AHRQ Patient Safety Network: The "Dirty Dozen": 12 persistent safety gaffes that we need to resolve!

AHRQ Patient Safety Network





The "Dirty Dozen": 12 persistent safety gaffes that we need to resolve!

ISMP Medication Safety Alert! Acute Care Edition. October 9, 2014;19:1-5.

Changes in practice require time and monitoring to achieve lasting improvements. This newsletter article highlights issues that continue to hinder medication safety, including inconsistent availability of patient counseling, misuse of prefilled syringes, and disrespectful behavior toward both peers and patients.

Free full text 

Related Resources

COMMENTARY

When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine.

Epner PL, Gans JE, Graber ML. BMJ Qual Saf. 2013;22(supp 2):6-10.

COMMENTARY

The Role of the Patient in Improving Patient Safety

Gibson R. AHRQ WebM&M [serial online]. March 2007.

MULTI-USE WEBSITE

Quality & Safety Research Group.

Johns Hopkins University, Department of Anesthesiology & Critical Care Medicine.

STUDY

Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis.

Arora V, Johnson J, Lovinger D, Humphrey HJ, Meltzer DO. Qual Saf Health Care. 2005;14:401-407.

View all related resources...