Narrow Results Clear All
- Study 2
- Legislation/Regulation 1
- Newspaper/Magazine Article
- Special or Theme Issue 12
- Toolkit 1
- Web Resource 25
- Award 3
Communication between Providers
- Sbar 2
- Communication between Providers 115
- Culture of Safety 75
Education and Training
- Simulators 13
- Students 6
Error Reporting and Analysis
- Error Reporting 135
Human Factors Engineering
- Checklists 37
Legal and Policy Approaches
- Regulation 26
- Logistical Approaches 42
- Policies and Operations 9
Quality Improvement Strategies
- Benchmarking 11
- Research Directions 1
- Specialization of Care 37
- Teamwork 38
- Clinical Information Systems 81
- Transparency and Accountability 17
- Alert fatigue 3
- Device-related Complications 51
- Diagnostic Errors 99
- Discontinuities, Gaps, and Hand-Off Problems 74
- Drug shortages 10
- Failure to rescue 3
- Fatigue and Sleep Deprivation 13
- Identification Errors 40
- Interruptions and distractions 8
- Delirium 1
- Medication Errors/Preventable Adverse Drug Events 167
- MRI safety 4
- Nonsurgical Procedural Complications 22
- Overtreatment 6
- Psychological and Social Complications 64
- Second victims 8
- Surgical Complications 139
- Transfusion Complications 4
- Ambulatory Care 75
- Operating Room 102
- General Hospitals 197
- Long-Term Care 14
- Outpatient Surgery 17
- Patient Transport 7
- Psychiatric Facilities 4
- Allied Health Services 2
- Geriatrics 21
- Obstetrics 25
- Pediatrics 52
- Primary Care 13
- Radiology 23
- Internal Medicine 314
- Nursing 36
- Pharmacy 76
- Family Members and Caregivers 27
- Health Care Executives and Administrators 414
Health Care Providers
- Nurses 47
- Pharmacists 20
- Physicians 133
Non-Health Care Professionals
- Educators 28
- Engineers 26
- Media 3
- Patients 417
- Europe 26
- Canada 8
United States of America
United States Federal Government
- Department of Health and Human Services (HHS) 19
- United States Federal Government 24
Search results for "Medicine"
- Newspaper/Magazine Article
Hoenig LJ. Med Econ. 2006 Jun 2;83:45-46.
The author discusses the importance of thorough discharge examinations.
Santell JP. Drug Topics (Health-System Edition). May 22, 2006.
This article reports on errors involving neuromuscular blocking agents (NMBAs) that were reported to Medmarx database, what factors contributed to those errors, and what can be done to minimize their occurrence.
van der Grinten P. Patient Safety & Quality Healthcare. May/June 2006;3:46-48.
This article reports on how regional health information organizations (RHIOs) increase access to patient information and benefit patient safety.
Zaidi K, Curry PD Jr, Becker SC. Pharmaceutical Technology. November 2, 2005;29:102-103.
This article reports on recommendations developed by United States Pharmacopeia (USP) to improve the safety of using medical gas, including revisions to USP monographs.
Rein L. Washington Post. August 30, 2019.
ISMP Medication Safety Alert! Acute Care Edition. August 29, 2019;24.
Mistakes in the administration of intravenous (IV) medications can result in patient harm. Analyzing data from 243 health care facilities regarding the quality of IV push practices in the field, this newsletter article reports adoption of practices such as the use of a new syringe and needle for every IV push injection and outlines 10 best practices to consider for improvement, including the routine supply of IV push medications in ready-to-administer containers and reporting to external bodies to enhance learning.
Palmer J. Patient Saf Qual Healthc. August 29, 2019.
Frakt A. New York Times. August 26, 2019.
The slow adoption of improvement innovations is a persistent challenge to high-quality and safe patient care. This newspaper article raises concerns about how common treatments are recommended despite insufficient evidence regarding their effectiveness and provides examples of how this problem can result in harm, such as the previous physician belief that opioids were not addictive. Reassessment of science can improve safety and reduce the unintended consequences of ineffective treatments.
Armstrong D. ProPublica. August 23, 2019.
R3 Report. August 21, 2019;24:1-6.
Maternal safety in the United States is gaining momentum as a system-level patient safety concern. This report reviews the new Joint Commission Provision of Care, Treatment, and Services (PC) standards developed to improve the reliability of maternal care. Actions for improvement include patient risk assessment for conditions at admission and role-specific education for staff and providers who treat maternal patients regarding hemorrhage processes and procedures.
Appleby J, Lucas E. Kaiser Health News. August 14, 2019.
Wiley F. Drug Topics. August 2019;1633:16-18.
High-alert medications have the potential to cause serious patient harm if not administered correctly. Reporting on challenges to medication safety in the context of home, hospital, and cancer care, this news article recommends patient and health care professional education and support for collaboration with pharmacists as avenues for improvement.
Panner M. Forbes. August 12, 2019.
Diagnostic errors can result in harm across the spectrum of practice. Discussing cognitive and system factors in radiology that contribute to diagnostic mistakes, this magazine article recommends ways to reduce risk of errors, including peer review of practice, structured reporting, and artificial intelligence–enabled decision support.
Whitaker P. New Statesman. August 2, 2019;148:38-43.
Artificial intelligence (AI) and advanced computing technologies can enhance clinical decision-making. Exploring the strengths and weaknesses of artificial intelligence, this news article cautions against the wide deployment of AI until robust evaluation and implementation strategies are in place to enhance system reliability. A recent PSNet perspective discussed emerging safety issues in the use of artificial intelligence.
Partnering with families and patient advocates: another line of defense in adverse event surveillance.
ISMP Medication Safety Alert! Acute Care Edition. August 1, 2019;24.
Having family members or patient advocates present during hospitalizations can help prevent errors. This newsletter article suggests that utilizing this risk prevention strategy in peripheral care areas such as radiology and other testing units could also prevent patient harm. Recommendations to ensure success of this approach include communicating with advocates, encouraging them to speak up, and activating a rapid response to patient deterioration.
Colino S. Fam Circle. August 2019;132:66,69.
Patients and families can play a role in ensuring care is effective and safe. This news article recommends ways for patients to reduce risk of errors during a hospitalization, including using a patient portal to identify mistakes, asking questions, bringing an advocate, and working with hospitalists as key care partners.
Joseph R, Harry E. Medical Economics. June 27, 2019.
Multitasking can negatively affect cognitive load and diminish safety. This magazine article reports on how multitasking can contribute to surgeon fatigue, burnout, and decreased task completion in the perioperative environment. Checklists to automate workflow and limiting the number of patient charts that can be open at one time can help reduce extraneous cognitive load.
Appleby J, Lucas E. Kaiser Health News. June 21, 2019.
ISMP Medication Safety Alert! Acute Care Edition. June 6, 2019;24.
Butcher L. Managed Care. June 2019;28:37-39.
Inconsistent patient name entry practices in electronic health records can contribute to wrong-patient errors. This magazine article reports on the complex nature of addressing patient-matching discrepancies as an economic, privacy, and technical problem. Improvement strategies include the development and adoption of a national identification program and biometric technology. A WebM&M commentary discussed problems associated with name similarities in the electronic patient record.