• Classic
• Contains CME
• Spotlight Case

Resource Type

• WebM&M Cases 34
• Perspectives on Safety 2
  • Perspective 2
• Journal Article 342
  • Commentary 33
  • Review 24
  • Study 285
• Audiovisual 4
  • Audiovisual Presentation 2
• Book/Report 5
• Legislation/Regulation 2
  • Legislation/Case Law 1
    • Federal Legislation 1
  • Organizational Policy/Guidelines 1
• Newspaper/Magazine Article 30
• Special or Theme Issue 2
• Tools/Toolkit 2
  • Fact Sheet/FAQs 1
  • Toolkit 1
• Web Resource 17
  • Government Resource 17
• Award 1
  • Award Recipient 1
• Press Release/Announcement 1

Approach to Improving Safety

• Communication Improvement 71
  • Communication between Providers 58
    • Medication Reconciliation 19
    • Read Back Protocols 6
    • Sbar 2
    • Structured Hand-offs 3
  • Provider-Patient Communication 13
    • Health Literacy Improvement 4
• Culture of Safety 7
  • Institutional Patient Safety Plan 2
• Education and Training 59
  • Continuing Education 4
    • Educational Outreach/Academic Detailing 2
  • Online Education 1
  • Patient Education 11
  • Residents and Fellows 13
  • Simulators 3
  • Students 5
  • Teamwork Training 1
• Error Reporting and Analysis 101
  • Error Analysis 56
    • Failure Mode Effects Analysis 2
    • Narrative/Storytelling 1
    • Root Cause Analysis 4
  • Error Reporting 23
    • Governmental Reporting 2
    • Institutional Reporting 4
    • Never Events 1
    • Nongovernmental Reporting 2
    • Patient Disclosure 1
  • Patient Safety Indicators 2
• Human Factors Engineering 53
  • Checklists 6
  • Failure Mode Effects Analysis 1
  • Forcing Functions 10
  • Medical Alarm Design 9
  • Medical Device Design 2
• Legal and Policy Approaches 19
  • Credentialing, Licensure, and Discipline 1
  • Incentives 6
    • Financial 2
    • Public Reporting 2
  • Malpractice Litigation 1
  • Regulation 7
  • Role of the Media 3
• Logistical Approaches 16
  • Duty Hour Limitation 1
  • Laboratory Result Tracking Improvement 6
• Quality Improvement Strategies 86
  • Audit and Feedback 25
  • Benchmarking 2
  • Continuous Quality Improvement 2
  • Critical Pathways 2
  • Patient Self-Management 3
  • Practice Guidelines 36
  • Reminders 9
  • Six Sigma 1
• Specialization of Care 30
  • Clinical Pharmacist Involvement 28
  • Hospitalists 1
  • Specialized Teams 1
• Teamwork 7
  • Teamwork Training 3
• Technologic Approaches 229
  • Automatic drug dispensers 8
  • Bar Coding and Radiofrequency ID Tagging 6
  • Clinical Information Systems 200
    • Computerized Decision Support 58
    • Computerized Provider Order Entry (CPOE) 154
    • Electronic Health Records 19
  • Computer-Assisted Therapy 1
    • Computer-Assisted Radiotherapy 1
  • Computerized Adverse Event Detection 29
  • Telemedicine 1

Safety Target

• Alert fatigue 18
• Device-related Complications 3
  • Infusion Pumps 1
• Diagnostic Errors 5
  • Clinical Misdiagnosis 2
• Discontinuities, Gaps, and Hand-Off Problems 20
  • Missed or Critical Lab Results 2
• Drug shortages 2
• Fatigue and Sleep Deprivation 1
• Identification Errors 3
  • Wrong Patient 2
• Interruptions and distractions 5
• Medical Complications 10
  • Nosocomial Infections 3
  • Patient Falls 2
  • Venous Thrombosis and Thromboembolism 2
• Medication Safety
  • Medication Errors/Preventable Adverse Drug Events
    • Administration Errors 55
    • Dispensing Errors 26
    • Monitoring Errors and Failures 5
    • Ordering/Prescribing Errors
    • Transcription Errors 30
  • Side Effects/Adverse Drug Reactions 18
  • Specific to High-Risk Drugs 82
    • Anticoagulants 14
    • Chemotherapeutic Agents 13
    • Insulin 5
    • Look-Alike, Sound-Alike Drugs 12
    • Opiates/Narcotics 22
• Nonsurgical Procedural Complications 2
  • Cardiology 2
• Psychological and Social Complications 3
• Surgical Complications 5
  • Intraoperative Complications 1
  • Preoperative Complications 1

Setting of Care

• Ambulatory Care 90
  • Ambulatory Clinic or Office 32
  • Home Care 5
  • Outpatient Pharmacy 21
• Hospitals 255
  • Children's Hospitals 31
  • General Hospitals 87
    • Emergency Departments 20
    • Intensive Care Units 29
    • Operating Room 5
  • Specialty Hospitals 7
• Long-Term Care 14
• Outpatient Surgery 1
• Patient Transport 2
• Psychiatric Facilities 2