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- Communication Improvement 3
- Education and Training 2
- Error Reporting and Analysis 1
- Human Factors Engineering 2
- Logistical Approaches 2
- Quality Improvement Strategies 1
- Device-related Complications 1
- Discontinuities, Gaps, and Hand-Off Problems 2
- Medical Complications 1
- Medication Errors/Preventable Adverse Drug Events
- Surgical Complications 1
Search results for "Nursing"
Journal Article > Commentary
Murdaugh L, Jordin R. Hosp Pharm. 2008;43:728-733.
Special or Theme Issue
The 13 articles in this special issue cover topics on the role of ergonomics in patient safety.
FDA Safety Communication: use caution with implanted pumps for intrathecal administration of medicines for pain management.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; November 14, 2018.
This safety announcement raises awareness of pump failures, dosing errors, and other potential safety issues associated with implanted pumps. Recommendations to enhance safety include review of medication labeling to select appropriate medicines and concentrations as well as open discussions with patients about risks associated with pump and medication options.
Cases & Commentaries
- Web M&M
Michael Astion, MD, PhD; June 2004
Just before leaving for the weekend, a physician orders a test for a communicable infection. Although the result arrives and isolation signs are placed on the patient's door, none of the covering physicians are notified, and the float nurses mistakenly assume the patient is already receiving treatment.