Narrow Results Clear All
- Communication Improvement 7
- Culture of Safety 4
- Education and Training 4
- Error Reporting and Analysis 5
- Human Factors Engineering 2
- Legal and Policy Approaches 2
- Policies and Operations 1
- Quality Improvement Strategies 7
- Specialization of Care
- Teamwork 4
- Technologic Approaches 3
- Device-related Complications 1
- Diagnostic Errors 1
- Discontinuities, Gaps, and Hand-Off Problems 3
- Identification Errors 1
- Medical Complications 5
- Medication Safety 7
- Psychological and Social Complications 1
- Surgical Complications 3
Search results for "Specialization of Care"
- Specialization of Care
Horsham, PA: Institute for Safe Medication Practices; 2018.
Medication safety is a concern in various settings across an organization. This white paper discusses the role of a medication safety officer to oversee reporting and analysis of medication errors and coordinate improvement efforts. Responsibilities of a medication officer include serving as a champion, advocating for safety interventions, and helping implement system changes.
Lim R, Semple S, Ellett LK, Roughead L. Canberra, Australia: Pharmaceutical Society of Australia; 2019.
Analyzing the evidence on medication errors in Australia, this report estimates the incidence of acute care admissions, emergency department use, ambulatory adverse events, and elderly patients affected by medication-related problems. Pharmacists are emphasized as pivotal to medication safety improvement efforts.
Watts E, Rayman G. Diabetes UK. London, UK; 2018.
Chronic disease management can add complexity to inpatient care regimens. Researchers worked with patients, system leaders, and clinicians to examine areas of risk for hospitalized patients with diabetes and determine solutions such as specialized teams, clinical leadership, and improved use of technology. A WebM&M commentary illustrated safety challenges associated with providing care for hospitalized patients with diabetes.
Tully MP, Franklin BD, eds. Boca Raton, FL: CRC Press, Taylor and Francis Group; 2016. ISBN: 9781482227000.
This Web site summarizes patient safety improvement efforts in Tennessee and provides access to an annual report of their efforts and a calendar of training opportunities.
Rockville, MD: Agency for Healthcare Research and Quality; July 2013. AHRQ Publication No. 13-0071-EF.
This report provides preliminary outcome data from a six-cohort collaborative that used the comprehensive unit-based safety program and associated tools to prevent catheter-associated urinary tract infections (CAUTI). The early data show a decrease in the overall rate of CAUTI, with a more striking decrease in non-intensive care unit settings than in ICU settings.
Rockville, MD: Agency for Healthcare Research and Quality; September 2011. AHRQ Publication No. 11-0037-1-EF.
Cambridge, MA: Institute for Healthcare Improvement; February 2010.
This manual offers practical advice on how to plan for and implement care team rounds that involve a variety of health care providers.
An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study.
Dornan T, Ashcroft D, Heathfield H, et al. London: General Medical Council; 2009.
This report analyzed the causes and rates of prescribing errors in the National Health Service and found that educational level had little impact on medication errors and that many were intercepted before reaching patients. The authors suggest that a standardized national prescription chart could help prevent errors.
Scheurer D, ed. Oakbrook Terrace, IL: Joint Commission Resources; 2009. ISBN: 9781599403045.
This book discusses the rise of the hospitalist movement within the context of quality and safety and reviews how hospitalists can support several National Patient Safety Goals.
Thinking Outside the Pillbox: A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease.
Cambridge, MA: New England Healthcare Institute; August 12, 2009.
Sydney, Australia: Australian Commission on Safety and Quality in Health Care; 2008. ISBN: 9780980346275.
This report compiles public and private data to provide insight into the quality and safety of patient care in Australian hospitals.
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.
Medmarx Data Report: A Chartbook of Medication Error Findings from the Perioperative Settings from 1998-2005.
Rockville, MD: United States Pharmacopeia; 2007.
This report shares findings from analysis of more than 11,000 perioperative medication errors reported through Medmarx and includes recommendations to avoid these types of errors.
Dallas, TX: Susan G. Komen Breast Cancer Foundation; June 2006.
This report illustrates weaknesses in current pathology practice of breast cancer diagnosis and suggests improvements for reliability and effectiveness.
McCarthy D, Blumenthal D. New York, NY: The Commonwealth Fund; April 2006.
This report presents ten case studies to illustrate interventions that address prominent and targeted areas for patient safety improvement. The five areas of focus include promoting an organizational safety culture, improving teamwork and communication, enhancing rapid response to inpatient crises, preventing health care–associated infections in intensive care units, and preventing hospital-based adverse drug events. The collection of stories represents a diverse group of health care organizations, with each sharing their approach to a given safety issue, the results achieved, and the lessons learned to assist others making similar efforts at their own institution. The authors also published an article about case studies in safety improvement.
Leadership Guide to Patient Safety: Resources and Tools for Establishing and Maintaining Patient Safety.
Boston, MA: Institute for Healthcare Improvement; 2005.
Washington, DC: Leapfrog Group.
This website offers resources related to the Leapfrog Hospital Survey investigating hospitals' progress in implementing specific patient safety practices. Updates to the survey include increased time allotted to complete computerized provider order entry evaluation, staffing of critical care physicians on intensive care units, and use of tools to measure safety culture. Reports discussing the results are segmented into specific areas of focus such as health care-associated infections and medication errors.