMMENTARY

Executive/senior leader checklist to improve culture and reduce central line–associated bloodstream infections.

Goeschel CA, Holzmueller CG, Berenholtz SM, et al. Jt Comm J Qual Patient Saf. 2010;36:519-524.

NEWSPAPER/MAGAZINE ARTICLE

Program encourages reporting accidents waiting to happen: the Good Catch Awards.

McCook A. Anesthesiology News. Sept 2011;37:9.

NEWSPAPER/MAGAZINE ARTICLE

How business intelligence can improve patient safety.

Wanless S, McManaway J. Business Intelligence Network. August 30, 2005.

NEWSPAPER/MAGAZINE ARTICLE

Small patients, big consequences in medical errors.

Tarkan L. New York Times. September 14, 2008;Health section:7.

AUDIOVISUAL

Chasing Zero: Winning the War on Healthcare Harm.

Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.

AUDIOVISUAL

Notre Dame students design to save lives.

McFadden M. WNDU. February 21, 2012.

MULTI-USE WEBSITE

Human Factors and Medical Devices.

Human Factors Engineering Team, Center for Devices and Radiological Health, Office of Communication, Education, and Radiation Programs (OCER), Division of Device User Programs and Systems Analysis (DDUPSA), 1350 Piccard Drive, HFZ-230, Rockville, MD 20850.

PRESS RELEASE/ANNOUNCEMENT

Medical gas containers and closures; current good manufacturing practice requirements.

Federal Register. April 10, 2006;71:18039-18053.

COMMENTARY

Smart pumps: advanced capabilities and continuous quality improvement.

Vanderveen T. Patient Saf Quality Healthc. January/February 2007.

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