Narrow Results Clear All
- Communication Improvement 2
- Culture of Safety 1
- Education and Training 3
- Error Reporting and Analysis 2
- Human Factors Engineering 3
- Legal and Policy Approaches 1
- Quality Improvement Strategies 2
- Technologic Approaches 1
- Device-related Complications 1
- Identification Errors 1
- Medical Complications 1
- Medication Safety
- Psychological and Social Complications 1
- Surgical Complications 1
Search results for "Specific to High-Risk Drugs"
National Patient Safety Agency. London, UK: National Reporting and Learning Service; 2009.
This report from the United Kingdom is intended to guide Primary Care Trusts in implementing never events policies for 2009-2010.
World Alliance for Patient Safety. Geneva, Switzerland: World Health Organization; 2008.
Through a discussion of a vincristine administration error, this booklet and video illustrate how system weaknesses can contribute to failure.
Toronto, ON, Canada: Institute for Safe Medication Practices Canada. April 30, 2007.
External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001.
Toft B. London, England: Department of Health; 2001.
This UK Department of Health report details a series of errors that led to the death of a young man due to wrong route administration of the chemotherapy drug vincristine. The fatality occurred as a result of a socio-technical systems failure at the hospital where he received the injection. The report makes 48 recommendations to help minimize the likelihood of this mistake.