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Approach to Improving Safety
Search results for "Education and Training"
- Education and Training
- Medical Alarm Design
- Quality Improvement Strategies
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Web Resource > Multi-use Website
National Coalition for Alarm Management Safety.
Healthcare Technology Safety Institute and Association for the Advancement of Medical Instrumentation.
Alarm fatigue has been recognized as a contributor to serious errors in hospitals. This Web site provides a way for hospitals, industry representatives, regulators, and professional societies to compile resources and discuss strategies to reduce unnecessary alarms.
Journal Article > Commentary
The normalization of deviance: do we (un)knowingly accept doing the wrong thing?
Prielipp RC, Magro M, Morell RC, Brull SJ. AANA J. 2010;78:284-287.
This commentary describes normalization of deviance and uses examples to illustrate how this problem could appear in anesthesia practice.
Journal Article > Study
A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and intervention in deteriorating hospital patients.
Mitchell IA, McKay H, Van Leuvan C, et al. Resuscitation. 2010;81:658-666.
An intervention including staff education and implementation of a "track-and-trigger" system improved detection of clinically unstable patients, increased utilization of the rapid response system, and improved some clinical outcomes.
Newspaper/Magazine Article
Beware of basal opioid infusions with PCA therapy.
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.
Cases & Commentaries
Privacy Gone Awry
- Web M&M
Stephen G. Pauker, MD; Susan P. Pauker, MD; May 2004
Owing to privacy concerns, a nurse draws the drapes on a 3-year-old child in recovery following surgery, and unfortunately does not realize the child is in distress until loud inspiratory stridor is heard.