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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.
ISMP Medication Safety Alert! Acute Care Edition. August 11, 2011;16:1-3.
This article discusses incidents involving misadministration of IV insulin and makes recommendations to improve safety in delivering this high-alert medication.
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.
ISMP Medication Safety Alert! Acute Care Edition. October 22, 2009;14:1-3.
This report describes examples of mistaken administration of oral/enteral liquids through parenteral devices and provides strategies to prevent such errors.
Crowley JD, Deen JB. Patient Saf Qual Healthc. May/June 2009;6:18-22.
This article charts one health system's efforts to create a culture of safety through leadership development initiatives in 32 hospitals.
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.
PA-PSRS Patient Saf Advis. March 2009;6:16-19.
This article discusses strategies to ensure safe transitions for patients between hospital departments. These strategies include transport team development, use of standardized communication tools, and educational programming for unlicensed health care personnel.
ISMP Medication Safety Alert! Acute Care Edition. September 11, 2008;13:1-3.
This article discusses a medication error associated with a new smart pump system and describes strategies to prevent errors when well-established processes are changed.
ISMP Medication Safety Alert! Acute Care Edition. August 14, 2008;13:1-3.
This article reports on an overdose caused by improper label placement on a patient controlled analgesia (PCA) pump and provides recommendations for preventing pump-related medication errors.
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.
ISMP Medication Safety Alert! Acute Care Edition. May 8, 2008;13:1-3.
This article describes common problems associated with insulin pen injectors and provides recommendations for their safe use.
ISMP Medication Safety Alert! Acute Care Edition. September 6, 2007;12:1-4.
This article analyzes a lethal error involving TPN (total parenteral nutrition), in which dosing and compounding were based on incorrect order entry, and provides recommendations to prevent similar errors.
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.
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.
Kaiser Health News.
Decerbo M. Pharmacy Practice News. September 13, 2018.
Parenteral nutrition errors can result in patient malnutrition and harm. Reporting on how insufficient understanding of malnutrition contributes to its presence in health care, this news article suggests that both general guidelines and tailored approaches to nutrition are necessary to keep hospitalized patients safe. Improvements in addressing the complicated needs of patients who are older or have cancer illustrate progress made toward the effective delivery of nutrition.