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Medical Errors

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  • Topic: Medical errors
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Preventing Bloodstream Infections

April 1, 2011 | Journal Article

Over the past decade, advances in the quality of care have been slow. One area of success, however, has been in combating central line–associated bloodstream infections.

University of Pittsburgh Medical Center (UPMC) Implements Transforming Care at the Bedside with a Focus on Medical Errors

July 5, 2011 | Story

"You can't deliver sustainable, long-term quality and safety improvement without infrastructure dedicated to the work," Minnier says. "And the amount you have will be a very strong predictor of the change and the sustainability of that change."

Learning Accountability for Patient Outcomes

July 14, 2010 | Commentary

In this commentary, Dr. Pronovost calls for greater accountability for patient safety within the U.S. health care system. He emphasizes the role of teamwork in reducing CLABSI and other preventable infections.

The Effect of Health Information Technology on Quality in U.S. Hospitals

April 1, 2010 | Journal Article

This study measured changes in the quality of care following adoption of electronic health records among a national sample of U.S. hospitals from 2004 to 2007.

Implementing Standardized Operating Room Briefings and Debriefings at a Large Regional Medical Center

August 1, 2009 | Journal Article

Implementation of a standardized briefing and debriefing tool in a large regional medical center was a practical and feasible strategy to improve perceptions of interdisciplinary communication and teamwork in the operating room.

Diet Wheel to Ensure Correct Patient Diets and Reduce Errors

May 13, 2010 | Toolkit

Goal was to reduce errors and ensure patients receive the correct diet ordered by physicians. Satisfaction improved among nursing associates and dietary associates. Communication between the various hospital departments also improved.

Reducing Health Care Hazards

April 7, 2009 | Journal Article

A proposed public-private partnership to help the health care community emulate the successes of the Commercial Aviation Safety Team in commercial aviation.

Hospitals that Care Use Nurse Preceptors and a "Culture of Fairness" to Improve Nursing Care

July 1, 2009 | Program Result Report

Investigators at the Kenan-Flagler Business School at the University of North Carolina at Chapel Hill surveyed nurses to find out which co-workers they consulted when confronted with complex treatment situations, including those involving error.

Learning to Recognize Hospital System Problems

July 14, 2008 | Program Result Report

The Joint Commission on Accreditation of Healthcare Organizations developed a simulation training course to enable its surveyors to recognize system vulnerabilities that threaten patient safety and the quality of care.

Nurses and Medication Management

December 16, 2011 | Program Result Report

Interdisciplinary research teams at four institutions examined nursing's role in - and contribution to - medication management in hospital and transitional care settings.

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