Narrow Results Clear All
- Communication Improvement 8
- Culture of Safety 8
Education and Training
- Students 1
- Error Reporting and Analysis 11
- Human Factors Engineering 5
- Legal and Policy Approaches 7
- Logistical Approaches 3
Quality Improvement Strategies
- Audit and Feedback
- Specialization of Care 2
- Teamwork 2
- Clinical Information Systems 5
- Device-related Complications 4
- Diagnostic Errors 3
- Discontinuities, Gaps, and Hand-Off Problems 4
- Identification Errors 1
- Medical Complications 3
- Medication Errors/Preventable Adverse Drug Events 7
- Psychological and Social Complications 1
- Surgical Complications 2
- Health Care Executives and Administrators 24
Health Care Providers
- Nurses 3
- Non-Health Care Professionals 11
- Patients 8
Search results for "Audit and Feedback"
- Newspaper/Magazine Article
- Audit and Feedback
ED Manag. June 2016;28:S1-S4.
ISMP Medication Safety Alert! Acute Care Edition. August 11, 2011;16:1-3.
This article discusses incidents involving misadministration of IV insulin and makes recommendations to improve safety in delivering this high-alert medication.
Conroy-Smith E, Herring R, Caldwell G. Clin Teach. 2011;8:75-78.
This article describes how a rounds-based medication chart review initiative was implemented to educate physicians and medical students on medication safety behaviors.
PA-PSRS Patient Saf Advis. September 2010;7:76-86.
Analyzing reports of diagnostic errors, this article discusses common causes and provides suggestions for physicians and patients to prevent such events.
Clapper C, Crea K. Patient Saf Qual Healthc. May/June 2010;7:30-35.
This article describes how one health care system used a multi-event analysis process to identify medication errors, implement system-level improvements, and reduce adverse events.
ISMP Medication Safety Alert! Acute Care Edition. May 21, 2009;14:1-3.
This article shares results from a survey regarding look-alike or sound-alike (LASA) medication confusion and lists strategies to reduce such errors.
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.
ISMP Medication Safety Alert! Acute Care Edition. March 22, 2007;12:1-2.
This article discusses the importance of a safety culture in health care organizations and provides suggestions for measuring organizational culture to inform improvements.
ISMP Medication Safety Alert! Acute Care Edition. July 14, 2005;10:1-2.
This article introduces the concept of high-reliability organizations and summarizes six recurrent themes that support their culture.
Sathya C. CNN. August 22, 2014
This news article reports on the development a surgical black box, which includes using cameras and microphones to record procedures, as a way to track weaknesses in techniques and processes while providing real-time feedback to surgeons and enabling timely intervention to reduce complications in surgery.
Multifaceted initiative to reduce "alarm fatigue" on cardiac unit reduces alarms and increases nurse and patient satisfaction.
Agency for Healthcare Research and Quality. Health Care Innovations Exchange. June 18, 2014.
Clinical alarms have been described as a serious patient safety issue. This article relates how one hospital implemented a series of actions reduce nuisance alarms in a cardiac unit and reports a substantial decrease in audible alerts with no subsequent adverse effects. Interventions included expanding limits for triggering heart rate alarms and collaboration between two nurses to design customized alarm parameters for individual patients.
Wright J. Nursing Times. 2013;109:11-14.
This record review study found that omitted doses of antimicrobial medications occur frequently in hospital settings in the United Kingdom.
Zeis M. HealthLeaders Media. July/August 2013;16:26-28.
This article reports on the results of a survey investigating the use of metrics in hospitals to motivate quality and safety improvement work.
Rudolph J, Raemer D, Shapiro J. Clin Teach. 2013;10:186-189.
This commentary describes techniques for providing feedback to clinicians after an error.
Burns J. Managed Care Magazine. May 2011;20:23-28.
This article explores the challenges to improving patient safety and discusses strategies for reducing medical errors.
Wetzel TG. Health Data Manage. 2011 Feb;19:86, 88, 90 passim.
This article discusses how several health care organizations used health information technology to improve organizational transparency.
Reinertsen JL, Johnson KM. Healthc Exec. Sept/Oct 2010;25:72-75.
This newsletter piece describes a strategy for health care leaders to gain frontline insight and knowledge of evidence-based patient safety improvement tactics in their organizations.
McGee MK. Information Week. April 28, 2010.
This news article details how research on errors related to computerized provider order entry may help prevent them in the future.
Bogdanich W. New York Times. June 20, 2009;National Desk:1.
Flawed safety standards, including a lack of peer review and oversight, led to a series of errors in a cancer unit at a Philadelphia Veterans Affairs hospital.
Carlowe J. Nursing Times. April 28, 2009.
This article focuses on the National Health Service's interest in patient safety in general practice settings and efforts to expand research in this area.