Narrow Results Clear All
- Communication between Providers 7
- Culture of Safety 4
- Education and Training 9
- Error Reporting and Analysis 9
- Human Factors Engineering 8
- Legal and Policy Approaches 17
- Quality Improvement Strategies 18
- Specialization of Care 1
- Technologic Approaches 4
- Device-related Complications 2
- Diagnostic Errors 2
- Discontinuities, Gaps, and Hand-Off Problems 2
- Drug shortages 2
- Identification Errors 2
- Interruptions and distractions 1
- Medical Complications 2
- Medication Errors/Preventable Adverse Drug Events 17
- MRI safety 1
- Nonsurgical Procedural Complications 1
- Surgical Complications 2
- Transfusion Complications 1
- Surgery 1
- Nursing 2
- Pharmacy 15
- Health Care Executives and Administrators 34
Health Care Providers
- Nurses 6
Non-Health Care Professionals
- Media 6
- Patients 7
- Africa 1
- Asia 1
- Australia and New Zealand 1
- Central and South America 1
- Europe 3
- Canada 2
- United States of America 53
Search results for ""
Horsham, PA: Institute for Safe Medication Practices; August 24, 2017.
Society to Improve Diagnosis in Medicine and the Institute for Healthcare Improvement. August 7, 2017.
This project calls for organizations to participate in a 6-month collaborative to address a key goal from the 2015 Improving Diagnosis in Health Care report: to develop and deploy approaches to identify, learn from, and reduce diagnostic errors and near misses in clinical practice. The deadline for submitting an application to participate is September 8, 2017.
Institute for Safe Medication Practices.
Texting as a communication method in the clinical environment is convenient, but it introduces distraction that can result in error. This survey seeks to track the prevalence of medical order texting to better understand its impact on care processes. The deadline to participate in the survey is August 31, 2017.
Institute for Safe Medication Practices.
Horsham, PA: Institute for Safe Medication Practices; January 11, 2017.
Survey of the Implementation Status of the 2016–17 Targeted Medication Safety Best Practices for Hospitals.
Institute for Safe Medication Practices.
Joint Commission. April 7, 2016.
The Eisenberg Award honors individuals and organizations who have made vital accomplishments in improving patient and quality. The 2015 honorees are Pascale Carayon, PhD; Premier, Inc.; and Mayo Clinic Hospital-Rochester. The awards were presented at the National Quality Forum's annual conference on April 7, 2016, in Washington, DC.
Society to Improve Diagnosis in Medicine.
Diagnostic error is garnering increased attention as a key area of focus in patient safety improvement. This fellowship program for physicians who have completed their residency will provide the opportunity to build expertise in enhancing diagnostic safety. The application deadline for the 2018-2019 program is December 4, 2017.
Move toward full use of metric dosing: eliminate dosage cups that measure liquids in fluid drams. Use cups that measure mL.
National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System Pharmacists. June 30, 2015.
Standard use of metric oral dosage instructions has been advocated as a medication safety strategy. Raising concerns around dosing cups that include drams and ounces as scales—measures no longer in clinical use—which are available from major vendors and may be found in health care facilities, this announcement recommends use of oral syringes that only measure in milliliters for oral liquid medications to prevent errors.
Horsham, PA: Institute for Safe Medication Practices.
There is a noted lack of agreement on measures to study and track safety hazards and the effectiveness of improvement strategies. This survey seeks input from the field to inform the development of a list of medication-related measures to communicate concerns related to drug class, technology use, and medication administration practices as a way to provide data to senior management in an easily accessible format.
Potentially dangerous confusion between Bloxiverz (neostigmine) injection and Vazculep (phenylephrine) injection.
National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System Pharmacists. March 23, 2015.
Misunderstanding prescription drug labels is a recognized source of errors in ambulatory care. This announcement raises awareness of new packaging for existing medications that may cause confusion due to similarities in color and layout. Recommendations are outlined to prevent mistakes associated with use of these medications.
Oakbrook, IL: Joint Commission; March 4, 2015.
The Eisenberg Award honors individuals and organizations who have made vital accomplishments in improving patient safety and quality. The 2014 honorees are Mark L. Graber, MD, the American College of Surgeons National Surgical Quality Improvement Program, and North Shore-LIJ Health System in New York. The awards were presented at the National Quality Forum's annual conference on March 23, 2015, in Washington, DC.
International Society for Quality in Health Care.
This announcement highlights a peer learning initiative that builds on existing programs and interdisciplinary networks to develop participants' understanding about and skills for improving health care internationally.
London, UK: Health Foundation. May 9, 2014.
The Great Ormond Street Hospital Foundation NHS Trust received the 2014 Berwick Patient Safety Team Award for their project "Pursuing Zero by Building Sustainable Foundations for Safety," which applied recommendations generated in response to the Francis report. The program introduced a daily questionnaire for parents and patients about problems related to medication errors, equipment, communication, or organization of care, which was then reviewed with a nurse to immediately address concerns.
Potential inaccuracy of electronically transmitted medication history information used for medication reconciliation.
National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System Pharmacists. February 18, 2014.
This announcement describes concerns related to incorrect information provided by a medication history service. Providers using Surescripts are encouraged to investigate and confirm medication dosages in electronic medical records that seem inappropriate.
Joint Commission. January 27, 2014.
The Eisenberg Award honors individuals and organizations who have made vital accomplishments in improving patient and quality. The 2013 honorees are Institute for Clinical Systems Improvement, Minnesota Hospital Association, and Stratis Health, from Minnesota; Anthem Blue Cross, National Health Foundation, Hospital Association of Southern California, Hospital Association of San Diego & Imperial Counties, and the Hospital Council of Northern & Central California, from California; Vidant Health, of North Carolina; and Gail L. Warden, in Michigan. The awards were presented at the National Quality Forum's Annual Conference on February 13, 2014, in Washington, DC.
FDA requiring color changes to Duragesic (fentanyl) pain patches to aid safety―emphasizing that accidental exposure to used patches can cause death.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; September 23, 2013.
This announcement explains a label change to a medication patch intended to reduce risk of accidental exposure.
Joint Commission. February 6, 2013.
The Eisenberg Award honors individuals and organizations who have made vital accomplishments in improving patient and quality. The 2012 honorees are Saul Weingart, MD, PhD; Kaiser Permanente, Oakland, California; and Memorial Hermann Healthcare System, Houston, Texas. The awards will be presented at the National Quality Forum's Annual Conference on March 8, 2013, in Washington, DC.
Warning! Severe burns and permanent scarring after glacial acetic acid (≥99.5%) mistakenly applied topically.
National Alert Network for Serious Medication Errors. Bethesda, MD: American Society of Health-System Pharmacists and Institute for Safe Medication Practices; January 23, 2013.
Describing several incidents of a corrosive chemical mistakenly applied to skin that led to severe burns and scarring, this alert recommends steps to prevent such errors.
The John D. and Catherine T. MacArthur Foundation. October 3, 2012.