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Ingestion or aspiration of foreign objects or toxic substances is not just a safety concern with children.
ISMP Medication Safety Alert! Acute Care Edition. November 3, 2011;16:1-2.
Summarizing cases of accidental ingestion of syringe caps, small device parts, and dangerous liquids, this newsletter piece describes how to prevent such incidents.
Clark C. HealthLeaders Media. July 24, 2014.
The Hospital Compare Web site has begun to publicly report which hospitals are using checklists, and the results are concerning. Investigating reasons behind these findings, this news piece offers insights from physicians into why checklists have not been universally implemented and highlights the importance of developing a culture of safety to drive improvement efforts.
Preventable tragedies: superbugs and how ineffective monitoring of medical device safety fails patients.
US Senate Health, Education, Labor, and Pensions Committee. January 13, 2016.
Insufficient sterilization of duodenoscopes and other medical equipment has been linked to health care–associated infection outbreaks. This report summarizes findings from a government investigation into existing methods for monitoring and reporting device problems and provides recommendations for Congress, hospitals, and the Food and Drug Administration to augment identification and prevention of safety issues associated with medical devices.
ISMP Medication Safety Alert! Acute Care Edition. November 29, 2018;23:1-6.
Look-alike and sound-alike medications present a recurring threat to patient safety. This newsletter article summarizes an analysis of reported drug name confusion errors. Although incidents seem to have decreased over time, the influx of generic drug names is contributing to the persistence of the problem. Increased federal attention to the issue, provider use of known strategies to improve practice, and pharmaceutical company testing of names to avoid similarities can help reduce drug name confusion.