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- Department of Health and Human Services (HHS) 86
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FDA Public Health Advisory. Silver Spring, MD: US Food and Drug Administration; December 21, 2007.
This Food and Drug Administration public health advisory alerts health care professionals, patients, and their caregivers to the possibility for overdoses of fentanyl in patients using fentanyl skin patches for pain control.
Schultz DG. Rockville, MD: Center for Devices and Radiological Health, US Food and Drug Administration. December 4, 2007.
This announcement includes safety instructions for avoiding entrapment and suffocation in a recalled model of a patient bed.
Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. October 25, 2007. Publication No. NOT-HS-08-002.
The Joint Commission.
The Eisenberg Award honors individuals and organizations who have made vital accomplishments in improving patient safety and quality. The 2007 honorees are Flaura Koplin Winston, MD, PhD; Darrell A. Campbell Jr., MD; Eric J. Thomas, MD, MPH; Beth Israel Deaconess Medical Center, Boston, Massachusetts; and Evanston Northwestern Healthcare, Illinois. The awards were presented at the National Quality Forum's Annual Meeting on September 27, in Washington, DC.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; September 13, 2007.
This announcement provides specific instructions on safe prescribing of a cancer pain medication in response to several patient deaths associated with off-label use.
Rapid Response Report 2. London, UK: National Patient Safety Agency; September 3, 2007.
This announcement details the potential for errors and near misses associated with an injectable medication that is available in several formulations.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; August 13, 2007.
This announcement describes a fatal overdose of a protease inhibitor in an infant and discusses how to prevent such occurrences.
Information Exchange System Alert. Geneva, Switzerland: World Health Organization; July 18, 2007.
This international announcement provides guidance on the safe administration of the chemotherapeutic agent vincristine.
MRI Safety Week is held annually in July. This observance supports the sharing of information and resources to support magnetic resonance imaging safety.
Silver Spring, MD: American Nurses Association; June 18, 2007.
The American Nurses Association announces the results from a survey of more than 1000 nurses on medication error and syringe safety.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; April 18, 2007.
This announcement alerts health care providers and consumers to potential contamination of medical devices from one manufacturer.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; February 6, 2007.
This announcement alerts health care providers to the potential for life-threatening errors involving two heparin products and provides recommendations to minimize mistakes.
Association of PeriOperative Registered Nurses.
This survey will gather comments from the field regarding The Joint Commission's Universal Protocol to help eliminate wrong site surgeries.
United States Department of Veterans Affairs.
This program provides 12 placements for a 1-year post-advanced degree educational opportunity at six Veterans Administration sites for in-depth patient safety leadership training.
Rockville, MD: Center for Devices and Radiological Health, US Food and Drug Administration; August 29, 2006.
This news release announces a seizure of infusion pumps that have a "key bounce" defect that could result in over-infusion of medication.
Evanston, IL: Office of the Governor; July 13, 2006.
This news release announces the governor's plans to improve patient safety in Illinois, including the use of e-prescribing by all providers and a Division of Patient Safety within the state public health department.
Roxane Laboratories Initiates a Nationwide Voluntary Recall of a Single Manufacturing Lot of Azathioprine Tablets in the U.S. and Puerto Rico.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; July 13, 2006.
This news release announces the recall of a manufacturing lot of Azathioprine. Bottles may have been erroneously filled with another medication, which could lead to serious health effects for those taking the drug.
IHI announces that hospitals participating in 100,000 Lives Campaign have saved an estimated 122,300 lives.
Cambridge, MA: Institute for Healthcare Improvement; June 14, 2006.
In December 2004, the Institute for Healthcare Improvement (IHI) launched the 100,000 Lives Campaign, which engaged hospitals to commit to interventions proven to improve patient care and prevent avoidable deaths. This news release announces that participating hospitals have collectively exceeded the campaign's goal by preventing an estimated 122,300 deaths. The announcement applauds the more than 3000 participating hospitals for their efforts and shares positive remarks made by health care leaders from several prominent national organizations. A past commentary written by IHI's president and chief executive officer, Donald Berwick, outlines the initiatives and goals of the 100,000 Lives Campaign.
Baltimore, MD: Centers for Medicare & Medicaid Services (CMS) Office of Public Affairs; May 18, 2006.
This fact sheet provides information regarding the Centers for Medicare and Medicaid Services' initiative to better understand and minimize never events.
San Francisco, CA: The Leapfrog Group; May 2, 2006.
This news release announces that 22 California hospitals have been recognized for their achievements in addressing The Leapfrog Group's standards of quality and safety.