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1 - 20 of 202

Andreou A. Scientific AmericanMay 26, 2022.

Negative comments and attitudes indicate a lack of professionalism that can affect patient care. This article shares concerns about surgeon biases toward patients who are overweight and calls for clinicians to recognize the problem and address it.

Sausser L. Kaiser Health News. May 24, 2022.

Lack of education contributes to misunderstandings and unhelpful preconceptions. This article discusses biases affecting the care of patients who are overweight. It introduces an educational effort to raise awareness of potential diagnostic and treatment actions affected by clinician bias to decrease safety for this patient population.

Quick Safety. January 18, 2022(63):1-3.

Patients may not always reveal underlying causes of ill health such as alcohol and drug misuse or domestic violence due to embarrassment or shame. This newsletter piece shares recommendations for clinicians to explore the potential of an individual experiencing intimate partner violence to preserve their safety after a medical encounter.

ISMP Medication Safety Alert! Acute care edition. November 4, 2021;26(22); 1-4.

Delays in diagnosis and treatment during life-threatening emergencies such as strokes can result in irreversible patient harm. This article discusses a variety of factors contributing to errors in administering hypertonic sodium chloride in emergent situations. The piece shares recommendations touching on various elements of the medication delivery process to enhance safety.

Bever L, Chiu A. Washington Post. September 16, 2021. 

Throughout the COVID pandemic, patients have shown reluctance to seek medical care, which contributes to delayed diagnoses and treatments for non-COVID conditions. This news story suggests actions for patients to take to keep themselves safe from harm while accessing care during uncertain times.

Mirtallo JM, Ayers P. Pharmacy Practice News. September 7, 2021;48(9):17-20.

Parenteral nutrition (PN) processes contain various steps that are prone to errors resulting in patient harm. This article discusses standardization as a strategy to reduce the potential for missteps and shares resources for process evaluation to improve PN reliability and safety.

Parry C. The Pharmaceutical JournalApril 22 2021.

Weight-based prescribing in children harbors challenges to accurate medication dosing. This story discusses an examination of factors contributing to ten-fold medication errors in pediatric care. The author summarizes an ongoing investigation which has identified polypharmacy and information system weaknesses as being among the contributors to the problem.

Carr S. ImproveDx. March 2021:8(2) 

Effective diagnosis is enhanced through multidisciplinary team-based efforts. This newsletter article outlines opportunities inherent in expanding the role of nursing in the diagnostic process. It highlights barriers to collaboration and suggests interprofessional training as one avenue toward improvement.

Morris S, O’Hara J. Pharmacuetical Journal. February 26, 2021.

It is a challenge to track medical errors that take place in the home environment, yet it is understood they happen and can cause harm. This article discusses errors that parents make in providing medications to their children. The authors advocate for engaging parents as partners to improve care safety in the home.

ISMP Medication Safety Alert! Acute Care Edition. January 14, 2021;26(1);1-5. 
 

Learning from error rests on transparency efforts buttressed by frontline reports. This article examined reports of COVID-19 vaccine errors to highlight common risks that are likely to be present in a variety of settings and share recommendations to minimize their negative impact, including storage methods and vaccination staff education. 

March 2020--January 2021.

Medication safety is improved through the sharing of frontline improvement experiences and concerns. These articles share recommendations to reduce risks associated with distinct areas of the medication use process. The topics discuss areas that require specific attention during the COVID-19 pandemic such as the use of smart pumps and automated dispensing cabinets.

ISMP Medication Safety Alert! Acute care edition. December 3, 2020;25(24).

Infusion misadministration is not always immediately evident. This story illustrates the problem of underdosing during infusions and suggests that unclear policies and lack of problem awareness contribute to the persistence of the mistake. The piece recommends education, use of data, and storytelling as tactics to reduce underdosing.

Oglethorpe A. Women's Health. November 4, 2020.

Skin condition diagnosis is a visual activity that is vulnerable to error. This article highlights how conditions such as psoriasis and skin cancer can be misdiagnosed. The piece shares recommendations for patients to obtain an accurate diagnosis such as seeking a second opinion and preparing for appointments with notes and questions.