Narrow Results Clear All
- Communication Improvement 2
- Culture of Safety 2
- Education and Training 2
- Error Reporting and Analysis 2
- Quality Improvement Strategies 2
Search results for ""
FDA Safety Communication: use caution with implanted pumps for intrathecal administration of medicines for pain management.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; November 14, 2018.
This safety announcement raises awareness of pump failures, dosing errors, and other potential safety issues associated with implanted pumps. Recommendations to enhance safety include review of medication labeling to select appropriate medicines and concentrations as well as open discussions with patients about risks associated with pump and medication options.
Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture.
Rockville, MD; Agency for Healthcare Quality and Research; March 2016.
Journal Article > Study
Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical team training.
West P, Neily J, Warner L, et al. Jt Comm J Qual Patient Saf. 2014;40:235-239.
This study surveyed nurse managers to evaluate the implementation of pre-surgical briefings and post-surgical debriefings recommended by the World Health Organization's Safe Surgery program. Researchers found that practices were variably sustained and team training appeared to augment implementation.
Subcommittee on Oversight and Investigations, 109th Cong, 2nd Sess (June 15, 2006). (Testimony of James P. Bagian, MD, PE; John D. Daigh, Jr., MD; Daniel Schultz, MD; Laurie Ekstrand).
These testimonies addressed issues within the Veterans Affairs health system that contributed to recent sterilization and labeling lapses.