Narrow Results Clear All
- Communication between Providers 46
- Culture of Safety 23
Education and Training
- Students 3
- Error Reporting and Analysis 80
Human Factors Engineering
- Checklists 10
- Legal and Policy Approaches 76
- Logistical Approaches 11
- Policies and Operations 5
- Quality Improvement Strategies 50
- Specialization of Care 6
- Teamwork 6
- Clinical Information Systems 20
- Transparency and Accountability 8
- Device-related Complications 21
- Diagnostic Errors 58
- Discontinuities, Gaps, and Hand-Off Problems 21
- Drug shortages 1
- Failure to rescue 2
- Fatigue and Sleep Deprivation 1
- Identification Errors 18
- Interruptions and distractions 2
- Medical Complications 22
- Medication Errors/Preventable Adverse Drug Events 73
- MRI safety 1
- Nonsurgical Procedural Complications 9
- Overtreatment 1
- Psychological and Social Complications 19
- Second victims 3
- Surgical Complications 61
- Allied Health Services 1
- Internal Medicine 92
- Pediatrics 28
- Radiology 16
- Nursing 15
- Pharmacy 24
- Family Members and Caregivers 10
- Health Care Executives and Administrators 108
Health Care Providers
- Nurses 10
- Physicians 45
- Non-Health Care Professionals 64
- Patients 143
- Europe 9
- Canada 5
Search results for "Newspaper/Magazine Article"
Kowalczyk L. Boston Globe. April 17, 2009;Metro:1.
This newspaper article discusses one hospital's decision to temporarily close its pediatric cardiac surgery program following errors that caused serious complications for two infants.
ISMP Medication Safety Alert! Acute Care Edition. April 9, 2009;14:1-3.
This article describes the risks of cross-contamination when using shared metered dose inhalers (MDIs) and discusses how standard protocol could help eliminate these problems.
ISMP Medication Safety Alert! Acute Care Edition. March 26, 2009;14:1-2.
Kowalczyk L. Boston Globe. March 25, 2009;Metro:1.
Reporting on an incident in which a sleepy surgeon operated on a patient, this article addresses safety and cultural issues surrounding impaired physicians.
ISMP Medication Safety Alert! Acute Care Edition. March 12, 2009;14:1-3.
This article provides screening, dosing, and monitoring recommendations for using basal opioid infusions and patient-controlled analgesia (PCA) in patients at risk for developing respiratory depression.
Barishansky RM, Glick DE. EMS Magazine. 2009 Mar;38:43-47.
This article explains the elements of preparing policies and procedures for reportable incidents in emergency medical services.
Landro L. Wall Street Journal. February 18, 2009:D1.
This newspaper article discusses increasing concerns over potential burn injuries in the hospital setting and reports on efforts to raise awareness of the dangers and promote preventative measures.
Lerner M. Minneapolis Star Tribune. January 25, 2009:B1.
This newspaper article highlights a simple innovation one hospital is using to trigger a time out in the operating room.
PA-PSRS Patient Saf Advis. December 2008;5:122-126.
This article describes errors associated with bar coded medication administration and provides strategies to avoid mistakes that stem from workarounds and overrides, disruptions in the medication administration process, and pharmacy dispensing errors.
Berens MJ, Armstrong K. Seattle Times. November 16-18, 2008.
This three-part journalistic investigation highlights efforts in Washington State to track and minimize the spread of methicillin-resistant Staphylococcus aureus (MRSA) and to address organizational resistance to changes needed to mitigate the problem.
ISMP Medication Safety Alert! Acute Care Edition. October 10, 2008;13:1-3.
Reporting that recalled medications were found in hospital pharmacies, this article describes recommendations to improve the process for removing recalled products.
O'Reilly KB. American Medical News. September 22, 2008;51:14.
This news article describes a study on retained surgical instruments and explains how new technology may help prevent such incidents.
Freyer FJ. Providence Journal. September 20, 2008.
This story reports on an incident involving wrong-side surgery and describes how the hospital responded to the event.
Parents sue over babies' heparin overdoses: infants were given too much heparin at Methodist Hospital.
Higgins W. Indianapolis Star. September 13, 2008;News section:A1
Families whose infants died from or were harmed by heparin overdoses are suing the drug manufacturer and the hospital.
ISMP Medication Safety Alert! Acute Care Edition. September 11, 2008;13:1-3.
This article discusses a medication error associated with a new smart pump system and describes strategies to prevent errors when well-established processes are changed.
No more blame & shame: developing event-reporting systems may go a long way to reducing patient care errors in EMS.
Rajasekaran K, Fairbanks RJ, Shah MN. EMS Mag. 2008 Sep;37:61-67.
This article describes how applying a just culture and systems approach to adverse events may help change the "blame-and-shame" mentality in emergency medical service provision.
PA-PSRS Patient Saf Advis. September 2008;5:75-80.
This article analyzed reports of medication errors due to patient allergies and found that lack of patient or drug information contributed to many of these errors.
ISMP Medication Safety Alert! Acute Care Edition. August 14, 2008;13:1-3.
This article reports on an overdose caused by improper label placement on a patient controlled analgesia (PCA) pump and provides recommendations for preventing pump-related medication errors.
Smith S. Boston Globe. July 30, 2008;Metro section:1A.
This article reports on the incidence of wrong site surgeries in Massachusetts and describes complex factors that may contribute to such errors occurring in spinal surgery.
Smith S. Boston Globe. July 4, 2008;Metro section:1A.
This article reports on a wrong-side surgery that was immediately disclosed to the patient along with an apology. Hospital administrators also disclosed the error to staff.