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- Communication Improvement 2
- Education and Training 2
- Error Reporting and Analysis 1
- Human Factors Engineering 2
- Legal and Policy Approaches 1
- Quality Improvement Strategies
- Specialization of Care 1
- Technologic Approaches
- Device-related Complications 1
- Discontinuities, Gaps, and Hand-Off Problems 2
- Medication Errors/Preventable Adverse Drug Events 3
Search results for "Hospital Medicine"
Web Resource > Multi-use Website
Indiana Hospital Association.
Launched in 2006, the Indiana Patient Safety Center (IPSC) is dedicated to promoting safety culture and reliable systems of care in the state. This website provides resources related to IPSC educational activities and efforts to raise awareness of local and national safety initiatives, including the Hospital Engagement Network.
Audiovisual > Audiovisual Presentation
American Hospital Association. December 3, 2014.
Hospitals and health systems face challenges in implementing electronic health records that can affect safety. This webinar introduced the SAFER guides, which highlight strategies to improve safety related to electronic health record use, and educate participants about ways to implement these guides in their organizations. The session featured Hardeep Singh and Dean F. Sittig as speakers.
Journal Article > Commentary
Cohen MR. Hosp Pharm. 2009;44:654-657.
This monthly error report analysis includes examples of miscommunication regarding medication allergy, incorrect dosing of opiates, and misplacement of a medication patch in an automated dispensing cabinet.
ISMP Medication Safety Alert! Acute Care Edition. January 15, 2015;20:1-4.
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-07-00470.
The Tax Relief and Health Care Act of 2006 mandated that the Office of Inspector General (OIG) report to Congress the incidence of "never events" among Medicare beneficiaries, payment by Medicare for services in connection with such events, and the process used to identify events and deny payments. This report addresses that mandate by providing a descriptive analysis of the key issues to understanding hospital-based adverse events. The report is focused around discussion of seven critical issues that are explored in detail. Of note, OIG expanded the study of never events to the broader topic of adverse events in their analysis.
Cases & Commentaries
- Web M&M
Steven R. Kayser, PharmD; February 2007
A woman admitted to the hospital for cardiac transplantation evaluation is mistakenly given warfarin despite an order to hold the dose due to an increase in her INR level.
Cases & Commentaries
- Web M&M
Scott A. Strassels, PharmD, PhD, BCPS; August 2006
In anticipation of discharge, a patient's opiate medication is changed from an immediate-release to a long-acting formbut the dose was incorrectly converted, resulting in an overdose. The patient develops respiratory distress and requires a 2-week stay in the ICU.