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Cases & Commentaries
- Web M&M
Ken J. Farion, MD; July 2003
A physician in the ED mistakenly glues a child's eye shut when attempting to close a facial wound with skin adhesive.
Journal Article > Study
Nonpunitive medication error reporting: 3-year findings from one hospital's primum non nocere initiative.
Potylycki MJ, Kimmel SR, Ritter M, et al. J Nurs Adm. 2006;36:370-376.
The investigators conducted a survey to inform the implementation of a nonpunitive medication error reporting policy and educational workshop. A comparison to post-initiative findings revealed that staff perception of reporting improved after the educational initiative.
Web Resource > Multi-use Website
Maryland Patient Safety Center.
This Web site includes information related to the Collaborative's efforts in supporting safety in hospital-based emergency care.
Meeting/Conference > District of Columbia Meeting/Conference
American College of Surgeons. July 19–22, 2019; Walter E. Washington Convention Center, Washington DC.
This conference will focus on the theme "Putting Our Patients First." Workshops and sessions will cover topics such as leadership, National Surgical Quality Improvement Program results, patient communication improvement, and a preconference session led by AHRQ Improving Surgical Care and Recovery Program participants. The keynote speaker Dr. Rana Awdish will discuss the importance of a culture of caring.
Journal Article > Commentary
Distractions in the anesthesia work environment: impact on patient safety? Report of a meeting sponsored by the Anesthesia Patient Safety Foundation.
van Pelt M, Weinger MB. Anesth Analg. 2017;125:347–350.
Meeting/Conference > Meeting/Conference Proceedings
Anesthesia Patient Safety Foundation. September 5–6, 2018; Royal Palms Resort and Spa, Phoenix, AZ.
Anesthesia is a high-risk activity that has achieved safety improvements. This conference explored perioperative medication safety through discussions about drug shortages, toxicity management, patient harm reduction, and policy development. Recommendations for improvement were generated at the event.