Commentary Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. Citation Text: Ewen BM, Combs R, Popelas C, et al. Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. Home Healthc Nurse. 2012;30(1):28-37. doi:10.1097/NHH.0b013e318233a75e. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL October 12, 2011 Ewen BM, Combs R, Popelas C, et al. Home Healthc Nurse. 2012;30(1):28-37. View more articles from the same authors. This commentary describes how a medication administration error launched one organization's efforts to improve patient safety statewide. PubMed citation Available at Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Ewen BM, Combs R, Popelas C, et al. Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. Home Healthc Nurse. 2012;30(1):28-37. doi:10.1097/NHH.0b013e318233a75e. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Individual surgeon mortality rates: can outliers be detected? A national utility analysis. November 16, 2016 Society for Maternal-Fetal Medicine Special Statement: cognitive bias and medical error in obstetrics-challenges and opportunities. August 10, 2022 Society for Maternal-Fetal Medicine Special Statement: a critique of postpartum readmission rate as a quality metric. May 18, 2022 Antibiotic prescribing practice in residential aged care facilities—health care providers' perspectives. August 20, 2014 Time series evaluation of improvement interventions to reduce alarm notifications in a paediatric hospital. 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Individual surgeon mortality rates: can outliers be detected? A national utility analysis. November 16, 2016
Society for Maternal-Fetal Medicine Special Statement: cognitive bias and medical error in obstetrics-challenges and opportunities. August 10, 2022
Society for Maternal-Fetal Medicine Special Statement: a critique of postpartum readmission rate as a quality metric. May 18, 2022
Antibiotic prescribing practice in residential aged care facilities—health care providers' perspectives. August 20, 2014
Time series evaluation of improvement interventions to reduce alarm notifications in a paediatric hospital. February 12, 2020
Adverse-drug-event rates for high-cost and high-use drugs in the intensive care unit. October 11, 2006
Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS. December 1, 2010
Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. July 26, 2023
Society for Maternal-Fetal Medicine Special Statement: Surgical safety checklists for cesarean delivery. September 22, 2021
A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line. June 21, 2023
Society for Maternal-Fetal Medicine Special Statement: telemedicine in obstetrics-quality and safety considerations. February 1, 2023
Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of medication errors. November 11, 2009
Performance-based payment incentives increase burden and blame for hospital nurses. February 16, 2011
Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit. July 20, 2011
Interprofessional education in team communication: working together to improve patient safety. March 27, 2013
Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. April 10, 2024
A national study links nurses' physical and mental health to medical errors and perceived worksite wellness. March 21, 2018
A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. February 11, 2009
Computerized dose range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit. November 19, 2014
A systematic review of behavioural marker systems in healthcare: what do we know about their attributes, validity and application? September 10, 2014
Older folks in hospitals: the contributing factors and recommendations for incident prevention. September 3, 2014
A systematic review of teamwork in the intensive care unit: what do we know about teamwork, team tasks, and improvement strategies? July 23, 2014
Doctors' stress responses and poor communication performance in simulated bad-news consultations. December 9, 2009
Automated identification of antibiotic overdoses and adverse drug events via analysis of prescribing alerts and medication administration records. August 24, 2016
Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evaluation in a simulated setting. November 8, 2017
Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. July 22, 2009
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Medication reconciliation at hospital discharge: a qualitative exploration of acute care nurses' perceptions of their roles and responsibilities. March 23, 2022
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Development of the just culture assessment tool: measuring the perceptions of health-care professionals in hospitals. December 4, 2013
Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time of day: observational cohort study. November 2, 2016
How strong is the evidence for the use of perioperative beta blockers in non-cardiac surgery? Systematic review and meta-analysis of randomised controlled trials. September 7, 2005
Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing home. February 17, 2021
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Shifting supervision: implications for safe administration of medication by nursing students. November 5, 2008
Impact of patient communication problems on the risk of preventable adverse events in acute care settings. June 25, 2008
Department of anesthesiology skilled peer support program outcomes: second victim perceptions. May 1, 2024
Post-discharge adverse events among urban and rural patients of an urban community hospital: a prospective cohort study. May 20, 2015
The relationship between nursing experience and education and the occurrence of reported pediatric medication administration errors. April 27, 2016
Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites. August 19, 2009
National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia. August 25, 2010
Nurses' perceived skills and attitudes about updated safety concepts: impact on medication administration errors and practices. June 28, 2017
Patient safety events and harms during medical and surgical hospitalizations for persons with serious mental illness. June 1, 2016
The relationship between the nursing work environment and the occurrence of reported paediatric medication administration errors: a pan Canadian study. October 2, 2013
Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information. March 13, 2013
Provider perspectives on partnering with parents of hospitalized children to improve safety. June 27, 2018
Patient, provider, and system factors contributing to patient safety events during medical and surgical hospitalizations for persons with serious mental illness. August 9, 2017
Analysis of medical emergency team calls comparing subjective to "objective" call criteria. November 12, 2008
Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit. April 4, 2007
Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection. January 31, 2006
Naming the "baby" or the "beast"? The importance of concepts and labels in healthcare safety investigation. April 5, 2023
Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical oncology incident taxonomy. December 13, 2023
Using stakeholder intervention refinement teams to develop approaches for real-time integration of patient-reported safety information during older adults’ hospital-to-home-health care transitions. November 15, 2023
Flow of information contributing to medication incidents in home care- an analysis considering incident reporters' perspectives. October 25, 2023
Patient safety in palliative care at the end of life from the perspective of complex thinking. August 16, 2023
Widespread misinterpretation of advance directives and Portable Orders for Life-Sustaining Treatments threatens patient safety and causes undertreatment and overtreatment. July 12, 2023
Home health agency patient experience measures and their relationship to Joint Commission accreditation. June 7, 2023
Preventable harm because of outpatient medication errors among children with leukemia and lymphoma: a multisite longitudinal assessment. February 15, 2023
Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool. January 25, 2023
Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving home health care. January 18, 2023
Analysis of readmissions in a mobile integrated health transitional care program using root cause analysis and common cause analysis. May 25, 2022
Patient safety in home care: a multicenter cross-sectional study about medication errors and medication management of nurses. May 18, 2022
Using failure mode and effects analysis to increase patient safety in cancer chemotherapy. December 22, 2021
The work of nurses to provide good and safe services to children receiving hospital-at-home: a qualitative interview study from the perspectives of hospital nurses and physicians. October 20, 2021
Communication on safe caregiving between community nurse case managers and family caregivers. April 7, 2021
Education and training of nurses in the use of advanced medical technologies in home care related to patient safety: a cross-sectional survey. March 24, 2021
Enabling sustained communication with patients for safe and effective management of oral chemotherapy: a longitudinal ethnography. March 17, 2021
Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services. March 3, 2021
FDA updates vinca alkaloid labeling for preparation in intravenous infusion bags only. February 3, 2021
Home health staff perspectives on infection prevention and control: implications for Coronavirus Disease 2019. December 23, 2020
Identifying no-harm incidents in home healthcare: a cohort study using trigger tool methodology. August 5, 2020
Oncology pharmacist-led medication reconciliation among cancer patients initiating chemotherapy. July 29, 2020
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Hospital image repair strategies, organizational apology, and medical errors: an analysis of the CoxHealth brain over-radiation case. September 18, 2019