Search results
Results from the WOW.Com Content Network
The ISMP frequently investigates and reports on medication errors that have occurred in practice. These investigations are often published in the peer-reviewed journal Hospital Pharmacy . [ 9 ] [ 10 ] [ 11 ]
Variations in healthcare provider training & experience [45] [52] and failure to acknowledge the prevalence and seriousness of medical errors also increase the risk. [53] [54] The so-called July effect occurs when new residents arrive at teaching hospitals, causing an increase in medication errors according to a study of data from 1979 to 2006.
In the US, clinical peer review is used: uninvolved medical staff review the event and work toward preventing further incidents. [ citation needed ] The disclosure of adverse events is important in maintaining trust in the relationship between healthcare provider and patient.
A vial of dopamine, labeled as "DOPamine HCl". Tall man lettering (tall-man lettering or tallman lettering) is the practice of writing part of a drug's name in upper case letters to help distinguish sound-alike, look-alike drugs from one another in order to avoid medication errors.
Clinical peer review, also known as medical peer review is the process by which health care professionals, including those in nursing and pharmacy, evaluate each other's clinical performance. [ 1 ] [ 2 ] A discipline-specific process may be referenced accordingly (e.g., physician peer review , nursing peer review ).
A never event is the "kind of mistake (medical error) that should never happen" in the field of medical treatment. [1] According to the Leapfrog Group never events are defined as " adverse events that are serious, largely preventable, and of concern to both the public and health care providers for the purpose of public accountability."
The Joint Commission disseminates "sentinel event alerts" identifying specific sentinel events, their underlying causes, and steps to prevent recurrence. [5] Further nursing research is ongoing at a number of "magnet" hospitals in the United States, especially to reduce the number of patient falls that may lead to sentinel events.
A reliability engineer has the task of assessing the probability of a plant operator failing to carry out the task of isolating a plant bypass route as required by procedure.