Narrow Results Clear All
- Communication Improvement 5
- Culture of Safety 1
Education and Training
- Students 2
- Error Reporting and Analysis 3
- Human Factors Engineering 7
- Legal and Policy Approaches 6
- Logistical Approaches 2
- Quality Improvement Strategies 6
- Teamwork 1
- Technologic Approaches 7
- Device-related Complications 4
- Discontinuities, Gaps, and Hand-Off Problems 2
- Medication Safety 9
- MRI safety 1
- Nonsurgical Procedural Complications 1
- Surgical Complications 2
- Health Care Executives and Administrators 19
- Health Care Providers
Non-Health Care Professionals
- Media 1
- Patients 5
Search results for "Newspaper/Magazine Article"
Trossman S. Am Nurse. Sept/Oct 2013;45:1,6-7.
This article reports on the widespread issue of alarm fatigue and describes strategies to manage alarms and improve safety.
Galli BJ, Riebling N, Paraso C, Lehmann G, Yule M. Patient Saf Qual Healthc. July/August 2013;10:36-41.
ISMP Canada Safety Bulletin. July 31, 2011;11:1-2.
This announcement reports on mistaken intravenous administration of breast milk and provides recommendations to prevent parenteral administration of enteral nutrition.
Hayden AC, Lanoue ET, Still CJ. Patient Saf Qual Healthc. July/August 2011;8:12-20.
This piece describes how reliability science can be applied to barcoded medication administration (BCMA) and discusses the results of one hospital's AHRQ-funded BCMA project.
ISMP Medication Safety Alert! Acute Care Edition. June 30, 2011;16:1-2.
This article discusses problems associated with overreliance on barcode system audio confirmation and suggests strategies to improve the reliability of electronic medication administration systems.
Patterson P. OR Manager. 2011;27:1, 6-8.
This piece discusses nurses' reluctance to speak up when witnessing shortcuts, incompetence, and disrespect that could affect the safety of care.
ISMP Medication Safety Alert! Acute Care Edition. January 13, 2011;16:1-4.
This article reports results from a survey on the Centers for Medicare & Medicaid Services "30-minute rule" and provides a set of revised guidelines.
ISMP Medication Safety Alert! Acute Care Edition. September 9, 2010;15:1-6.
This piece highlights nurses' responses to a national survey that explored problems associated with the Centers for Medicare and Medicaid Services (CMS) medication administration timing requirement.
US News & World Report. July 3, 2008.
This article discusses the findings of a recent study that reported deficiencies in barcode systems requiring numerous overrides and "workarounds" by nurses.
ISMP Medication Safety Alert! Acute Care Edition. October 18, 2007;12:1-2.
Reporting on survey results that identified common errors that student nurses make, this article offers recommendations for both educators and students.
Health IT implementation stories: HANDS care plan tool seeks to improve nurse communication at handoff in AHRQ-funded study.
AHRQ National Resource Center for Health Information Technology.
This article describes an AHRQ-funded project to discern whether a standardized, computerized tool can improve handoff communication.
Wahlberg D, Treleven E. Wisconsin State Journal. November 3, 2006:A1.
This article reports on criminal charges brought against a nurse after she committed a medication error.
Hallmarks of quality and patient safety recommended baccalaureate competencies and curricular guidelines to ensure high-quality and safe patient care.
J Prof Nurs. 2006;22:329-330.
This consensus document represents the work of a task force convened to identify essential competencies that should be covered by undergraduate nursing programs to provide an effective foundation in quality and safety.
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.
Manno MS. Nursing. 2006 Mar;36:56-61.
The author provides a comprehensive introduction to adverse drug events (ADEs), their impact, and strategies to prevent them. Nursing continuing education credits are available for the test on page 62.
ISMP Medication Safety Alert! Acute Care Edition. January 12, 2006;11:1-2.
This article describes problems involving the keys on infusion pumps and includes recommendations to help prevent errors when programming infusion pumps.
Klein A. The Washington Post. December 30, 2005:A3.
This article reports on incidents in which patients were exposed to a rare brain disease after contaminated surgical instruments were used during their brain surgeries.
McNeil DG Jr. New York Times. August 19, 2005;National Desk section:1.
This front page article in The New York Times reviews flying object incidents in magnetic resonance imaging (MRI) scanners. A number of dramatic cases are described (including several that were fatal), as are some of the challenges, both technological and procedural, in preventing this safety hazard.
Rogoski RR. Health Manage Technol. August 2005;26:12,14,16,18.
This article reports on two efforts to reduce medical errors through information technology implementation.
Kleefeld E. Wisconsin Technology Network. June 15, 2005.
This article presents war-gaming as a tool for building systemic awareness through role play, after-event analysis, and discussions of how lessons learned can be applied to daily practice.