AHRQ WebM&M: Perspectives on Safety

The December issue of AHRQ WebM&M is now available online. The Perspectives on Safety section covers risk management and patient safety and features Geri Amori, Ph.D., of The Risk Management and Patient Safety Institute, Lansing, MI. In the accompanying perspective piece, a group of faculty from Boston University and the Harvard Risk Management Foundation, Boston, led by Barry M. Manuel, M.D., discuss the relationship between risk management and patient safety. The Spotlight Case, "The Forgotten Turn," features a commentary by Susan Barbour, RN, MS, of the University of California San Francisco Medical Center, on the importance of skin assessment and efforts to prevent pressure ulcers. The second case, "Milliliters vs. Milligrams", features a commentary by Robert L. Poole, Pharm.D., and Tessa Dixon, Pharm.D., both of Lucile Packard Children's Hospital at Stanford, Palo Alto, CA, on how individualized dosing can help prevent medication administration errors. The third case, "Failure to Reevaluate," features a commentary by Annie Wong-Beringer, Pharm.D., of University of Southern California, Los Angeles, discussing key safety issues in prescribing potentially nephrotoxic medications. Physicians and nurses can receive free CME, CEU, or trainee certification by taking the Spotlight Quiz. You can easily share AHRQ WebM&M cases by using the “e-mail a colleague” feature.


full-text and much more:
AHRQ WebM&M: Perspectives on Safety


AHRQ WebM&M: Morbidity & Mortality Rounds on the Web
AHRQ WebM&M: Morbidity & Mortality Rounds on the Web


AHRQ WebM&M: Perspectives on Safety: Risk Management and Patient Safety
AHRQ WebM&M: Perspectives on Safety


AHRQ WebM&M: Case & Commentary: The Forgotten Turn
Commentary by Susan Barbour, RN, MS, FNP
AHRQ WebM&M: Case & Commentary


AHRQ WebM&M: Case & Commentary: Milliliters vs. Milligrams
AHRQ WebM&M: Case & Commentary


AHRQ WebM&M: Case & Commentary: Failure to Reevaluate
AHRQ WebM&M: Case & Commentary