Narrow Results Clear All
Communication between Providers
- Sbar 1
- Communication between Providers 10
- Culture of Safety 8
Education and Training
- Students 1
- Error Reporting and Analysis 8
- Human Factors Engineering 8
- Legal and Policy Approaches 8
- Logistical Approaches 3
- Policies and Operations 1
- Quality Improvement Strategies
- Specialization of Care 4
- Teamwork 3
- Clinical Information Systems 4
- Device-related Complications 5
- Diagnostic Errors 1
- Discontinuities, Gaps, and Hand-Off Problems 4
- Drug shortages 1
- Fatigue and Sleep Deprivation 1
- Identification Errors 2
- Medical Complications 3
- Medication Errors/Preventable Adverse Drug Events 13
- MRI safety 1
- Nonsurgical Procedural Complications 1
- Surgical Complications 6
- Transfusion Complications 1
- Internal Medicine 11
- Surgery 3
- Nursing 5
- Pharmacy 11
- Health Care Executives and Administrators 30
Health Care Providers
- Nurses 11
- Physicians 10
- Non-Health Care Professionals 10
- Patients 11
Search results for "Education and Training"
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.
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.
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. 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.
ISMP Medication Safety Alert! Acute Care Edition. February 12, 2015;20:1-5.
Benchmarks tracking a wide spectrum of care activities enable comparison that can drive organizational commitment to improving safety. This newsletter article examines survey responses from nearly 400 hospitals which demonstrated modest progress in implementation of medication safety best practices that recommended strategies to augment safety, such as utilizing metric units as the only scale of measure for patient weight.
ISMP Canada. SafeMedicationUse Newsletter. December 2, 2014;5:1-2.
This newsletter article describes an incident involving a patient who noticed that the tablets in her prescription refill had a different marking than usual, alerting her that she might have received an incorrect medication which was confirmed by the pharmacist. Tips for patients to avoid medication errors include being familiar with how their medicines look and checking prescriptions before leaving the pharmacy. Practitioners can help prevent these errors by counting and labeling prescriptions one at a time and performing patient consultations.
Rudolph J, Raemer D, Shapiro J. Clin Teach. 2013;10:186-189.
This commentary describes techniques for providing feedback to clinicians after an error.
Butcher L. Hosp Health Netw. November 2011.
This article discusses wrong-site surgeries and efforts to prevent them.
Landro L. Wall Street Journal. March 28, 2011.
This newspaper article discusses how combining best practices in teamwork, simulation, and communication can improve patient safety during obstetric emergencies.
ISMP Medication Safety Alert! Acute Care Edition. February 9, 2011;16:1-3.
This piece discusses medication errors during emergency resuscitations and outlines risk-reduction strategies.
Wetzel TG. Health Data Manage. 2011 Feb;19:86, 88, 90 passim.
This article discusses how several health care organizations used health information technology to improve organizational transparency.
Scobie AC, Persaud DD. Patient Saf Qual Healthc. March/April 2010;7:42-47.
This article reviews the literature and describes a framework for patient engagement in safety activities to enable greater patient awareness and participation in error prevention.
ISMP Medication Safety Alert! Acute Care Edition. January 14, 2010;15:1-4.
This newsletter article details findings of an ISMP survey on how the economy is affecting patient safety efforts in United States hospitals. Many respondents reported that medication safety initiatives have been scaled back since the economic downturn.
Federico F, Bonacum D. Healthc Exec. January/February 2010;25:68-70.
This piece outlines steps such as training and senior leader support that can help enhance the role of middle managers in patient safety and quality improvement.
Haiken M. Caring.com. August 17, 2009.
To help consumers use medications safely, this article describes 10 common medication mistakes and provides tips on how effective communication and clarification can prevent them.
O'Reilly KB. American Medical News. July 6, 2009;17:28.
This news article reviews the American Medical Association's new policy designed to involve physicians in quality and safety improvement as an ethical imperative.
Bogdanich W. New York Times. June 20, 2009;National Desk:1.
Flawed safety standards, including a lack of peer review and oversight, led to a series of errors in a cancer unit at a Philadelphia Veterans Affairs hospital.
Gardner E. Mod Healthc. May 18, 2009;39:28-31.
This article describes how one health system markedly improved its quality and safety by applying a safety technique used in the nuclear power industry.
ISMP Medication Safety Alert! Acute Care Edition. March 12, 2009;14:1-3.
This article provides screening, dosing, and monitoring recommendations for using basal opioid infusions and patient-controlled analgesia (PCA) in patients at risk for developing respiratory depression.