Newspaper/Magazine Article Think you can't make medication errors? Citation Text: Kromis L. Outpatient Surgery Magazine. March 2013. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL April 10, 2013 Kromis L. Outpatient Surgery Magazine. March 2013. View more articles from the same authors. This article describes examples of medication safety failures and details methods to help prevent them. Free full text Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Kromis L. Outpatient Surgery Magazine. March 2013. Copy Citation Related Resources From the Same Author(s) Lessons learned from the RaDonda Vaught ruling. March 1, 2023 The high cost of retained surgical items. April 26, 2023 Missed signals. May 16, 2007 Why hospitals want patients to ask doctors, 'Have you washed your hands?' October 9, 2013 Why doesn't medical care get better when doctors rest more? September 4, 2013 Assessment of health information technology-related outpatient diagnostic delays in the US Veterans Affairs health care system: a qualitative study of aggregated root cause analysis data. July 22, 2020 When Doctors Don't Listen. January 23, 2013 How to Identify and Address Unsafe Conditions Associated With Health IT. December 18, 2013 Independent Mortality Review of Cardiac Surgery at St George’s University Hospitals NHS Foundation Trust. April 15, 2020 Delivering results. April 6, 2011 Is misdiagnosis inevitable? April 13, 2016 Engaging as partners in patient safety: the experience of librarians. April 8, 2009 Insurers' Medical Loss Ratios and Quality Improvement Spending in 2011. April 10, 2013 Healing the hospital hierarchy. March 27, 2013 The Misdiagnosis of Breast Cancer. March 20, 2013 Anger management courses are a new tool for dealing with out-of-control doctors. March 13, 2013 Simulation techniques for teaching time-outs: a controlled trial. June 1, 2016 Medication errors involving healthcare students. March 30, 2016 Opioid dependence and overdose after surgery: rate, risk factors, and reasons. September 21, 2022 Evaluation of policies limiting opioid exposure on opioid prescribing and patient pain in opioid-naive patients undergoing elective surgery in a large American health system. March 8, 2023 Implicit racial bias in pediatric orthopaedic surgery. June 15, 2022 Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement. June 1, 2022 Am I safe? An interpretative phenomenological analysis of vulnerability as experienced by patients with complications following surgery. January 18, 2023 Chief resident indirect supervision in training safety study: is a chief resident general surgery service safe for patients? September 1, 2021 Interventions for reducing wrong-site surgery and invasive procedures. November 14, 2012 Patient engagement in the inpatient setting: a systematic review. December 18, 2013 The biggest mistake doctors make. November 27, 2013 Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. September 25, 2013 Dying for Care. March 30, 2022 Why hospitals still make serious medical errors—and how they are trying to reduce them. March 29, 2023 Feds move to rein in prior authorization, a system that harms and frustrates patients. March 22, 2023 Preventing home medication errors. April 12, 2023 10 Leadership mindsets for high reliability organizations. How to empower caregivers and engage patients in patient safety. April 14, 2021 Endometriosis affects 1 out of 10 women like me. Yet it often takes a decade to get diagnosed. April 14, 2021 Seattle pilot’s misdiagnosis highlights challenges around coronavirus testing. April 15, 2020 As COVID-19 bears down, doctors confront difficult choices on elective surgeries. April 8, 2020 Prescribing errors in post-COVID-19 patients: prevalence, severity, and risk factors in patients visiting a post-COVID-19 outpatient clinic. March 23, 2022 Impact of digitally acquired peer diagnostic input on diagnostic confidence in outpatient cases: a pragmatic randomized trial. December 2, 2020 Pharmacists reducing medication risk in medical outpatient clinics: a retrospective study of 18 clinics. March 8, 2023 Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug events and health care expenditures. June 8, 2022 Preventable harm because of outpatient medication errors among children with leukemia and lymphoma: a multisite longitudinal assessment. February 15, 2023 Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. December 7, 2022 Outpatient insulin-related adverse events due to mix-up errors: findings from two national surveillance systems, United States, 2012-2017. March 24, 2021 Description of the role of pharmacist independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy. March 24, 2021 Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased outpatient opioid prescriptions. December 16, 2020 Evidence of respiratory infection transmission within physician offices could inform outpatient infection control. September 1, 2021 CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting. September 1, 2021 Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID-19 disease. July 29, 2020 A survey of outpatient internal medicine clinician perceptions of diagnostic error. February 5, 2020 National surveillance of emergency department visits for outpatient adverse drug events in children and adolescents. March 5, 2008 The effect of automated alerts on provider ordering behavior in an outpatient setting. September 21, 2005 How the opioid backlash went wrong. May 17, 2023 The untold story of a cyberattack, a hospital and a dying woman. November 25, 2020 The pain was unbearable. So why did doctors turn her away? August 25, 2021 Surgical checklists save lives—but once in a while, they don't. Why? May 23, 2018 Why are so many women being misdiagnosed? August 30, 2017 The health care industry needs to be more honest about medical errors. November 20, 2019 Medical disrespect. February 12, 2014 Inside the epidemic of misdiagnosed women. April 29, 2020 Artificial intelligence makes bad medicine even worse. February 5, 2020 Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. February 6, 2019 Losing Laura. November 14, 2018 Dennis Quaid's quest. August 18, 2010 The phantom menace of sleep-deprived doctors. August 24, 2011 Q: What scares doctors? A: Being the patient. April 26, 2006 Right tech dose helps medicine go down. January 24, 2007 When doctors say, "We're sorry." August 24, 2005 The devil inside wired medicine. May 13, 2009 Crisis recovery in surgery: error management and problem solving in safety-critical situations. September 14, 2022 Frequency of risk factors that potentially increase harm from medications in older adults receiving primary care. January 23, 2008 Evidence-based Recommendations for Best Practices in Weight Loss Surgery. March 27, 2005 Seven (potentially) deadly prescribing errors. November 11, 2015 Engineering Patient Safety in Radiation Oncology: University of North Carolina's Pursuit for High Reliability and Value Creation. May 6, 2015 Non-technical skills in surgery during the COVID-19 pandemic: an observational study. March 9, 2022 Predictive power of the "trigger tool" for the detection of adverse events in general surgery: a multicenter observational validation study. March 9, 2022 Association between handover of anesthesiology care and 1-year mortality among adults undergoing cardiac surgery. March 2, 2022 Trial and error: learning from malpractice claims in childhood surgery. August 24, 2022 Feelings of trust and of safety are related facets of the patient's experience in surgery: a descriptive qualitative study in 80 patients. August 24, 2022 Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia. August 10, 2022 Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient. February 2, 2022 Malpractice cases in breast surgery: an assessment of litigation involving surgeons. December 1, 2021 Dedicated teams to optimize quality and safety of surgery: a systematic review. November 16, 2022 Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery. November 9, 2022 Communication during interhospital transfers of emergency general surgery patients: a qualitative study of challenges and opportunities. October 26, 2022 Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac surgery. October 5, 2022 Sustained improvement in quality of patient handoffs after orthopaedic surgery I-PASS intervention. September 21, 2022 The physiology of failure: identifying risk factors for mortality in emergency general surgery patients using a regional health system integrated electronic medical record. September 7, 2022 A contemporary analysis of closed claims related to wrong site surgery. March 29, 2023 The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: a systematic review. March 29, 2023 Understanding patient and clinician reported nonroutine events in ambulatory surgery. March 22, 2023 Reduction in omission events after implementing a rapid response system: a mortality review in a department of gastrointestinal surgery. March 15, 2023 Surgical fire in the United States: 2000-2020. March 15, 2023 Cognitive biases in surgery: systematic review. March 1, 2023 Patients' perceptions of importance for self-administered correct site surgery checklist: a multisite study. June 8, 2022 Mortality due to hospital-acquired infection after cardiac surgery. June 1, 2022 Surgery is in itself a risk factor for the patient. June 1, 2022 Fast tracking in cardiac surgery: is it safe? May 11, 2022 Inappropriate prescribing of opioids for patients undergoing surgery. December 21, 2022 Errors in surgery: a case control study. December 14, 2022 Association of measured quality and future financial performance among hospitals performing cardiac surgery. December 7, 2022 View More Related Resources Total systems safety supports practitioners in partnering with families to protect patients. July 17, 2024 Annual Perspective Equity in Patient Safety March 27, 2024 Medication errors 2023: the year in review: January through December. March 6, 2024 Hospital bosses ignored months of doctors' warnings about Lucy Letby. August 30, 2023 Actions to renew focus on safety culture. May 24, 2023 Ensuring competency and safety when onboarding newly hired professional staff. May 3, 2023 Annual Perspective Improving Diagnostic Safety and Quality April 26, 2023 Do no unconscious harm. March 15, 2023 Controlled substance drug diversion by healthcare workers as a threat to patient safety. March 14, 2023 NHS staff cried in safety interviews, says watchdog. March 8, 2023 Are you well positioned to resolve conflicts with the safety of an order? Learning from a physician’s homicide trial and the firing of multiple healthcare workers. June 1, 2022 Nurse Vaught sentenced for deadly medical error. May 25, 2022 Will prosecuting medical errors lead to a culture of silence? April 6, 2022 Annual Perspective Annual Perspective: Psychological Safety of Healthcare Staff March 31, 2022 Survey suggests disrespectful behaviors persist in healthcare: practitioners speak up (yet again) – Parts I and II. March 15, 2022 A family and hospital's journey and commitment to improving diagnostic safety. March 9, 2022 When we're all responsible for a patient's death, no one is. November 24, 2021 Disrespectful behavior in healthcare: has it improved? Please take our survey! October 21, 2021 Pump up the volume: tips for increasing error reporting and decreasing patient harm. September 8, 2021 Start the year off right by preventing these top 10 medication errors and hazards from 2020. February 10, 2021 A night in the hospital, from both ends of the stethoscope. January 20, 2021 The hard talk: dealing with the disruptive physician. January 20, 2021 Avoid punitive approach to your safety event reporting, September 16, 2020 Survey shows room for improvement with two new ISMP Targeted Medication Safety Best Practices. August 12, 2020 Your diagnosis was wrong. Could doctor bias have been a factor? December 11, 2019 Over-the-top risky: overuse of ADC overrides, removal of drugs without an order, and use of non-profiled cabinets. November 13, 2019 Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being. November 6, 2019 The 2018 Gosport Independent Panel report into deaths at the National Health Service's Gosport War Memorial Hospital. Does the culture of the medical profession influence health outcomes? June 12, 2019 Health systems and hospitals in pursuit of high reliability. May 1, 2019 Criminalisation of unintentional error in healthcare in the UK: a perspective from New Zealand. April 24, 2019 View More See More About The Topic Health Care Providers Medicine Active Errors Culture of Safety
Assessment of health information technology-related outpatient diagnostic delays in the US Veterans Affairs health care system: a qualitative study of aggregated root cause analysis data. July 22, 2020
Independent Mortality Review of Cardiac Surgery at St George’s University Hospitals NHS Foundation Trust. April 15, 2020
Evaluation of policies limiting opioid exposure on opioid prescribing and patient pain in opioid-naive patients undergoing elective surgery in a large American health system. March 8, 2023
Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement. June 1, 2022
Am I safe? An interpretative phenomenological analysis of vulnerability as experienced by patients with complications following surgery. January 18, 2023
Chief resident indirect supervision in training safety study: is a chief resident general surgery service safe for patients? September 1, 2021
Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. September 25, 2013
Why hospitals still make serious medical errors—and how they are trying to reduce them. March 29, 2023
Feds move to rein in prior authorization, a system that harms and frustrates patients. March 22, 2023
10 Leadership mindsets for high reliability organizations. How to empower caregivers and engage patients in patient safety. April 14, 2021
Endometriosis affects 1 out of 10 women like me. Yet it often takes a decade to get diagnosed. April 14, 2021
Prescribing errors in post-COVID-19 patients: prevalence, severity, and risk factors in patients visiting a post-COVID-19 outpatient clinic. March 23, 2022
Impact of digitally acquired peer diagnostic input on diagnostic confidence in outpatient cases: a pragmatic randomized trial. December 2, 2020
Pharmacists reducing medication risk in medical outpatient clinics: a retrospective study of 18 clinics. March 8, 2023
Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug events and health care expenditures. June 8, 2022
Preventable harm because of outpatient medication errors among children with leukemia and lymphoma: a multisite longitudinal assessment. February 15, 2023
Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. December 7, 2022
Outpatient insulin-related adverse events due to mix-up errors: findings from two national surveillance systems, United States, 2012-2017. March 24, 2021
Description of the role of pharmacist independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy. March 24, 2021
Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased outpatient opioid prescriptions. December 16, 2020
Evidence of respiratory infection transmission within physician offices could inform outpatient infection control. September 1, 2021
CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting. September 1, 2021
Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID-19 disease. July 29, 2020
National surveillance of emergency department visits for outpatient adverse drug events in children and adolescents. March 5, 2008
The effect of automated alerts on provider ordering behavior in an outpatient setting. September 21, 2005
Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. February 6, 2019
Crisis recovery in surgery: error management and problem solving in safety-critical situations. September 14, 2022
Frequency of risk factors that potentially increase harm from medications in older adults receiving primary care. January 23, 2008
Engineering Patient Safety in Radiation Oncology: University of North Carolina's Pursuit for High Reliability and Value Creation. May 6, 2015
Predictive power of the "trigger tool" for the detection of adverse events in general surgery: a multicenter observational validation study. March 9, 2022
Association between handover of anesthesiology care and 1-year mortality among adults undergoing cardiac surgery. March 2, 2022
Feelings of trust and of safety are related facets of the patient's experience in surgery: a descriptive qualitative study in 80 patients. August 24, 2022
Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia. August 10, 2022
Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient. February 2, 2022
Malpractice cases in breast surgery: an assessment of litigation involving surgeons. December 1, 2021
Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery. November 9, 2022
Communication during interhospital transfers of emergency general surgery patients: a qualitative study of challenges and opportunities. October 26, 2022
Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac surgery. October 5, 2022
Sustained improvement in quality of patient handoffs after orthopaedic surgery I-PASS intervention. September 21, 2022
The physiology of failure: identifying risk factors for mortality in emergency general surgery patients using a regional health system integrated electronic medical record. September 7, 2022
The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: a systematic review. March 29, 2023
Reduction in omission events after implementing a rapid response system: a mortality review in a department of gastrointestinal surgery. March 15, 2023
Patients' perceptions of importance for self-administered correct site surgery checklist: a multisite study. June 8, 2022
Association of measured quality and future financial performance among hospitals performing cardiac surgery. December 7, 2022
Total systems safety supports practitioners in partnering with families to protect patients. July 17, 2024
Controlled substance drug diversion by healthcare workers as a threat to patient safety. March 14, 2023
Are you well positioned to resolve conflicts with the safety of an order? Learning from a physician’s homicide trial and the firing of multiple healthcare workers. June 1, 2022
Survey suggests disrespectful behaviors persist in healthcare: practitioners speak up (yet again) – Parts I and II. March 15, 2022
Pump up the volume: tips for increasing error reporting and decreasing patient harm. September 8, 2021
Start the year off right by preventing these top 10 medication errors and hazards from 2020. February 10, 2021
Survey shows room for improvement with two new ISMP Targeted Medication Safety Best Practices. August 12, 2020
Over-the-top risky: overuse of ADC overrides, removal of drugs without an order, and use of non-profiled cabinets. November 13, 2019
Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being. November 6, 2019
The 2018 Gosport Independent Panel report into deaths at the National Health Service's Gosport War Memorial Hospital. Does the culture of the medical profession influence health outcomes? June 12, 2019
Criminalisation of unintentional error in healthcare in the UK: a perspective from New Zealand. April 24, 2019