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- Education and Training 1
- Error Reporting and Analysis 2
- Human Factors Engineering 2
- Legal and Policy Approaches 2
- Logistical Approaches 1
- Technologic Approaches 1
- Identification Errors 1
- Medical Complications 2
- Medication Errors/Preventable Adverse Drug Events
- Psychological and Social Complications 1
- Surgical Complications
Search results for "Intraoperative Complications"
- Administration Errors
- Intraoperative Complications
ISMP Medication Safety Alert! Acute Care Edition. March 26, 2009;14:1-2.
Special or Theme Issue
The 13 articles in this special issue cover topics on the role of ergonomics in patient safety.
Journal Article > Commentary
Litman RS. J Patient Saf Risk Manag. 2019 Feb 5; [Epub ahead of print].
This commentary explores how gaps in legal and regulatory structure affect anesthesia medication safety. The author advocates for use of a public health law framework to prevent certain types of perioperative medication errors made by anesthesiologists. Policy approaches that require organizations to provide prefilled syringes and barcoding scanners are suggested to avoid vial- and syringe-related mistakes.
National Patient Safety Agency. London, UK: National Reporting and Learning Service; 2009.
This report from the United Kingdom is intended to guide Primary Care Trusts in implementing never events policies for 2009-2010.
Cases & Commentaries
- Spotlight Case
- Web M&M
Paul Barach, MD, MPH; February 2003
A boy undergoing knee surgery stopped breathing after inadvertently being given a paralytic medication instead of an antibiotic.