Narrow Results Clear All
- Communication Improvement
- Culture of Safety 2
- Education and Training 4
- Error Reporting and Analysis 5
- Human Factors Engineering 5
- Logistical Approaches 1
- Policies and Operations 1
- Quality Improvement Strategies 3
- Specialization of Care 1
- Teamwork 3
- Technologic Approaches 3
- Device-related Complications 2
- Discontinuities, Gaps, and Hand-Off Problems 2
- Identification Errors 4
- Medical Complications 3
- Medication Safety 5
- Surgical Complications 3
Search results for "Hospital Medicine"
Journal Article > Commentary
Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:191-195.
This monthly column highlights an initiative to introduce safer device connectors to prevent spinal and epidural medications from being delivered intravenously, discusses the value of independent double-checks, and shares thoughts on the 35th anniversary of this column.
Journal Article > Study
Wakefield DS, Wakefield BJ, Despins L, et al. Jt Comm J Qual Patient Saf. 2012;38:24-33.
Verbal orders, usually for medications, are commonly used in the inpatient setting despite being a recognized source of error. This survey of 40 hospitals found wide variation in hospital policies regarding verbal orders, with no uniform standard on which providers were allowed to give or receive verbal orders and varying approaches to documenting these orders. Although specific methods, such as read-backs, are endorsed for improving the reliability of verbal orders, few hospitals specifically mandated the use of these communication tools. A case of a misunderstood verbal order that led to a serious error is discussed in this AHRQ WebM&M commentary.
Huff C. Trustee Magazine. October 2011.
This article reports on patient safety improvement work in the Veterans Affairs hospital system and describes the implementation of a team training program.
Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside.
ISMP Medication Safety Alert! Acute Care Edition. March 10, 2011;16:1-4.
This piece identifies situations in which patient verification errors occur and provides strategies to address them.
O'Reilly KB. American Medical News. June 14, 2010.
This news piece discusses how the health care industry can apply aviation safety methodologies to guide improvement.
Case study: sustaining a culture of safety in the U.S. Department of Veterans Affairs Health Care System.
Chase D, McCarthy D. Quality Matters. April/May 2010.
Salt Lake City, UT: Utah Department of Health, Utah Hospitals & Health Systems Association, and HealthInsight; March 10, 2010.
This brief provides information on 101 sentinel events reported to the state of Utah in 2009. The report also includes background on efforts to address such incidents.
Gardner E. Mod Healthc. May 18, 2009;39:28-31.
This article describes how one health system markedly improved its quality and safety by applying a safety technique used in the nuclear power industry.
Journal Article > Commentary
Saufl NM. J Perianesth Nurs. 2009;24:114-118.
This commentary provides background on the development of the Joint Commission's 2009 National Patient Safety Goals and summarizes the goals set for the hospital environment.
ASQ Quarterly Quality Report. Milwaukee, WI: American Society of Quality; October 2008.
This report describes strategies for health care institutions to prevent never events, based on results of a 2008 survey of quality professionals.