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- Communication Improvement 3
- Culture of Safety 1
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- Error Reporting and Analysis 8
- Human Factors Engineering 6
- Legal and Policy Approaches 10
- Logistical Approaches 1
- Quality Improvement Strategies 5
- Specialization of Care 1
- Clinical Information Systems 3
- Device-related Complications 4
- Diagnostic Errors 7
- Drug shortages 2
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- Medication Errors/Preventable Adverse Drug Events 14
- Nonsurgical Procedural Complications 1
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Search results for "Newspaper/Magazine Article"
- Newspaper/Magazine Article
- Medical Oncology
Wiley F. Drug Topics. August 2019;1633:16-18.
High-alert medications have the potential to cause serious patient harm if not administered correctly. Reporting on challenges to medication safety in the context of home, hospital, and cancer care, this news article recommends patient and health care professional education and support for collaboration with pharmacists as avenues for improvement.
O'Loughlin E. New York Times. April 30, 2018.
Large-scale adverse events should lead to system examination and improvement. This newspaper article reports on misread cervical cancer tests that resulted in 208 women receiving false negative results over a 4-year period from a publicly funded smear test program in Ireland and the government inquiry launched in response to this large-scale failure.
Quick Safety. October 16, 2017;(37):1-3.
Greenberg P, Ranum D, Siegal D. Patient Saf Qual Healthc. October 2015;12:18-20,22-24.
SafeMedicineUse. August 19, 2015;6:1-2.
ISMP Canada. August 26, 2015;15:1-4.
Checklists are cognitive aids that help clinicians remember important steps to ensure safe practice. In response to an incident involving a chemotherapy administration error as a result of utilizing the incorrect infusion pump, this newsletter article discusses the development of a point-of-care checklist to assist in use of infusion pumps to improve safety.
ISMP Medication Safety Alert! Acute Care Edition. June 18, 2015;20:1:5.
ISMP Medication Safety Alert! Acute Care Edition. November 20, 2014;19:1-3.
Reviewing an incident involving a patient who reported an error with home infusion of chemotherapy which was later determined to be a false alarm, this newsletter article outlines actions that could have been taken to prevent wasted resources and anxiety for the patient and health care providers.
Carville O. The Star. November 14, 2014.
This news article reports on a case involving a patient who was misdiagnosed with terminal cancer and touches on the psychological impact of diagnostic error on the patient and his family. The potential causes of the mistake include laboratory sample confusion and misinterpretation of biopsy results.
Beck M. Wall Street Journal. September 14, 2014.
Overdiagnosis has emerged as a patient safety issue. Reporting on how the push for early identification of cancer has led to screening, detection, and treatment of tumors that may never cause harm, this newspaper article discusses the impact of unnecessary tests and treatment on patients and health systems. Researchers are working to design better tests to distinguish between benign abnormalities and cancers.
ISMP Medication Safety Alert! Acute Care Edition. July 17, 2014;19:1-4.
To illustrate hazards associated with dispensing more than one dose of certain medications, this newsletter article describes an incident involving an accidental overdose of self-administered oral chemotherapy which resulted in a patient's death. Recommendations to reduce the potential for errors include ensuring labels conform to FDA labeling practices, dispensing only single doses, and providing medication counseling and written instructions for patients.
Gubar S. New York Times. January 2, 2014.
Patients and physicians can both miss warning signs of cancer. This newspaper article reports on diagnostic errors involving cancer—including common causes and patients' experiences—and emphasizes the serious consequences of misdiagnosing this condition.
Death and neurological devastation from intrathecal vinca alkaloids: prepared in syringes = 120; prepared in minibags = 0.
ISMP Medication Safety Alert! Acute Care Edition. September 5, 2013;18:1-4.
This newsletter article discusses risks associated with vincristine administration, contributing factors, and strategies to prevent errors.
Talsma J. Drug Topics. June 15, 2013.
Discussing the current state of and efforts to address drug shortages, this news article notes a reduction in chemotherapy delays and reveals persistent barriers to improvement.
Willams B. The Record. March 10, 2012.
Exploring how drug shortages affect patients, this news piece describes one cancer patient's efforts to acquire the chemotherapeutic agent that is prolonging his life.
ISMP Medication Safety Alert! Acute Care Edition. March 8, 2012;17:1-3.
This newsletter piece discusses the pros and cons of physicians dispensing medications and its impact on patient safety.
Simons A. Star Tribune. January 4, 2012:1A.
This newspaper article describes how a delay in diagnosis resulted in minimal chance of survival and discusses legal issues surrounding the case.
Woodall A. Oakland Tribune. September 27, 2011.
This newspaper article reports how a medical error, which occurred during a nursing strike, resulted in a patient's death.
Olsen D. State Journal-Register. June 26, 2011.
This newspaper article discusses a case of diagnostic error, explores the complexity of the diagnostic process, and provides tips to help patients avoid such errors.
ISMP Medication Safety Alert! Acute Care Edition. May 5, 2011;16:1-3.