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Audiovisual > Audiovisual Presentation
Can you read this drug label?
Gill L. Consumer Reports Health. June 2011.
This video reports on a sampling of prescriptions from major retail pharmacies that demonstrated gaps, inconsistencies, and lack of clarity in drug information distributed to patients with their medications.
Audiovisual
Heparin overdose in three infants revisits hospital error issues.
Phend C. MedPage Today. November 26, 2007.
Within the context of a recent high-profile heparin error, this article reports on systems and protocols available to prevent medication errors. Interviews with three patient safety experts are available alongside the article via streaming audio.
Audiovisual
To reduce patient falls, hospitals try alarms, more nurses.
Ryan J. All Things Considered. National Public Radio. October 16, 2013.
This radio news segment reports on patient falls, including risk factors and prevention strategies.
Audiovisual > Audiovisual Presentation
Opioid-Induced Ventilatory Impairment (OIVI): Time for Change in the Monitoring Strategy for Postoperative PCA Patients.
Anesthesia Patient Safety Foundation. February 2014.
This video highlights a need for improved electronic monitoring of post-operative patients receiving opioids and includes footage from a multidisciplinary conference that offered patient experiences and expert insights about opioid safety.
Audiovisual
Silencing many hospital alarms leads to better health care.
Knox R. Morning Edition. National Public Radio. January 27, 2014.
Reporting on alarm fatigue, this radio segment includes insights from a nurse manager and systems engineer and reveals how one hospital addressed the issue by removing low-level alerts and enabling nurses to customize alarm settings according to patient needs.
Audiovisual > Audiovisual Presentation
HTSI Webinar Series on Alarm Systems Management.
Arlington, VA: AAMI Foundation Healthcare Technology Safety Institute; 2013-2014.
This series of webinars shared insights from representatives from hospitals, professional groups, and vendors whom discussed a variety of strategies to support safe use of hospital alarm systems and programs that enhanced learning from these systems.
Audiovisual > Commentary
Six things every plastic surgeon needs to know about teamwork training and checklists.
Harden CS. Aesthet Surg J. 2013;33:443-448.
This commentary emphasizes the value of crew resource management and checklists in teamwork training programs to improve safety in surgical settings.
Audiovisual
How to Make Your Hospital Stay Safer and Cheaper: A Checklist.
Kane J. PBS NewsHour. October 23, 2012.
This video reveals how checklists can help patients and their families ensure safety during hospital care.
Audiovisual
AHRQ Patient Safety Project Reduces Bloodstream Infections by 40 Percent.
- Classic
Rockville, MD: Agency for Healthcare Research and Quality; September 10, 2012.
The near elimination of central line–associated bloodstream infections (CLABSIs) in intensive care units (ICUs) in Michigan stands as one of the landmark accomplishments of the patient safety field. Although the checklist for CLABSI prevention has been widely publicized, equally important components of the intervention included the comprehensive unit-based safety program (CUSP) and interventions to improve safety culture in participating ICUs. The Agency for Healthcare Research and Quality subsequently sponsored an effort to extend the success of the Michigan initiative nationwide, centered around implementation of the CUSP. The initial results, presented in this press release, indicate another remarkable success, with CLABSI rates being reduced by 40% across 1100 participating ICUs. It is notable that these reductions were accomplished even though the baseline rate of CLABSI was already lower than in prior studies. The developer of CUSP, Dr. Peter Pronovost, was interviewed by AHRQ WebM&M in 2010.
Audiovisual
The evolution of patient safety.
Chassin M. Hosp Health Netw. August 13, 2012.
In this video, Dr. Mark Chassin of The Joint Commission provides insights on initiatives to improve safety in hospitals, including high reliability.
Audiovisual
Notre Dame students design to save lives.
McFadden M. WNDU. February 21, 2012.
This news video reports on a death from patient-controlled analgesia and how graphic design students were consequently inspired to design materials to enhance awareness of pain-pump safety.
Audiovisual
Limiting medical mistakes.
Maminta J. News 8 WTNH. February 3, 2012.
This news video highlights one hospital's effort to improve teamwork and communication in surgery to prevent errors.
Audiovisual > Audiovisual Presentation
July 2011 Author in the Room Teleconference.
Schiff GD. Institute for Healthcare Improvement; Journal of the American Medical Association. July 20, 2011.
Featuring an discussion with the author of a recent JAMA article, this archived webinar explored systemic causes for delays in test follow-up and offered strategies to address them.
Audiovisual
Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit.
Berenholtz SM, Pham JC, Thompson DA, et al. Infect Control Hosp Epidemiol. 2011;32:305-314.
The landmark Keystone ICU project, a statewide quality improvement initiative that used interventions grounded in safety culture and human factors engineering to improve safety in the intensive care unit, stands as one of the seminal achievements of the patient safety field. The success of the Keystone ICU project at reducing central line–associated bloodstream infections has been widely publicized, and this study reports a similar success in reducing rates of ventilator-associated pneumonia. As with the prior results, this article emphasizes that the success of the study was attributable to the multifaceted quality improvement approach used and the cultural change it engendered in participating ICUs.
Audiovisual
Pharmacy mixes up prescriptions.
Haythorn R. ABC News. February 7, 2011.
This video news segment reports on a pharmacy error involving similar patient names. A pregnant woman was mistakenly given a chemotherapy medication instead of an antibiotic.
Audiovisual
Chasing Zero: Winning the War on Healthcare Harm.
Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.
This documentary reports on families affected by medical errors; it includes the story of a high-profile heparin overdose and how it transformed the family of actor Dennis Quaid into advocates for patient safety.
Audiovisual
Checklist Manifesto author pairs simplicity with lifesaving.
Bowser BA. PBS News Hour. February 8, 2010.
This video news piece highlights how checklist strategies may help reduce preventable complications in hospitals, as discussed in The Checklist Manifesto.
Audiovisual
Radiation offers new cures, and ways to do harm.
Bogdanich W. New York Times. January 24, 2010:A1.
First in a series on medical radiation, this news feature and accompanying video investigate patient deaths and injuries following mistakes related to radiation treatment. The journalists discuss the number of radiation therapy errors in New York and reveal that state law does not require public reporting of such mistakes.
Audiovisual > Commentary
Caution: coloured medication and the colour blind.
Cole BL, Harris RW. Lancet. 2009;374:720.
This piece illustrates how relying on color for identification and distinction of medications and containers could cause errors for patients with impaired color vision.
Audiovisual
Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; August 13, 2009.
This public health notification raises awareness of the potential for falsely elevated blood glucose readings in patients using therapeutic products containing certain non-glucose sugars.