Commentary Medication safety: just a label away. Citation Text: Jennings J, Foster J. Medication safety: just a label away. AORN J. 2007;86(4):618-25. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL October 24, 2007 Jennings J, Foster J. AORN J. 2007;86(4):618-25. View more articles from the same authors. This article reports on a project in a community hospital's operating room to use preprinted medication labels in the perioperative setting. When such labels were available, scrub personnel used them 73% of the time. PubMed citation Available at Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Jennings J, Foster J. Medication safety: just a label away. AORN J. 2007;86(4):618-25. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised controlled trial. August 18, 2021 Surgical safety checklist audits may be misleading! Improving the implementation and adherence of the surgical safety checklist: a quality improvement project. December 22, 2021 Explanation and elaboration of the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines, V.2.0: examples of SQUIRE elements in the healthcare improvement literature. May 25, 2016 Equipped: overcoming barriers to change to improve quality of care (theories of change). March 18, 2015 Observing sources of system resilience using in situ alarm simulations. October 25, 2023 Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis. February 2, 2022 Detectability of medication errors with a STOPP/START-based medication review in older people prior to a potentially preventable drug-related hospital admission. December 21, 2022 Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechnical factor study. June 7, 2023 Reducing medication errors in critical care patients: pharmacist key resources and relationship with medicines optimisation. May 2, 2018 Interruptions during nurses' work: a state-of-the-science review. April 17, 2013 The nurse's medication day. August 29, 2012 Medicines safety in anaesthetic practice. May 22, 2019 Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. July 8, 2020 Study of a multisite prospective adverse event surveillance system. July 31, 2019 Barriers to incident notification in a regional prehospital setting. July 28, 2010 A systematic review to evaluate the accuracy of electronic adverse drug event detection. January 4, 2012 Reducing anticoagulant medication adverse events and avoidable patient harm. April 9, 2008 Influence of house-staff experience on teaching-hospital mortality: the "July Phenomenon" revisited. October 5, 2011 Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions. September 28, 2011 Effect of point-of-care computer reminders on physician behaviour: a systematic review. March 24, 2010 The content and context of change of shift report on medical and surgical units. October 21, 2009 The effects of on-screen, point of care computer reminders on processes and outcomes of care. September 2, 2009 Identifying and reconciling patients' allergy information within the electronic health record. July 6, 2022 Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review. October 25, 2023 Preventing home medication administration errors. March 14, 2022 A longitudinal evaluation of computed tomography radiation incidents within a multisite NHS trust. November 9, 2022 Optimizing Pediatric Patient Safety in the Emergency Care Setting. October 19, 2022 Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative. May 18, 2022 A proposed approach to allegations of sexual boundary violation in health care. December 13, 2023 The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question. June 28, 2023 Catheter-associated urinary tract infection reduction in a pediatric safety engagement network. September 30, 2020 Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety. August 4, 2021 Mortality trends after a voluntary checklist-based surgical safety collaborative. May 3, 2017 Complication rates, hospital size, and bias in the CMS Hospital-Acquired Condition Reduction Program. January 25, 2017 Analysis of errors in dictated clinical documents assisted by speech recognition software and professional transcriptionists. July 25, 2018 Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. October 5, 2016 Relationship between operating room teamwork, contextual factors, and safety checklist performance. August 31, 2016 Safe work-hour standards for parents of children with medical complexity. January 29, 2020 Team communication during patient handover from the operating room: more than facts and figures. April 24, 2013 Design and trial of a new ambulance-to-emergency department handover protocol: 'IMIST-AMBO.' August 1, 2012 The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research. November 7, 2012 Incidence of speech recognition errors in the emergency department. September 14, 2016 Workplace training for senior trainees: a systematic review and narrative synthesis of current approaches to promote patient safety. September 16, 2015 Clinically inconsequential alerts: the characteristics of opioid drug alerts and their utility in preventing adverse drug events in the emergency department. December 16, 2015 Rising drug allergy alert overrides in electronic health records: an observational retrospective study of a decade of experience. December 2, 2015 Development of a professionalism committee approach to address unprofessional medical staff behavior at an academic medical center. April 9, 2014 Predictors of serious opioid-related adverse drug events in hospitalized patients. July 8, 2020 Scaling safety: the South Carolina Surgical Safety Checklist experience. January 9, 2019 Assessing the quality of patient handoffs at care transitions. January 19, 2011 Association of a clinical knowledge support system with improved patient safety, reduced complications and shorter length of stay among Medicare beneficiaries in acute care hospitals in the United States. July 16, 2008 Predictors of adverse events in patients after discharge from the intensive care unit. May 28, 2008 Leveraging computerized sign-out to increase error reporting and addressing patient safety in graduate medical education. April 30, 2008 Medicare's decision to withhold payment for hospital errors: the devil is in the details. January 30, 2008 Organizational costs of preventable medical errors. March 6, 2005 Analysis of suicides reported as adverse events in psychiatry resulted in nine quality improvement initiatives. July 21, 2021 An investigation of diagnostic accuracy and confidence associated with diagnostic checklists as well as gender biases in relation to mental disorders. December 21, 2016 Interruptions in emergency department work: an observational and interview study. May 15, 2013 Use of e-triggers to identify diagnostic errors in the paediatric ED. April 6, 2022 Fostering a just culture in healthcare organizations: experiences in practice. August 31, 2022 Role of the regulator in enabling a just culture: a qualitative study in mental health and hospital care. August 10, 2022 Evaluation of feedback modalities and preferences regarding feedback on decision-making in a pediatric emergency department. July 6, 2022 Patient safety informatics: criteria development for assessing the maturity of digital patient safety in hospitals. June 29, 2022 Adverse drug events caused by three high-risk drug-drug interactions in patients admitted to intensive care units: a multicentre retrospective observational study. October 18, 2023 Clinical pathway adherence and missed diagnostic opportunities among children with musculoskeletal infections. September 6, 2023 Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. November 24, 2021 Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation improvement matrix. June 12, 2024 Reduction in omission events after implementing a rapid response system: a mortality review in a department of gastrointestinal surgery. March 15, 2023 For children admitted to hospital, what interventions improve medication safety on ward rounds? March 1, 2023 What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports. May 18, 2022 Descriptive analysis on disproportionate medication errors and associated patient characteristics in the Food and Drug Administration's adverse event reporting system. February 21, 2024 The effect of computerised decision support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring: a cluster randomised stepped-wedge trial. February 14, 2024 Bad things can happen: are medical students aware of patient centered care and safety? January 25, 2023 Factors that affect opioid quality improvement initiatives in primary care: insights from ten health systems. December 14, 2022 Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings. December 7, 2022 Room for resilience: a qualitative study about accountability mechanisms in the relation between work-as-done (WAD) and work-as-imagined (WAI) in hospitals. November 15, 2023 Systematic workup of transfusion reactions reveals passive co-reporting of handling errors. November 8, 2023 Preferred language and diagnostic errors in the pediatric emergency department. November 8, 2023 Naming the "baby" or the "beast"? The importance of concepts and labels in healthcare safety investigation. April 5, 2023 Perioperative safety determinants in ethnic patient groups. April 5, 2023 Impact of fatigue on anaesthesia providers: a scoping review. June 14, 2023 Determinants of burnout and other aspects of psychological well-being in healthcare workers during the Covid-19 pandemic: a multinational cross-sectional study. May 5, 2021 Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study. March 24, 2021 Nurses' perceptions of open disclosure processes in cancer care: a cross-sectional study. December 16, 2020 What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization. October 21, 2020 Publication of inspection frameworks: a qualitative study exploring the impact on quality improvement and regulation in three healthcare settings. October 6, 2021 Patient Safety Innovations Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors September 29, 2021 Exploring mediating effects between nursing leadership and patient safety from a person-centred perspective: a literature review. September 8, 2021 Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors. September 8, 2021 What has been the impact of Covid-19 on safety culture? A case study from a large metropolitan healthcare trust. September 2, 2020 Opioid prescribing in the United States before and after the Centers for Disease Control and Prevention's 2016 opioid guideline. September 12, 2018 A patient feedback reporting tool for OpenNotes: implications for patient–clinician safety and quality partnerships. January 11, 2017 Clinical reasoning in the context of active decision support during medication prescribing. April 5, 2017 Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. May 10, 2017 Design and reliability of a specific instrument to evaluate patient safety for patients with acute myocardial infarction treated in a predefined care track: a retrospective patient record review study in a single tertiary hospital in the Netherlands. April 5, 2017 Diagnostic error in the emergency department: follow up of patients with minor trauma in the outpatient clinic. April 26, 2017 Measuring harm and informing quality improvement in the Welsh NHS: the longitudinal Welsh national adverse events study. April 19, 2017 Use of unsolicited patient observations to identify surgeons with increased risk for postoperative complications. March 1, 2017 Vital signs: changes in opioid prescribing in the United States, 2006-2015. August 2, 2017 Safer and more appropriate opioid prescribing: a large healthcare system's comprehensive approach. August 23, 2017 Too many, too few, or too unsafe? Impact of inappropriate prescribing on mortality, and hospitalization in a cohort ofcommunity-dwelling oldest old. January 25, 2017 View More Related Resources The impact of sensory stimuli on healthcare workers and outcomes in trauma rooms: a focus group study. June 5, 2024 Intravenous smart pumps at the point of care: a descriptive, observational study. October 12, 2022 WebM&M Cases Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy August 31, 2022 Age-related COVID-19 vaccine mix-ups. December 15, 2021 The successful anesthesia patient safety officer. September 15, 2021 Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation. June 9, 2021 Preventing violence in the health care setting. June 9, 2021 Blueprint for restructuring a department of surgery in concert with the health care system during a pandemic: the University of Wisconsin Experience. May 6, 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 Ten ways to improve medication safety in community pharmacies. August 7, 2019 Magnitude and modifiers of the weekend effect in hospital admissions: a systematic review and meta-analysis. June 26, 2019 Medicines safety in anaesthetic practice. May 22, 2019 Understanding the heterogeneity of labor and delivery units: using design thinking methodology to assess environmental factors that contribute to safety in childbirth. May 8, 2019 Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating room. April 3, 2019 Medication handling: towards a practical, human-centred approach. April 3, 2019 Engineering a foundation for partnership to improve medication safety during care transitions. February 6, 2019 Deprescribing: a simple method for reducing polypharmacy. September 6, 2017 Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable moment. May 3, 2017 Using human factors design principles and industrial engineering methods to improve accuracy and speed of drug selection with medication trays. October 19, 2016 Why 'Universal Precautions' are needed for medication lists. September 7, 2016 Hospital at night: an organizational design that provides safer care at night. August 10, 2016 Implementing a distraction-free practice with the Red Zone Medication Safety initiative. June 8, 2016 Metric units and the preferred dosing of orally administered liquid medications. April 15, 2015 Physical environments that promote safe medication use. August 29, 2012 Adverse Events: Expecting too Much of Nurses and too Little of Nursing Research. May 11, 2011 Another tragic parenteral nutrition compounding error. May 11, 2011 Critical phase distractions in anaesthesia and the sterile cockpit concept. March 30, 2011 Medication reconciliation in the emergency department: opportunities for workflow redesign. December 15, 2010 Going blank: factors contributing to interruptions to nurses' work and related outcomes. December 1, 2010 Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary Report. November 17, 2010 View More See More About The Topic Operating Room Medication Safety Human Factors Engineering Logistical Approaches
Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised controlled trial. August 18, 2021
Surgical safety checklist audits may be misleading! Improving the implementation and adherence of the surgical safety checklist: a quality improvement project. December 22, 2021
Explanation and elaboration of the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines, V.2.0: examples of SQUIRE elements in the healthcare improvement literature. May 25, 2016
Equipped: overcoming barriers to change to improve quality of care (theories of change). March 18, 2015
Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis. February 2, 2022
Detectability of medication errors with a STOPP/START-based medication review in older people prior to a potentially preventable drug-related hospital admission. December 21, 2022
Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechnical factor study. June 7, 2023
Reducing medication errors in critical care patients: pharmacist key resources and relationship with medicines optimisation. May 2, 2018
Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. July 8, 2020
A systematic review to evaluate the accuracy of electronic adverse drug event detection. January 4, 2012
Influence of house-staff experience on teaching-hospital mortality: the "July Phenomenon" revisited. October 5, 2011
Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions. September 28, 2011
Effect of point-of-care computer reminders on physician behaviour: a systematic review. March 24, 2010
The effects of on-screen, point of care computer reminders on processes and outcomes of care. September 2, 2009
Identifying and reconciling patients' allergy information within the electronic health record. July 6, 2022
Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review. October 25, 2023
A longitudinal evaluation of computed tomography radiation incidents within a multisite NHS trust. November 9, 2022
Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative. May 18, 2022
The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question. June 28, 2023
Catheter-associated urinary tract infection reduction in a pediatric safety engagement network. September 30, 2020
Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety. August 4, 2021
Complication rates, hospital size, and bias in the CMS Hospital-Acquired Condition Reduction Program. January 25, 2017
Analysis of errors in dictated clinical documents assisted by speech recognition software and professional transcriptionists. July 25, 2018
Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. October 5, 2016
Relationship between operating room teamwork, contextual factors, and safety checklist performance. August 31, 2016
Team communication during patient handover from the operating room: more than facts and figures. April 24, 2013
Design and trial of a new ambulance-to-emergency department handover protocol: 'IMIST-AMBO.' August 1, 2012
The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research. November 7, 2012
Workplace training for senior trainees: a systematic review and narrative synthesis of current approaches to promote patient safety. September 16, 2015
Clinically inconsequential alerts: the characteristics of opioid drug alerts and their utility in preventing adverse drug events in the emergency department. December 16, 2015
Rising drug allergy alert overrides in electronic health records: an observational retrospective study of a decade of experience. December 2, 2015
Development of a professionalism committee approach to address unprofessional medical staff behavior at an academic medical center. April 9, 2014
Association of a clinical knowledge support system with improved patient safety, reduced complications and shorter length of stay among Medicare beneficiaries in acute care hospitals in the United States. July 16, 2008
Leveraging computerized sign-out to increase error reporting and addressing patient safety in graduate medical education. April 30, 2008
Medicare's decision to withhold payment for hospital errors: the devil is in the details. January 30, 2008
Analysis of suicides reported as adverse events in psychiatry resulted in nine quality improvement initiatives. July 21, 2021
An investigation of diagnostic accuracy and confidence associated with diagnostic checklists as well as gender biases in relation to mental disorders. December 21, 2016
Role of the regulator in enabling a just culture: a qualitative study in mental health and hospital care. August 10, 2022
Evaluation of feedback modalities and preferences regarding feedback on decision-making in a pediatric emergency department. July 6, 2022
Patient safety informatics: criteria development for assessing the maturity of digital patient safety in hospitals. June 29, 2022
Adverse drug events caused by three high-risk drug-drug interactions in patients admitted to intensive care units: a multicentre retrospective observational study. October 18, 2023
Clinical pathway adherence and missed diagnostic opportunities among children with musculoskeletal infections. September 6, 2023
Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. November 24, 2021
Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation improvement matrix. June 12, 2024
Reduction in omission events after implementing a rapid response system: a mortality review in a department of gastrointestinal surgery. March 15, 2023
For children admitted to hospital, what interventions improve medication safety on ward rounds? March 1, 2023
What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports. May 18, 2022
Descriptive analysis on disproportionate medication errors and associated patient characteristics in the Food and Drug Administration's adverse event reporting system. February 21, 2024
The effect of computerised decision support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring: a cluster randomised stepped-wedge trial. February 14, 2024
Bad things can happen: are medical students aware of patient centered care and safety? January 25, 2023
Factors that affect opioid quality improvement initiatives in primary care: insights from ten health systems. December 14, 2022
Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings. December 7, 2022
Room for resilience: a qualitative study about accountability mechanisms in the relation between work-as-done (WAD) and work-as-imagined (WAI) in hospitals. November 15, 2023
Systematic workup of transfusion reactions reveals passive co-reporting of handling errors. November 8, 2023
Naming the "baby" or the "beast"? The importance of concepts and labels in healthcare safety investigation. April 5, 2023
Determinants of burnout and other aspects of psychological well-being in healthcare workers during the Covid-19 pandemic: a multinational cross-sectional study. May 5, 2021
Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study. March 24, 2021
Nurses' perceptions of open disclosure processes in cancer care: a cross-sectional study. December 16, 2020
What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization. October 21, 2020
Publication of inspection frameworks: a qualitative study exploring the impact on quality improvement and regulation in three healthcare settings. October 6, 2021
Patient Safety Innovations Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors September 29, 2021
Exploring mediating effects between nursing leadership and patient safety from a person-centred perspective: a literature review. September 8, 2021
Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors. September 8, 2021
What has been the impact of Covid-19 on safety culture? A case study from a large metropolitan healthcare trust. September 2, 2020
Opioid prescribing in the United States before and after the Centers for Disease Control and Prevention's 2016 opioid guideline. September 12, 2018
A patient feedback reporting tool for OpenNotes: implications for patient–clinician safety and quality partnerships. January 11, 2017
Clinical reasoning in the context of active decision support during medication prescribing. April 5, 2017
Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. May 10, 2017
Design and reliability of a specific instrument to evaluate patient safety for patients with acute myocardial infarction treated in a predefined care track: a retrospective patient record review study in a single tertiary hospital in the Netherlands. April 5, 2017
Diagnostic error in the emergency department: follow up of patients with minor trauma in the outpatient clinic. April 26, 2017
Measuring harm and informing quality improvement in the Welsh NHS: the longitudinal Welsh national adverse events study. April 19, 2017
Use of unsolicited patient observations to identify surgeons with increased risk for postoperative complications. March 1, 2017
Safer and more appropriate opioid prescribing: a large healthcare system's comprehensive approach. August 23, 2017
Too many, too few, or too unsafe? Impact of inappropriate prescribing on mortality, and hospitalization in a cohort ofcommunity-dwelling oldest old. January 25, 2017
The impact of sensory stimuli on healthcare workers and outcomes in trauma rooms: a focus group study. June 5, 2024
WebM&M Cases Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy August 31, 2022
Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation. June 9, 2021
Blueprint for restructuring a department of surgery in concert with the health care system during a pandemic: the University of Wisconsin Experience. May 6, 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
Magnitude and modifiers of the weekend effect in hospital admissions: a systematic review and meta-analysis. June 26, 2019
Understanding the heterogeneity of labor and delivery units: using design thinking methodology to assess environmental factors that contribute to safety in childbirth. May 8, 2019
Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating room. April 3, 2019
Engineering a foundation for partnership to improve medication safety during care transitions. February 6, 2019
Using human factors design principles and industrial engineering methods to improve accuracy and speed of drug selection with medication trays. October 19, 2016
Implementing a distraction-free practice with the Red Zone Medication Safety initiative. June 8, 2016
Medication reconciliation in the emergency department: opportunities for workflow redesign. December 15, 2010
Going blank: factors contributing to interruptions to nurses' work and related outcomes. December 1, 2010
Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary Report. November 17, 2010