Did You Know Archive
Physicians perceive that arrival of new residents has negative impact on care for up to a month.
Nurses were felt to be responsible for most of the medication errors in the emergency department.
Omitted information is most frequent cause of errors with outpatient computerized prescribing systems.
Two-thirds of prescriptions drawn from an electronic health record didn't match the EHR medication list.
Patients who perceive errors in their care often change physicians.
Residents' perceived barriers to potential patient safety solutions.
Most diagnostic errors occurred during the testing phase
Causes of adverse events in ambulatory diabetes
Most pediatric adverse drug event (ADE)-related visits were in the youngest children.
Caregivers who commit errors ("second victims") often experience personal problems.
A structured medication administration process decreased errors.
Critical care nurses identified 4183 potentially lethal medical errors.
One in three adults misunderstood pediatric medication instructions.
Five drug types accounted for more than 80% of ED visits for ADEs.
Classification of drug administration errors in anesthesia malpractice cases.
Distribution of the 312 "never events" reported to the Minnesota Department of Health in 2007-2008
Physician attitudes toward copy and paste function (CPF) in electronic notes
Types of wrong-site surgery observed in the previous 6 months by orthopedic surgeons
Location of errors observed by orthopedic surgeons in the previous 6 months
Types of errors observed by orthopedic surgeons in prior 6 months
Types of errors reported in an academic surgery department in a 12-month period
Of 3522 patients surveyed, 4.2% reported experiencing a harmful adverse event in the past year.
Disruptive behaviors linked to adverse events in survey* of hospital staff.
According to a 2006 study, a quarter of US hospitals have no information technology (IT) applications* for medication safety.
Many intravenous drug infusions labeled incorrectly.
Most ED cases referred to a physician review committee in an urban hospital ED involved three or more contributing factors.
Fewer than 50% of physicians believe they have access to a reporting system in their organization to report medical errors
More than 50% of key clinical faculty report worsening medical educational experiences for students on their medicine rotations as a result of duty hour regulations.
Surgeons experienced 50% fewer positioning errors with laparoscopic procedure equipment when they used a structured checklist.
Sentinel events most frequently reported to The Joint Commission.
Most physicians are dissatisfied with current systems to report and disseminate error information in their hospital or health care organization.
In a survey of 1082 practicing physicians, most report having been involved in a medical error.
Low and marginally literate patients have difficulty following the prescription label instruction "take two tablets by mouth daily" even when they are able to read dosage instructions correctly.
Prescribers override more than half of CPOE generated alerts of critical drug-drug interactions (DDIs) without providing a reason.
Key clinical faculty feel that duty hour regulations have worsened resident patient care
Surgical specimen identification errors
Patient safety publications before and after publication of the IOM report "To Err is Human."
Patients' reports of errors in outpatient chemotherapy via patient safety liaison program
What physicians would disclose about error
Frequency of the 154 "never events" reported to the Minnesota Department of Health in 2005-2006
Most physicians think serious and minor errors should be disclosed
More than half of consumers don't have personal set of medical records
Categories of missing clinical information during primary care visits
Classification of incident reports submitted electronically
Risk of error almost doubled when nurses worked ≥12.5 consecutive hours
Degree of EHR implementation in all practices
Table showing top 5 self-perceived barriers to incident reporting for doctors.
Table showing voluntarily reported errors.
Table showing incident reporting usage.
Quality of CPR during in-hospital cardiac arrest is poor
Nurses’ perceptions of overall medication safety in their hospital since the IOM report
Top seven barriers to implementing patient safety system
More than half of patients have ≥ 1 unintended medication discrepancy at hospital admission
Most common prescribing errors in long-term care facilities
Percentage of trainees reporting routine use of safe prescribing practices
Types of iatrogenic events causing patients to be admitted to ICU
Some hospitals asking patients to remove or cover rubber wristbands
Adverse drug events in long-term care facilities.
Health care providers rarely confront colleagues on mistakes in patient care.
Health care facilities attribute medication errors to multiple causes.
Percentage of physicians and general public reporting that they, or a family member, have been a victim of a medical error.
Among 400 consecutive patients at an academic hospital, 76 (19%) had adverse events soon after discharge, most either preventable or ameliorable.
Physicians and nurses disagree on which clinical information technology would benefit patient safety.
The vast majority of doctors and nurses believe that decision support technology will change medical practice in the next 5 years, but few actually use it now.
Without interpreter services, non-English speaking patients often don't understand medication instructions.
Many adverse events attributed to inadequate nurse staffing.
Of urban hospitals surveyed, few currently use computerized physician order entry (CPOE) but 30% plan to by 2004.
Safety hazards and everyday probabilities.