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- Communication Improvement 1
- Culture of Safety 1
- Human Factors Engineering 4
Legal and Policy Approaches
- Logistical Approaches 1
- Quality Improvement Strategies 2
- Technologic Approaches 1
- Diagnostic Errors 1
- Discontinuities, Gaps, and Hand-Off Problems 1
- Interruptions and distractions 1
- Medication Safety 2
- Nonsurgical Procedural Complications 1
- Surgical Complications 3
Search results for "Regulation"
Perspectives on Safety > Perspective
with commentary by Rainu Kaushal, MD MPH; Sekhar Upadhyayula, MD; David M. Gaba, MD; Lucian L. Leape, MD, Outpatient Safety, May 2006
Over the last decade, surgical operations and interventional procedures have been performed increasingly in offices with the administration of office-based anesthesia (OBA).(1) Economic considerations and convenience have driven this increase. Schultz...
Journal Article > Review
Kurrek MM, Twersky RS. Can J Anaesth. 2010;57:256-272.
This study reviews important issues and aspects of providing safe care in office-based anesthesia practices, a setting the authors suggest will receive increasing regulation in coming years.
Journal Article > Study
Garnerin P, Perneger T, Chopard P, et al. Anaesthesia. 2007;62:1090-1094.
Efforts toward standardization remain an important mechanism to address safety issues, such as with wristband use and drug labeling and package design. This study assessed the impact of different drug label information on injectable drug selection errors. Investigators provided three formats for conveying the concentration, quantity, and volume of a drug and evaluated the frequency of errors committed through a simulated exercise. They discovered significantly lower error rates with one of the formats in particular and call for regulatory bodies to implement standards on how such information should be displayed on injection drug labels.
Journal Article > Commentary
Bell D. Anaesthesia. 2007;62:541-545.
Referencing three case studies from the same issue, the author discusses design changes and regulatory measures aimed at minimizing wrong-route medication errors in the United Kingdom.
Cases & Commentaries
- Web M&M
Arpana Vidyarthi, MD; March 2004
Due to a series of incomplete signouts, information about a patient's post-operative leg pain and chest discomfort is not conveyed to the primary team. A PE is discovered post-mortem.