Medical errors

Innovations

Comprehensive Program to Promote "Fair and Just Principles" Improves Employee Perceptions of How a Health System Responds to Errors 06/24/09

A comprehensive program to promote adoption of a “fair and just” culture improves employee perceptions of how a health system responds to errors.

Intravenous Infusion Safety Initiative Prevents Medication Errors, Leading to Cost Savings and High Nurse Satisfaction 11/06/08

A two-hospital system implemented an intravenous infusion safety initiative that has helped avoid many infusion-related errors, leading to significant cost savings and high levels of nurse satisfaction.

Standardized Ordering and Administration of Total Parenteral Nutrition Reduces Errors in Children's Hospital 09/23/08

A pediatric academic medical center adopted a standardized ordering and administration process for total parenteral nutrition, leading to a significant reduction in errors and other improvements.

Safety Mentors Create Culture To Reduce Adverse Events and Increase Error Reporting 08/25/08

Safety mentors at Christiana Care Health System help staff implement best-practice safety behaviors and reporting of errors and near misses, leading to a reduction in serious adverse events and increased identification and/or reporting of near misses.

Patient Safety Rounds Identify Systems Problems and Improve Perceptions of Commitment to Safety 08/21/08

The University of Michigan Medical Center uses patient safety rounds to help establish a culture of safety within the organization; during these rounds, hospital management and frontline staff work together to identify hazards and take actions to reduce or eliminate them.

Voluntary System to Report and Analyze Nursing Errors Leads to Patient Safety Improvements 08/12/08

The Healthcare Alliance Safety Partnership was a 3-year pilot project involving a board of nursing and three hospital systems in developing a voluntary, nonpunitive system for reporting, investigating, and analyzing nursing errors.

Common Cause Analysis: A Hospital's Review of Vulnerabilities During Which Common Themes Are Identified, Prioritized, and Addressed 05/08/08

A children's hospital annually reviews all findings from root cause analysis to identify and address common themes and vulnerabilities, leading to a number of institutionwide changes that have improved patient safety and to better communication about safety issues with organizational leaders.

Voluntary Error Reporting Program Focusing on Systems Issues Increases Reporting and Contributes to Reduction in Liability Claims at Outpatient Clinic 04/03/08

A hospital outpatient clinic's confidential, voluntary error reporting system, which focuses on identifying faulty systems instead of individual mistakes, has substantially increased error reports and has been associated with a reduction in liability claims.

Voluntary, Anonymous, Non-Punitive System Leads to a Significant Increase in Reporting of Errors in Ambulatory Pediatric Practice 03/13/08

A hospital's ambulatory pediatrics department developed a voluntary, anonymous, and nonpunitive medical error reporting system that includes a quick response team to review reports and enact interventions to prevent recurrences, leading to a significant increase in error reporting.

Statewide Standards for Color-Coded Wristbands Are Adopted by Vast Majority of Arizona Hospitals 02/22/08

A hospital association forged consensus on statewide standards for use of color-coded wristbands and provided implementation support to hospitals, leading to widespread adoption of the standards.

Pages

Subscribe to Medical errors

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information: verify here.