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1 - 13 of 13

RA-UK, the Faculty of Pain Medicine, RCoA Simulation and NHS Improvement

Standardization is a common strategy for preventing practice deviations that can contribute to harm. This tool outlines a three-step process for minimizing the occurrence of wrong-side peripheral nerve blocks that involves preparing for the procedure, stopping to perform a two-person site confirmation, and then administering the block.
American Hospital Association; AHA.
Maternal harm is a patient safety concern that is increasingly prioritized in regulatory and care delivery environments. This website provides tools, policies, news articles, case studies, and information for patients and families to inform efforts to protect mothers and infants across geographic regions.
Patel PR, Brinsley-Rainisch K. Clinical Journal of the American Society of Nephrology. 2017;13.
Dialysis is a common procedure that carries risks if not performed correctly. This initiative represents a collective effort that aims to develop, share, and test a set of interventions and tools to ensure the safety of dialysis.
Center for Assessment of Radiological Sciences. 4913 Wuakesha Street, Madison,WI 53705. 608-345-5795. Email: brthomad@cars-pso.org.
Patient Safety Organizations enable robust data collection and analysis to support learning from medical error. This website of a Patient Safety Organization dedicated to radiation safety improvement offers a mechanism for voluntary reporting of radiation oncology incident data, a searchable database, and related publications.
Murray P. Washington, DC; Senate Health, Education, Labor, and Pensions Committee; 2016.
Insufficient sterilization of duodenoscopes and other medical equipment has been linked to health care–associated infection outbreaks. This report summarizes findings from a government investigation into existing methods for monitoring and reporting device problems and provides recommendations for Congress, hospitals, and the Food and Drug Administration to augment identification and prevention of safety issues associated with medical devices.
Kirkup B. London, UK: The Stationery Office; 2015. ISBN: 9780108561306.
Sharing information about large-scale investigations into failures can provide insights on factors that contribute to adverse clinical incidents. This report discusses an analysis of care delivered in the maternity unit of a National Health Service Trust between 2004 and 2013 which uncovered problems that were perpetuated due to failure to look into the initial event.
American Society for Radiation Oncology and American Association of Physicists in Medicine.
Reporting of near misses and adverse events can provide a foundation for learning from error. This Web site supports an online portal facilitating incident reporting to enable data and experience analysis that will be used to inform development of guidelines and educational programs to promote safe practice in radiation oncology.
Ryan K, Levit K, Davis PH. HCUP Statistical Brief #87. Rockville, MD: Agency for Healthcare Research and Quality; March 2010.
Using data from the Healthcare Cost and Utilization Project, this report analyzed characteristics of weekend hospital stays and found that patients experienced delays in receiving care compared with patients admitted during the week.
Center for Devices and Radiological Health; CDRH; US Food and Drug Administration; FDA.
This Web site provides information on an initiative to reduce radiation exposure and mitigate risks involved with medical imaging examinations that use high radiation doses. An accompanying report highlights specific issues in promoting safe use of medical imaging devices.
Center for Devices and Radiological Health; CDER; Food and Drug Administration; FDA.
This website alerts clinicians and patients to risks for patient harm associated with implanted electronic medical devices, such as insulin infusion pump and pacemakers, when x-rays are used during CT examinations.
International Society for Magnetic Resonance in Medicine.
MRI Safety Week is held annually in July. This observance  supports the sharing of information and resources to support magnetic resonance imaging safety.