Did You Know Archive | PSNet

Did You Know Archive | PSNet

Did You Know Archive

More doctors than patient care assistants admitted making a mistake in patient care.

The majority of antiretroviral therapy errors were never corrected.

Types of equipment failures in the operating room.

Physicians and staff nurses observed concerns on a labor and delivery unit.

Information was frequently missing in personal medication lists.

Physicians reported benefits of EHR system use.

Most medication incident reports were submitted by nurses.

Types of anticoagulant errors in nursing homes.

Top 5 patient-reported elements of missed nursing care.

More than half of alarms triggered in an ICU were irrelevant.

Medication incidents associated with IT systems reported by hospitals.

Implementing bar coding in the ED reduced medication administration errors.

Types of medication errors occurring in pediatric patients receiving cancer care at home

Comparison of ICU errors reported to the National Reporting and Learning System (NRLS) and MedMarx, 2003–2008

Tactics RNs utilized to prevent near misses

Most respondents felt in situ simulation helped identify safety threats

Top 5 communication errors in air medical transport

Parents of children with cancer often used support tools at home for medication use.

Many surgeons felt that managing their own discomfort about poor outcomes was challenging.

A pre- and post-implementation comparison showed that CPOE use reduced potential errors.

Common safe practice violations.

Less than half of pharmacy case manager recommendations were accepted by inpatient physicians.

Many patients did not understand changes to their medications.

Most patient-completed medication reconciliation forms had errors.