Free Executive Summary

Size: px
Start display at page:

Download "Free Executive Summary"

Transcription

1 (Free Executive Summary) Free Executive Summary To Err Is Human: Building a Safer Health System Linda T. Kohn, Janet M. Corrigan, and Molla S. Donaldson, Editors; Committee on Quality of Health Care in America, Institute of Medicine ISBN: , 312 pages, 6x9, hardback (2000) This free executive summary is provided by the National Academies as part of our mission to educate the world on issues of science, engineering, and health. If you are interested in reading the full book, please visit us online at You may browse and search the full, authoritative version for free; you may also purchase a print or electronic version of the book. If you have questions or just want more information about the books published by the National Academies Press, please contact our customer service department toll-free at As many as 98,000 people die each year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer and AIDS malting medical errors the fifth leading cause of death in this country. The institute of Medicine now spearheads an initiative to improve the quality of care in America by focusing on the facts and making wide-ranging recommendations. Central to the ideas proposed by the lom is the notion that skilled and cahng professionals can and do make mistakes because, after all, to err is human. This Is why it is vital that we put this issue at the top of our national agenda and seek ways to reduce these errors through the design of a safer health system. This executive summary plus thousands more available at National Academy of Sciences. Ail rights reserved. Unless othenwise indicated, all materials in this PDF file are copyrighted by the National Academy of Sciences. Distribution or copying is strictly prohibited w/ithout permission of the National Academies Press Permission is granted for this material to be posted on a secure password-protected Web site. The content may not be posted on a public Web site.

2 ).6 This executive summary plus thousands more available at

3 This executive summary plus thousands more available at

4 This executive summary plus thousands more available at

5 This executive summary plus thousands more available at httpnap.edu

6 This executive summary plus thousands more available at

7 This executive summary plus thousands more available at

8 This executive summary plus thousands more available at

9 This executive summary plus thousands more available at

10 This executive summary plus thousands more available at

11 This executive summary plus thousands more available at

12 7 7 This executive summary plus thousands more available at

13 (3) (4) This executive summary plus thousands more available at

14 7.3 This executive summary plus thousands more available at

15 This executive summary plus thousands more available at

16 This executive summary plus thousands more available at

17 This executive summary plus thousands more available at /w/.nap.edu

Growing Importance of Safety as an Issue for Health Care

Growing Importance of Safety as an Issue for Health Care Page 1 Safety as a Priority for Medical Informatics: Some Thoughts on Why the Obvious Has Not Yet Happened Edward H. Shortliffe, MD, PhD Department of Medical Informatics Columbia University New York,

More information

Building and Sustaining a Culture of Safety

Building and Sustaining a Culture of Safety Building and Sustaining a Culture of Safety Ann Shimek, MSN, RN, CASC Senior Vice President, Clinical Operations United Surgical Partners International 028 Session Objectives q Describe organizational

More information

Serious Reportable Events (SREs) Transparency & Accountability are Critical to Reducing Medical Errors

Serious Reportable Events (SREs) Transparency & Accountability are Critical to Reducing Medical Errors Serious Reportable Events (SREs) Transparency & Accountability are Critical to Reducing Medical Errors Tens of thousands of lives are forever changed each year as a result of healthcare errors. There is

More information

9/9/2016. How Respiratory Therapist Enhance Patient Safety. Introduction. Raise your hand. Tawana Shaffer CPHRM, MBA, BSc, CRT

9/9/2016. How Respiratory Therapist Enhance Patient Safety. Introduction. Raise your hand. Tawana Shaffer CPHRM, MBA, BSc, CRT How Respiratory Therapist Enhance Patient Safety Tawana Shaffer CPHRM, MBA, BSc, CRT Introduction Raise your hand 1 How do you define Patient Safety? What is Patient Safety? Communication Care Falls Outcomes

More information

Traceability of Drugs: Implementation in a hospital pharmacy in Argentina

Traceability of Drugs: Implementation in a hospital pharmacy in Argentina Traceability of Drugs: Implementation in a hospital pharmacy in Argentina Global GS1 Healthcare Conference San Francisco, USA 1-3 October-2013 Dra. Heidi Wimmers Hospital Alemán Buenos Aires Argentina

More information

National Survey on Consumers Experiences With Patient Safety and Quality Information

National Survey on Consumers Experiences With Patient Safety and Quality Information Summary and Chartpack The Kaiser Family Foundation/Agency for Healthcare Research and Quality/Harvard School of Public Health National Survey on Consumers Experiences With Patient Safety and Quality Information

More information

Health Management Information Systems

Health Management Information Systems Health Management Information Systems Computerized Provider Order Entry (CPOE) Computerized Provider Order Entry (CPOE) Learning Objectives 1. Describe the purpose, attributes and functions of CPOE 2.

More information

Bringing Medical Education, Training and Health Care Delivery into the Twenty-first Century

Bringing Medical Education, Training and Health Care Delivery into the Twenty-first Century white paper Bringing Medical Education, Training and Health Care Delivery into the Twenty-first Century By Deborah N. Burgess, M.D., F.A.C.P, Senior Vice President Abstract The aviation industry has been

More information

The Medication Safety Journey Natasha Nicol, Pharm. D., FASHP Director of Medication Safety June 4, 2009

The Medication Safety Journey Natasha Nicol, Pharm. D., FASHP Director of Medication Safety June 4, 2009 The Medication Safety Journey Natasha Nicol, Pharm. D., FASHP Director of Medication Safety June 4, 2009 About me I am someone s mother, wife, daughter, granddaughter, sister, aunt, cousin and niece. I

More information

FACT SHEET. The Launch of the World Alliance For Patient Safety " Please do me no Harm " 27 October 2004 Washington, DC

FACT SHEET. The Launch of the World Alliance For Patient Safety  Please do me no Harm  27 October 2004 Washington, DC FACT SHEET The Launch of the World Alliance For Patient Safety " Please do me no Harm " 27 October 2004 Washington, DC 1. This unique and essential Alliance is set up by the World Health Organization (WHO)

More information

Mediprise Final Project Presentation

Mediprise Final Project Presentation Mediprise Final Project Presentation m Presented by the HouseCare Group Jennifer Deroy James Gomez Jennifer Sandels Quinise Sherman 1 Problem Statement The healthcare industry is for the most part, still

More information

Improving Safety Practices Anticoagulation Therapy

Improving Safety Practices Anticoagulation Therapy Improving Safety Practices Anticoagulation Therapy Katie Cinnamon, PharmD, BCPS Clinical Pharmacist Genesis Medical Center - Davenport Objectives Review background information on medication errors and

More information

May Improving Strategic Management of Hospitals: Addressing Functional Interdependencies within Medical Care Paper 238

May Improving Strategic Management of Hospitals: Addressing Functional Interdependencies within Medical Care Paper 238 A research and education initiative at the MIT Sloan School of Management Improving Strategic Management of Hospitals: Addressing Functional Interdependencies within Medical Care Paper 238 Masanori Akiyama

More information

Text-based Document. The Culture of Incident Reporting Among Filipino Nurses. de Guzman, Barbara Michelle. Downloaded 28-Apr :54:41

Text-based Document. The Culture of Incident Reporting Among Filipino Nurses. de Guzman, Barbara Michelle. Downloaded 28-Apr :54:41 The Henderson Repository is a free resource of the Honor Society of Nursing, Sigma Theta Tau International. It is dedicated to the dissemination of nursing research, researchrelated, and evidence-based

More information

Various Views on Adverse Events: a collection of definitions.

Various Views on Adverse Events: a collection of definitions. Various Views on Adverse Events: a collection of definitions. April 20, 2008 Werner CEUSTERS a,1, Maria CAPOLUPO b, Georges DE MOOR c, Jos DEVLIES c a New York State Center of Excellence in Bioinformatics

More information

Physician Support After Adverse Patient Events Women s Leadership Forum Massachusetts Medical Society September 30, 2016

Physician Support After Adverse Patient Events Women s Leadership Forum Massachusetts Medical Society September 30, 2016 Physician Support After Adverse Patient Events Women s Leadership Forum Massachusetts Medical Society September 30, 2016 Carol Mostow LICSW Associate Director, Psychosocial Training Department of Family

More information

Crossing the Quality Chasm: Patient and Family Activated Rapid Response Methods

Crossing the Quality Chasm: Patient and Family Activated Rapid Response Methods Crossing the Quality Chasm: Patient and Family Activated Rapid Response Methods By James A. Smith, J.D., LL.M. Candidate (Health Law) jasmit20@central.uh.edu Following a shocking report on the number of

More information

Safe & Sound: How to Prevent Medication Mishaps. A Family Caregiver Healthcare Education Program. A Who What Where Why When Tool Kit

Safe & Sound: How to Prevent Medication Mishaps. A Family Caregiver Healthcare Education Program. A Who What Where Why When Tool Kit Safe & Sound: How to Prevent Medication Mishaps A Family Caregiver Healthcare Education Program A Who What Where Why When Tool Kit National Family Caregivers Association www.thefamilycaregiver.org 800/896-3650

More information

A Study to Assess Patient Safety Culture amongst a Category of Hospital Staff of a Teaching Hospital

A Study to Assess Patient Safety Culture amongst a Category of Hospital Staff of a Teaching Hospital IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 13, Issue 3 Ver. IV. (Mar. 2014), PP 16-22 A Study to Assess Patient Safety Culture amongst a Category

More information

Caring For The Caregiver After Adverse Clinical Effects. Susan D. Scott, PhD, RN, CPPS University of Missouri Health Care System March 11, 2016

Caring For The Caregiver After Adverse Clinical Effects. Susan D. Scott, PhD, RN, CPPS University of Missouri Health Care System March 11, 2016 Caring For The Caregiver After Adverse Clinical Effects Susan D. Scott, PhD, RN, CPPS University of Missouri Health Care System March 11, 2016 University of Missouri Health Care University of Missouri

More information

QUALITY IMPROVEMENT ON A GLOBAL LEVEL- HOW CAN THIS TASK BE ACCOMPLISHED?

QUALITY IMPROVEMENT ON A GLOBAL LEVEL- HOW CAN THIS TASK BE ACCOMPLISHED? QUALITY IMPROVEMENT ON A GLOBAL LEVEL- HOW CAN THIS TASK BE ACCOMPLISHED? Marilyn J. Goske MD Chair, Alliance for Radiation Safety in Pediatric Imaging Corning Benton Endowed Chair for Radiology Education

More information

TeamSTEPPS Introductory Webinar. July 19, 2018

TeamSTEPPS Introductory Webinar. July 19, 2018 TeamSTEPPS Introductory July 19, 2018 Agenda Welcome & HIIN Update TeamSTEPPS Master Trainer Course Presentation --Duke University Health System Master Trainers Next Steps Questions / Discussion Pre-Meeting

More information

Health Management Information Systems: Computerized Provider Order Entry

Health Management Information Systems: Computerized Provider Order Entry Health Management Information Systems: Computerized Provider Order Entry Lecture 2 Audio Transcript Slide 1 Welcome to Health Management Information Systems: Computerized Provider Order Entry. The component,

More information

Evidence-Based Quality Improvement: A recipe for improving medication safety and handover of care Smeulers, Marian

Evidence-Based Quality Improvement: A recipe for improving medication safety and handover of care Smeulers, Marian UvA-DARE (Digital Academic Repository) Evidence-Based Quality Improvement: A recipe for improving medication safety and handover of care Smeulers, Marian Link to publication Citation for published version

More information

Health Professionals Perceptions and Experiences of Open Disclosure: A Systematic Review of Qualitative Evidence.

Health Professionals Perceptions and Experiences of Open Disclosure: A Systematic Review of Qualitative Evidence. Health Professionals Perceptions and Experiences of Open Disclosure: A Systematic Review of Qualitative Evidence. Jacinta Byrth Master of Clinical Science Joanna Briggs Institute Faculty of Health Science

More information

Adverse Drug Events in Wyoming

Adverse Drug Events in Wyoming Adverse Drug Events in Wyoming Where We Are and Where We Need to Go Stevi Sy, PharmD, RPh Adverse Drug Event Task Lead Mountain-Pacific Quality Health August 2017 Objectives Upon completion of this program

More information

Quality Laboratory Practice and its Role in Patient Safety

Quality Laboratory Practice and its Role in Patient Safety Quality Laboratory Practice and its Role in Patient Safety (Policy Number 06-01) Policy Statement ASCP supports the development and maintenance of high quality practice standards for laboratory testing

More information

Translational Safety Through Immersive Learning: Practice What you Preach

Translational Safety Through Immersive Learning: Practice What you Preach Translational Safety Through Immersive Learning: Practice What you Preach Gregory Botz, MD, FCCM Professor, Department of Critical Care Division of Anesthesiology and Critical Care The University of Texas,

More information

Patient Safety for Health Professionals

Patient Safety for Health Professionals Foundations in Patient Safety for Health Professionals Edited by Kimberly A. Galt, RPh, PharmD, FASHP Professor and Associate Dean for Research Director Creighton Center for Health Services Research and

More information

Taking Care Of Yourself: To Help Prevent. Medical. Errors

Taking Care Of Yourself: To Help Prevent. Medical. Errors 20 To Help Prevent Taking Care Of Yourself: Medical Errors T A K I N G C A R E O F Y O U R S E L F 20 Medical errors are one of the Nation s leading causes of death and injury. A recent report by the Institute

More information

Free Executive Summary

Free Executive Summary (Free Executive Summary) http://www.nap.edu/catalog/11140.html Free Executive Summary Quality Through Collaboration: The Future of Rural Health Care Committee on The Future of Rural Health Care ISBN: 0-309-09439-9,

More information

Maintenance of Certification in the United States: A Progress Report

Maintenance of Certification in the United States: A Progress Report TheJdiimulofConliiniiiig Ediicalioii in ihe Heallh Professions. Volume 24. pp. 134 138. Printed in the U.S.A. Copyright 2004 The Alliance for Continuing Medical Education, ihc Society for Medical Education,

More information

Running head: MEDICATION ERRORS 1. Medications Errors and Their Impact on Nurses. Kristi R. Rittenhouse. Kent State University College of Nursing

Running head: MEDICATION ERRORS 1. Medications Errors and Their Impact on Nurses. Kristi R. Rittenhouse. Kent State University College of Nursing Running head: MEDICATION ERRORS 1 Medications Errors and Their Impact on Nurses Kristi R. Rittenhouse Kent State University College of Nursing MEDICATION ERRORS 2 Abstract One in five medication dosages

More information

Karen M. Mathias, MSN, RN, APRN-BC Director Barbara J. Peterson, RN Simulation Specialist

Karen M. Mathias, MSN, RN, APRN-BC Director Barbara J. Peterson, RN Simulation Specialist On the Rural Roads with Pediatric Simulation Training Karen M. Mathias, MSN, RN, APRN-BC Director Barbara J. Peterson, RN Simulation Specialist Objectives Identify key patient safety issues that make simulation

More information

Ensuring Quality Health Care in Health Reform

Ensuring Quality Health Care in Health Reform Ensuring Quality Health Care in Health Reform What Is Quality Health Care? Put simply, it s the right care, at the right time, for the right reason. It s the care we all deserve but, sadly, it s not the

More information

PREVENTING MEDICAL ERRORS

PREVENTING MEDICAL ERRORS PREVENTING MEDICAL ERRORS COPYRIGHT NOTICE Copyright 2017 by Judy Adams. ALL RIGHTS RESERVED No part of this publication may be copied or distributed, transmitted, transcribed, stored in a retrieval system,

More information

Impacting Patient Safety and Patient Satisfaction

Impacting Patient Safety and Patient Satisfaction Impacting Patient Safety and Patient Satisfaction Jennifer L. K. Davis, MS, RD Hawaii Dietetic Association May 5, 2011 At the airport.. Objectives Understand HCAHPS and Patient Satisfaction surveys and

More information

Improvements & Sustained Change through the Implementation of High Reliability Units

Improvements & Sustained Change through the Implementation of High Reliability Units Improvements & Sustained Change through the Implementation of High Reliability Units Tammy Van Dyk, MSN, RN, CPEN Quality Management & Patient Safety Manager Objective Describe how high reliability principles

More information

Understanding Patient Safety

Understanding Patient Safety Understanding Patient Safety Understanding Patient Safety edited by Lynne Currie iii Quay Books Division, MA Healthcare Ltd, St Jude s Church, Dulwich Road, London SE24 0PB British Library Cataloguing-in-Publication

More information

Patient Safety Culture: Sample of a University Hospital in Turkey

Patient Safety Culture: Sample of a University Hospital in Turkey Original Article INTRODUCTION Medical errors or patient safety is an important issue in healthcare quality. A report from Institute 1. Ozgur Ugurluoglu, PhD, Hacettepe University, Department of Health

More information

Workbook for Hartman s Nursing Assistant Care Long-Term Care

Workbook for Hartman s Nursing Assistant Care Long-Term Care Workbook for Hartman s Nursing Assistant Care Long-Term Care By Hartman Publishing, Inc. second edition ii Credits Managing Editor Susan Alvare Hedman Cover Designer Kirsten Browne Cover Illustrator Jo

More information

Human Factor and Patient Safety. Christopher Ente Imperial College Healthcare London Director Patient Safety and Quality for Africa (PASQUA)

Human Factor and Patient Safety. Christopher Ente Imperial College Healthcare London Director Patient Safety and Quality for Africa (PASQUA) Human Factor and Patient Safety Christopher Ente Imperial College Healthcare London Director Patient Safety and Quality for Africa (PASQUA) Human Factors and Patient Safety Unforeseen ice problem caused

More information

Strategies for Good Communication of the Medical Laboratory Staff with the TB Program and Healthcare Providers

Strategies for Good Communication of the Medical Laboratory Staff with the TB Program and Healthcare Providers Strategies for Good Communication of the Medical Laboratory Staff with the TB Program and Healthcare Providers Vasiti Uluiviti Regional Laboratory Coordinator PIHOA 2017 PITCA Meeting Sept 11 th 15 th

More information

Communication and Teamwork for Patient Safety 1.0 Contact Hour Presented by: CEU Professor

Communication and Teamwork for Patient Safety 1.0 Contact Hour Presented by: CEU Professor Communication and Teamwork for Patient Safety 1.0 Contact Hour Presented by: CEU Professor 7 www.ceuprofessoronline.com Copyright 8 2008 The Magellan Group, LLC All Rights Reserved. Reproduction and distribution

More information

MANUNET TRANSNATIONAL CALL 2017 ELECTRONIC SUBMISSION SYSTEM (ESS) MANUAL FOR APPLICANTS

MANUNET TRANSNATIONAL CALL 2017 ELECTRONIC SUBMISSION SYSTEM (ESS) MANUAL FOR APPLICANTS MANUNET TRANSNATIONAL CALL 2017 ELECTRONIC SUBMISSION SYSTEM (ESS) MANUAL FOR APPLICANTS INDEX 1. Introduction... 2 2. Registration... 2 3. Project data... 4 3.1. Project data... 4 3.2. Abstract... 4 4.

More information

Image Gently: A Web-Based Practice Quality Improvement Program in CT Safety for Children

Image Gently: A Web-Based Practice Quality Improvement Program in CT Safety for Children Pediatric Imaging Technical Innovation Goske et al. CT Safety for Children Pediatric Imaging Technical Innovation FOCUS ON: Marilyn J. Goske 1 Rebecca R. Phillips 2 Keith Mandel 3 Daniel McLinden 4 Judy

More information

TRANSFORMING NURSING EDUCATION FOR THE FUTURE

TRANSFORMING NURSING EDUCATION FOR THE FUTURE TRANSFORMING NURSING EDUCATION FOR THE FUTURE Cathleen M. Shultz, PhD, RN, CNE, FAAN National League for Nursing President Dean and Professor, Harding University Carr College of Nursing Ohio League for

More information

VOLUME THREE / ISSUE TWO APRIL 2018

VOLUME THREE / ISSUE TWO APRIL 2018 VOLUME THREE / ISSUE TWO APRIL 2018 A just culture allows for the imperfectness of humans and the recognition that there are other factors at play when an error occurs but also allows for individual accountability.

More information

Assessment of patient safety culture in a rural tertiary health care hospital of Central India

Assessment of patient safety culture in a rural tertiary health care hospital of Central India International Journal of Community Medicine and Public Health Goyal RC et al. Int J Community Med Public Health. 2018 Jul;5(7):2791-2796 http://www.ijcmph.com pissn 2394-6032 eissn 2394-6040 Original Research

More information

1875 Connecticut Ave. NW / Suite 650 / Washington, D.C / / fax /

1875 Connecticut Ave. NW / Suite 650 / Washington, D.C / / fax / Testimony of Jane Loewenson Director of Health Policy, National Partnership for Women & Families Before the U.S. House of Representatives Energy & Commerce Subcommittee on Health Hearing on Patient Safety

More information

Hitting a Grand Slam. The Four Trends. Today s Objectives 3/20/ Trends that Streamline Clinical Operations & Save Financial Resources

Hitting a Grand Slam. The Four Trends. Today s Objectives 3/20/ Trends that Streamline Clinical Operations & Save Financial Resources Hitting a Grand Slam 4 Trends that Streamline Clinical Operations & Save Financial Resources Carolyn J. Humphrey, RN, MS, FAAN President, CJ Humphrey Associates The Four Trends Evidence based Clinical

More information

MELISSA STAHL RESEARCH MANAGER THE HEALTH MANAGEMENT ACADEMY ELIZABETH SLOSS, MSN, MBA GEORGETOWN UNIVERSITY SCHOOL OF NURSING & HEALTH STUDIES

MELISSA STAHL RESEARCH MANAGER THE HEALTH MANAGEMENT ACADEMY ELIZABETH SLOSS, MSN, MBA GEORGETOWN UNIVERSITY SCHOOL OF NURSING & HEALTH STUDIES THE ACADEMY REDUCING MEDICAL ERRORS The Academy The Health Management Academy MELISSA STAHL RESEARCH MANAGER THE HEALTH MANAGEMENT ACADEMY ELIZABETH SLOSS, MSN, MBA GEORGETOWN UNIVERSITY SCHOOL OF NURSING

More information

Incident Reporting Systems and Future Strategies for Patient Safety Improvement

Incident Reporting Systems and Future Strategies for Patient Safety Improvement WHITE PAPER: Incident Reporting Systems and Future Strategies for Patient Safety Improvement Author: Datix Date: 2016/17 Driving down harm How can healthcare providers most successfully pursue the goal

More information

DESIGNING FOR PATIENT SAFETY: A REVIEW OF THE EFFECTIVENESS OF DESIGN IN THE UK HEALTH SERVICE

DESIGNING FOR PATIENT SAFETY: A REVIEW OF THE EFFECTIVENESS OF DESIGN IN THE UK HEALTH SERVICE INTERNATIONAL DESIGN CONFERENCE - DESIGN 2004 Dubrovnik, May 18-21, 2004. DESIGNING FOR PATIENT SAFETY: A REVIEW OF THE EFFECTIVENESS OF DESIGN IN THE UK HEALTH SERVICE J. Clarkson, P. Buckle, D. Stubbs,

More information

ADVERSE HEALTH EVENTS IN MINNESOTA HOSPITALS

ADVERSE HEALTH EVENTS IN MINNESOTA HOSPITALS JANUARY 2005 ADVERSE HEALTH EVENTS IN MINNESOTA HOSPITALS FIRST ANNUAL PUBLIC REPORT 3 ADVERSE HEALTH EVENTS IN MINNESOTA HOSPITALS MDH 2 0 0 5 TABLE OF CONTENTS 2 HOW TO USE THIS REPORT 3 SELECTED SAFETY

More information

Development of an Online Incident-reporting System for Management of Medical Risks at Hospital

Development of an Online Incident-reporting System for Management of Medical Risks at Hospital YAKUGAKU ZASSHI 131(9) 1353 1359 (2011) 2011 The Pharmaceutical Society of Japan 1353 Development of an Online Incident-reporting System for Management of Medical Risks at Hospital Regular Article Hirohito

More information

Impacting quality outcomes: Utilizing an innovative unit-based nursing role. Kaitlin Lindner, BSN, RN, CCRN Stacey Trotman, MSN, RN, CMSRN, RN-BC

Impacting quality outcomes: Utilizing an innovative unit-based nursing role. Kaitlin Lindner, BSN, RN, CCRN Stacey Trotman, MSN, RN, CMSRN, RN-BC Impacting quality outcomes: Utilizing an innovative unit-based nursing role Kaitlin Lindner, BSN, RN, CCRN Stacey Trotman, MSN, RN, CMSRN, RN-BC Outcomes Identify opportunities for improving quality outcomes

More information

Exploring the Relationships between Practicing Registered Nurses (RNs) Pharmacology Knowledge and Medication Error Occurrence

Exploring the Relationships between Practicing Registered Nurses (RNs) Pharmacology Knowledge and Medication Error Occurrence Exploring the Relationships between Practicing Registered Nurses (RNs) Pharmacology Knowledge and Medication Error Occurrence Coleen Kumar, PhD, RN, CNE 1 My Seton Hall University Dissertation Committee

More information

Funding Your Career in Science From Research Idea to Personal Grant

Funding Your Career in Science From Research Idea to Personal Grant Funding Your Career in Science From Research Idea to Personal Grant Dreaming of a successful future in science? This practical guide for students, postdocs, and professors offers a unique step-by-step

More information

Making Sense of System- Based Safety

Making Sense of System- Based Safety Making Sense of System- Based Safety Angela Gibbs, Inland Hospital Madeline Orange, Maine Sentinel Event Team Joe Katchick, Maine Sentinel Event Team Jeff Brown, Maine Primary Care Association Patient

More information

Year in Review ro ils RO ILS

Year in Review ro ils RO ILS RO ILS RADIATION ONCOLOGY INCIDENT LEARNING SYSTEM Sponsored by ASTRO and AAPM Year in Review 2015 1 ro ils noun \ˈro i(-ə)ls\ Radiation Oncology Incident Learning System; a system to facilitate safer

More information

Layla Cassim ERS Consultants, 2016

Layla Cassim ERS Consultants, 2016 Layla Cassim ERS Consultants, 2016 C L ERS Consultants CC Dear Colleague, our comprehensive, 4-day Summer School for Postgraduate Students will be held in Johannesburg soon! Date: 1-4 November 2016 Venue:

More information

Marsh and McLennan Companies 2018 Overview: Best Doctors, Health Advocate, Cigna and MSK Direct October 12, 2017

Marsh and McLennan Companies 2018 Overview: Best Doctors, Health Advocate, Cigna and MSK Direct October 12, 2017 Marsh and McLennan Companies 2018 Overview: Best Doctors, Health Advocate, Cigna and MSK Direct October 12, 2017 Agenda 1 Welcome 2 Best Doctors 3 Health Advocate 4 Cigna EAP 5 MSK Direct 1 Best Doctors

More information

Americans Experiences with Medical Errors and Views on Patient Safety

Americans Experiences with Medical Errors and Views on Patient Safety Americans Experiences with Medical Errors and Views on Patient Safety FINAL REPORT AN IHI/NPSF RESOURCE 20 University Road, Cambridge, MA 02138 ihi.org How to Cite: NORC at the University of Chicago and

More information

Increasing resident incident reporting. Michelle Brooks VCU Health Ashley Duckett MUSC Winter Williams UAB Starr Steinhilber - UAB

Increasing resident incident reporting. Michelle Brooks VCU Health Ashley Duckett MUSC Winter Williams UAB Starr Steinhilber - UAB Increasing resident incident reporting Michelle Brooks VCU Health Ashley Duckett MUSC Winter Williams UAB Starr Steinhilber - UAB What can we help you with? An Incident... Background - Incident Reporting

More information

Frequently Asked Questions from New Authors

Frequently Asked Questions from New Authors Frequently Asked Questions from New Authors As the official journal of the Infusion Nurses Society, the Journal of Infusion Nursing is committed to advancing the specialty of infusion therapy by publishing

More information

2016 NJ "AID IN DYING DEATH FOR THE TERMINALLY ILL ACT" (A2451)

2016 NJ AID IN DYING DEATH FOR THE TERMINALLY ILL ACT (A2451) 2016 NJ "AID IN DYING DEATH FOR THE TERMINALLY ILL ACT" (A2451) A2451 1 is an Oregon-style doctor-prescribed suicide proposal. The proposed law comes at a time when: More people in New Jersey die annually

More information

ERR WORKBOOK ANSWERS HEALTH AND SOCIAL CARE EPUB

ERR WORKBOOK ANSWERS HEALTH AND SOCIAL CARE EPUB 22 November, 2017 ERR WORKBOOK ANSWERS HEALTH AND SOCIAL CARE EPUB Document Filetype: PDF 366.81 KB 0 ERR WORKBOOK ANSWERS HEALTH AND SOCIAL CARE EPUB Here you'll find support for teaching and studying

More information

Mandatory Reporting A process

Mandatory Reporting A process Mandatory Reporting A process guide for employers, facility operators and nurses Table of Contents Introduction.... 3 What is the purpose of mandatory reporting?... 3 What does the College do when it receives

More information

Best Practices for Safety & Care Coordination

Best Practices for Safety & Care Coordination Best Practices for Safety & Care Coordination Thursday, February 23, 2016 Nicole Skyer-Brandwene MS, RPh, BCPS, CCP Adverse Drug Events Network Task Lead Andrew Miller, MD, MPH Care Coordination Network

More information

The Safety Management Activity of Nurses which Nursing Students Perceived during Clinical Practice

The Safety Management Activity of Nurses which Nursing Students Perceived during Clinical Practice Indian Journal of Science and Technology, Vol 8(25), DOI: 10.17485/ijst/2015/v8i25/80159, October 2015 ISSN (Print) : 0974-6846 ISSN (Online) : 0974-5645 The Safety Management of Nurses which Nursing Students

More information

An Audit on Intravenous Drug Preparation and Administration in Various Departments of a Tertiary Care Hospital

An Audit on Intravenous Drug Preparation and Administration in Various Departments of a Tertiary Care Hospital Asian Journal of Medicine and Health 5(1): 1-8, 201; Article no.ajmah.33644 An Audit on Intravenous Drug Preparation and Administration in Various Departments of a Tertiary Care Hospital Ruqiya Sultana

More information

Women and the Practice of Medical Care in Early Modern Europe,

Women and the Practice of Medical Care in Early Modern Europe, Women and the Practice of Medical Care in Early Modern Europe, 1400 1800 This page intentionally left blank Women and the Practice of Medical Care in Early Modern Europe, 1400 1800 Leigh Whaley Professor

More information

University of Washington School of Nursing - Continuing Nursing Education 1

University of Washington School of Nursing - Continuing Nursing Education 1 A Team Approach to Patient Safety: TeamSTEPPS University of Washington Medical Center Kat Comstock, Associate Director Center for Clinical Excellence/Patient Safety Officer Describe TEAMSTEPPS using the

More information

Using Informed Consent to Reduce Preventable Medical Errors

Using Informed Consent to Reduce Preventable Medical Errors Annals of Health Law Volume 21 Issue 1 Special Edition 2012 Article 4 2012 Using Informed Consent to Reduce Preventable Medical Errors Evelyn M. Tenenbaum Albany Law School and Albany Medical College Follow

More information

A Military Atlas Of The First World War By Arthur Banks READ ONLINE

A Military Atlas Of The First World War By Arthur Banks READ ONLINE A Military Atlas Of The First World War By Arthur Banks READ ONLINE PDF Download a military atlas of the first world war Books For Free Get this from a library! A military atlas of the First World War.

More information

Venous Thromboembolism Prophylaxis. Robert A. Thompson, MD, MBA Karen Bales, RN, BSN

Venous Thromboembolism Prophylaxis. Robert A. Thompson, MD, MBA Karen Bales, RN, BSN Venous Thromboembolism Prophylaxis Robert A. Thompson, MD, MBA Karen Bales, RN, BSN 03.14.13 This is a complicated topic! Agenda Rob Thompson Overview Compelling case Karen Bales Protocols OFI process

More information

Special topic: Becoming a Patient: A Major Decision

Special topic: Becoming a Patient: A Major Decision BIOLOGY OF HUMANS Concepts, Applications, and Issues Fifth Edition Judith Goodenough Betty McGuire 1a Special topic: Becoming a Patient: A Major Decision Lecture Presentation Anne Gasc Hawaii Pacific University

More information

2014 Breast Cancer Symposium September 4 6, 2014 San Francisco, CA

2014 Breast Cancer Symposium September 4 6, 2014 San Francisco, CA 2014 Breast Cancer Symposium September 4 6, 2014 San Francisco, CA Cosponsored by the American Society of Breast Disease (ASBD), The American Society of Breast Surgeons, American Society of Clinical Oncology

More information

IMPROVING RESIDENT HANDOFFS. Educating for Quality Improvement & Patient Safety

IMPROVING RESIDENT HANDOFFS. Educating for Quality Improvement & Patient Safety IMPROVING RESIDENT HANDOFFS Educating for Quality Improvement & Patient Safety 1 Stephanie Reeves, DO has no relevant financial relationships with commercial interests to disclose. 2 CS&E Participant Stephanie

More information

Psychiatry Online. Accessing the Database

Psychiatry Online. Accessing the Database Accessing the Database Psychiatry Online Go to the Library Homepage css.edu/library Select Databases, A to Z from the Popular Links column on the left or click on the Articles tab at the top. The College

More information

Failure Mode and Effects Analysis (FMEA) for the Surgical Patient

Failure Mode and Effects Analysis (FMEA) for the Surgical Patient How to Receive Your CE Credits Read your selected course Completed the quiz at the end of the course with a 70% or greater. Complete the evaluation for your selected course. Print your Certificate CE s

More information

Preventable Harm: California Fails to Follow Through With Patient Safety Laws

Preventable Harm: California Fails to Follow Through With Patient Safety Laws Preventable Harm: California Fails to Follow Through With Patient Safety Laws March 2010 I. INTRODUCTION More than 10 years after the Institute of Medicine (IOM) first estimated that nearly 100,000 Americans

More information

Wristbands & Labels Catalog

Wristbands & Labels Catalog Wristbands & Labels Catalog Where positive identification meets safe, efficient patient care. The New PDC Healthcare PDC Healthcare is the result of the merger of two industry leaders and pioneers in healthcare:

More information

For More Information

For More Information THE ARTS CHILD POLICY CIVIL JUSTICE EDUCATION ENERGY AND ENVIRONMENT This PDF document was made available from www.rand.org as a public service of the RAND Corporation. Jump down to document6 HEALTH AND

More information

addressing racial and ethnic health care disparities

addressing racial and ethnic health care disparities addressing racial and ethnic health care disparities where do we go from here? racial and ethnic health care disparities: how much progress have we made? Former U.S. Surgeon General David Satcher, MD,

More information

Addressing Low Health Literacy to Achieve Racial and Ethnic Health Equity

Addressing Low Health Literacy to Achieve Racial and Ethnic Health Equity Hedge Health Funds 2/28/04 October 2009 Addressing Low Health to Achieve Racial and Ethnic Health Equity Anne Beal, MD, MPH President Aetna Foundation, Inc. Minorities Are More Likely to Have Diabetes

More information

The Institute of Medicine s landmark publication,

The Institute of Medicine s landmark publication, J O U R N A L F O R N U R S E S I N S T A F F D E V E L O P M E N T Volume 22, Number 4, 190 195 A 2006 Lippincott Williams & Wilkins, Inc. Improving Medication Calculation Skills of Practicing Nurses

More information

Running head: FAILURE TO RESCUE 1

Running head: FAILURE TO RESCUE 1 Running head: FAILURE TO RESCUE 1 Failure to Rescue Susan Headley Ferris State University FAILURE TO RESCUE 2 Introduction Quality improvement in healthcare is a continuous process that evaluates care

More information

Netrust SSL Web Server Certificate Renewal Application Enrolment Guide

Netrust SSL Web Server Certificate Renewal Application Enrolment Guide Netrust SSL Web Server Certificate Renewal Application Enrolment Guide Updated: September 2010 Version: 2.0 Table of Contents 1 Introduction 3 2 Requirements 3 3 Launching Netrust SSL Web Server Certificate

More information

For More Information

For More Information THE ARTS CHILD POLICY CIVIL JUSTICE EDUCATION ENERGY AND ENVIRONMENT HEALTH AND HEALTH CARE INTERNATIONAL AFFAIRS NATIONAL SECURITY POPULATION AND AGING PUBLIC SAFETY SCIENCE AND TECHNOLOGY SUBSTANCE ABUSE

More information

This PDF is available from The National Academies Press at

This PDF is available from The National Academies Press at This PDF is available from The National Academies Press at http://www.nap.edu/catalog.php?record_id=13513 Using Data Sharing to Improve Coordination in : Report of a Workshop by the National Academy of

More information

PHYSICIANS, DEFENSIVE MEDICINE AND ETHICS

PHYSICIANS, DEFENSIVE MEDICINE AND ETHICS page 16 Allied Academies International Conference PHYSICIANS, DEFENSIVE MEDICINE AND ETHICS Bernard Healey, King s College ABSTRACT Medical malpractice is most often defined as professional negligence

More information

Reducing Interruptions and Reducing Errors in the Inpatient Dispensary Pharmacy

Reducing Interruptions and Reducing Errors in the Inpatient Dispensary Pharmacy Health Care and Informatics Review Online, 2009, 13(3), pg 10-15, Published online at www.hinz.org.nz ISSN 1174-3379 Reducing Interruptions and Reducing Errors in the Inpatient Dispensary Pharmacy Malini

More information

MEDICAL ERRORS. Special Article PATIENT SAFETY VIEWS OF PRACTICING PHYSICIANS AND THE PUBLIC ON MEDICAL ERRORS

MEDICAL ERRORS. Special Article PATIENT SAFETY VIEWS OF PRACTICING PHYSICIANS AND THE PUBLIC ON MEDICAL ERRORS MEDICAL ERRORS Special Article PATIENT SAFETY VIEWS OF PRACTICING AND THE ON MEDICAL ERRORS ROBERT J. BLENDON, SC.D., CATHERINE M. DESROCHES, DR.P.H., MOLLYANN BRODIE, PH.D., JOHN M. BENSON, M.A., ALLISON

More information

SCRATCH COMPETITION RULES

SCRATCH COMPETITION RULES SCRATCH COMPETITION RULES 2017-2018 GENERAL 1. The competition is open to students aged from 6 to 18 years. 2. The competition is divided into two categories, open category and regular challenge. 3. In

More information

Analysıs of Health Staff s Patıent Safety Culture in Izmır, Turkey

Analysıs of Health Staff s Patıent Safety Culture in Izmır, Turkey Human Journals Research Article June 2018 Vol.:9, Issue:4 All rights are reserved by Melek Ardahan et al. Analysıs of Health Staff s Patıent Safety Culture in Izmır, Turkey Keywords: Patient Safety, Patient

More information

Accommodation and Compliance Series. Personal Assistance Services (PAS) in the Workplace

Accommodation and Compliance Series. Personal Assistance Services (PAS) in the Workplace Accommodation and Compliance Series Personal Assistance Services (PAS) in the Workplace Preface The Job Accommodation Network (JAN) is a service of the Office of Disability Employment Policy of the U.S.

More information

TIGER TIPS RESOURCES FOR AUBURN RESEARCHERS Updates to Grants.gov

TIGER TIPS RESOURCES FOR AUBURN RESEARCHERS Updates to Grants.gov AU Office of Sponsored Programs TIGER TIPS RESOURCES FOR AUBURN RESEARCHERS Updates to Grants.gov On August 2, 2013, the Grants.gov website experienced a facelift with a new look and feel. With this update,

More information

Session ID: District4

Session ID: District4 To participate in this activity, please sign in either via responseware.com online, or by downloading the ResponseWare app by Turning Technologies on your internetenabled device. Session ID: District4

More information