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- Culture of Safety 2
- Error Reporting and Analysis 2
- Human Factors Engineering 2
- Legal and Policy Approaches 1
Quality Improvement Strategies
- Audit and Feedback
- Technologic Approaches
Search results for "Audit and Feedback"
Journal Article > Study
Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration.
Hensley NB, Koch CG, Pronovost PJ, et al. Jt Comm J Qual Patient Saf. 2019;45:190-198.
Perspectives on Safety > Perspective
with commentary by Ashish K. Jha, MD, MPH, The Transformation of Patient Safety at the VA, September 2006
Five years after the landmark Crossing the Quality Chasm report by the Institute of Medicine (IOM), the quality and safety of health care in the United States remains far from ideal.(1) It is easy to feel pessimistic. Can health care organizations really...
Rogoski RR. Health Manage Technol. August 2005;26:12,14,16,18.
This article reports on two efforts to reduce medical errors through information technology implementation.
Cases & Commentaries
- Web M&M
Harold S. Kaplan, MD; February 2004
Blood typing tubes for a married couple brought to an ED after a trauma are labeled with the opposite stickers. By coincidence, the wife's blood type was already on file. An alert blood-bank technologist catches the mistake.