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Search results for "Non-Health Care Professionals"

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Newspaper/Magazine Article

Safety requires a state of mindfulness.

ISMP Medication Safety Alert! Acute Care Edition. July 31, 2014;

This article introduces the concept of mindfulness within the context of principles of high reliability organizations.

Newspaper/Magazine Article

Learning safe prescribing during post-take ward rounds.

Conroy-Smith E, Herring R, Caldwell G. Clin Teach. 2011;8:75-78.

This article describes how a rounds-based medication chart review initiative was implemented to educate physicians and medical students on medication safety behaviors.

Grant

Johns Hopkins receives $10 million to open patient safety institute.

Cohn M. Baltimore Sun. May 27, 2011:A1.

This newspaper article reports on plans to develop the Armstrong Institute for Patient Safety and Quality at Johns Hopkins. The institute is dedicated to improving patient safety and reducing medical errors.

Newspaper/Magazine Article

Multiple latent failures align to allow a serious drug interaction to harm a patient.

ISMP Medication Safety Alert! Acute Care Edition. May 5, 2011;16:1-3.

Detailing a case in which latent failures led to patient harm, this article encourages health care providers investigating adverse events to consider how both active and latent failures may line up to cause errors.

Newspaper/Magazine Article

Another tragic parenteral nutrition compounding error.

ISMP Medication Safety Alert! Acute Care Edition. April 21, 2011;16:1-3.

This article analyzes a fatal error involving parenteral nutrition and makes recommendations to prevent such incidents.

Newspaper/Magazine Article

Drug shortages: a pharmacy informatics perspective.

Edillo PN. Pharm Purch Prod. April 2011;8:26.

This article describes the impact of medication shortages on health systems and discusses how to manage them.

Newspaper/Magazine Article

Medication reconciliation only as good as the IT allows.

Page D. Hosp Health Netw. 2011 Mar;85:48, 50.

This piece describes the medication reconciliation process and discusses limitations of current information technology applications.

Newspaper/Magazine Article

Reducing alarm hazards: selection and implementation of alarm notification systems.

Gee T, Moorman BA. Patient Saf Qual Healthc. March/April 2011;8:14-17.

Highlighting dangers presented by alarm fatigue, modification, and miscommunication, this article discusses strategies to reduce such incidents.

Newspaper/Magazine Article

That’s the way we do things around here!

ISMP Medication Safety Alert! Acute Care Edition. February 24, 2011;16:1-2.

This piece discusses the effects of personal behaviors and peer interactions on an organization's safety culture.

Newspaper/Magazine Article

As industry automates, adverse events continue to haunt caregivers.

Wetzel TG. Health Data Manage. 2011 Feb;19:86, 88, 90 passim.

This article discusses how several health care organizations used health information technology to improve organizational transparency.

Newspaper/Magazine Article

Guidelines for timely medication administration: response to the CMS "30-minute rule."

ISMP Medication Safety Alert! Acute Care Edition. January 13, 2011;16:1-4.

This article reports results from a survey on the Centers for Medicare & Medicaid Services "30-minute rule" and provides a set of revised guidelines.

Newspaper/Magazine Article

Panel set to study safety of electronic patient data.

Freudenheim M. New York Times. December 13, 2010:3B.

This article reports on a committee created by the Institute of Medicine to analyze the potential impact of electronic medical records (EMR) on costs and quality of care.

Newspaper/Magazine Article

Disruptive behavior affects hospital financial health.

Crane M. Medscape Medical News. December 11, 2010.

This news piece discusses one study's findings that clinician disruptive behavior affects an institution's bottom line.

Newspaper/Magazine Article

Medical malpractice: the fear factor.

Robeznieks A. Modern Physician. September 13, 2010.

This piece discusses evidence collected on the role of malpractice in defensive medicine and describes an AHRQ initiative to explore solutions for liability problems.

Newspaper/Magazine Article

Hospitals collaborate to prevent wrong-site surgery.

Pelczarski KM, Braun PA, Young E. Patient Saf Qual Healthc. Sept/Oct 2010;7:20-22,25-26.

This article describes a wrong-site surgery prevention program and how it was successfully implemented in 30 hospitals.

Newspaper/Magazine Article

CMS 30-minute rule for drug administration needs revision.

ISMP Medication Safety Alert! Acute Care Edition. September 9, 2010;15:1-6.

This piece highlights nurses' responses to a national survey that explored problems associated with the Centers for Medicare and Medicaid Services (CMS) medication administration timing requirement.

Newspaper/Magazine Article

Electronic prescribing vulnerabilities: height and weight mix-up leads to dosing error.

ISMP Medication Safety Alert! Acute Care Edition. August 26, 2010;15:1-3.

This article discusses a case of data entry error in an electronic prescribing system, explains the contributing factors, and provides recommendations to prevent such errors.

Journal Article

Measuring inappropriate medical diagnosis and treatment in survey data: the case of ADHD among school-age children.

Evans WN, Morrill MS, Parente ST. J Health Econ. 2010;29:657-673.

This study discusses diagnostic uncertainty in attention deficit hyperactivity disorder, along with the consequences of misdiagnosis and inappropriate treatment.

Newspaper/Magazine Article

Human costs of training doctors.

Dunklin R, Goetinck Ambrose S, Egerton B. Dallas Morning News. August 1, 2010:A01.

This newspaper article reveals how one teaching hospital facilitated error through ineffective resident training, weak oversight, and poor safety culture.

Newspaper/Magazine Article

Preventing catheter/tubing misconnections: much needed help is on the way.

ISMP Medication Safety Alert! Acute Care Edition. July 15, 2010;15:1-2.

This piece describes reports of tubing misconnections and discusses upcoming standards for connectors that will prevent such errors.

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