Words of Wisdom

"The true measure of a man is how he treats someone who can do him absolutely no good

- Thomas Elva Edison

Comic Relief

Two Kinds of Employees

A worker went in to complain about his job to his manager.

His manager responded "There are two kinds of employees in this company... the ones who like their job, and the ones who don't work here anymore."

- Yogi Berra

Building & Construction Industry - Knowledge & Resource Center

GCat: Design & Safety
MCat: Safety
Cat: Patient Safety

68 Resources
A Critical Analysis of Patient Safety Practices [23654] ?

59 chapter report on patient safety strategies for the medical environment

Abbreviations: A Shortcut to Disaster [9169] ?

Advice on how to use abbreviations appropriately

Adverse Event and Medical Product Problem Reporting to FDA - MedWatch [16493] ?

Use the MedWatch program for reporting significant adverse events with medical products

Blood Transfusion Errors [15630] ?

Blood transfusion errors can be made at many points in the process

Dangerous Abbreviations [18482] ?

Common medication errors due to abbreviations

Delays in Treatment [18799] ?

Sentinel event data reveal that such serious problems can occur in any hospital unit, not just ER

Drug and Medical Device Safety [16968] ?

News and reference materials related to drug and medical device safety

Drug Name Confusion: Preventing Medication Errors [pdf] [18479] ?

Health care professionals often report confusion between similar brand and generic names

ECRI Patient Safety Center [24286] ?

Some of the reports and risk analyses from ECRI

Entrapment Hazards with Hospital Bed Side Rails [23645] ?

Additional safety measures should be considered for patients identified as high risk for entrapment

Environment of Care Plans [18830] ?

Full text of 7 EOC plans for a university medical center

Escape and Elopement Management [27325] ?

Interventions that may be used to prevent patients from escaping and eloping

Family Physician's Role in Reducing Medical Errors [16173] ?

Family physicians can take several steps to help reduce medical errors and improve patient safety

FDA Medical Product Safety Information [16494] ?

Databases regarding medical safety alerts for drugs, biologics, devices, dietary supplements

FDA MedWatch [22448] ?

FDA Adverse Event Reporting Program

FL-Florida Risk Management Statistical Studies [4001] ?

Series of statistical reports related to claims and reported injuries from medical mistakes, etc.

Guidelines for the Use and Handling of Hazardous Drugs [pdf] [13476] ?

Full text of a hazardous drug handling policy in use by a major university's medical center

Healthcare Failure Mode Effect Analysis Process [27326] ?

Steps that may be used to in conducting a proactive risk assessment in the health care setting

Hospital Bed Safety in Hospitals and Nursing Homes [24739] ?

Risk Assessment for Hospital Bed Entrapment and more

Hospital Bed Side Rails [23646] ?

Clinical Guidance for the Assessment and Implementation of Bed Rails in Hospitals, Long Term Care Facilities and Home Ca

Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment [23648] ?

FDA recommendations for manufacturers of new hospital beds and for facilities with existing beds

Hospital Beds & the Vulnerable Patient [16582] ?

FAQ on entrapment issues

Incident Reporting [21665] ?

A critical analysis of patient safety practices in incident reporting

Institute for Safe Medication Practices [5136] ?

Provides education & alerts about adverse drug events and their prevention

JCAHO Sentinel Event Alerts and Solutions [7154] ?

Reference materials related to medical and medication errors

Joint Commission Official Do Not Use List [8980] ?

The Joint Commission

Life Safety Code Amendment Allows Alcohol Based Hand Rubs in Healthcare Facilities [pdf] [11502] ?

Amendment to the 2003 NFPA Life Safety Code permits the use of alcohol-based handrub solutions in patient rooms (pdf)

Medical Errors & Patient Safety [15009] ?

Articles provide advice on reducing medical errors and promoting patient safety

Medical Errors: Tips to Help Prevent Them [24571] ?

Patients who are involved with their care can help prevent medical errors

Medication Error Index [23731] ?

The USP Medication Errors Reporting Program has implemented this index for use in the USP database

Medication Errors in Hospitals: A Practical Tool Kit [16697] ?

To use when considering how best to proceed in choosing and applying a variety of technological solutions

Medication Safety Resources [583] ?

Consumer information on the proper use of nonprescription & prescription medicines

Medications & Patient Safety [15013] ?

AHSP Center on Patient Safety

Morse Fall Scale [pdf] [27329] ?

Systematic assessment of a patient's fall risk factors

MRI Safety Screening Form [pdf] [24250] ?

Form for patients to complete prior to obtaining an MRI

National Center for Patient Safety [21810] ?

Root cause analysis, Healthcare Failure Mode and Effects Analysis, etc. used by VA hospitals

NCC MERP Council Recommendations About Medication Errors [18481] ?

Provides recommendations to reduce medication errors

Nursing Medication Errors [5224] ?

A series of articles on the topic

Patient Escape and Elopement Management [23655] ?

Interventions to prevent patients from escaping and eloping from medical buildings and grounds

Patient Fall Prevention and Management Program [21813] ?

The following are processes involved in assessing patients for fall risk

Patient Fall Risk Assessment [27328] ?

Determine if there are existing intrinsic factors that may affect the patient's fall risk.

Patient Fall Risk Assessment Tool [pdf] [26758] ?

A form used to score a patient's risk for falling

Patient Falls Toolkit [27324] ?

Reduce the number of falls as well as the severity of the falls that do occur

Patient Safety - Nursing Training [pdf] [23649] ?

29 page handbook for preventing medical errors and promoting patient safety

Patient Safety Alerts [24142] ?

Medication error summary reports, etc

Patient Safety First [25392] ?

Information related to perioperative patient safety

Patient Safety Incidents Contributing Factors [27330] ?

Lead your team to root causes for each patient safety incident event

Patient Safety Network [18798] ?

Online resources for improving patient safety

Patient Safety Principles for Office-Based Surgery [25427] ?

Utilizing Moderate Sedation/Analgesia, Deep Sedation/Analgesia, or General Anesthesia

Patient Safety Root Cause Analysis [27327] ?

Materials to facilitate patient safety and Root Cause Analysis (RCA) investigations

Patient Safety Topics [15025] ?

Reference documents and tools to help health care providers with patient safety

Psychiatric Center Quality Improvement [26750] ?

Text of a patient care safety plan for a psychiatric center

Quality and Patient Safety Resources [18653] ?

Guidance on efforts to develop a culture of safety

Refrigerated Medications at Risk for Errors [24141] ?

Errors regarding the use of a refrigerator to store medications

Report a Complaint About a Health Care Organization [5015] ?

Complaint information is used to strengthen the oversight activities of the JCAHO

Restraint and Seclusion - Patient Risk Management Guide [pdf] [17655] ?

Suggested strategies for reducing risk

Restraints, Seclusion and Sitters Log [11137] ?

Forms to document and collect restraint data on patients

Restraints: Safety Without Restraints [16732] ?

Alternatives to the use of restraints with elderly patients

Sample Outline for a Patient Safety Plan [pdf] [7244] ?

A sample plan outline - no details

Sample Outline for a Patient Safety Plan [pdf] [16935] ?

To help reduce medical errors in health care

Sentinel Event Statistics [26684] ?

Statistics identifying causes, trends, settings and outcomes of patient safety events

Talking to Patients about Health Care Injury [pdf] [15028] ?

National Patient Safety Foundation statement of principle

To Err Is Human: Building a Safer Health System [16267] ?

Full text of the IOM report on patient safety and medical errors

Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery [24564] ?

Guidance for implementing the Universal Protocol

USP Medication Errors Materials [15033] ?

Patient safety tools related to medication errors

USP Quality Review [24140] ?

Medication error alert advice from the USP

Vaccine Adverse Event Reporting System [15031] ?

FDA program for vaccine safety

Vaccine Safety [24222] ?

Issues of interest such as side effects, additives, etc