While computerized physician order entry is expected to significantly reduce adverse drug events, systems must be implemented thoughtfully to avoid facilitating certain types of errors. A forcing function that mandated correct patient identification resulted in a moderate decrease in wrong-patient prescribing errors within a computerized provider order entry system.

Most studies examine handoffs from the operating room (OR) to the intensive care unit (ICU). However, this review identified potential safety concerns during transitions in the opposite direction—from ICU to OR—to highlight risks related to coordinating these patient transfers. The authors include a checklist to enhance the safety of such transitions.

This commentary describes one hospital's approach to engage residents in improving patient safety.

This commentary describes how an anesthesiology department engaged residents in quality and patient safety initiatives and discusses the resulting impact on medication reconciliation, process improvement, laboratory ordering, and patient safety awareness.

This article details how one academic medical center engaged housestaff in tactics to achieve higher compliance with medication reconciliation.