Clinical Areas

Scroll down to search or browse using Clinical Area if you would like to explore PSNet by the healthcare profession, such as the nurse care or medical specialty, featured in the resources.

Latest by Clinical Areas

Opioid prescribing for acute pain management in children and adolescents in outpatient settings: clinical practice guideline.

Hadland SE, Agarwal R, Raman SR, et al. Pediatrics. 2024;154:e2024068752.

Acute pain treatment for children in the ambulatory setting is a high-risk activity. This clinical guideline outlines safe... Read More

Language discordance and patient care-Babel.

Huson TA. JAMA Intern Med. 2024;184:1287-1288.

Equitable, safe health care is affected by myriad socioeconomic factors. This commentary describes a near miss involving a mother who was unable to share concerns about her infant’s health due to language... Read More

Technology, Education and Safety.

Harbell MW, ed. Curr Opin Anaesthesiol. 2024;37:666-742.

Despite consummate efforts to improve safety, errors still occur in anesthesiology. This special collection covers a range of topics affecting safe care in the specialty, including pain management, incident reporting,... Read More

Life of the Mother. How Abortion Bans Lead to Preventable Deaths.

Jaramillo C, Surana K, Presser L, et al. ProPublica. 2024:September - November 2024.

Healthcare policy decisions should be crafted and implemented with consideration of potential unintended consequences that can affect patient safety. This series examines the negative... Read More

All Clinical Areas (16198)

Displaying 16341 - 16360 of 16483 Results

WebM&M Cases

Discharged Blindly

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WebM&M Case December 1, 2005

A man is discharged home with injections and written instructions on how to administer his medications. However, the nurse and pharmacist did not notice that he was blind.

Newspaper/Magazine Article

Ding-a-ling-a-ling: ambulances can be dangerous places.

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Meisel Z.

In this article, an emergency medicine physician describes the work environment of emergency medical technicians and paramedics and why it is prone to error.

Government Resource

Abbott Diabetes Care blood glucose meters.

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This announcement alerts patients and practitioners to a problem with glucose meters made by Abbott Diabetes Care. The meters have a measurement setting that, if inadvertently switched, could cause an inaccurate reading.

Newspaper/Magazine Article

Tomorrow's operating room to harness Net, RFID.

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Olsen S. CNET. October 19, 2005.

This article describes the "OR of the Future" initiative at Massachusetts General Hospital. The project uses advanced technology to provide patient information in the operating room.

Newspaper/Magazine Article

Rx for a better prescription. Hospital bans doctors from using confusing medical abbreviations.

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Hall J. Fredericksburg Times. September 25, 2005

This article presents one hospital’s program to reduce the use of dangerous abbreviations. The hospital reports a significant reduction in inappropriate abbreviation use since launching their initiative.

Newspaper/Magazine Article

Hospitals cutting nurses' long shifts.

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Kowalczyk L.

This article reports on changes that hospitals are making to curb long work hours for nurses and how such efforts could reduce potential errors.

Study

Are language barriers associated with serious medical events in hospitalized pediatric patients?

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Cohen AL. Pediatrics. 2005;116(3):575-579.

This study demonstrated an increased risk of adverse events in certain patients reporting a language barrier. Using a case-control design, investigators discovered similar event rates among patients requesting interpreter services, but a subgroup of Spanish-speaking patients requesting such services experienced a higher event rate. While the study suggests a potential relationship between language barriers and adverse events, the study design only offers an associative relationship rather than a causative one. Regardless, the authors advocate for continued research to better understand how improved interpreter services could reduce the potential for errors.

Commentary

Capturing more emergency department errors via an anonymous web-based reporting system.

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Khare RK; Uren B; Wears RL.

The authors present a Web-based system that may increase reporting due to its convenience and anonymity.

Study

Classifying laboratory incident reports to identify problems that jeopardize patient safety.

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Astion ML; Shojania KG; Hamill TR; Kim S; Ng VL.

The investigators describe a system for classifying errors in clinical laboratories.

Newspaper/Magazine Article

Generic drug names: fertile ground for errors?

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Wynn P. Drug Topics. August 8, 2005.

This article reports on problems with look-alike and sound-alike names for generic medications and describes how they contribute to medication mix-ups.

Book/Report

Surgical Patient Safety Essential Information for Surgeons in Today's Environment.

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Manuel BM, Nora PF, eds. Chicago, IL: American College of Surgeons; 2004. ISBN 9781880696163.

The editors of this multi-author primer provide non-clinical essays on a spectrum of patient safety issues of interest both to general safety practitioners and surgeons.

WebM&M Cases

PCA Overdose

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WebM&M Case August 21, 2005

Following surgery, a woman receives morphine via a patient-controlled analgesia (PCA) pump. A few hours after arriving on the floor, she is found barely breathing.

WebM&M Cases

Surprise Wire

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WebM&M Case August 21, 2005

A nurse preparing a patient for transfer out of the ICU discovers the guidewire used for central line placement (1 week earlier) still in the patient's leg vein.

WebM&M Cases

Impatient Inpatient Dosing

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WebM&M Case August 21, 2005

An intern increases a patient's warfarin dosage nightly based on subtherapeutic INR levels drawn each morning; after several days, the patient develops potentially life-threatening bleeding.

Study

The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: an exploration.

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Hobgood C, Hevia A, Tamayo-Sarver JH, et al. Acad Med. 2005;80(8):758-64.

The authors surveyed emergency medicine residents to determine their emotional response to making medical mistakes. The authors suggest improvements in morbidity and mortality conferences and institutional environments that engender defensive medical practices.

Book/Report

Quality Work Environments for Nurse and Patient Safety.

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McGillis Hall L. Sudbury, MA: Jones and Bartlett Publishers; 2005. ISBN 9780763728809.

This book summarizes findings from a literature review and analysis on factors that contribute to the quality of nursing work life. The authors present ten variables that impact work environments and their relation to patient safety.

Perspective

The Unfinished Patient Safety Agenda

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Perspective on Safety August 1, 2005

The goal set by the Institute of Medicine (IOM) in 1999 to reduce medical errors by half within 5 years has not been achieved. Opinion polls of consumers and health professionals show that concerns about patient safety remain high. Yet only 16% of hospital...

In Conversation with…Barbara A. Blakeney, MS, RN

Barbara A. Blakeney, MS, RN, is President of the 150,000-member American Nurses Association (ANA). A nurse practitioner and expert in public health practice, policy, and primary care, Ms. Blakeney is on leave from the Boston Public Health Commission, where she has been director of health care services for the homeless. She is the recipient of numerous awards and has been named to Modern Healthcare Magazine's list of the 100 most influential people in health care for the past 3 years.

Newspaper/Magazine Article

Cardiovascular drugs: linked to many errors.

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Santell JP. Drug Topics. June 20, 2005.

This article summarizes analysis from MEDMARXSM data that revealed 80,000 errors involving cardiovascular drugs. The author makes recommendations for preventing such errors.

Newspaper/Magazine Article

Hospital R.Ph.s weigh in on new JCAHO patient safety goals.

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Vecchione A. Drug Topics. July 11, 2005

This article summarizes the 2006 Joint Commission on Accreditation of Healthcare Organizations patient safety goals and how hospital pharmacists can contribute to their successful implementation.

Newspaper/Magazine Article

Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths.

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Comarow A. US News & World Report. July 2005

This article, accompanying the widely read ranking of "America's Best Hospitals," describes the Institute for Healthcare Improvement's 100,000 Lives Campaign. Focusing on the six practices promoted by the campaign, it reviews the progress to date, with a particular focus on two participating hospitals' (Hackensack University Medical Center in New Jersey and McLeod Regional Medical Center in South Carolina) experiences in implementing the practices.

Clinical Areas

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All Clinical Areas (16198)

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All Clinical Areas (16198)

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