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ISMP Medication Safety Alert! Acute Care Edition. November 29, 2018;23:1-6.
Look-alike and sound-alike medications present a recurring threat to patient safety. This newsletter article summarizes an analysis of reported drug name confusion errors. Although incidents seem to have decreased over time, the influx of generic drug names is contributing to the persistence of the problem. Increased federal attention to the issue, provider use of known strategies to improve practice, and pharmaceutical company testing of names to avoid similarities can help reduce drug name confusion.
Montagne R. Weekend Edition Sunday. National Public Radio. March 11, 2018.
Maternal death is a sentinel event. This news audio segment reports on childbirth-related death in the United States and firsthand accounts of complications associated with childbirth, such as infection. The interview also discusses how misdiagnosis contributes to the severity of problems. This piece is part of an ongoing series on the safety of maternal care.
Clark C. HealthLeaders Media. July 24, 2014.
The Hospital Compare Web site has begun to publicly report which hospitals are using checklists, and the results are concerning. Investigating reasons behind these findings, this news piece offers insights from physicians into why checklists have not been universally implemented and highlights the importance of developing a culture of safety to drive improvement efforts.
Consumer Reports. September 2013;78:31-41.
This report analyzed Medicare claims data on 27 types of procedures to develop surgical safety ratings of hospitals by state.
Clark C. HealthLeaders Media. May 9, 2013.
This news piece reports on a national evaluation of hospitals that found little improvement in safety in the profiled health care systems.
Ingestion or aspiration of foreign objects or toxic substances is not just a safety concern with children.
ISMP Medication Safety Alert! Acute Care Edition. November 3, 2011;16:1-2.
Summarizing cases of accidental ingestion of syringe caps, small device parts, and dangerous liquids, this newsletter piece describes how to prevent such incidents.
Gulliver D. Sarasota Herald Tribune. November 7, 2006:BS1.
This article reports on the death of a restrained patient and outlines the factors affecting the subsequent reporting of the event.