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- Culture of Safety 2
- Education and Training 1
- Error Reporting and Analysis 3
- Human Factors Engineering 2
- Legal and Policy Approaches 3
- Logistical Approaches 1
- Quality Improvement Strategies 2
- Specialization of Care 1
- Technologic Approaches 2
- Diagnostic Errors 1
- Discontinuities, Gaps, and Hand-Off Problems 1
- Medical Complications 1
- Medication Safety 3
- Nonsurgical Procedural Complications 1
- Second victims 1
Search results for "Policy Makers"
- Policy Makers
Gordon M. Health Shots. National Public Radio. April 10, 2019.
Punitive responses to medical errors persist despite continued efforts to reduce them. This news article reports on an incident involving the mistaken use of a neuromuscular blocking agent that resulted in the death of a patient, the prosecution of the nurse who made the error, and systemic and human factors that contribute to similar events.
Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just culture.
ISMP Medication Safety Alert! Acute Care Edition. February 14, 2019;24.
Journal Article > Study
New technologies in radiation therapy: ensuring patient safety, radiation safety and regulatory issues in radiation oncology.
Amols HI. Health Phys. 2008;95:658-665.
This study discusses emerging patient safety issues in radiation oncology. According to the authors, the advent of more sophisticated technologies and more complex treatment plans has created an environment with greater potential for error.
Journal Article > Commentary
Munro AJ. Br J Radiol. 2007;80:955-966.
This commentary provides context on risks, errors, and safety in cancer treatment in light of a recent analysis by the Chief Medical Officer for the United Kingdom regarding error in radiation therapy.
Journal Article > Review
Berlin L. AJR Am J Roentgenol. 2007;189:517-522.
Reviewing legal and clinical literature, the author discusses the unclear delineation between malpractice and error in radiology.
Unintended exposure of patient Lisa Norris during radiotherapy treatment at the Beatson Oncology Centre, Glasgow in January 2006.
Johnson AM. Edinburgh, Scotland: Scottish Executive; 2006.
This report shares results and recommendations from the investigation of a radiotherapy overdose. The investigation identified contributing factors such as an inexperienced caregiver, supervision gaps, ineffective double-checks, and the misalignment of system improvements with training and documentation.
Dallas, TX: Susan G. Komen Breast Cancer Foundation; June 2006.
This report illustrates weaknesses in current pathology practice of breast cancer diagnosis and suggests improvements for reliability and effectiveness.