Narrow Results Clear All
- Communication Improvement 2
- Culture of Safety 1
- Education and Training
- Error Reporting and Analysis 2
- Human Factors Engineering
- Logistical Approaches 2
- Quality Improvement Strategies 3
- Specialization of Care 1
- Teamwork 1
- Technologic Approaches 3
- Device-related Complications 3
- Discontinuities, Gaps, and Hand-Off Problems 1
- Medical Complications
- Medication Safety 4
- Psychological and Social Complications 1
- Surgical Complications 2
Search results for "Education and Training"
Inspiring Ideas and Celebrating Successes: A Guidebook to Leading Patient Safety Practices in Ontario Hospitals.
OHA Patient Safety Support Service. Toronto, Ontario, Canada: Ontario Hospital Association; 2006.
This report shares successful patient safety strategies employed in Ontario hospitals to address medication safety, patient incident management, infection issues, and administrative process improvements.
McCook A. Anesthesiology News. Sept 2011;37:9.
This news article highlights a program at Johns Hopkins Medicine that engages clinician reporting of errors and near misses to improve patient safety.
Journal Article > Commentary
Perencevich EN, Pittet D. JAMA. 2009;301:1285-1287.
Yarbrough C, Rypkema S. Patient Safety & Quality Healthcare. January-February 2008;5:32-35.
This article describes how one Veterans Affairs hospital employed teamwork, checklists, and technology and successfully reduced hospital-acquired infections.
Rockville, MD: Agency for Healthcare Research and Quality. June 20, 2007.
This podcast discusses the importance of handwashing to reduce infections in hospitals as well as how consumers can help improve clinician compliance.
Cases & Commentaries
- Web M&M
Richard Hellman, MD; March 2007
For a woman with insulin-dependent diabetes mellitus, the admitting medical team ordered sliding scale insulin. Her blood glucose levels became very difficult to control, and she developed diabetic ketoacidosis. In the morning, the physician instituted a more appropriate insulin regimen.
Journal Article > Study
Pronovost P, Needham D, Berenholtz S, et al. N Engl J Med. 2006;355:2725-2732.
Catheter-related bloodstream infections (CRBSI) remain a common and deadly patient safety issue in intensive care units (ICUs), although prior research has defined several effective preventive strategies. In the ''Keystone ICU'' project, funded by the Agency for Healthcare Research and Quality (AHRQ), 103 ICUs in Michigan participated in a statewide safety initiative, including instituting five evidence-based preventive strategies recommended by the Centers for Disease Control and Prevention (CDC). The project focused on changing provider behavior through addressing safety culture, incorporating a centralized education program for team leaders at each institution, and closely collaborating with infection control personnel. The intervention was remarkably successful, nearly eliminating CRBSI entirely in most ICUs over an 18-month follow-up period. A related editorial lauds the success of the intervention and calls for all U.S. hospitals to adopt similar programs.
Cases & Commentaries
- Spotlight Case
- Web M&M
Derek C. Angus, MD, MPH; Eric B. Milbrandt, MD, MPH; July 2004
Following a motor vehicle collision, a patient is mistakenly given drotrecogin alfa (activated) for organ failure not due to sepsis.