Narrow Results Clear All
- Communication Improvement 6
- Culture of Safety 3
- Education and Training 1
- Error Reporting and Analysis 5
- Human Factors Engineering 4
- Legal and Policy Approaches 3
- Logistical Approaches 2
- Quality Improvement Strategies
- Specialization of Care 1
- Technologic Approaches 3
- Device-related Complications 2
- Discontinuities, Gaps, and Hand-Off Problems 5
- Identification Errors
- Medical Complications 6
- Medication Safety
- Psychological and Social Complications 1
- Surgical Complications 5
- Transfusion Complications 1
Search results for "Medication Safety"
Sydney, Australia: Australian Commission on Safety and Quality in Health Care; 2008. ISBN: 9780980346275.
This report compiles public and private data to provide insight into the quality and safety of patient care in Australian hospitals.
Kowalczyk L. Boston Globe. April 21, 2007:B1.
This article reports on the results from Joint Commission site inspections of five Boston-area hospitals.
ISMP Medication Safety Alert! Acute Care Edition. April 25, 2019.
Newborns assigned temporary names are at increased risk for patient misidentification and wrong-patient errors. This newsletter article reports on the role of electronic health records in newborn misidentification and the unintended consequences associated with a Joint Commission set of recommendations to reduce risk.
Journal Article > Study
Gibbs HG, McLernon T, Call R, et al. Am J Health Syst Pharm. 2017;74:2054-2059.
This quality improvement intervention sought to decrease wrong-patient errors with insulin pens by storing them in locked boxes in patient rooms. Four hospital units had a formal policy change for insulin pen storage, and four units provided education to nurses about insulin pen storage. Researchers found that the policy change was more effective than education in spurring adherence to in-room insulin pen storage guidelines.
A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning.
ISMP Medication Safety Alert! Acute Care Edition. October 23, 2014;19:1-5.
Improper insulin pen use is a persistent problem. This newsletter article reveals the lessons learned from one hospital that implemented best practices including robust education, bar-code scanning, bedside electronic medication administration records, and alerts to prevent incorrect administration but continued to experience errors related to insulin pen use.
Oakbrook Terrace, IL: The Joint Commission; September 2012. ISBN: 9781599407555.
This e-book provides tips for incorporating activities into daily hospital practice in conjunction with the 2013 National Patient Safety Goals.
Web Resource > Multi-use Website
National Patient Safety Agency, BMJ Publishing Group, Institute for Healthcare Improvement.
This Web site aims to provide resources for improving patient safety, including a place for practitioners to ask questions and share experiences with one another.
Journal Article > Study
Stevens P, Campbell J, Urmson L, Damignani R. Healthc Q. 2010;13:74-80.
This article describes how a children's hospital used root cause analysis to drive improvements in patient safety.
Gardner E. Mod Healthc. May 18, 2009;39:28-31.
This article describes how one health system markedly improved its quality and safety by applying a safety technique used in the nuclear power industry.
National Priorities Partnership. Washington, DC: National Quality Forum; 2008. ISBN: 1933875194.
This report resulted from a consensus program involving 28 national organizations that sought to outline goals for improving the US health care system and share examples of such efforts in patient safety and other identified areas.
Oakbrook Terrace, IL: The Joint Commission; March 2007.
This report reveals that the overall quality of care delivered by US hospitals improved steadily between 2003 and 2005, as measured by adherence to evidence-based treatments for myocardial infarction, congestive heart failure, and pneumonia. Adherence to the Joint Commission's National Patient Safety Goals, which include measures to prevent wrong-site surgery and promote medication reconciliation, was also measured. Although results on these measures showed a more mixed picture, the report cautions that changes in measurement during the study period limit interpretability of the results.
Journal Article > Commentary
AORN J. 2006;84:276-278, 280-283.
This guidance statement outlines recommendations from the Association of periOperative Registered Nurses (AORN) for developing, implementing, and evaluating safe medication practices in the perioperative environment.
Special or Theme Issue
AORN J. 2006;84(suppl 1):S1-S63.
This special issue includes a series of articles on SafetyNet, the Association of periOperative Registered Nurses (AORN) Web-based reporting system launched in 2004 as a part of its Patient Safety First initiative.
Journal Article > Commentary
Cohen MR. Hosp Pharm. 2005;40:844-847.
This monthly selection of medication error reports provides examples of drug misadministration, confusion with drug names, and administration of chemotherapy to the wrong patient, plus suggested United States adopted names for drugs.