Medication Safety: Averting Highest-Risk Errors Is First Priority
Not all medication errors are created equal. In efforts to improve patient safety, healthcare systems need to give first priority to averting the medication errors with the greatest potential for harm.
Technology – Getting to the Recall on Time: Improve Safety with Automated Recall Management
For several months in late 2001, The Johns Hopkins Hospital unknowingly used a defective bronchoscope that resulted in 2 deaths and 400 injuries.
Technology – Advancing Patient Safety in Laparoscopy: The Active Electrode Monitoring System
In the past, use of monopolar electrosurgery in open surgical procedures involved the risk of external skin injury due to an alternate return path or compromised return electrode.
Technology & Quality: Malpractice Reform Only with Incentives
The current medical malpractice environment does little if anything to encourage quality care and enhance safety, and tort reform, as espoused by government leaders, insurance company executives, and some physicians,…
Simulation Learning: Advancing Medical Education and Patient Safety through Simulation Learning
Medical education has traditionally relied on training with real patients in actual clinical settings. While hands-on, experiential learning is indispensable, medical educators are increasingly concerned about, and committed to, the safety of patients.
Quality Metric – Proceedings from the Quality Colloquium: Implementing Evidence-Based Guidelines and Reporting Results Through a Quality Metric
Although it is generally acknowledged that evidence-based medicine (EBM) reflects expert consensus about the standard of care in specific disease processes, implementing guidelines that incorporate EBM meets with a great deal of resistance.
The Patient in Patient Safety
Five years after the Institute of Medicine (IOM) issued its report To Err Is Human (1999) with its all-too-familiar statistics of medical errors in hospitals, little has changed.
Error Reduction – Stop The Noise: Reduce Errors by Creating a Quieter Hospital Environment
In the typical hospital environment, sounds of beepers, alarms, machines, telephones, and voices are considered “usual and customary” — normal to those who work there and those who watch the television show “ER.”
MEDDIC-MS: MEDDICS-MS MONITORING MEASURES
MEDDIC-MS: Blood lead toxicity screening. Targeted performance improvement measure
Children in Medicaid are considered to be at risk for exposure to sources of lead poisioning in their living environment.