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Journal Article > Commentary
Commissioning simulations to test new healthcare facilities: a proactive and innovative approach to healthcare system safety.
Kaba A, Barnes S. Adv Simul (Lond). 2019;4:17.
Journal Article > Study
Untangling infusion confusion: a comparative evaluation of interventions in a simulated intensive care setting.
Pinkney SJ, Fan M, Koczmara C, Trbovich PL. Crit Care Med. 2019;47:e597-e601.
This simulation study examined critical care unit nurses' performance in identifying intravenous medications using different equipment types. Researchers found that line labels (attached to each line of tubing) and organizers (which prevent tubing from tangling) significantly improved the accuracy of medication identification compared to usual care. Use of smart pumps required more time and did not improve medication identification accuracy, suggesting that line labels and organizers are an inexpensive and feasible method to enhance medication safety.
Lightner NJ, Kalra J, eds. Cham, Switzerland: Springer Nature; 2019. ISBN: 9783030204501.
Human-centered processes, technology, and equipment design affect the safety of care. This book provides conference proceedings that explore the application of human factors and ergonomics expertise in six areas of health care (patient safety, health information systems, worker safety, clinician decision support, medical device development, and care of older patients) to improve safety.
ISMP Canada Safety Bulletin. July 31, 2011;11:1-2.
This announcement reports on mistaken intravenous administration of breast milk and provides recommendations to prevent parenteral administration of enteral nutrition.