… of the opioid epidemic. … Han B, Compton WM, Blanco C, Crane E, Lee J, Jones CM. Prescription Opioid Use, Misuse, …

This study describes the successful implementation of a Web-based reporting system for near-miss events in primary care practices. The most prevalent reports were breakdowns in office processes, with varying risk for adverse events, as found in prior studies of incident reporting. Although near-miss reporting can stimulate improvement efforts, it is not a precise method for detecting safety problems.

This publication summarizes patient safety leaders' observations of changes made in the decade following To Err is Human. The discussion offers suggestions for further improvement of patient safety initiatives and research, including developing an educational campaign and creating clearer goals for patient safety activities.

The authors suggest a model process utilizing failure mode and effects analysis to effectively implement emerging technologies that help minimize medication error.

The authors present a case of diagnostic error and use a question-and-answer format to review how to disclose and apologize for medical errors as well as learn from them.