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Reporting on how misinterpretation of advance directives and living wills can detract from patient safety, this news article reveals insights from a physician who developed a checklist poster to provide decision support for clinicians and recommends standardization of the forms to reduce risks.

This newspaper article discusses how combining best practices in teamwork, simulation, and communication can improve patient safety during obstetric emergencies.

This report examines how optimizing patient flow from emergency department arrival to diagnosis can enhance quality and safety.

Drawing from surveys of nurses and patients, this article offers tips on how to improve safety during a hospital stay.

This article describes the application of Formula One pit stop techniques to improving hand-off systems within a health care setting in the context of one British hospital's research on teamwork in Formula One pit crews.

This article discusses the myriad dosing methods that can lead to errors in administering intravenous medications and programming infusion pumps.

This article reports on the results from Joint Commission site inspections of five Boston-area hospitals.

This article reports on initiatives to standardize the color designations of color-coded wristbands to avoid confusion and reduce the risk of error.

The authors describe elements and key success factors of redesigning medication delivery and administration to support medication reconciliation.

This article describes several hospital-based medication reconciliation efforts.

This article summarizes the results of Institute for Safe Medication Practices' (ISMP's) national survey on medication reconciliation.

This article shares several examples of errors made while verbally communicating medication orders and includes recommendations for safe practices. 

This article reports on a Centers for Medicare & Medicaid Services report that details deficiencies in Kaiser's kidney transplant program.

This article reports on the investigation following the death of New York Times reporter David E. Rosenbaum. The investigation uncovered a range of failures in emergency care and is described in a report available via the link below.

This article reports on the Joint Commission's focus on medication reconciliation and illustrates how health care organizations are applying the process to prevent medication errors.

This article reviews the importance of medication reconciliation, discusses the difficulties of building the process into patient care, and shares stories from hospitals that have successfully implemented programs.