Narrow Results Clear All
- Communication Improvement 1
- Culture of Safety 1
- Error Reporting and Analysis 1
- Human Factors Engineering
- Legal and Policy Approaches 1
- Quality Improvement Strategies
- Specialization of Care 1
- Technologic Approaches
- Identification Errors 3
- Interruptions and distractions 2
- Medical Complications 1
- Medication Safety 7
- Transfusion Complications 1
Search results for "Human Factors Engineering"
ISMP Medication Safety Alert! Acute Care Edition. May 21, 2009;14:1-3.
This article shares results from a survey regarding look-alike or sound-alike (LASA) medication confusion and lists strategies to reduce such errors.
Healthcare Quality Directorate, Department of Health. London, England: Crown Publishing; February 16, 2007.
This report discusses the impact that automated technologies, such as radio frequency identification (RFID) and barcoding, could have on health care in the United Kingdom and provides a plan to support their adoption in the National Health Service.
Journal Article > Review
Merry AF, Anderson BJ. Paediatr Anaesth. 2011;21:743-753.
This review discusses evidence-based practices and technologies that can reduce the incidence of medication errors.
Journal Article > Study
Nurse interruptions pre- and post-implementation of a point-of-care medication administration system.
Stamp KD, Willis DG. J Nurs Care Qual. 2010;25:231-239.
Aleccia J. MSNBC.com; May 28, 2010.
This news piece details errors involving medication name confusion and presents tips for consumers to avoid such mistakes.
Journal Article > Commentary
Bates DW, Wachter RM, Vanderveen T. Patient Saf Qual Healthc. July/August 2009;6:22-27.
This piece shares insights from an interactive audio conference regarding the potential impact of information technology on safe medication delivery.
Daner WE, Gosselin RC, Raschke R, Vanderveen T. Patient Saf Qual Healthcare. January/February 2009;6:20-25.
This article explains safety challenges commonly associated with heparin, a high-alert medication, and outlines how hospitals and clinicians can prevent these errors.
Journal Article > Study
Quillen K, Murphy K. Arch Pathol Lab Med. 2006;130:1196-1198.
The authors collected data on specimen mislabeling and implemented an intervention to provide timely feedback to emergency department staff, after which major mislabeling decreased from 47% to 14%.
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.