• Classic
• Contains CME
• Spotlight Case

Resource Type

• WebM&M Cases 25
• Perspectives on Safety 4
  • Interview 1
  • Perspective 3
• Journal Article 924
  • Commentary 300
  • Review 86
  • Study 538
• Audiovisual 9
  • Audiovisual Presentation 2
  • Image/Poster 3
  • Slideset 3
• Book/Report 18
• Legislation/Regulation 6
  • Legislation/Case Law 1
    • Pennsylvania Legislation 1
  • Organizational Policy/Guidelines 5
    • Sentinel Event Alerts 3
• Newspaper/Magazine Article 75
• Special or Theme Issue 24
• Tools/Toolkit 12
  • Fact Sheet/FAQs 5
  • Measurement Tool/Indicator 1
  • Toolkit 6
• Web Resource 21
  • Course Material/Curriculum 1
  • Government Resource 12
  • Multi-use Website 8
• Meeting/Conference 1
  • Meeting/Conference Proceedings 1
• Press Release/Announcement 3

Approach to Improving Safety

• Communication Improvement 233
  • Communication between Providers 191
    • Medication Reconciliation 19
    • Read Back Protocols 15
    • Sbar 6
    • Structured Hand-offs 47
  • Provider-Patient Communication 40
    • Health Literacy Improvement 2
    • Informed Consent 5
• Culture of Safety 141
  • Institutional Patient Safety Plan 1
  • Just Culture 8
  • Learning Organization 8
  • Red Rules 1
• Education and Training 217
  • Continuing Education 24
    • Educational Outreach/Academic Detailing 2
  • Online Education 8
  • Patient Education 11
  • Residents and Fellows 6
  • Simulators 36
  • Students 24
  • Teamwork Training 26
• Error Reporting and Analysis 261
  • Error Analysis 126
    • Failure Mode Effects Analysis 13
    • Morbidity and Mortality Conferences 1
    • Narrative/Storytelling 8
    • Root Cause Analysis 10
  • Error Reporting 105
    • Governmental Reporting 1
    • Institutional Reporting 26
    • Never Events 1
    • Nongovernmental Reporting 3
    • Patient Complaints 5
    • Patient Disclosure 10
  • Patient Safety Indicators 6
• Human Factors Engineering 170
  • Checklists 40
  • Failure Mode Effects Analysis 1
  • Forcing Functions 5
  • Medical Alarm Design 15
  • Medical Device Design 24
• Legal and Policy Approaches 43
  • Credentialing, Licensure, and Discipline 12
  • Incentives 6
    • Financial 1
  • Malpractice Litigation 7
  • Regulation 5
  • Role of the Media 2
• Logistical Approaches 129
  • Duty Hour Limitation 23
  • Laboratory Result Tracking Improvement 4
  • Nurse Staffing Ratios 58
  • Scheduling Changes 16
• Quality Improvement Strategies 252
  • Audit and Feedback 40
  • Benchmarking 17
  • Continuous Quality Improvement 5
  • Critical Pathways 13
  • Patient Self-Management 9
  • Practice Guidelines 92
  • Reminders 7
  • Six Sigma 4
• Specialization of Care 59
  • Clinical Pharmacist Involvement 11
  • Hospitalists 1
  • Intensivists and Other ICU Strategies 1
  • Specialized Teams 44
    • Rapid Response Team 32
    • Unit Based Safety Teams 5
• Teamwork 109
  • Teamwork Training 18
• Technologic Approaches 139
  • Automatic drug dispensers 15
  • Bar Coding and Radiofrequency ID Tagging 35
  • Clinical Information Systems 60
    • Computerized Decision Support 12
    • Computerized Provider Order Entry (CPOE) 27
    • Electronic Health Records 17
  • Computer-Assisted Therapy 4
  • Computerized Adverse Event Detection 5
  • Telemedicine 5

Safety Target

• Alert fatigue 5
• Device-related Complications 56
  • Indwelling Tubes and Catheters 22
  • Infusion Pumps 14
  • Prostheses and Implants 1
  • Restraints 1
• Diagnostic Errors 11
  • Clinical Misdiagnosis 5
  • Diagnostic Test Interpretation Error 1
• Discontinuities, Gaps, and Hand-Off Problems 126
  • Missed or Critical Lab Results 2
• Drug shortages 1
• Failure to rescue 7
• Fatigue and Sleep Deprivation 39
• Identification Errors 29
  • Wrong Patient 10
  • Wrong-Site Surgery 10
• Inpatient suicide 1
• Interruptions and distractions 52
• Medical Complications 104
  • Delirium 1
  • Nosocomial Infections 27
  • Patient Falls 30
  • Pressure Ulcers 3
  • Venous Thrombosis and Thromboembolism 1
• Medication Safety 379
  • Medication Errors/Preventable Adverse Drug Events 303
    • Administration Errors 141
    • Dispensing Errors 14
    • Monitoring Errors and Failures 6
    • Ordering/Prescribing Errors 20
    • Transcription Errors 5
  • Side Effects/Adverse Drug Reactions 6
  • Specific to High-Risk Drugs 62
    • Anticoagulants 10
    • Chemotherapeutic Agents 11
    • Insulin 10
    • Look-Alike, Sound-Alike Drugs 11
    • Opiates/Narcotics 9
• Nonsurgical Procedural Complications 21
  • Bedside Procedures 7
  • Gastroenterology 1
  • Interventional Radiology 1
• Psychological and Social Complications 62
• Second victims 3
• Surgical Complications 131
  • Intraoperative Complications 38
    • Retained Surgical Instruments and Sponges 15
    • Wrong-Site Surgery 13
  • Postoperative Surgical Complications 16
    • Surgical Site Infections 5
  • Preoperative Complications 2
• Transfusion Complications 3

Setting of Care

• Ambulatory Care 51
  • Ambulatory Clinic or Office 13
  • Home Care 22
  • Outpatient Pharmacy 2
• Hospitals 799
  • Children's Hospitals 36
  • General Hospitals 320
    • Emergency Departments 34
    • Intensive Care Units 86
    • Labor and Delivery 18
    • Operating Room 126
  • Specialty Hospitals 8
• Long-Term Care 23
• Outpatient Surgery 6
• Patient Transport 4
• Psychiatric Facilities 11

Target Audience

• Family Members and Caregivers 7
• Health Care Executives and Administrators
  • Facility and Group Administrators 93
  • Nurse Managers 751
  • Quality and Safety Professionals 464
  • Risk Managers 114
• Health Care Providers
  • Allied Health Professionals 2
  • Clinical Technologists 17
  • Nurses
  • Pharmacists 89
  • Physicians 339
• Non-Health Care Professionals 274
  • Educators 82
  • Engineers 19
  • Information Professionals 62
  • Media 2
  • Organizational Behaviorists 92
  • Policy Makers 13
  • Safety Scientists 23
• Patients 26