Newspaper/Magazine Article Another fatal failure at King/Drew. Citation Text: Weber T; Ornstein C. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL April 27, 2005 Weber T; Ornstein C. View more articles from the same authors. This article reports on a death that occurred at the Martin Luther King Jr./Drew Medical Center after a patient's deteriorating vitals signs went unnoticed. Free full text Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Weber T; Ornstein C. Copy Citation Related Resources From the Same Author(s) Secret data on hospital inspections may soon become public. May 3, 2017 Dennis Quaid files suit over drug mishap. December 19, 2007 Heart Failure: The Decline of a Historic Transplant Program. January 30, 2019 Developing a medication patient safety program, part 2: process and implementation. 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A spike in people dying at home suggests coronavirus deaths in Houston may be higher than reported. July 22, 2020
Family involvement in managing medications of older patients across transitions of care: a systematic review. June 26, 2019
Polypharmacy and potentially inappropriate medication in people with dementia: a nationwide study. June 13, 2018
Using failure mode and effects analysis to increase patient safety in cancer chemotherapy. December 22, 2021
Communication matters when it comes to adverse events: associations of adverse events during implant treatment with patients' communication quality and trust assessments. March 15, 2023
Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation process to improve healthcare. October 20, 2021
Acting wisely in complex clinical situations: 'Mutual safety' for clinicians as well as patients. October 13, 2021
Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety. August 4, 2021
‘I am not the doctor for you’: physicians’ attitudes about caring for people with disabilities. October 26, 2022
The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time series analysis. October 12, 2022
Delivering high reliability in maternity care: in situ simulation as a source of organisational resilience. July 10, 2019
Electronic prescribing and other forms of technology to reduce inappropriate medication use and polypharmacy in older people: a review of current evidence. July 18, 2012
Canadian Association of University Surgeons' Annual Symposium. Surgical simulation: the solution to safe training or a promise unfulfilled? September 5, 2012
We want to know: eliciting hospitalized patients' perspectives on breakdowns in care. August 23, 2017
Understanding principles of high reliability organizations through the eyes of VIONE: a clinical program to improve patient safety by deprescribing potentially inappropriate medications and reducing polypharmacy. February 5, 2020
Inside Canada's secret world of medical error: 'There is a lot of lying, there's a lot of cover-up.' January 28, 2015
Alarm management: first things first: using reliable data to eliminate unnecessary alarms. December 10, 2014
Preventing lawsuits: Coalition pushes apologies and cash up-front. Dealing with medical errors when they happen--instead of in court--can benefit doctors and patients, supporters say. March 27, 2005
Scanning out medication errors: Ohio Valley Hospital's automated IV system provides real-time access to patient data. May 11, 2005
Information Design for Patient Safety: A Guide to the Graphic Design of Medication Packaging. 2nd edition. November 23, 2007
The high cost of low morale in the clinical laboratory: how workplace environment impacts patient safety. January 14, 2015
Active learning: when is more better? The case of resident physicians' medical errors. October 14, 2009
How effective are incident-reporting systems for improving patient safety? A systematic literature review. December 16, 2015
Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage 7: a case report. November 21, 2018
Effective Board Governance of Safe Care: A (Theoretically Underpinned) Cross-sectioned Examination of the Breadth and Depth of Relationships through National Quantitative Surveys and In-depth Qualitative Case Studies. March 2, 2016
Investigating the Prevalence and Causes of Prescribing Errors in General Practice: The PRACtICe Study. May 16, 2012
You can't understand something you hide: transparency as a path to improve patient safety. July 8, 2015
Nursing Home Survey on Patient Safety Culture: 2011 User Comparative Database Report. September 14, 2011
Health Information Technology in the United States: The Information Base for Progress. October 25, 2006
AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative Database Report. November 19, 2014
AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report. November 23, 2016
Engagement of leadership in quality improvement initiatives: executive quality improvement survey results. July 11, 2007
Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary Report. November 17, 2010
2012 User Comparative Database Report: Medical Office Survey on Patient Safety Culture. June 27, 2012
Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative Database Report. July 22, 2015
AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative Database Report. February 20, 2019
Patient Safety Innovations Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis May 31, 2023
WebM&M Cases Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. September 28, 2022
Do falls and other safety issues occur more often during handovers when nurses are away from patients? Findings from a retrospective study design. November 11, 2020
Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis October 9, 2019
Ensuring effective care transition communication: implementation of an electronic medical record-based tool for improved cancer treatment handoffs between clinic and infusion nurses. August 21, 2019
The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit. October 22, 2014
Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. July 23, 2014
Quiet please! Drug round tabards: are they effective and accepted? A mixed method study. July 9, 2014