The PSNet Collection: All Content
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- Journal Article(553)
- Newspaper/Magazine Article(99)
- Patient Safety Innovations(1)
- Patient Safety Primers(4)
- Perspectives on Safety(8)
- Press Release/Announcement(16)
- Special or Theme Issue(8)
- WebM&M Cases(24)
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- Research Directions(4)
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- Device-Related Complications(33)
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- Discontinuities, Gaps, and Hand-Off Problems(77)
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- Fatigue and Sleep Deprivation(1)
- Identification Errors(28)
- Interruptions and distractions(6)
- Medical Complications(36)
- Medication Safety(662)
- Nonsurgical Procedural Complications(1)
- Psychological and Social Complications(9)
- Surgical Complications(6)
Medication reconciliation is a common strategy to improve patient safety but is complex and time consuming. Three academic medical centers developed and implemented a risk stratification tool so limited pharmacist resources could be allocated to patients with the highest likelihood of medication adverse events.
This case focuses on immediate-use medication compounding in the operating room and how the process creates situations in which medication errors can occur. The commentary discusses strategies for safe perioperative compounding and the role of standardized processes, such as checklists, to ensure medication safety.
ISMP Medication Safety Alert! Acute care edition. January 26, 2023:28(2):1-4.
This WebM&M highlights two cases of hospital-acquired diabetic ketoacidosis (DKA) in patients with type 1 diabetes. The commentary discusses the role of the inpatient glycemic team to assist with diabetes management, the importance of medication reconciliation in the emergency department (ED) for high-risk patients on insulin, and strategies to empower patients and caregivers to speak up about medication safety.
Institute for Safe Medication Practices.
Errors in medication management and administration are major threats to patient safety. This piece explores issues with opioid and nursing-sensitive medication safety as well as medication safety in older adults. Future research directions in medication safety are also discussed.
Cohen M, Degnan D, McDonnell P, eds. Patient Saf. 2022;4(s1):1-45