Government Resource MRIs and sandbags filled with metal shot. Citation Text: New Jersey Department of Health and Senior Services. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL June 14, 2006 New Jersey Department of Health and Senior Services. This announcement describes a near miss involving sandbags filled with metal shot instead of sand. Free full text (PDF) Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: New Jersey Department of Health and Senior Services. Copy Citation Related Resources From the Same Author(s) Patient Safety Reporting System. April 26, 2006 Hospital Performance Report. October 28, 2021 The National Healthcare System Action Alliance to Advance Patient Safety. November 14, 2022 - November 14, 2022 National Action Alliance to Advance Patient Safety Webinar Series. September 26, 2023 - September 26, 2023 Medicare and Medicaid programs; reform of requirements for long-term care facilities; proposed rule. July 29, 2015 Sentinel Event Program. August 14, 2013 Partnership for Patients. April 13, 2011 AHRQ Health Services Research Projects: Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R01). March 4, 2015 Five Steps to Safer Health Care. March 27, 2005 Request for comments on the proposed measures and 2020 targets for the National Action Plan for Adverse Drug Event Prevention: inpatient and outpatient measures for reduction of adverse drug events from anticoagulants, diabetes agents, and opioid analgesics. November 2, 2016 HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. October 30, 2019 Heparin-containing medical devices and combination products: recommendations for labeling and safety testing. Draft guidance for industry and Food and Drug Administration staff. August 5, 2015 Implication of the COVID-19 Pandemic for Patient Safety: A Rapid Review. August 24, 2022 Q3 Health Innovation Partners. January 8, 2020 Care Compare. July 1, 2020 Overall Hospital Quality Star Ratings. April 1, 2021 Nursing Home Compare. March 6, 2005 Hospital Compare. May 13, 2021 Requires DHSS to make reported information about certain adverse events publicly available. June 27, 2007 Hospital-Acquired Condition (HAC) Reduction Program. September 5, 2018 TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety. July 23, 2023 A qualitative exploration of mental health service user and carer perspectives on safety issues in UK mental health services. August 5, 2020 National Action Plan to Improve Health Literacy. June 16, 2010 Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections. July 20, 2011 New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings. May 21, 2014 Keeping Patients Safe: Transforming the Work Environment of Nurses. May 11, 2005 AHRQ Health Services Research Project: Partners Enabling Diagnostic Excellence (R01). April 3, 2019 Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. August 27, 2008 Medication Management: Detailed Use Case. July 4, 2007 National Action Plan for Adverse Drug Event Prevention. September 24, 2014 Medicaid program; payment adjustment for provider-preventable conditions including health care–acquired conditions. March 2, 2011 Enhancing psychological safety in mental health services. June 9, 2021 Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment. June 2, 2021 Best Practices in Developing Proprietary Names for Human Prescription Drug Products Guidance for Industry. December 23, 2020 Conceptual and practical challenges associated with understanding patient safety within community-based mental health services. December 7, 2022 Best Practices in Developing Proprietary Names for Human Nonprescription Drug Products. January 13, 2021 Patient Safety Organizations: Hospital Participation, Value, and Challenges. October 16, 2019 Safety Considerations for Container Labels and Carton Labeling Design to Minimize Medication Errors: Guidance for Industry. May 25, 2022 Patient Safety and Quality Improvement; Final Rule. October 22, 2008 Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing. August 9, 2017 Physician-Owned Specialty Hospital's Ability to Manage Medical Emergencies. January 23, 2008 Trends in Nursing Home Deficiencies and Complaints. October 29, 2008 Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. June 29, 2016 The Food and Drug Administration's National Drug Code Directory. September 6, 2006 Workforce planning and safe workload in sterile compounding hospital pharmacy services. November 24, 2021 Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors. July 18, 2007 Adverse Events Toolkit: Medical Record Review Methodology. July 26, 2023 Adverse Events Toolkit: Clinical Guidance for Identifying Harm July 19, 2023 Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. January 9, 2019 Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. March 19, 2014 Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. August 1, 2012 Adverse Events in Hospitals: Methods for Identifying Events. March 17, 2010 Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. February 18, 2009 Adverse Events in Hospitals: State Reporting Systems. January 14, 2009 Adverse Events in Hospitals: Overview of Key Issues. January 14, 2009 Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries. July 27, 2016 Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. November 24, 2010 Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. January 18, 2012 Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events. November 16, 2011 Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals. February 11, 2015 Adverse Events in Hospitals: Public Disclosure of Information About Events. January 20, 2010 Developing perioperative Covid-19 testing protocols to restore surgical services. July 22, 2020 Do my feelings fit the diagnosis? Avoiding misdiagnoses in psychosomatic consultation services. November 3, 2021 Medication Safety Dashboard. May 23, 2018 Sign up to Safety. July 2, 2014 Harm Free Care. May 9, 2012 Patient Safety. August 17, 2005 National Patient Safety Alerting System. February 19, 2014 Patient Safety Briefing Film. November 5, 2014 Preventable Hospitalizations: A Window Into Primary and Preventive Care, 2000. March 27, 2005 Patient Safety. March 27, 2005 Complaints to the Parliamentary and Health Service Ombudsman. December 17, 2021 Indiana Medical Error Reporting System. March 21, 2007 Adverse Events. August 18, 2010 Progress at the Intersection of Patient Safety and Medical Liability. February 8, 2017 Raising and Responding to Concerns. February 25, 2015 Psychological safety during the test of new work processes in an emergency department. April 6, 2022 Serious Reportable Events. August 27, 2014 ONC Health IT Certification Program: Enhanced Oversight and Accountability. November 30, 2016 An Investigation into the Death of Baby J at University Hospitals Bristol and Weston NHS Foundation Trust. November 3, 2021 The Future of NHS Patient Safety Investigation. April 4, 2018 An Avoidable Death of a Three-year-old Child from Sepsis. July 16, 2014 Open for Better Care. April 30, 2014 Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. July 7, 2021 Seniors managing multiple medications: using mixed methods to view the home care safety lens. March 2, 2016 Adverse Health Events in Minnesota: Annual Reports. September 30, 2023 Unlocking Solutions in Imaging: Working Together to Learn from Failings in the NHS. August 4, 2021 Ignoring the Alarms: How NHS Eating Disorder Services Are Failing Patients. March 28, 2018 Review into the Quality of Care and Treatment Provided by 14 Hospital Trusts in England: Overview Report. August 7, 2013 Safety Management Systems - an Introduction for Healthcare. November 29, 2023 Consumer Guide to Adverse Health Events. February 28, 2015 Maryland Hospital Patient Safety Program Annual Report. September 28, 2023 Broken Trust: Making Patient Safety More than Just a Promise. July 19, 2023 A Just Culture Guide. April 18, 2018 Freedom to Speak Up: A Review of Whistleblowing in the NHS. May 27, 2015 Adverse Health Care Events Reporting System: What Have We Learned? February 4, 2009 Ensuring Healthcare Safety Throughout the COVID-19 Pandemic. June 10, 2020 Making Complaints Count: Supporting Complaints Handling in the NHS and UK Government Departments. October 7, 2020 Injectable Opioid Shortages: Suggestions for Management and Conservation. April 25, 2018 Learning From Mistakes. August 31, 2016 View More Related Resources Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. September 13, 2023 Medication guides: patient medication information. A proposed rule by the Food and Drug Administration. June 28, 2023 Hospital Reporting Program: Annual Summary. June 27, 2023 Serious Reportable Events in Massachusetts. May 22, 2023 Patient Safety Authority Annual Reports. May 1, 2023 Annual Perspective Improving Diagnostic Safety and Quality April 26, 2023 AHRQ Safety Program for Telemedicine. April 14, 2023 - April 14, 2023 Request for Information: Creating a National Healthcare System Action Alliance to Advance Patient Safety. December 21, 2022 WebM&M Cases False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. October 27, 2022 Golden State Medical Supply, Inc. Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets and Clopidogrel 75 mg Tablets Due to a Label Mix-up. October 19, 2022 WebM&M Cases Medication Safety Events Related to Diagnostic Imaging July 8, 2022 Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control and Prevention. February 23, 2022 Input for the TeamSTEPPS Curriculum Updates. December 15, 2021 Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. October 7, 2021 FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy. August 20, 2021 Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs of musculoskeletal MRI in UK primary care. August 11, 2021 The nature, severity and causes of medication incidents from an Australian community pharmacy incident reporting system: the QUMwatch study. July 28, 2021 Meitheal Pharmaceuticals, Inc. issues voluntary nationwide recall of Cisatracurium Besylate Injection, USP 10mg per 5mL due to mislabeling. February 10, 2021 FDA updates vinca alkaloid labeling for preparation in intravenous infusion bags only. February 3, 2021 Wear face masks with no metal during MRI exams. December 16, 2020 Potential for false positive results with antigen tests for rapid detection of SARS-CoV-2--letter to clinical laboratory staff and health care providers. November 11, 2020 FDA advises health care professionals and patients about insulin pen packaging and dispensing. October 28, 2020 FDA recommends health care professionals discuss naloxone with all patients when prescribing opioid pain relievers or medicines to treat opioid use disorder. August 5, 2020 FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctions and user administration. April 8, 2020 Patient Safety Primers Never Events September 7, 2019 ACR guidance document on MR safe practices: updates and critical information 2019. August 14, 2019 Communication and Resolution After an Adverse Health Care Incident. May 22, 2019 Using near-miss events to improve MRI safety in a large academic centre. May 15, 2019 WebM&M Cases The Magnetic Deflection May 1, 2019 FDA identifies harm reported from sudden discontinuation of opioid pain medicines and requires label changes to guide prescribers on gradual, individualized tapering. April 17, 2019 View More See More About The Topic Health Care Providers Radiology MRI safety Near Miss Error Reporting View More
The National Healthcare System Action Alliance to Advance Patient Safety. November 14, 2022 - November 14, 2022
National Action Alliance to Advance Patient Safety Webinar Series. September 26, 2023 - September 26, 2023
Medicare and Medicaid programs; reform of requirements for long-term care facilities; proposed rule. July 29, 2015
AHRQ Health Services Research Projects: Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R01). March 4, 2015
Request for comments on the proposed measures and 2020 targets for the National Action Plan for Adverse Drug Event Prevention: inpatient and outpatient measures for reduction of adverse drug events from anticoagulants, diabetes agents, and opioid analgesics. November 2, 2016
HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. October 30, 2019
Heparin-containing medical devices and combination products: recommendations for labeling and safety testing. Draft guidance for industry and Food and Drug Administration staff. August 5, 2015
Requires DHSS to make reported information about certain adverse events publicly available. June 27, 2007
A qualitative exploration of mental health service user and carer perspectives on safety issues in UK mental health services. August 5, 2020
New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings. May 21, 2014
Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. August 27, 2008
Medicaid program; payment adjustment for provider-preventable conditions including health care–acquired conditions. March 2, 2011
Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment. June 2, 2021
Best Practices in Developing Proprietary Names for Human Prescription Drug Products Guidance for Industry. December 23, 2020
Conceptual and practical challenges associated with understanding patient safety within community-based mental health services. December 7, 2022
Best Practices in Developing Proprietary Names for Human Nonprescription Drug Products. January 13, 2021
Safety Considerations for Container Labels and Carton Labeling Design to Minimize Medication Errors: Guidance for Industry. May 25, 2022
Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. June 29, 2016
Workforce planning and safe workload in sterile compounding hospital pharmacy services. November 24, 2021
Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors. July 18, 2007
Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. January 9, 2019
Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. March 19, 2014
Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. August 1, 2012
Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. February 18, 2009
Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries. July 27, 2016
Do my feelings fit the diagnosis? Avoiding misdiagnoses in psychosomatic consultation services. November 3, 2021
An Investigation into the Death of Baby J at University Hospitals Bristol and Weston NHS Foundation Trust. November 3, 2021
Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. July 7, 2021
Seniors managing multiple medications: using mixed methods to view the home care safety lens. March 2, 2016
Review into the Quality of Care and Treatment Provided by 14 Hospital Trusts in England: Overview Report. August 7, 2013
Making Complaints Count: Supporting Complaints Handling in the NHS and UK Government Departments. October 7, 2020
Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. September 13, 2023
Medication guides: patient medication information. A proposed rule by the Food and Drug Administration. June 28, 2023
Request for Information: Creating a National Healthcare System Action Alliance to Advance Patient Safety. December 21, 2022
WebM&M Cases False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. October 27, 2022
Golden State Medical Supply, Inc. Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets and Clopidogrel 75 mg Tablets Due to a Label Mix-up. October 19, 2022
Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control and Prevention. February 23, 2022
FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy. August 20, 2021
Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs of musculoskeletal MRI in UK primary care. August 11, 2021
The nature, severity and causes of medication incidents from an Australian community pharmacy incident reporting system: the QUMwatch study. July 28, 2021
Meitheal Pharmaceuticals, Inc. issues voluntary nationwide recall of Cisatracurium Besylate Injection, USP 10mg per 5mL due to mislabeling. February 10, 2021
FDA updates vinca alkaloid labeling for preparation in intravenous infusion bags only. February 3, 2021
Potential for false positive results with antigen tests for rapid detection of SARS-CoV-2--letter to clinical laboratory staff and health care providers. November 11, 2020
FDA advises health care professionals and patients about insulin pen packaging and dispensing. October 28, 2020
FDA recommends health care professionals discuss naloxone with all patients when prescribing opioid pain relievers or medicines to treat opioid use disorder. August 5, 2020
FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctions and user administration. April 8, 2020
FDA identifies harm reported from sudden discontinuation of opioid pain medicines and requires label changes to guide prescribers on gradual, individualized tapering. April 17, 2019