Narrow Results Clear All
- Communication Improvement 2
- Education and Training 3
- Human Factors Engineering 4
- Legal and Policy Approaches 1
- Logistical Approaches 1
- Policies and Operations 1
- Quality Improvement Strategies 2
- Technologic Approaches 2
- Discontinuities, Gaps, and Hand-Off Problems 1
- Drug shortages 1
- Medical Complications 1
- Medication Errors/Preventable Adverse Drug Events 5
- Surgical Complications 1
Search results for "Latent Errors"
Special or Theme Issue
The 13 articles in this special issue cover topics on the role of ergonomics in patient safety.
ISMP Medication Safety Alert! Acute Care Edition. November 1, 2018;23:1-5. November 15, 2018;23:1-5.
Errors in the administration of intravenous medications can result in patient harm. This set of articles discusses the results of a nationwide IV push medication survey. The first article reviews unsafe practices in care delivery as defined by inpatient clinicians. The second article recommends ways to improve practice such as assessment of current practices, use of prefilled syringes, and heightened attention to effective labeling.
Journal Article > Study
Fowler SB, Sohler P, Zarillo DF. MedSurg Nursing. 2009;18:103-110.
Nurses felt that a bar-code medication administration system was safe and improved patient care.
Journal Article > Commentary
Murdaugh L, Jordin R. Hosp Pharm. 2008;43:728-733.
ISMP Medication Safety Alert! Acute Care Edition. July 3, 2008;13:1-3.
This article reports on the potentially fatal error of administering epidural medications intravenously and provides guidelines to safeguard against such epidural–IV route mix-ups.