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- Culture of Safety 1
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Error Reporting and Analysis
- Failure Mode Effects Analysis
- Error Analysis
- Human Factors Engineering 2
- Logistical Approaches 1
- Quality Improvement Strategies 1
- Technologic Approaches
Search results for "Failure Mode Effects Analysis"
ISMP Medication Safety Alert! Acute Care Edition. September 11, 2008;13:1-3.
This article discusses a medication error associated with a new smart pump system and describes strategies to prevent errors when well-established processes are changed.
Tools/Toolkit > Toolkit
Pathways for Medication Safety Tool #2. Chicago, IL: American Hospital Association; 2003.
A compendium of risk assessment tools to assist in the prevention of medication errors. The tools emphasize the importance of a multidisciplinary approach to managing risk with key sections focusing on physicians, nurses, pharmacists, risk managers, and administrators.
Journal Article > Review
'Why is there another person's name on my infusion bag?' Patient safety in chemotherapy care—a review of the literature.
Kullberg A, Larsen J, Sharp L. Eur J Oncol Nurs. 2013;17:228-235.
Cancer patients undergoing chemotherapy may be particularly vulnerable to medical errors, as their care often requires use of high-risk medications and must be closely coordinated between multiple physicians. This thematic review focused on methods to improve safety for chemotherapy patients and found evidence that computerized provider order entry could reduce medication errors. However, the authors did not find enough evidence to recommend other interventions that have been proposed, such as patient engagement or teamwork training for patients and families. An AHRQ WebM&M commentary discusses how one institution responded to a serious chemotherapy error.