Narrow Results Clear All
- Communication Improvement 5
- Culture of Safety 3
- Education and Training 1
- Error Reporting and Analysis 5
- Human Factors Engineering
- Logistical Approaches
- Quality Improvement Strategies 2
- Technologic Approaches 6
- Device-related Complications 1
- Diagnostic Errors 1
- Discontinuities, Gaps, and Hand-Off Problems 3
- Identification Errors 3
- Interruptions and distractions 2
- Medical Complications 2
- Medication Errors/Preventable Adverse Drug Events 8
- Surgical Complications 4
- Transfusion Complications 1
- Health Care Executives and Administrators 10
Health Care Providers
- Nurses 3
- Non-Health Care Professionals 5
- Patients 4
Search results for "Newspaper/Magazine Article"
Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit.
ISMP Medication Safety Alert! Acute Care Edition. March 21, 2013;18:1-3.
This newsletter article discusses factors that contributed to the death of a patient in an ambulatory surgery center and recommends improved monitoring practices and alarm management in post-anesthesia care units.
ISMP Medication Safety Alert! Acute Care Edition. April 21, 2011;16:1-3.
This article analyzes a fatal error involving parenteral nutrition and makes recommendations to prevent such incidents.
ISMP Medication Safety Alert! Acute Care Edition. September 9, 2010;15:1-6.
This piece highlights nurses' responses to a national survey that explored problems associated with the Centers for Medicare and Medicaid Services (CMS) medication administration timing requirement.
Payne JW. US News & World Report. May 3, 2010.
This piece offers medication safety advice for parents caring for children with chronic illness.
Colliver V. San Francisco Chronicle. October 28, 2009:A1.
This news story shares the results of a nine-hospital program to improve the safety of medication delivery through minimizing nursing interruptions.
ISMP Medication Safety Alert! Acute Care Edition. December 4, 2008;13:1-3.
This article discusses work space factors that can affect safe medication delivery, including lighting, interruptions, noise level, and physical space design.
ISMP Medication Safety Alert! Acute Care Edition. September 11, 2008;13:1-3.
This article discusses a medication error associated with a new smart pump system and describes strategies to prevent errors when well-established processes are changed.
May H. Salt Lake Tribune. August 18, 2008.
This article examines 2007 state health data on never events in the context of a label-related medical error that resulted in a recent death.
ISMP Medication Safety Alert! Acute Care Edition. February 14, 2008;13:1-3.
This article describes errors that can occur when methadone is prescribed for pain and offers safe practice recommendations for the use of this medication.
ISMP Medication Safety Alert! Acute Care Edition. November 1, 2007;12:1-3.
This article highlights numerous safety concerns surrounding investigational drugs and offers safe practice recommendations.
ISMP Medication Safety Alert! Acute Care Edition. October 4, 2007;12:1-2.
This article describes how errors involving potassium chloride still occur and discusses further strategies to prevent tragic mistakes with this medication.
ISMP Medication Safety Alert! Acute Care Edition. May 3, 2007;12:1-2.
This alert describes several incidents of heparin/insulin mix-ups and provides recommendations to prevent similar slips.
Landro L. Wall Street Journal. April 4, 2007:D5.
This article reports on initiatives to standardize the color designations of color-coded wristbands to avoid confusion and reduce the risk of error.
Health Manage Techol. April 2007;28:30-32, 34.
This article describes a health system's implementation of bar coding technology to support safe medication administration.
Hardy J. Trustee. February 2007;60:32-33.
This article discusses hospital design criteria that could improve patient safety, such as direct patient visibility by staff, direct staff access to all patient rooms, and noise reduction.
Blum A. Business Week. August 15, 2006.
This article discusses how hospital design, including standardized operating rooms, better ventilation systems, and green design can improve patient safety and decrease costs.
Naik G. The Wall Street Journal. May 8, 2006:A1.
This article reports on innovations implemented at a Wisconsin hospital to improve patient safety and how other institutions are redesigning their hospitals with safety in mind.