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- Communication Improvement 1
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- Error Reporting and Analysis 1
- Legal and Policy Approaches 1
- Logistical Approaches 1
- Quality Improvement Strategies
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- Technologic Approaches 1
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Cases & Commentaries
- Spotlight Case
- Web M&M
F. Daniel Duffy, MD; Christine K. Cassel, MD; October 2007
Following surgery, a woman on a patient-controlled analgesia pump is found to be lethargic and incoherent, with a low respiratory rate. The nurse contacted the attending physician, who dismisses the patient's symptoms and chastises the nurse for the late call.
Perspectives on Safety > Interview
The Business Case for Improving Safety, May 2009
The Business Case for Improving Safety
Rudolph J, Raemer D, Shapiro J. Clin Teach. 2013;10:186-189.
This commentary describes techniques for providing feedback to clinicians after an error.
Journal Article > Study
Warholak TL, Queiruga C, Roush R, Phan H. Am J Pharm Educ. 2011;75:24.
This study found that pharmacy students identified more prescribing errors than medical and nursing students, perhaps due to their increased coursework and emphasis on medication safety.