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- Communication Improvement
- Culture of Safety 1
- Education and Training 2
- Error Reporting and Analysis 1
- Human Factors Engineering 3
- Legal and Policy Approaches 1
- Logistical Approaches 1
- Quality Improvement Strategies 2
- Technologic Approaches 2
Search results for "Communication Improvement"
R3 Report. June 25, 2018;7:1-2.
Graham J, Dizikes C. Chicago Tribune. June 27, 2011.
This newspaper article reports on an order entry error that resulted in a 60-fold overdose and raised concerns about the safety of electronic medication data systems.
ISMP Medication Safety Alert! Acute Care Edition. September 11, 2008;13:1-3.
This article discusses a medication error associated with a new smart pump system and describes strategies to prevent errors when well-established processes are changed.
Sower VE, Duffy JA, Kohers G. American Society for Quality. August 2008.
This article describes the application of Formula One pit stop techniques to improving hand-off systems within a health care setting in the context of one British hospital's research on teamwork in Formula One pit crews.
O'Reilly KB. American Medical News. June 16, 2008;15:17.
This article reports on an initiative to prevent birth injuries through improved communication techniques and evidence-based care interventions.
Barbella M. Drug Topics. October 8, 2007;151:18.
This article reports how a failure to perform medication reconciliation during patient transfer led to a mother being separated from her newborn daughter for several months.
Zimmerman R. Wall Street Journal. February 6, 2007:A1.
This article reports on a mother's campaign to educate parents about kernicterus and to make bilirubin tests standard for all newborns.
News 3 Las Vegas (KVBC/DT). December 7, 2006.
This news story describes an incident involving the death of a premature infant due to a zinc overdose administered through nutritional fluid.