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Quick Safety. October 1, 2018;(45):1-2.
This newsletter article reviews common problems related to patient identification and recommends strategies to ensure verification actions are a part of daily practice. Highlighted suggestions focus on system-level approaches that reduce the potential for incorrect patient data to be entered and proliferate, such as use of frontline confirmation processes and duplicate record monitoring. A WebM&M commentary discussed an incident involving a wrong-patient order in an electronic record system.
Gold J. Kaiser Health News and National Public Radio. March 26, 2012.
This news article highlights the risks and benefits of using mobile technology in health care. An AHRQ WebM&M commentary discusses the error mentioned, in which a text message interrupted a medication order.
Richtel M. New York Times. December 14, 2011.
Reporting on widespread use of mobile devices (such as iPads and smartphones) in health care, this newspaper article details how technological distractions may increase the risk of errors. A recent AHRQ WebM&M commentary, written by Harvard CIO John Halamka, discusses a case in which a physician, interrupted by a non–work-related text message on a smartphone, forgets to discontinue a dangerous medication.
Colliver V. San Francisco Chronicle. October 28, 2009:A1.
This news story shares the results of a nine-hospital program to improve the safety of medication delivery through minimizing nursing interruptions.
ISMP Medication Safety Alert! Acute Care Edition. December 4, 2008;13:1-3.
This article discusses work space factors that can affect safe medication delivery, including lighting, interruptions, noise level, and physical space design.