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- Communication Improvement 1
- Culture of Safety 2
- Error Reporting and Analysis 5
- Human Factors Engineering 1
- Legal and Policy Approaches 2
- Logistical Approaches 1
- Policies and Operations 1
- Quality Improvement Strategies 1
Search results for "Allied Health Professionals"
- Active Errors
- Allied Health Professionals
Journal Article > Study
Ensaldo-Carrasco E, Carson-Stevens A, Cresswell K, Bedi R, Sheikh A. Br Dent J. 2018;224:733-740.
This Delphi study aimed to identify expert consensus on never events in dentistry. The resulting list of 23 events includes medication errors, retained objects, and wrong patient and wrong procedure events across diagnostic and treatment activities and is consistent with existing never events in medicine.
Journal Article > Review
Evidence review conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for colorectal surgery.
Ban KA, Gibbons MM, Ko CY, et al. Anesth Analg. 2019;128:879–889.
Standardization of care protocols has been shown to improve perioperative outcomes. This article presents the results of an evidence review to develop best practices for perioperative care around colorectal surgery. The authors acknowledge the need for local tailoring in implementing these recommendations.
Journal Article > Commentary
Busby LP, Courtier JL, Glastonbury CM. Radiographics. 2018;38:236-247.
Fatigue, production pressure, and cognitive load can influence human perception and interpretation. This commentary reviews cognitive factors that can contribute to radiologic misinterpretations. The authors discuss the role of bias in radiologic interpretation and solutions to manage the impact of biases on the diagnostic process at the individual radiologist and organizational level.
Barishansky RM, Glick DE. EMS Magazine. 2009 Mar;38:43-47.
This article explains the elements of preparing policies and procedures for reportable incidents in emergency medical services.
Journal Article > Study
Emergency medical services provider perceptions of the nature of adverse events and near-misses in out-of-hospital care: an ethnographic view.
Fairbanks RJ, Crittenden CN, O'Gara KG, et al. Acad Emerg Med. 2008;15:633-640.
This study used focus groups, in-depth interviews, and event reporting methods to conclude that Emergency Medical Services (EMS) providers are concerned about existing system issues that require improvement strategies, and about the safety culture in which they work.
Bostock L, Bairstow S, Fish S, Macleod F. London, England: Social Care Institute for Excellence; 2005. ISBN: 1904812279.
This report suggests that a systems approach to child social services in Great Britain would facilitate a fair and open culture and encourage learning from near misses.
Cases & Commentaries
- Spotlight Case
- Web M&M
Sidney T. Bogardus, Jr., MD; April 2003
Delirious and coagulopathic patient with subdural hematomas falls out of bedtwice!