Narrow Results Clear All
- WebM&M Cases 24
- Perspectives on Safety 3
- Commentary 17
- Review 4
- Study 19
- Audiovisual 4
- Book/Report 7
- Legislation/Regulation 5
- Newspaper/Magazine Article 14
- Newsletter/Journal 1
- Special or Theme Issue 1
- Toolkit 5
- Web Resource 13
- Clinical Guideline 1
- Grant 1
- Meeting/Conference 1
- Press Release/Announcement 1
Communication between Providers
- Sbar 2
- Communication between Providers 20
- Culture of Safety 9
Education and Training
- Students 3
- Error Reporting and Analysis 11
- Human Factors Engineering 20
- Legal and Policy Approaches 11
- Logistical Approaches 3
Quality Improvement Strategies
- Practice Guidelines
- Specialization of Care 4
- Teamwork 4
- Technologic Approaches 15
- Device-related Complications 18
- Diagnostic Errors 15
- Discontinuities, Gaps, and Hand-Off Problems 21
- Failure to rescue 1
- Fatigue and Sleep Deprivation 3
- Identification Errors 2
- Inpatient suicide 1
- Interruptions and distractions 1
- Medical Complications 20
- Medication Errors/Preventable Adverse Drug Events 28
- MRI safety 1
- Nonsurgical Procedural Complications 6
- Psychological and Social Complications 3
- Second victims 1
- Surgical Complications 12
- Allied Health Services 1
- Dentistry 1
- Internal Medicine 23
- Nursing 12
- Pharmacy 14
- Family Members and Caregivers 1
- Health Care Executives and Administrators 62
Health Care Providers
- Nurses 28
- Pharmacists 13
- Physicians 35
Non-Health Care Professionals
- Educators 10
- Patients 9
- Africa 2
- Asia 2
- Australia and New Zealand 5
- Central and South America 2
- Europe 11
- Canada 6
- United States of America 58
Search results for "Practice Guidelines"
- Education and Training
- Practice Guidelines
London, UK: Royal College of Surgeons of England; 2016.
Rockville, MD: Agency for Healthcare Research and Quality; September 2016. AHRQ Publication No. 16-0035-2-EF.
Journal Article > Study
Raemer DB, Locke S, Walzer TB, Gardner R, Baer L, Simon R. J Patient Saf. 2016;12:140-147.
Obstetricians and labor nurses who were given a best practices guideline performed better in a standardized disclosure-and-apology discussion simulation than colleagues who were provided as much time as they thought was needed to prepare. Similar cognitive aids may help clinicians faced with disclosing adverse events to patients.
Special or Theme Issue
Miller DR, Merry AF, eds. Can J Anesth. 2013;60:7-220.
Tools/Toolkit > Multi-use Website
American Society for Parenteral and Enteral Nutrition; 8630 Fenton Street, Suite 412, Silver Spring, MD 20910.
This Web site includes a toolkit, posters, and educational materials to support safe tube feedings and prevent tubing misconnections.
ISMP Medication Safety Alert! Acute Care Edition. May 8, 2008;13:1-3.
This article describes common problems associated with insulin pen injectors and provides recommendations for their safe use.
ISMP Medication Safety Alert! Acute Care Edition. August 23, 2007;12:1-3.
This article discusses the myriad dosing methods that can lead to errors in administering intravenous medications and programming infusion pumps.
ISMP Medication Safety Alert! Acute Care Edition. June 28, 2007;12:1-3.
This article discusses inappropriate prescribing of medication patches for acute pain management and provides strategies for minimizing problems associated with their use.
Legislation/Regulation > Multi-use Website
World Health Organization.
This Web site shares information on a variety of initiatives from the World Alliance for Patient Safety.
Web Resource > Multi-use Website
1275 K St, NW, Suite 1000, Washington, DC 20005.
This Web site offers news articles, event listings, and information on minimizing health care-associated infections for both professional and lay audiences.
ISMP Medication Safety Alert! Acute Care Edition. May 18, 2006;11:1-2.
This alert presents the risks involved with tablet splitting and outlines several recommendations for providers to increase safety.
Perspectives on Safety > Perspective
with commentary by Nancy C. Elder, MD, MSPH, Outpatient Safety, May 2006
Dr. Jones was sure he had increased Mr. H's cholesterol-lowering medication to 80 mg 6 months ago, but, at his visit today, his pill bottle still says 40 mg. In reviewing Ms. B's chart in preparation for performing a well-woman examination, Dr. Smith find...
Tools/Toolkit > Toolkit
Ann Arbor, MI: National Center for Patient Safety; 2004.
The National Center for Patient Safety created the Falls Toolkit to assist VA facilities in implementing or improving falls prevention efforts. The toolkit provides information on (1) designing a falls prevention and management program; (2) effective interventions for high-risk fall patients; (3) implementing hip protectors for high-risk fall patients; and (4) educating patients, families, and staff on falls and fall-injury prevention. The web version of the toolkit includes a falls notebook for practitioners implementing a program, media tools, and additional resources.
Web Resource > Multi-use Website
Indiana Hospital Association.
Launched in 2006, the Indiana Patient Safety Center (IPSC) is dedicated to promoting safety culture and reliable systems of care in the state. This website provides resources related to IPSC educational activities and efforts to raise awareness of local and national safety initiatives, including the Hospital Engagement Network.
Horsham, PA: The Institute for Safe Medication Practices; July 2015.
To address the lack of standards on intravenous (IV) push medication administration, this guidance reflects applied expert opinion and current evidence regarding IV push medication administration to support application of best practices to facilitate safe care. To ensure the applicability and use of the recommendations in hospitals, the authors sought broader consensus and review from the field.
Audiovisual > Audiovisual Presentation
American Hospital Association. December 3, 2014.
Hospitals and health systems face challenges in implementing electronic health records that can affect safety. This webinar introduced the SAFER guides, which highlight strategies to improve safety related to electronic health record use, and educate participants about ways to implement these guides in their organizations. The session featured Hardeep Singh and Dean F. Sittig as speakers.
ISMP Canada. SafeMedicationUse Newsletter. December 2, 2014;5:1-2.
This newsletter article describes an incident involving a patient who noticed that the tablets in her prescription refill had a different marking than usual, alerting her that she might have received an incorrect medication which was confirmed by the pharmacist. Tips for patients to avoid medication errors include being familiar with how their medicines look and checking prescriptions before leaving the pharmacy. Practitioners can help prevent these errors by counting and labeling prescriptions one at a time and performing patient consultations.
Cases & Commentaries
- Web M&M
Michelle Feil, MSN, RN; June 2014
Following removal of a central venous catheter placed during his admission for a prolonged course of intravenous antibiotics, a young man with a history of Behçet disease was discharged from the hospital. Shortly thereafter, he presented to the emergency department with acute onset shortness of breath and a "whistling sound" coming from his neck. Diagnosed with air embolism, he was admitted to the ICU.
NHS England Never Events Taskforce. London, UK: NHS England; February 27, 2014.
Examining risks in surgical care such as deviation in practice, this report outlines strategies to improve outcomes, including better adoption of care standards, determining organizational safety policies, and multidisciplinary training initiatives.
Journal Article > Commentary
Goffman D, Brodman M, Friedman AJ, Minkoff H, Merkatz IR. J Healthc Risk Manag. 2014;33:14-22.