Narrow Results Clear All
- Audiovisual 3
- Book/Report 2
- Legislation/Regulation 7
- Tools/Toolkit 9
- Web Resource 79
- Award 16
- Grant 5
- Meeting/Conference 1
- Press Release/Announcement
- Communication between Providers 8
- Culture of Safety 7
- Education and Training 30
- Error Reporting and Analysis 31
- Human Factors Engineering 28
- Legal and Policy Approaches 32
- Logistical Approaches 2
- Policies and Operations 1
- Quality Improvement Strategies 35
- Research Directions 3
- Specialization of Care 1
- Teamwork 2
- Clinical Information Systems 4
- Device-related Complications 23
- Diagnostic Errors 6
- Discontinuities, Gaps, and Hand-Off Problems 4
- Drug shortages 3
- Fatigue and Sleep Deprivation 1
- Identification Errors 2
- Interruptions and distractions 1
- Medical Complications 12
- Medication Errors/Preventable Adverse Drug Events 51
- MRI safety 5
- Nonsurgical Procedural Complications 4
- Psychological and Social Complications 1
- Surgical Complications 6
- Transfusion Complications 1
- Internal Medicine 27
- Nursing 3
- Pharmacy 39
- Family Members and Caregivers 1
- Health Care Executives and Administrators 85
Health Care Providers
- Nurses 12
- Pharmacists 16
- Physicians 19
Non-Health Care Professionals
- Media 6
- Patients 28
- Africa 1
- Asia 1
- Australia and New Zealand 1
- Central and South America 1
- Europe 5
- Canada 3
United States of America
United States Federal Government
- Department of Health and Human Services (HHS) 82
- United States Federal Government 86
Search results for "Press Release/Announcement"
- Press Release/Announcement
Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs.
Washington, DC: Office of the National Coordinator for Health Information Technology; November 28, 2018.
Clinician burnout is a persistent threat to patient safety, and electronic health records have been identified as a high-profile contributor to the problem. This call for public comments on a draft report seeks insights on specific goals and recommended strategies to address the issue. The approaches outlined focus on reducing the time burden associated with frontline electronic health record use. The deadline for submitting comments is January 28, 2019.
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.
Palo Alto, CA: Gordon and Betty Moore Foundation; November 1, 2018.
Missed or delayed diagnoses lead to delays in care and significant preventable harm for patients. Despite an increasing focus on diagnostic error, accurate measurement and implementation of effective strategies for mitigating its adverse effects remain challenging. The Gordon and Betty Moore Foundation recently announced a new $85 million initiative focused on diagnostic excellence that takes into account health care costs, timeliness, and individual patient needs. This initiative will focus on three clinical areas including cancer, infections, and cardiovascular events. Through this funding, the foundation hopes to stimulate novel approaches to measuring diagnostic performance and plans to assess the effectiveness of new technologies in improving the diagnostic process. A PSNet perspective highlighted ongoing challenges related to diagnostic error.
Oakbrook Terrace, IL: Joint Commission.
Insufficient test result follow-up is a known contributor to diagnostic error. Although critical test result communications is a National Patient Safety Goal, practices covering all levels of test results must be held to similar standards. The Joint Commission is requesting field insights regarding timely follow up of all test results. The deadline to submit comments is December 15, 2018.
Canadian Patient Safety Institute.
Differences in strength expression on product labels of compounders and conventional manufacturers may lead to dosing errors.
Silver Spring, MD: US Food and Drug Administration; September 29, 2018.
Washington DC: National Academy of Medicine and the Aspen Institute.
Despite increased awareness regarding the public health impacts of opioid misuse and overdose in the United States, the complexity of the problem has hindered the effectiveness of improvement efforts. This website highlights the work of a multiorganizational collaborative to explore systemic solutions to address the opioid crisis. An Annual Perspective discussed the impact of the opioid epidemic on patient safety.
Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. August 2, 2018. Publication No. NOT-HS-18-015.
This announcement highlights Agency for Healthcare Research and Quality funding opportunities for health services research to assess local, state, and system-level policy to address the opioid crisis, evaluate interventions to minimize opioid misuse, and understand the rapid increase in opioid-related hospitalizations.
Horsham, PA: Institute for Safe Medication Practices; July 26, 2018.
Institute for Safe Medication Practices.
Agency for Healthcare Research and Quality and the Institute for Healthcare Improvement.
Preventable patient harm is a global public health concern. This announcement highlights a new partnership initiative co-led by the Agency for Healthcare Research and Quality and the Institute for Healthcare Improvement. The committee was formed in response to a call to coordinate a national plan and set of priorities for patient safety improvement efforts across public health and medical care communities.
Horsham, PA: Institute for Safe Medication Practices; 2018.
Results from this survey will inform the revision of a high-alert medication list used to raise awareness about drugs that have heightened potential to cause patient harm if used incorrectly.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration. May 29, 2018.
Surgical fires can result in patient harm. This announcement provides information about causes of surgical fires and reviews FDA recommendations to prevent them, such as presurgery fire risk assessment, promoting team communication, and fire management planning. A WebM&M commentary discussed common sources of operating room fires and how to reduce risks.
Safe handling of concentrated electrolyte products from outsourcing facilities during critical drug shortages.
National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System Pharmacists. May 24, 2018.
Drug shortages can necessitate hospitals to find alternative sources for important medications. This alert raises awareness of risks associated with potassium chloride use due to variations in labeling, packaging, or concentration of outsourced medications. Recommendations include use of barcode scanning and communicating with staff regarding drug shortages.
Bethesda, MD: Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health. May 21, 2018. PA-18-790; PA-18-791.
Drug Enforcement Administration. April 28, 2018.
Removing unused medications from the home can help prevent accidental exposure to unneeded medications and limit their availability for misuse. This annual program provides patients with an opportunity to discard medications safely. The sponsors also provide education to highlight the importance of appropriate disposal of unused prescription drugs as a medication safety activity.
The Institute for Safe Medication Practices.
Structured interaction with a wide variety of experts and environments enables medication safety improvement. This 2-week educational program provides international clinicians with the opportunity to work with leaders based in the United States to engage in incident analysis, project design, and strategic planning to enhance medication safety efforts in their home countries.
NHS Improvement. London, UK: National Health Service.
Organizational processes to investigate adverse care incidents play an important part in generating the learning needed for improvements. This announcement sought multidisciplinary insights regarding how to revise the Serious Incident Framework (2015), currently used by the National Health Service, to enhance reporting and investigation processes.
Food and Drug Administration, Institute for Safe Medication Practices.
This fellowship program provides clinicians with learning opportunities at the Institute for Safe Medication Practices and the US Food and Drug Administration. The appointment consists of a pair of successive 6-month positions designed to provide experience in both system improvement and regulatory approaches to enhance medication safety. The process for submitting applications is now closed.
Joint Commission. March 12, 2018.
The Eisenberg Award honors individuals and organizations who have made unique and sustained contributions to the work of patient safety and quality improvement. The 2017 honorees are Dr. Thomas Gallagher; Children's Hospitals' Solutions for Patient Safety; and LifePoint Health's National Quality Program, Brentwood, Tennessee. The awards were presented at the National Quality Forum annual conference on March 12, 2018 in Washington, DC.