Near-miss transcription errors: a comparison of reporting rates between a novel error-reporting mechanism and a current formal reporting system.
South DA, Skelley JW, Dang M, Woolley T. Hosp Pharm. 2015;50:118-124.
This observational study compared error detection rates for medication transcription errors between a hospital's formal reporting system and a passive error identification mechanism embedded in ordering software. As with prior studies of incident reporting systems, the formal reporting mechanism identified fewer errors than electronic surveillance, emphasizing the need to build error detection into technology platforms.
Greene J. Hosp Health Netw. 2006 December;80:38-40, 42, 44, 1.
When things go wrong.
Institute for Healthcare Improvement. Campaign Live. August 18, 2008.
Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008.
Oakbrook Terrace, IL: The Joint Commission; November 2008.
PRESS RELEASE/ANNOUNCEMENTView all related resources...
New 2012 National Patient Safety Goal - catheter-associated urinary tract infection (CAUTI).
Oakbrook Terrace, IL: Joint Commission; May 17, 2011.