Residency program fills medication safety void.

Donna Young

Newspaper/Magazine Article

Residency program fills medication safety void.

December 14, 2005

Young D. Am J Health Syst Pharm. 2005;62(23):2450-2451.

View more articles from the same authors.

This news piece highlights a medication-use safety residency program at Johns Hopkins Hospital.

PubMed citation

Available at

Related Resources From the Same Author(s)

COVID-19 can last for several months. The disease’s “long-haulers” have endured relentless waves of debilitating symptoms—and disbelief from doctors and friends.

July 1, 2020

Targeting the fear of safety reporting on a unit level.

March 20, 2019

Advocate Health Care: a systemwide approach to quality and safety.

March 27, 2005

Speaking up to reduce noise in the OR.

July 22, 2015

Concept analysis: wrong-site surgery.

June 17, 2015

Counting for patient safety.

September 6, 2006

Lessons learned: basic evidence-based advice for preventing medication errors in children.

October 19, 2005

The application of Aronson's taxonomy to medication errors in nursing.

October 20, 2010

Views of children, parents, and health-care providers on pediatric disclosure of medical errors.

April 11, 2018

The silence of the unblown whistle: the Nevada hepatitis C public health crisis.

April 3, 2013

Central venous catheter guidewire retention: lessons from England's never event database.

May 4, 2022

Engaging patients and informal caregivers to improve safety and facilitate person- and family-centered care during transitions from hospital to home: a qualitative descriptive study.

July 10, 2019

Academic year-end transfers of outpatients from outgoing to incoming residents: an unaddressed patient safety issue.

September 30, 2009

Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely.

September 2, 2009

Interruptions and geographic challenges to nurses' cognitive workload.

July 1, 2009

Fool me twice: delayed diagnoses in radiology with emphasis on perpetuated errors.

May 14, 2014

Optimizing transitions of care to reduce rehospitalizations.

July 2, 2014

Why do people sue doctors? A study of patients and relatives taking legal action.

June 24, 2009

Bar code technology and medication administration error.

June 9, 2010

Enhancing patient safety and resident education during the academic year-end transfer of outpatients: lessons from the suicide of a psychiatric patient.

March 2, 2011

Root cause analyses of suicides of mental health clients.

November 18, 2015

Communication discrepancies between physicians and hospitalized patients.

August 18, 2010

Iatrogenesis in the context of residential dementia care: a concept analysis.

August 3, 2022

Nursing surveillance: a concept analysis

May 18, 2022

The Shift Coupon: an innovative method to monitor adverse events.

January 18, 2006

The role of information technology in healthcare communications, efficiency, and patient safety: application and results.

April 25, 2007

Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes.

August 8, 2018

Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer.

January 30, 2005

Crushing or splitting medications: unrecognized hazards.

January 25, 2012

Implementing AORN recommended practices for laser safety.

May 23, 2012

A systematic review of natural language processing for classification tasks in the field of incident reporting and adverse event analysis.

November 20, 2019

Office-based surgery and patient outcomes.

March 27, 2019

Nurse practitioner–led medication reconciliation in critical access hospitals.

July 8, 2015

The medical emergency team system: a two hospital comparison.

February 27, 2008

Using video recording to identify management errors in pediatric trauma resuscitation.

March 29, 2006

Education and reporting of diagnostic errors among physicians in internal medicine training programs.

September 19, 2018

High-alert medications in the pediatric intensive care unit.

January 7, 2009

Residency training in handoffs: a survey of program directors in psychiatry.

June 10, 2015

The relationship between computerized physician order entry and pediatric adverse drug events: a nested matched case-control study.

June 17, 2009

Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams.

April 15, 2020

"Everybody makes mistakes": children's views on medical errors and disclosure.

January 29, 2020

Evaluating a new rapid response team: NP-led versus intensivist-led comparisons.

February 29, 2012

Diagnostic errors in primary care: lessons learned.

February 22, 2012

Targeted communication intervention using nursing crew resource management principles.

March 25, 2015

Field test of the World Health Organization Multi-professional Patient Safety Curriculum Guide.

October 14, 2015

Moving beyond implicit bias in antiracist academic medicine initiatives.

September 7, 2022

Racial disparities in child abuse medicine.

November 3, 2021

Structural empowerment and patient safety culture among registered nurses working in adult critical care units.

November 3, 2010

Year-end resident clinic handoffs: narrative review and recommendations for improvement.

February 15, 2017

Costs and benefits of an early-alert surveillance system for hospital inpatients.

February 28, 2007

How residents think and make medical decisions: implications for education and patient safety.

August 15, 2007

Patient safety and suicide prevention in mental health services: time for a new paradigm?

February 19, 2020

Necessity for a pathway for "high-alert" patients.

May 23, 2018

Vulnerability of the medical product supply chain: the wake-up call of COVID-19.

November 25, 2020

Prevalence and patterns of potentially avoidable hospitalizations in the US long-term care setting.

March 2, 2016

What is the safety of nonemergent operative procedures performed at night?

October 27, 2010

Improving resident education and patient safety: a method to balance initial caseloads at academic year-end transfer.

September 8, 2010

The relationship between high-reliability practice and hospital-acquired conditions among the Solutions for Patient Safety Collaborative.

October 20, 2021

Multiple patient safety events within a single hospitalization: a national profile in US hospitals.

April 25, 2012

"Canary measures" among the AHRQ Patient Safety Indicators.

September 9, 2009

Patient safety problems in adolescent medical care.

January 18, 2006

Surgical errors happen, but are learners trained to recover from them? A survey of North American surgical residents and fellows.

August 26, 2020

Safety for home care: the use of Internet video calls to double-check interventions.

February 6, 2013

Teaching medical error apologies: development of a multi-component intervention.

July 6, 2011

"It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating room.

July 28, 2021

Influence of a general practice pharmacist on medication management for patients at risk of medicine-related harm: a qualitative evaluation.

July 20, 2022

Personal digital assistant-based drug information sources: potential to improve medication safety.

May 11, 2005

Nurse–physician teamwork in the emergency department: impact on perceptions of job environment, autonomy, and control over practice.

May 8, 2013

An educational intervention to increase "speaking-up" behaviors in nurses and improve patient safety.

January 11, 2012

I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event reporting by trainees.

August 25, 2021

Interventions to improve hand hygiene compliance in patient care.

September 1, 2017

Health outcomes associated with potentially inappropriate medication use in older adults.

April 2, 2008

Medication administration variances before and after implementation of computerized physician order entry in a neonatal intensive care unit.

January 16, 2008

Adverse events and preventable adverse events in children.

March 6, 2005

Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective case record review study.

February 10, 2021

Do drug interaction alerts between a chemotherapy order-entry system and an electronic medical record affect clinician behavior?

July 17, 2013

Problems and solutions arising during a study in visual semantics of the medical emergency team system.

September 10, 2008

Prevalence and factors associated with patient-requested corrections to the medical record through use of a patient portal: findings from a national survey.

March 9, 2022

The courage to speak out: a study describing nurses' attitudes to report unsafe practices in patient care.

August 14, 2019

Defining attributes of patient safety through a concept analysis.

July 15, 2015

Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study.

June 3, 2009

Training in safe opioid prescribing and treatment of opioid use disorder in internal medicine residencies: a national survey of program directors.

October 12, 2022

Safe medication prescribing: training and experience of medical students and housestaff at a large teaching hospital.

July 13, 2005

Ambulatory care adverse events and preventable adverse events leading to a hospital admission.

April 18, 2007

Interventions to reduce medication dispensing, administration, and monitoring errors in pediatric professional healthcare settings: a systematic review.

September 29, 2021

Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review.

June 12, 2019

Advancing the next generation of handover research and practice with cognitive load theory.

January 27, 2016

Interventions to reduce pediatric prescribing errors in professional healthcare settings: a systematic review of the last decade.

June 23, 2021

Self-reported adherence to high reliability practices among participants in the Children's Hospitals' Solutions for Patient Safety Collaborative.

December 12, 2018

Missing clinical and behavioral health data in a large electronic health record (EHR) system.

May 11, 2016

A systematic approach to the identification and classification of near-miss events on labor and delivery in a large, national health care system.

November 14, 2012

Color coded medication safety system reduces community pediatric emergency nursing medication errors.

May 27, 2009

Ten strategies to improve management of abnormal test result alerts in the electronic health record.

June 16, 2010

Application of failure mode and effect analysis in a radiology department.

November 10, 2010

Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down unit.

November 6, 2013

Missed breast cancers at US-guided core needle biopsy: how to reduce them.

March 7, 2007

Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias vs. systems failures to diagnostic error.

March 27, 2019

Risk models to improve safety of dispensing high-alert medications in community pharmacies.

November 7, 2012

Team-based intervention to reduce the impact of nonactionable alarms in an adult intensive care unit.

November 6, 2019

"July Effect": impact of the academic year-end changeover on patient outcomes. A systematic review.

July 27, 2011

Related Resources

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

ISMP updates its list of drug names with tall man (mixed case) letters based on survey results.

February 8, 2023

Obtaining the best possible medication history at hospital admission: description of a pharmacy technician-driven program to identify medication discrepancies.

June 23, 2021

Impact of interoperability of smart infusion pumps and an electronic medical record in critical care.

September 23, 2020

Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons from New York City.

July 29, 2020

Medication Safety During the COVID-19 Pandemic: What Have We Learned in the United States.

June 23, 2020

Ten ways to improve medication safety in community pharmacies.

August 7, 2019

Review of medication errors that are new or likely to occur more frequently with electronic medication management systems.

July 17, 2019

Using contemporary leadership skills in medication safety programs.

June 29, 2016

SIMMEON-Prep study: SIMulation of Medication Errors in ONcology: prevention of antineoplastic preparation errors.

December 17, 2014

Are hospitals in a med safety standard slump?

September 24, 2014

Identifying and reducing distractions and interruptions in a pharmacy department.

February 20, 2013

The association between frequency of self-reported medical errors and anesthesia trainee supervision: a survey of United States anesthesiology residents-in-training.

February 20, 2013

Management of drug shortages in the perioperative setting.

February 6, 2013

Nurse–pharmacist collaboration on medication reconciliation prevents potential harm.

August 22, 2012

High incidence of medication documentation errors in a Swiss university hospital due to the handwritten prescription process.

November 2, 2011

Factors associated with disclosure of medical errors by housestaff.

October 12, 2011

Educating for Safety.

October 5, 2011

Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. A prospective cohort study.

October 5, 2011

"Tech-check-tech": a review of the evidence on its safety and benefits.

October 5, 2011

Improving the usability of intravenous medication labels to support safe medication delivery.

September 7, 2011

Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service.

August 24, 2011

Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error?

June 8, 2011

Hassle in the dispensary: pilot study of a proactive risk monitoring tool for organisational learning based on narratives and staff perceptions.

June 8, 2011

Evaluating the medication process in the context of CPOE use: the significance of working around the system.

May 25, 2011

Shifting indirect patient care duties to after hours in the era of work hours restrictions.

May 11, 2011

In-home medication reviews: a novel approach to improving patient care through coordination of care.

May 11, 2011

Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council.

March 30, 2011

Medication-error alerts for warfarin orders detected by a bar-code-assisted medication administration system.

March 9, 2011

See More About The Topic

General Hospitals

Pharmacists

Facility and Group Administrators

Quality and Safety Professionals

Educators

Residency program fills medication safety void.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Residency program fills medication safety void.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

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