Narrow Results Clear All
- Communication Improvement 7
- Culture of Safety 2
- Education and Training 2
- Error Reporting and Analysis 4
- Human Factors Engineering 6
- Legal and Policy Approaches 2
- Logistical Approaches 2
- Quality Improvement Strategies
- Specialization of Care 1
- Teamwork 3
- Technologic Approaches 5
- Device-related Complications 1
- Diagnostic Errors 1
- Discontinuities, Gaps, and Hand-Off Problems 1
- Medical Complications 4
- Medication Errors/Preventable Adverse Drug Events 7
- Nonsurgical Procedural Complications 1
- Surgical Complications 2
- Surgery 2
- Pharmacy 6
- Health Care Executives and Administrators
Health Care Providers
- Nurses 7
- Physicians 10
- Non-Health Care Professionals 6
- Patients 1
Search results for "Newspaper/Magazine Article"
Fibuch E, Ahmed A. Physician Exec. Jul-Aug 2014;40:28-32.
Failure mode and effects analysis (FMEA) has been recommended as a method to detect safety hazards and proactively address system flaws. This article reviews the initial purpose of FMEA, provides a breakdown of the process, describes a scoring tool applying Six Sigma designations to determine probability of failure, and discusses how FMEA is used in health care settings.
Betbeze P. HealthLeaders Media. May 2, 2014.
Galli BJ, Riebling N, Paraso C, Lehmann G, Yule M. Patient Saf Qual Healthc. July/August 2013;10:36-41.
ISMP Medication Safety Alert! Acute Care Edition. September 22, 2011;16:1-3.
This newsletter article reveals system failures that contribute to continued drug name confusion, even after authorities have been notified of the problem.
ISMP Medication Safety Alert! Acute Care Edition. August 11, 2011;16:1-3.
This article discusses incidents involving misadministration of IV insulin and makes recommendations to improve safety in delivering this high-alert medication.
Parents can detect, contribute to, or be affected by critical events during a child’s hospitalization.
ISMP Medication Safety Alert! Acute Care Edition. June 16, 2011;16:1-3.
This newsletter piece provides recommendations to strengthen parental involvement during a child's hospitalization.
ISMP Medication Safety Alert! Acute Care Edition. July 1, 2010;15:1-2.
This piece reports on examples of confusion between adult and pediatric immunizations and states that the similar abbreviations are a main cause of the problem.
PA-PSRS Patient Saf Advis. March 2010;7:9-17.
This article analyzed 2685 event reports involving insulin and found that the most common error types were drug omission, wrong-dose, and wrong-drug errors.
ISMP Medication Safety Alert! Acute Care Edition. May 21, 2009;14:1-3.
This article shares results from a survey regarding look-alike or sound-alike (LASA) medication confusion and lists strategies to reduce such errors.
Daner WE, Gosselin RC, Raschke R, Vanderveen T. Patient Saf Qual Healthcare. January/February 2009;6:20-25.
This article explains safety challenges commonly associated with heparin, a high-alert medication, and outlines how hospitals and clinicians can prevent these errors.
ISMP Medication Safety Alert! Acute Care Edition. October 10, 2008;13:1-3.
Reporting that recalled medications were found in hospital pharmacies, this article describes recommendations to improve the process for removing recalled products.
ISMP Medication Safety Alert! Acute Care Edition. November 2, 2006;11:1-3.
This article describes instances of tissue injury as a result of the misadministration of Promethazine and provides recommendations to minimize the risk of this occurring.
Murphy K. New York Times. October 31, 2006:F5.
This article discusses lessons the airline industry has learned about communication, teamwork, and error reporting and how they might be applicable to health care.
PA-PSRS Patient Saf Advis. September 2006;3:1, 5-10.
This article discusses the Pennsylvania Patient Safety Reporting System (PA-PSRS) reports of skin tears and provides suggestions to help keep patients safe from this common injury.
Roy PJ. Med Econ. 2006 Aug 4;83:68-69.
In this article, a physician shares a story to illustrate the importance of persistent follow-up with patients.
Ostrom CM. Seattle Times. June 22, 2006:B1.
This article reports on a Washington state law that prevents pharmacists from accepting prescriptions that are handwritten unless they are very clearly printed.
Weiss GG. Med Econ. May 19, 2006; 83:47-49.
This article provides suggestions for physicians to ensure reliable follow-up on test results, including tracking forms, computerization, and staff compliance with processes.
Harmon KT. Patient Safety & Quality Healthcare. March/April 2006;3:20-26.
The author, a former flight surgeon, describes safety concepts and guidelines that have minimized mishaps in naval aviation and discusses how these may be applied to health care.
Ketter P. T&D. January 2006;60:51-54.
This article presents the implementation and results of a crew resource management training program to improve safety culture at a Tennessee medical center.
Meisel Z. Slate. November 8, 2005.
In this article, an emergency medicine physician describes the work environment of emergency medical technicians and paramedics and why it is prone to error.