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- Communication Improvement 3
- Error Reporting and Analysis 1
- Quality Improvement Strategies
- Teamwork 1
- Technologic Approaches 1
Search results for "Active Errors"
Tools/Toolkit > Multi-use Website
London, UK: Royal College of General Practitioners; 2015.
Although most patient safety efforts have focused on inpatient care, the majority of health care actually takes place in the ambulatory setting. This toolkit for general practitioners in the United Kingdom provides various instruments to help prevent and analyze safety problems. Materials include a trigger tool, medication reconciliation form, and significant event audit template.
Journal Article > Study
Using a multi-method, user centred, prospective hazard analysis to assess care quality and patient safety in a care pathway.
Dean J, Hutchinson A, Hamilton Escoto K, Lawson R. BMC Health Serv Res. 2007;7:89.
The authors describe a method for identifying potential quality and safety problems in a care pathway.
Cases & Commentaries
- Spotlight Case
- Web M&M
Elizabeth A. Howell, MD, MPP; Mark R. Chassin, MD, MPP, MPH; May 2006
A woman with a fractured right foot receives spinal anesthesia and nearly has surgery for trimalleolar fracture and dislocation of the left ankle. Only immediately prior to surgery did the team realize that the x-ray was not hers.