Narrow Results Clear All
- Communication Improvement 6
- Culture of Safety 4
- Education and Training 5
- Error Reporting and Analysis 4
- Human Factors Engineering 6
- Legal and Policy Approaches 4
- Logistical Approaches 1
Quality Improvement Strategies
- Critical Pathways
- Specialization of Care 3
- Teamwork 3
- Technologic Approaches 2
- Transparency and Accountability 1
- Discontinuities, Gaps, and Hand-Off Problems 1
- Identification Errors 3
- Medical Complications 1
- Medication Errors/Preventable Adverse Drug Events 4
- Nonsurgical Procedural Complications 2
- Surgical Complications 4
- Medicine 15
- Nursing 2
Search results for "Critical Pathways"
- Newspaper/Magazine Article
- Critical Pathways
ISMP Medication Safety Alert! Acute Care Edition. April 21, 2011;16:1-3.
This article analyzes a fatal error involving parenteral nutrition and makes recommendations to prevent such incidents.
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.
Valencia MJ. Boston Globe. March 10, 2011.
This newspaper article reports on a fatal medication error involving an anticoagulant overdose.
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.
Bogdanich W, Rebelo K. New York Times. December 28, 2010;A1.
This article explores inaccuracy of dosage, lack of protocol adherence, and absence of transparency as trends that hinder learning from radiological adverse events.
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.
Daner WE, Gosselin RC, Raschke R, Vanderveen T. Patient Saf Qual Healthcare. January/February 2009;6:20-25.
This article explains safety challenges commonly associated with heparin, a high-alert medication, and outlines how hospitals and clinicians can prevent these errors.
Sower VE, Duffy JA, Kohers G. American Society for Quality. August 2008.
This article describes the application of Formula One pit stop techniques to improving hand-off systems within a health care setting in the context of one British hospital's research on teamwork in Formula One pit crews.
Weinstock M. Hosp Health Netw. 2007;81:38-40, 42, 44-46.
PA-PSRS Patient Saf Advis. June 2007;4:29, 32-45.
This article discusses reports of wrong-site surgery submitted to the PA-PSRS, compares them with results of other studies, and provides suggestions to reduce this type of error.
Abelson R. New York Times. May 17, 2007;Business section:1.
This article reports on a Pennsylvania hospital system that offers a flat fee for bypass surgery and a guarantee for follow-up care should complications arise.
Shorr AS. Healthc Exec. March-April 2007;22:19, 21-22, 24, 26.
The author discusses executive accountability for patient safety and active involvement in creating a patient-centric culture.
Bramson K, Mooney T. Providence Journal. August 18, 2006.
This article reports on a case of mistaken identity that resulted in erroneous surgery, despite a "time out" before beginning the operation.
Davis R. USA Today. April 17, 2006.
This article reports on a recent AHRQ-funded study on the incidence of wrong-site surgery and shares various perspectives on the issue.