Narrow Results Clear All
- Communication Improvement 3
- Culture of Safety 2
- Error Reporting and Analysis 5
- Human Factors Engineering 3
- Legal and Policy Approaches 2
- Logistical Approaches 1
- Quality Improvement Strategies 1
- Technologic Approaches 2
- Device-related Complications 2
- Discontinuities, Gaps, and Hand-Off Problems 1
- Drug shortages 2
- Medication Safety
- Nonsurgical Procedural Complications 1
- Family Members and Caregivers 1
- Health Care Executives and Administrators
- Health Care Providers 6
- Non-Health Care Professionals 4
- Patients 2
Search results for "Latent Errors"
Mohr H, Weiss M. Associated Press. November 27, 2018.
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.
Murray C, Rycek W, Johnson D, Sifuentes-Tovar F. Pharm Purch Prod. January 2013;10:12.
This magazine article details how one academic medical center used a collaborative approach and implemented policies and procedures to address perioperative drug shortages.
ISMP Medication Safety Alert! Acute Care Edition. May 5, 2011;16:1-3.
ISMP Medication Safety Alert! Acute Care Edition. July 15, 2010;15:1-2.
This piece describes reports of tubing misconnections and discusses upcoming standards for connectors that will prevent such errors.
ISMP Medication Safety Alert! Acute Care Edition. April 22, 2010;15:1-4.
This piece highlights common failures in root cause analysis (RCA) and explains how each undermines the effectiveness of the technique.
PA-PSRS Patient Saf Advis. December 2009;6:109-114.
This article discusses adverse incidents submitted to the Pennsylvania reporting system involving neuromuscular blocking agents and shares strategies to minimize errors with this type of high-alert drug.
ISMP Medication Safety Alert! Acute Care Edition. September 21, 2006;11:1-2.
This second part of this series discusses the three types of behavior involved in error—human error, at-risk behavior, and reckless behavior—including causes of each and appropriate responses.
Meisel Z. Slate. November 8, 2005.
In this article, an emergency medicine physician describes the work environment of emergency medical technicians and paramedics and why it is prone to error.