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Communication between Providers
- Sbar 1
- Communication between Providers 21
- Culture of Safety 17
Education and Training
- Simulators 16
- Students 9
- Error Reporting and Analysis 29
- Human Factors Engineering 20
- Legal and Policy Approaches 30
- Logistical Approaches 12
- Quality Improvement Strategies 39
- Specialization of Care 7
- Teamwork 15
- Clinical Information Systems 10
- Device-related Complications 17
- Diagnostic Errors 8
- Discontinuities, Gaps, and Hand-Off Problems 10
- Fatigue and Sleep Deprivation 6
- Identification Errors 7
- Medical Complications 11
- Medication Errors/Preventable Adverse Drug Events 37
- MRI safety 1
- Nonsurgical Procedural Complications 5
- Psychological and Social Complications 14
- Second victims 2
- Surgical Complications 24
- Transfusion Complications 1
- Dentistry 1
- Internal Medicine 34
- Nursing 10
- Pharmacy 32
- Family Members and Caregivers 3
- Health Care Executives and Administrators 70
Health Care Providers
- Nurses 19
- Pharmacists 16
- Physicians 28
Non-Health Care Professionals
- Educators 24
- Patients 68
Search results for "Education and Training"
- Newspaper/Magazine Article
- Education and Training
Jauhar S. New York Times. March 3, 2016.
Performance of autopsies, previously considered an essential learning tool for clinicians, has decreased in recent years due to insufficient funding to cover costs and lack of physician endorsement of the practice. This newspaper article provides insights from a physician regarding how the decline in autopsies could affect care and highlights the benefits of autopsies in light of the current emphasis on improving diagnosis.
Nagelberg R. RDH. September 2015;35:79-85.
Duffy B. Patient Saf Qual Healthc. July/August 2010;7:32-36.
This piece describes how education can reduce patient harm by promoting attitude and behavior changes within the health care system.
Zipperer L, Sykes J. Patient Saf Qual Healthc. March/April 2009;6:28-30,32-33.
This survey explores the varied roles that medical librarians play in searching for and disseminating information on patient safety. The majority of librarians surveyed had actively participated in patient safety initiatives.
Landro L. Wall Street Journal (Eastern edition). January 24, 2007:D5.
This article describes several initiatives and training programs for physicians on disclosing and apologizing for medical error.
Challenges ahead in technology training: a report on the training initiative of the Committee on Technology.
Olympio MA, Reinke B, Abramovich A. APSF Newsletter. Fall 2006;21:43-48.
The authors describe the complexity of keeping current on new anesthesia equipment and propose an in-depth process for physician and technician training to ensure safe use in the operating room.
Baertlein L. USA Today. May 24, 2006.
This article reports on a study that found that playing video games before surgery enhanced surgical dexterity and minimized errors.
Santell JP. Drug Topics (Health-System Edition). May 22, 2006.
This article reports on errors involving neuromuscular blocking agents (NMBAs) that were reported to Medmarx database, what factors contributed to those errors, and what can be done to minimize their occurrence.
Headley M. Patient Saf Qual Healthc. October 4, 2017.
Burnout, stress, and personal challenges can affect clinicians' ability to provide safe care. This article explores factors that prevent clinicians from seeking support and provides suggestions for organizations to encourage health care providers to solicit help, such as establishing a culture of wellness, second victim initiatives, substance abuse assistance, and domestic violence programs.
Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences.
Woodruff E. Baltimore Sun. June 9, 2017.
Monegain B. Healthcare IT News. November 7, 2016.
Hobson K. US News News and World Report. September 13, 2016.
Diagnostic error has recently gained recognition as an important patient safety concern. This news article relates the experiences of patients who were misdiagnosed and discusses avenues for improvement such as exploring physician problem-solving behaviors and using trigger tools to detect potential lapses in care.
MacLean L, Coombs C, Breda K. Nurs Manage. 2016;47:30-34.
Landro L. Wall Street Journal. August. 8, 2016.
First-year residents may be reluctant to ask for assistance due to factors such as peer pressure to demonstrate competency. This newspaper article reports on one hospital's strategy to enhance communication among residents and attendings, which encourages residents to ask questions of senior clinicians who are coached to welcome learning conversations.
ISMP Medication Safety Alert! Acute Care Edition. March 24, 2016;21:1-4.
Confusion due to look-alike and sound-alike medications are known to contribute to medication errors. Describing errors associated with a certain medication naming convention, this newsletter article offers recommendations to reduce risks related to these drugs, including labeling clarifications, storing medications separately, barcode scanning, and staff education.
Hess L, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. March 2016;13:18-23.
Roe S, King K. Chicago Tribune. February 10–13, 2016.
Drug interactions can be hazardous to patients, particularly when combined with risk factors such as age and use of medications for chronic conditions. This series of news reports discusses the problem of drug interactions, including one patient's experience of severe harm and researchers' use of data mining to identify medication pairs linked to high-risk interactions. The series also includes a list of steps patients can take to reduce risk of harmful interactions between medicines they take.
Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2.
ISMP Medication Safety Alert! Acute Care Edition. January 28, 2016;21:1-4. February 11, 2016;21:1-5.
Frakt A. New York Times. December 7, 2015.
Brody JE. New York Times. November 30, 2015.