A three-tiered system consisting of unit-level support, access to trained peer supporters, and referral to formal counseling services provides emotional support to health care professionals involved in an adverse event, leading to positive anecdotal feedback from these professionals.
A hospital revamped its process for administering intravenous medications to incorporate multiple automated and human safeguards, leading to increased adherence to drug dosing limits and the elimination of many error-prone steps involved in manually programming the intravenous infusion pump.
Monthly patient safety conferences that allow clinicians and all levels of staff to openly discuss adverse events improved staff perceptions of the organization's safety culture and increased the reporting of such events.
A checklist-guided process helps to ensure that surgical teams perform all appropriate care and necessary processes before and after surgery, leading to reductions in surgery-related mortality and complications.
A medical center adopted a comprehensive process that includes proactive reporting and investigation of potential errors, full disclosure and apology when errors occur, and fair remedy and compensation, leading to similar or lower than average claims costs.
Pathologists provide a paragraph of patient-specific analysis as a supplement to traditional laboratory test results, leading to fewer ordering errors, time savings, and quicker diagnoses.
Unit-based teams of physicians, nurses, and quality leaders develop and implement unit-specific initiatives designed to improve quality and safety, leading to reductions in infections and pressure ulcers, increased adherence to medication reconciliation standards, more reporting of errors and near-misses, higher patient satisfaction, and better overall nurse/physician communication and teamwork.
A multifaceted process for full disclosure of medical errors leads to a significant reduction in claims and claim costs for a health system.
Real-time, resident-specific medication information and alerts, with support from a medication safety team, enhanced the efficiency of medication administration and reduce medication errors.
Use of photographs as a second means of identifying patients on adult and adolescent psychiatry units virtually eliminates medication errors due to patient misidentification.