Narrow Results Clear All
- Communication Improvement 4
- Education and Training 3
- Error Reporting and Analysis 8
- Human Factors Engineering 7
- Legal and Policy Approaches 5
- Logistical Approaches 2
- Quality Improvement Strategies 6
- Clinical Information Systems 11
- Device-related Complications 2
- Diagnostic Errors 2
- Discontinuities, Gaps, and Hand-Off Problems 2
- Identification Errors 5
- Interruptions and distractions 1
- Medication Errors/Preventable Adverse Drug Events 14
- Psychological and Social Complications 1
- Surgical Complications 3
Search results for ""
Cases & Commentaries
- Web M&M
Tejal K. Gandhi, MD, MPH; October 2003
Switched urine specimens lead to a patient receiving the wrong answer about her pregnancy test.
Cases & Commentaries
- Web M&M
Russ Cucina, MD, MS; July 2006
Despite full documentation and a wristband regarding her severe food allergy, an inpatient is advertently fed eggs and suffers an allergic reaction.
Scanning out medication errors: Ohio Valley Hospital's automated IV system provides real-time access to patient data.
Carbasho T. Pittsburgh Business Times. April 25, 2005.
This article reports on Ohio Valley General Hospital's intravenous safety system. Using bar code scanning to provide important patient information, the system automates checks for intravenous medication administration.
BBC News. August 9, 2005.
This article reports on a prototype electronic wristband that checks medications against a patient's prescription.
Stires D. Fortune Magazine. May 15, 2006:130-132, 134, 136.
This article reports on the U.S. Veterans Health Administration's successful adoption of health information technology and how it has improved care.
Arnst C. Business Week. July 17, 2006.
This article discusses improvements made at U.S. Veterans Affairs' hospitals as well as unique elements of the system that support safe and high-quality care.
Knox R. "All Things Considered." National Public Radio. July 20, 2006.
This story discusses findings from the 2006 Institute of Medicine report on medication errors and includes interviews with James Conway and Michael Cohen.
Chun D. Gainsville Sun. August 21, 2006.
This article describes a computerized drug ordering and dispensing system at a Florida hospital.
Davies T. Washington Post. September 22, 2006.
This article reports on the deaths of three infants from heparin overdoses and describes how the hospital community has responded to the errors.
Colvin G. "The Colvin Interview." CNN. February 5, 2007.
This video segment features an interview with two McKesson executives about how health information technology can help prevent medication errors.
Blaney B. Associated Press [USA Today]. March 12, 2007.
This article reports on the abduction of a newborn by an individual masquerading as a hospital employee. Infant abduction is one of the patient safety "never events" defined by the National Quality Forum.
Legislation/Regulation > Government Resource
Safe Practice Notice 24. London, England: National Patient Safety Agency; July 3, 2007.
This notice highlights the importance of standardizing wristband design and information to make their use consistent for every patient in the United Kingdom.
Kowalczyk L. Boston Globe. October 26, 2007;Metro section:1A.
This article investigates the causes of surgical errors reported in recent years by Massachusetts hospitals, and identifies team training and instrument bar-coding as solutions for improvement.
Lin R-G II, Watanabe T. Los Angeles Times. November 22, 2007;A1.
This article reports on a non-fatal medication error that involved several neonates (including the newborn twins of actor Dennis Quaid) receiving a concentration of heparin 1000 times higher than intended. The discussion includes current hospital efforts to prevent medication errors and the growing interest in use of bar coding technology. A similar error captured headlines in 2006 when it caused the deaths of three infants.
Rusk K. Assignment 7. ABC7news.com. May 26, 2008.
In the context of statewide efforts to prevent medication errors, increase reporting, and share best practices, this news video addresses how hospitals are employing both low- and high-tech solutions to improve patient safety. The story also covers barcoding, the Five Rights, transparency, and efforts to get safety information into patients' hands.
US News & World Report. July 3, 2008.
This article discusses the findings of a recent study that reported deficiencies in barcode systems requiring numerous overrides and "workarounds" by nurses.
Vonfremd M, Ibanga I. ABC News.com. July 10, 2008.
Several infants in a neonatal unit at a Texas hospital received overdoses of heparin. Authorities are investigating whether the error contributed to the deaths of two infants.
Tarkan L. New York Times. September 14, 2008;Health section:7.
This article describes how medical errors may cause serious harm in pediatric patients and offers tips for hospitals and parents to foster safe treatment.
The Oprah Winfrey Show. March 10, 2009.
This feature spotlights Dennis Quaid's experience with medical errors and offers tips for patients on protecting their health.