American College of Endocrinology and American Association of Clinical Endocrinologists position statement on patient safety and medical system errors in diabetes and endocrinology.

David W. Bates; Nathaniel G. Clark; Richard I. Cook; Jeffrey R. Garber; Richard Hellman; Paul S. Jellinger; John S. Kukora; Steven M. Petal; James T. Reason; John B. Tourtelot; Writing Committee on Patient Safety and Medical System Errors in Diabetes and Endocrinology

Commentary

American College of Endocrinology and American Association of Clinical Endocrinologists position statement on patient safety and medical system errors in diabetes and endocrinology.

December 7, 2005

Bates DW, Clark NG, Cook RI, et al. Endocr Pract. 2005;11(3):197-202.

View more articles from the same authors.

The authors report on the results of a consensus conference that focused on safety for patients with diabetes and other endocrine diseases. They list the recommendations from the multidisciplinary expert panel convened for the conference.

PubMed citation

Related Resources From the Same Author(s)

ACOG Committee Opinion #531: improving medication safety.

September 19, 2012

ACOG Committee Opinion #681: disclosure and discussion of adverse events.

January 30, 2005

Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003.

February 6, 2008

ACOG Committee Opinion #621: patient safety and health information technology.

April 1, 2015

The development and implementation of checklists in obstetrics.

September 27, 2017

Measures of patient safety in developing and emerging countries: a review of the literature.

March 17, 2010

ACOG Committee Opinion No. 447: patient safety in obstetrics and gynecology.

December 16, 2009

Case studies of patient safety research classics to build research capacity in low- and middle-income countries.

December 11, 2013

ACOG Committee Opinion #546: tracking and reminder systems.

December 12, 2012

ACOG Committee Opinion #590: preparing for clinical emergencies in obstetrics and gynecology.

April 30, 2014

A controlled trial of smart infusion pumps to improve medication safety in critically ill patients.

April 21, 2005

Adapting to new technologies in the operating room.

March 27, 2005

Handoffs in the era of duty hours reform: a focused review and strategy to address changes in the Accreditation Council for Graduate Medical Education Common Program Requirements.

March 14, 2012

Strategies for detecting adverse drug events among older persons in the ambulatory setting.

March 6, 2005

Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative.

November 12, 2008

Medication errors in pediatric inpatients: prevalence and results of a prevention program.

September 17, 2008

Patient safety research: an overview of the global evidence.

March 17, 2010

The relationship between perceived practice quality and quality improvement activities and physician practice dissatisfaction, professional isolation, and work-life stress.

August 5, 2009

The top patient safety strategies that can be encouraged for adoption now.

March 13, 2013

Physicians and electronic health records: a statewide survey.

March 21, 2007

In situ simulated cardiac arrest exercises to detect system vulnerabilities.

June 10, 2015

The role for leaders of health care organizations in patient safety.

September 19, 2007

September 2, 2009

The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.

August 24, 2005

Effect of reducing interns' work hours on serious medical errors in intensive care units.

March 27, 2005

Adverse drug events and medication errors in psychiatry: methodological issues regarding identification and classification.

March 26, 2008

Incidence and preventability of adverse drug events among older persons in the ambulatory setting.

March 6, 2005

A patient safety checklist for the cardiac catheterisation laboratory.

January 7, 2015

Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program.

February 20, 2008

Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital.

March 29, 2012

Global priorities for patient safety research.

June 3, 2009

The 'go-between' study: a simulation study comparing the 'Traffic Lights' and 'SBAR' tools as a means of communication between anaesthetic staff.

September 21, 2016

Improving patient safety by identifying side effects from introducing bar coding in medication administration.

October 19, 2005

Effect of reducing interns' weekly work hours on sleep and attentional failures.

March 27, 2005

What to expect when you're evaluating healthcare improvement: a concordat approach to managing collaboration and uncomfortable realities.

April 29, 2015

Human factor in cardiac surgery: errors and near misses in a high technology medical domain.

March 27, 2005

Resilience and resilience engineering in health care.

July 30, 2014

Costs of adverse events in intensive care units.

September 26, 2007

Providers' and patients' perspectives on diagnostic errors in the acute care setting.

February 15, 2023

Principles of pediatric patient safety: reducing harm due to medical care.

June 15, 2011

The relationship between electronic health records and malpractice claims.

July 11, 2012

The VHA New England Medication Error Prevention Initiative as a model for long-term improvement collaboratives.

February 7, 2007

Are physicians' perceptions of healthcare quality and practice satisfaction affected by errors associated with electronic health record use?

January 11, 2012

Tracing the foundations of a conceptual framework for a patient safety ontology.

September 22, 2010

Safety paradoxes and safety culture.

April 9, 2003

Impact of electronic prescribing in a hospital setting: a process-focused evaluation.

August 27, 2008

“Those found responsible have been sacked”: some observations on the usefulness of error.

October 10, 2010

Reducing the risk of adverse drug events in older adults.

April 17, 2013

Advancing the science of patient safety.

May 25, 2011

Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study.

August 14, 2013

Comprehensive stroke centers overcome the weekend versus weekday gap in stroke treatment and mortality.

September 7, 2011

A system analysis of a suboptimal surgical experience.

February 4, 2009

Gaps in the continuity of care and progress on patient safety.

March 6, 2005

Usability and feasibility of consumer-facing technology to reduce unsafe medication use by older adults.

May 22, 2019

Hospital workload and adverse events.

May 9, 2007

A systematic review of the performance characteristics of clinical event monitor signals used to detect adverse drug events in the hospital setting.

May 23, 2007

Addition of electronic prescription transmission to computerized prescriber order entry: effect on dispensing errors in community pharmacies.

February 2, 2011

Electronic results management in pediatric ambulatory care: qualitative assessment.

January 28, 2009

A complementary approach to promoting professionalism: identifying, measuring, and addressing unprofessional behaviors.

November 14, 2007

Post-discharge adverse events among urban and rural patients of an urban community hospital: a prospective cohort study.

May 20, 2015

John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National Center for Patient Safety.

March 6, 2005

Medication safety in primary care practice: results from a PPRNet quality improvement intervention.

July 11, 2012

Electronic health record use and the quality of ambulatory care in the United States.

July 25, 2007

How many hospital pharmacy medication dispensing errors go undetected?

January 31, 2006

ACR guidance document on MR safe practices: 2013.

March 21, 2013

Non-Luer connectors: are we nearly there yet?

May 9, 2012

Using the ISMP Medication Safety Self-Assessment to improve medication use processes.

March 6, 2005

The use of computers for clinical care: a case series of advanced US sites.

March 6, 2005

Patient-specific electronic decision support reduces prescription of excessive doses.

May 26, 2010

Understanding the causes of intravenous medication administration errors in hospitals: a qualitative critical incident study.

April 1, 2015

Causes of medication administration errors in hospitals: a systematic review of quantitative and qualitative evidence.

September 18, 2013

Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence.

March 27, 2013

The National Quality Forum safe practice standard for computerized physician order entry: updating a critical patient safety practice.

January 10, 2007

Single-parameter early warning criteria to predict life-threatening adverse events.

June 23, 2010

Intravenous medication safety and smart infusion systems: lessons learned and future opportunities.

October 19, 2005

Sensemaking, safety, and cooperative work in the intensive care unit.

August 8, 2007

Introducing new technology into the operating room: measuring the impact on job performance and satisfaction.

June 8, 2005

Simulation-based assessment of the management of critical events by board-certified anesthesiologists.

September 13, 2017

Principles for Patient and Family Partnership in Care: An American College of Physicians Position Paper.

December 5, 2018

Effect of day of the week on short- and long-term mortality after emergency general surgery.

April 5, 2017

A review of best practices for intravenous push medication administration.

December 20, 2017

January 19, 2011

Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement.

October 13, 2010

Assessment of the implementation of a national patient safety alert to reduce wrong site surgery.

January 14, 2009

When should a multicampus hospital be considered a single entity for public reporting on patient safety issues?

June 6, 2007

Point prevalence of surgical checklist use in Europe: relationship with hospital mortality.

February 25, 2015

Facilitation of surgical innovation: is it possible to speed the introduction of new technology while simultaneously improving patient safety?

April 24, 2019

Studying the technical work of emergency care.

October 31, 2007

The role of automation in complex system failures.

May 11, 2005

Speaking up about safety concerns: multi-setting qualitative study of patients' views and experiences.

December 15, 2010

Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital.

March 6, 2005

User-centered collaborative design and development of an inpatient safety dashboard.

September 20, 2017

Case study: getting boards on board at Allen Memorial Hospital, Iowa Health System.

April 2, 2008

Healthcare in a land called PeoplePower: nothing about me without me.

March 6, 2005

Reducing surgical mortality in Scotland by use of the WHO Surgical Safety Checklist.

May 8, 2019

Conflict of interest, Dr Charles Denham and the Journal of Patient Safety.

December 3, 2014

Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative study.

February 6, 2013

Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review.

July 18, 2007

Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current systems.

January 28, 2015

Impact of interventions designed to reduce medication administration errors in hospitals: a systematic review.

June 25, 2014

Related Resources

Crowding in the Emergency Department: Challenges for the Care of Children.

March 15, 2023

Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists.

March 1, 2023

Prevalence of undiagnosed diabetes identified by a novel electronic medical record diabetes screening program in an urban emergency department in the US.

February 22, 2023

Society for Maternal-Fetal Medicine Special Statement: telemedicine in obstetrics-quality and safety considerations.

February 1, 2023

Reducing potential errors associated with insulin administration: an integrative review.

December 14, 2022

Review of medication error sources associated with inpatient subcutaneous insulin: recommendations for safe and cost-effective dispensing practices.

August 24, 2022

Society for Maternal-Fetal Medicine Special Statement: cognitive bias and medical error in obstetrics-challenges and opportunities.

August 10, 2022

Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update.

June 22, 2022

Guideline for Prevention of Unintentionally Retained Surgical Items.

January 19, 2022

Adverse glycemic events and critical emergencies.

December 15, 2021

A culture of safety in EMS systems.

October 20, 2021

Society for Maternal-Fetal Medicine Special Statement: Surgical safety checklists for cesarean delivery.

September 22, 2021

ASHP guidelines on the safe use of automated dispensing devices.

August 29, 2021

WebM&M Cases

A Sweet Case of Hidden Hydrogen Ions

April 28, 2021

National Partnership for Maternal Safety: consensus bundle on support after a severe maternal event.

January 27, 2021

Society for Maternal-Fetal Medicine Special Statement: a maternal transport briefing form and checklist.

December 23, 2020

Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education.

November 4, 2020

ASHP statement on the role of the medication safety leader.

February 27, 2020

Is one-pen, one-patient achievable in the hospital? A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center.

January 29, 2020

ACR guidance document on MR safe practices: updates and critical information 2019.

August 14, 2019

Physician impairment and rehabilitation: reintegration into medical practice while ensuring patient safety: a position paper from the American College of Physicians.

June 19, 2019

Transition planning for the senior surgeon: guidance and recommendations from the Society of Surgical Chairs.

May 29, 2019

Infection prevention in the operating room anesthesia work area.

January 30, 2019

Principles for Patient and Family Partnership in Care: An American College of Physicians Position Paper.

December 5, 2018

Pediatric Readiness in the Emergency Department.

November 1, 2018

Please, write to me. Writing outpatient clinic letters to patients. Guidance.

September 26, 2018

Making surgical wards safer for patients with diabetes: reducing hypoglycaemia and insulin errors.

August 8, 2018

Standardized Competencies for Parenteral Nutrition Administration: the ASPEN Model.

June 20, 2018

World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia.

May 23, 2018

Obstetric Care Consensus No. 5: Severe Maternal Morbidity: Screening and Review.

May 9, 2018

See More About The Topic

Physicians

Quality and Safety Professionals

Endocrinology

American College of Endocrinology and American Association of Clinical Endocrinologists position statement on patient safety and medical system errors in diabetes and endocrinology.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

American College of Endocrinology and American Association of Clinical Endocrinologists position statement on patient safety and medical system errors in diabetes and endocrinology.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site