Narrow Results Clear All
- Communication Improvement 15
- Culture of Safety 8
- Education and Training 13
- Error Reporting and Analysis 10
- Human Factors Engineering 18
- Legal and Policy Approaches 8
- Logistical Approaches
- Quality Improvement Strategies 14
- Specialization of Care 4
- Teamwork 1
- Technologic Approaches 17
- Alert fatigue 1
- Device-related Complications 1
- Diagnostic Errors 5
- Discontinuities, Gaps, and Hand-Off Problems 15
- Drug shortages 1
- Failure to rescue 1
- Fatigue and Sleep Deprivation 17
- Identification Errors 6
- Interruptions and distractions 2
- Medical Complications 5
- Medication Errors/Preventable Adverse Drug Events 18
- MRI safety 1
- Nonsurgical Procedural Complications 2
- Psychological and Social Complications 2
- Surgical Complications 6
- Transfusion Complications 2
- Internal Medicine 22
- Surgery 5
- Nursing 11
- Pharmacy 16
- Family Members and Caregivers 2
- Health Care Executives and Administrators 39
Health Care Providers
- Nurses 10
- Non-Health Care Professionals 20
- Patients 33
Search results for "Logistical Approaches"
- Newspaper/Magazine Article
- Logistical Approaches
Ross C. STAT. May 13, 2019.
Nuisance alarms, interruptions, and insufficient staff availability can hinder effective monitoring and response to acute patient deterioration. This news article reports on how hospital logistics centers are working toward utilizing artificial intelligence to improve clinician response to alarms by proactively identifying hospitalized patients at the highest risk for heart failure to trigger emergency response teams when their condition rapidly declines.
Khullar D. New York Times. February 22, 2017.
Implementing design changes in care environments can improve patient safety. This newspaper article reports on how efforts to address hospital design concerns can augment infection control, patient-centeredness, fall prevention, and noise reduction. A past PSNet perspective discussed physical space redesign as a patient safety strategy.
Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm.
ISMP Medication Safety Alert! Acute Care Edition. May 30, 2013;18:1-3.
ISMP Medication Safety Alert! Acute Care Edition. September 6, 2012;17:1-4.
This newsletter article discusses results from a survey of community pharmacists on how time guarantees affect their practice.
Butterfield S, Stegel C, Glock S, Tartaglia D. Patient Saf Qual Healthc. May/June 2011;8:29-33.
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.
ISMP Medication Safety Alert! Acute Care Edition. January 13, 2011;16:1-4.
This article reports results from a survey on the Centers for Medicare & Medicaid Services "30-minute rule" and provides a set of revised guidelines.
ISMP Medication Safety Alert! Acute Care Edition. January 14, 2010;15:1-4.
This newsletter article details findings of an ISMP survey on how the economy is affecting patient safety efforts in United States hospitals. Many respondents reported that medication safety initiatives have been scaled back since the economic downturn.
ISMP Medication Safety Alert! Acute Care Edition. September 11, 2008;13:1-3.
This article discusses a medication error associated with a new smart pump system and describes strategies to prevent errors when well-established processes are changed.
ISMP Medication Safety Alert! Acute Care Edition. February 14, 2008;13:1-3.
This article describes errors that can occur when methadone is prescribed for pain and offers safe practice recommendations for the use of this medication.
ISMP Medication Safety Alert! Acute Care Edition. November 1, 2007;12:1-3.
This article highlights numerous safety concerns surrounding investigational drugs and offers safe practice recommendations.
ISMP Medication Safety Alert! Acute Care Edition. October 4, 2007;12:1-2.
This article describes how errors involving potassium chloride still occur and discusses further strategies to prevent tragic mistakes with this medication.
ISMP Medication Safety Alert! Acute Care Edition. September 6, 2007;12:1-4.
This article analyzes a lethal error involving TPN (total parenteral nutrition), in which dosing and compounding were based on incorrect order entry, and provides recommendations to prevent similar errors.
ISMP Medication Safety Alert! Acute Care Edition. July 26, 2007;12:1-2.
This article focuses on specific medication-use practices that may spread infection, and offers recommendations to ensure safety.
ISMP Medication Safety Alert! Acute Care Edition. May 3, 2007;12:1-2.
This alert describes several incidents of heparin/insulin mix-ups and provides recommendations to prevent similar slips.
Simmons-Ritchie D. Penn Live. November 15, 2018.
Nursing home patients are vulnerable to preventable harm due to poor safety culture, insufficient staffing levels, lack of regulation enforcement, and misaligned financial incentives. This news investigation reports on how poor practices resulted in resident harm in Pennsylvania nursing homes and discusses strategies for improvement, such as enhancing investigation processes.
Hurt J. Med Econ. April 26, 2017.
Hester JL. The Atlantic. October 1, 2015.
Although there is no consensus regarding whether the "July effect" actually exists, it is not hard to imagine the difficulties associated with the first days of practice for a new physician. This magazine article reports on the challenges first-year residents face, including burnout and gaps in practical experience, and describes efforts meant to address this problem, such as duty-hour reform and humanistic curricula in medical schools to help physicians develop their own professional identity.
McKinnon C. WBZ-TV. February 13, 2015.
Ungar L. USA Today. February 1, 2015.