• Study
  • Published October 2015

Lacerations and embedded needles caused by epinephrine autoinjector use in children.

Brown JC, Tuuri RE, Akhter S, et al. Ann Emerg Med. 2016;67:307-315.

This study describes injuries related to epinephrine autoinjector use by health care workers, patients, or family members when administering epinephrine to treat anaphylaxis. The injuries described in this case series underscore the need to improve medical device design and education for safety, as discussed in a past AHRQ WebM&M perspective.

PubMed citation Available at Disclaimer Free full text (PDF) Disclaimer

Related Resources

Legislation/Regulation › Organizational Policy/Guidelines

Safe injection, infusion, and medication vial practices in health care (2016).

Dolan SA, Arias KM, Felizardo G, et al. Washington, DC: Association for Professionals in Infection Control and Epidemiology; February 2016.

Journal Article › Commentary

Among the elderly, many mental illnesses go undiagnosed.

Bor JS. Health Aff (Millwood). 2015;34:727-731.

Newspaper/Magazine Article

Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment.

ISMP Medication Safety Alert! Acute Care Edition. August 11, 2011;16:1-3.

Newspaper/Magazine Article

Oral syringes: a crucial and economical risk-reduction strategy that has not been fully utilized.

ISMP Medication Safety Alert! Acute Care Edition. October 22, 2009;14:1-3.

Newspaper/Magazine Article

Considering insulin pens for routine hospital use? Consider this...

ISMP Medication Safety Alert! Acute Care Edition. May 8, 2008;13:1-3.

Meeting/Conference › Tennessee Meeting/Conference

Global Surgical Conference & Expo 2019.

Association of PeriOperative Registered Nurses. April 6–10, 2019; Music City Center, Nashville, TN.

Journal Article › Study

Assessment of opioid prescribing practices before and after implementation of a health system intervention to reduce opioid overprescribing.

Meisenberg BR, Grover J, Campbell C, Korpon D. JAMA Network Open. 2018;1:e182908.

Journal Article › Review

Developing and evaluating clinical leadership interventions for frontline healthcare providers: a review of the literature.

Mianda S, Voce A. BMC Health Serv Res. 2018;18:747.

Special or Theme Issue

Quality, Value, and Patient Safety in Orthopedic Surgery.

Azar FM, ed. Orthop Clin North Am. 2018;49:A1-A8,389-552.

Journal Article › Commentary

Improving diagnosis by improving education: a policy brief on education in healthcare professions.

Graber ML, Rencic J, Rusz D, et al. Diagnosis (Berl). 2018;5:107-118.

Journal Article › Commentary

The STEP-up programme: engaging all staff in patient safety.

Hamblin-Brown DJ, Ingram J. J Patient Saf Risk Manag. 2018;23:221–226.

Journal Article › Study

Impact of high-reliability education on adverse event reporting by registered nurses.

McFarland DM, Doucette JN. J Nurs Care Qual. 2018;33:285-290.

Journal Article › Study

Statewide collaborative to reduce surgical site infections: results of the Hawaii Surgical Unit-Based Safety Program.

Lin DM, Carson KA, Lubomski LH, Wick EC, Pham JC. J Am Coll Surg. 2018;227:189-197.

Journal Article › Study

Safety II behavior in a pediatric intensive care unit.

Merandi J, Vannatta K, Davis JT, McClead RE Jr, Brilli R, Bartman T. Pediatrics. 2018;141:e20180018.

Press Release/Announcement

Institute for Safe Medication Practices International Mentorship Program.

The Institute for Safe Medication Practices.

Legislation/Regulation › Organizational Policy/Guidelines

Hidden curricula, ethics, and professionalism: clinical learning environments in becoming and being a physician: a position paper of the American College of Physicians.

Lehmann LS, Sulmasy LSS, Desai S; ACP Ethics, Professionalism and Human Rights Committee. Ann Intern Med. 2018;168:506-508.

Tools/Toolkit › Toolkit

Eliminating Harm, Improving Patient Care: A Trustee Guide. 2018 Update.

Chicago. IL: AHA Trustee Services, Health Research and Education Trust; February 2018.

Grant › Grant Announcement

Patient Safety Learning Laboratories: Pursuing Safety in Diagnosis and Treatment at the Intersection of Design, Systems Engineering, and Health Services Research (R18).

Rockville, MD: Agency for Healthcare Research and Quality. RFA-HS-18-001.

Journal Article › Commentary

Blind obedience and an unnecessary workup for hypoglycemia: a teachable moment.

Wang EY, Patrick L, Connor DM. JAMA Intern Med. 2018;178:279-280.

Book/Report

Understanding Patient Safety, Third Edition.

Wachter RM, Gupta K. New York, NY: McGraw-Hill Professional; 2017. ISBN: 9781259860249.

Journal Article › Commentary

Twelve tips for embedding human factors and ergonomics principles in healthcare education.

Vosper H, Hignett S, Bowie P. Med Teach. 2018;40:357-363.

Journal Article › Review

A Department of Medicine infrastructure for patient safety and clinical quality improvement.

Mathews SC, Pronovost PJ, Daugherty Biddison EL, et al. Am J Med Qual. 2018;33:413-419.

Tools/Toolkit › Toolkit

Toolkit to Promote Safe Surgery.

Rockville, MD: Agency for Healthcare Research and Quality; November 2017.

Journal Article › Study

Out-of-hospital pediatric patient safety events: results of the CSI chart review.

Meckler G, Hansen M, Lambert W, et al. Prehosp Emerg Care. 2018;22:290-299.

Journal Article › Study

Implementing the Comprehensive Unit-Based Safety Program (CUSP) to improve patient safety in an academic primary care practice.

Pitts SI, Maruthur NM, Luu N, et al. Jt Comm Qual Patient Saf. 2017;43:591–597.

View More
Back to Top