Narrow Results Clear All
- Communication Improvement 2
- Education and Training 1
- Error Reporting and Analysis 1
- Human Factors Engineering 3
- Legal and Policy Approaches 1
- Quality Improvement Strategies 1
- Specialization of Care 1
- Technologic Approaches 3
Search results for ""
Cases & Commentaries
- Web M&M
Harold S. Kaplan, MD; February 2004
Blood typing tubes for a married couple brought to an ED after a trauma are labeled with the opposite stickers. By coincidence, the wife's blood type was already on file. An alert blood-bank technologist catches the mistake.
Kapadia R. Smart Money. October 2006;15:112-114.
This article provides tips for consumers to help keep their hospital care as safe and hassle-free as possible.
Journal Article > Study
Hakimzada AF, Green RA, Sayan OR, Zhang J, Patel VL. Int J Med Inform. 2008;77:169-175.
This study describes several instances of near misses that occurred due to patient misidentification, such as physicians being unable to access previous test results because—unknown to them—the patient had been assigned a second medical record number. The investigators used human factors analysis to identify the underlying systems issues that contributed to these errors. Previous studies in adult and pediatric inpatients have also identified patient misidentification as a potential contributor to a large number of errors.
Tools/Toolkit > Multi-use Website
Washington State Hospital Association.
This Web site provides toolkits and information to help Washington hospitals adopt standard practices for emergency code calls, surgery preparation, isolation precautions, and wristband use.
Journal Article > Review
Dobson I, Doan Q, Hung G. J Emerg Med. 2013;44:242-248.