Newspaper/Magazine Article Nearly 90 major medical mistakes logged at Utah hospitals in 2008. Citation Text: May H. Salt Lake Tribune. June 26, 2009. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL July 8, 2009 May H. Salt Lake Tribune. June 26, 2009. View more articles from the same authors. This news story discusses Utah sentinel event statistics and compares them with 2007 data. Free full text Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: May H. Salt Lake Tribune. June 26, 2009. Copy Citation Related Resources From the Same Author(s) Never events: Utah hospitals saw nearly 60 serious errors in 2007. September 3, 2008 Avoiding errors associated with insulin therapy. May 27, 2009 ‘I felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health care. July 5, 2023 When doctors get it wrong: misdiagnoses are getting a closer look. September 9, 2015 Will false diagnosis cost Minnesota girl her life? January 18, 2012 Family of woman who died after a medical error joins hospital's safety panel. October 19, 2011 Medical culture about errors may be changing. September 19, 2007 Medical misdiagnoses can have fatal consequences. July 6, 2011 Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying Opportunities for Improvement. October 10, 2012 Minnesota hospitals are testing ways to reduce return trips. October 24, 2012 Antifatness in the surgical setting. June 8, 2022 Dangerous doses. February 24, 2016 Utah DoH Patient Safety Initiatives. March 6, 2005 Fatal outcome after inadvertent injection of topical epinephrine. April 8, 2009 Inattentional blindness: what captures your attention? March 11, 2009 Safety First: Top of Your Board's Agenda: 100 Day Challenge Survey Report. July 22, 2009 As cancer drug shortages grow, some doctors are forced to ration doses or delay care. June 7, 2023 Decontamination of Surgical Instruments. June 8, 2022 Kaiser learns from tragic medical errors. June 4, 2008 Avoidable sepsis infections send thousands of seniors to gruesome deaths. September 19, 2018 Leadership practices to advance patient safety. May 27, 2009 Selection of incorrect medication pump leads to chemotherapy overdose. September 16, 2015 5 pandemic mistakes we keep repeating. We can learn from our failures. March 17, 2021 Recognizing Unsafe Care: What It Is and How to Report It. August 26, 2021 - August 26, 2021 Driving Learning and Improvement After RCA2 Event Reviews. January 11, 2023 How American health care killed my father. August 26, 2009 An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study. January 6, 2010 The First Annual HealthGrades Pediatric Patient Safety in American Hospitals Study. August 25, 2010 HealthGrades Eighth Annual Patient Safety in American Hospitals Study. March 23, 2011 How DeKalb Medical fixed drug safety problems after fatal error. May 9, 2018 Care transitions know-how not just for clinicians. October 11, 2017 Electronic medicine can send you test results quickly. But what if they're scary? April 11, 2018 My life was upended for 35 years by a cancer diagnosis. A doctor just told me I was misdiagnosed. April 7, 2021 Important Actions Community Pharmacists Need to Take Now to Reduce Potentially Harmful Dispensing Errors. October 26, 2021 - October 26, 2021 A Conversation Among Stakeholders on Medical Malpractice. April 6, 2022 Pump up the volume: tips for increasing error reporting and decreasing patient harm. September 8, 2021 Physician's Guide to Patient Safety Organizations. August 4, 2010 Medical Mistakes: Dr. Oz Talks to Actor Dennis Quaid. March 25, 2009 How two rights can make a wrong. March 7, 2007 A medical detective story: why doctors make diagnostic errors. October 7, 2015 Embedded bias: how medical records sow discrimination. October 5, 2022 Prescription for disaster: America's broken pharmacy system in revolt over burnout and errors. November 8, 2023 Why doctors still offer treatments that may not help. September 4, 2019 Hospital safety records, CEO pay increasingly linked. December 5, 2007 Will medicine ever become safer? December 11, 2013 Announcing 2009 Leapfrog top hospitals. December 16, 2009 Nurse accidentally kills premature son of swine flu victim in Spain. July 29, 2009 Taking Charge of Your Healthcare: Your Path to Being an Empowered Patient. July 22, 2009 How safe are patients in primary care? May 13, 2009 Patient Safety Essentials for Health Care. 5th ed. April 21, 2005 Leadership in Healthcare Organizations: A Guide to Joint Commission Leadership Standards. December 16, 2009 How could this happen? November 4, 2009 Safety Culture: Theory, Method and Improvement. March 31, 2010 Adverse Health Care Events Reporting System: What Have We Learned? February 4, 2009 Reducing preventable harm in hospitals. February 3, 2016 Families are struggling to use medicines at home — we must truly involve them in their own safety. March 10, 2021 Rethinking use of air-safety principles to reduce fatal hospital errors. September 7, 2022 How the coronavirus is delaying life-altering surgeries. May 6, 2020 Failure to cap IV tubing and disinfect IV ports place patients at risk for infections. August 15, 2007 Deaths in Acute Hospitals: Caring to the End? November 25, 2009 Assessing Patient Safety Practices and Outcomes in the U.S. Health Care System. November 4, 2009 A Patient Safety Handbook for Ambulatory Care Providers. April 14, 2010 Safety in Doses. September 16, 2009 Thinking Outside the Pillbox: A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease. September 9, 2009 Review of Patient Safety for Children and Young People. July 1, 2009 To Err Is Human — To Delay Is Deadly. June 3, 2009 Safe Practices for Better Healthcare–2009 Update. March 18, 2009 Hospitals installed more sinks to stop infections. The sinks can make the problem worse. November 9, 2016 Developing a common language for evaluation questions in quality and safety improvement. August 25, 2010 Electronic prescribing vulnerabilities: height and weight mix-up leads to dosing error. September 8, 2010 Raising the index of suspicion: red flags that represent credible threats to patient safety. August 8, 2012 Students have a key role in a culture of safety: analysis of student-associated medication incidents. August 8, 2018 Bar code label requirement for human drug products and biological products. March 27, 2005 Study: clinicians copy and paste about half of text in EHR progress notes. June 14, 2017 The Checklist Manifesto: How to Get Things Right. January 13, 2010 How Safe Is Your Hospital? January 6, 2010 Whack-a-Mole: The Price We Pay For Expecting Perfection. February 24, 2010 Every Patient Tells A Story: Medical Mysteries and the Art of Diagnosis. August 26, 2009 Conceptual Framework for the International Classification for Patient Safety Version 1.1. Final Technical Report January 2009. September 6, 2006 The Fifth Discipline: The Art & Practice of The Learning Organization. Revised & Updated Edition. March 27, 2005 Sick children face potentially deadly danger: medication errors. October 5, 2016 ISMP updates its list of drug names with tall man (mixed case) letters based on survey results. February 8, 2023 Is surgery safer at a teaching hospital? November 12, 2014 Disclosure and Apology: What's Missing? Advancing Programs that Support Clinicians. December 2, 2009 Commission of Inquiry on Hormone Receptor Testing. April 1, 2009 Clash in the name of care. November 4, 2015 Measurement of diagnostic errors is a key first step to their reduction. December 9, 2015 Reduce medication errors through following metrics. June 10, 2009 The Role of Hospitalists in Patient Safety. December 2, 2009 Dead by Mistake. August 19, 2009 Information for healthcare professionals: risk of transmission of blood-borne pathogens from shared use of insulin pens. April 8, 2009 Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting: Conference Summary Report. April 1, 2009 Do No Harm: Stories of Life, Death, and Brain Surgery. June 17, 2015 Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System. September 10, 2014 Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care. December 9, 2020 Relenza (zanamivir) inhalation powder. October 21, 2009 Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. October 21, 2009 Tamiflu (oseltamivir) for oral suspension: potential medication errors. October 7, 2009 Putting Patients First: Best Practices in Patient-Centered Care. Second Edition. February 4, 2009 Practicing Medicine in Difficult Times: Protecting Physicians from Malpractice Litigation. August 13, 2008 View More Related Resources Patient Safety Innovations Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis May 31, 2023 Patient Safety Innovations Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans May 31, 2023 Serious Reportable Events in Massachusetts. May 22, 2023 Annual Perspective Improving Diagnostic Safety and Quality April 26, 2023 Perspectives on Safety Annual Perspective Technology as a Tool for Improving Patient Safety March 29, 2023 Hospital Compare. May 13, 2021 Role of artificial intelligence in patient safety outcomes: systematic literature review. August 26, 2020 Do you know what doses are being programmed in the OR? Make it an expectation to use smart infusion pumps with DERS. April 1, 2020 Strategies for optimizing OR drug safety. April 4, 2018 A new patient safety smartphone application for prevention of "forgotten" ureteral stents: results from a clinical pilot study in 194 patients. July 26, 2017 Surgical 'black box' could reduce errors. September 10, 2014 To make hospitals less deadly, a dose of data. December 18, 2013 Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items. October 2, 2013 Medical errors leave devastating impact on families, professionals. May 15, 2013 Lessons from America's safest hospitals. April 17, 2013 What surgeons leave behind costs some patients dearly. March 20, 2013 Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. November 14, 2012 How safe is your hospital? Our new ratings find that some are riskier than others. July 18, 2012 Doctors' smartphones and iPads may be distracting. April 11, 2012 Medicare study finds teaching hospitals have higher risk of complications; findings disputed. February 29, 2012 Ingestion or aspiration of foreign objects or toxic substances is not just a safety concern with children. November 16, 2011 Medicare releases patient safety ratings for hospitals. October 26, 2011 Pressing for better quality across healthcare. October 19, 2011 Program encourages reporting accidents waiting to happen: the Good Catch Awards. September 28, 2011 Wristbands as aids to reduce misidentification: an ethnographically guided task analysis. September 28, 2011 Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania. September 14, 2011 Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. August 17, 2011 Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents. July 27, 2011 Evaluating the medication process in the context of CPOE use: the significance of working around the system. May 25, 2011 MGH faces suit over drug error that killed woman. March 23, 2011 View More See More About The Topic General Hospitals Patients Internal Medicine General Internal Medicine Hospital Medicine View More
‘I felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health care. July 5, 2023
Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying Opportunities for Improvement. October 10, 2012
An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study. January 6, 2010
My life was upended for 35 years by a cancer diagnosis. A doctor just told me I was misdiagnosed. April 7, 2021
Important Actions Community Pharmacists Need to Take Now to Reduce Potentially Harmful Dispensing Errors. October 26, 2021 - October 26, 2021
Pump up the volume: tips for increasing error reporting and decreasing patient harm. September 8, 2021
Prescription for disaster: America's broken pharmacy system in revolt over burnout and errors. November 8, 2023
Leadership in Healthcare Organizations: A Guide to Joint Commission Leadership Standards. December 16, 2009
Families are struggling to use medicines at home — we must truly involve them in their own safety. March 10, 2021
Failure to cap IV tubing and disinfect IV ports place patients at risk for infections. August 15, 2007
Thinking Outside the Pillbox: A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease. September 9, 2009
Hospitals installed more sinks to stop infections. The sinks can make the problem worse. November 9, 2016
Developing a common language for evaluation questions in quality and safety improvement. August 25, 2010
Electronic prescribing vulnerabilities: height and weight mix-up leads to dosing error. September 8, 2010
Raising the index of suspicion: red flags that represent credible threats to patient safety. August 8, 2012
Students have a key role in a culture of safety: analysis of student-associated medication incidents. August 8, 2018
Conceptual Framework for the International Classification for Patient Safety Version 1.1. Final Technical Report January 2009. September 6, 2006
The Fifth Discipline: The Art & Practice of The Learning Organization. Revised & Updated Edition. March 27, 2005
ISMP updates its list of drug names with tall man (mixed case) letters based on survey results. February 8, 2023
Information for healthcare professionals: risk of transmission of blood-borne pathogens from shared use of insulin pens. April 8, 2009
Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting: Conference Summary Report. April 1, 2009
Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System. September 10, 2014
Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care. December 9, 2020
Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. October 21, 2009
Practicing Medicine in Difficult Times: Protecting Physicians from Malpractice Litigation. August 13, 2008
Patient Safety Innovations Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis May 31, 2023
Patient Safety Innovations Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans May 31, 2023
Perspectives on Safety Annual Perspective Technology as a Tool for Improving Patient Safety March 29, 2023
Role of artificial intelligence in patient safety outcomes: systematic literature review. August 26, 2020
Do you know what doses are being programmed in the OR? Make it an expectation to use smart infusion pumps with DERS. April 1, 2020
A new patient safety smartphone application for prevention of "forgotten" ureteral stents: results from a clinical pilot study in 194 patients. July 26, 2017
Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items. October 2, 2013
Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. November 14, 2012
Medicare study finds teaching hospitals have higher risk of complications; findings disputed. February 29, 2012
Ingestion or aspiration of foreign objects or toxic substances is not just a safety concern with children. November 16, 2011
Wristbands as aids to reduce misidentification: an ethnographically guided task analysis. September 28, 2011
Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania. September 14, 2011
Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. August 17, 2011
Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents. July 27, 2011
Evaluating the medication process in the context of CPOE use: the significance of working around the system. May 25, 2011