Resource presents interviews with experts in patient safety and risk management,
case abstracts and legal reports. Listen in your car, on your stereo, or at your
computer for updates and (CME) credits.
Previous RESOURCE issues
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Program 2, 2009
- Legal Report: Curbside Consults in the Digital Age
- MDs Override Prescribing Alarms, Safety Value Persists
- Closed Case Abstract: Sent Home Twice Before Baby Born Sick
- Making Care Systems Leaner and Safer
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Program 1, 2009
- New Decision Tool for Prostate Cancer Testing
- Closed Case Abstract: Drug Error Reviewed by Non-Healthcare Methods
- Legal Report: Court Defines a New Harm for Losing a Chance at Survival
- Patient Safety Data Driving Change: A Model Methodology
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Program 5, 2008
- Part I: Momentum for Scenarios to Cut Medical Error
- Closed Case Abstract: Pedi Hand-off Simulated in ED
- Part II: Are You Ready for Simulation and Team Training?
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Program 4, 2008
- Patient Status Changes "Trigger" Call to MD
- Closed Case Abstract: Sleep Apnea Patient Dies After Eye Surgery
- Legal Report: A Physician Duty to Non-patients?
- New Ambulatory Med Safety Rules
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Program 3, 2008
- Part I: Tech Aids for Decision Making
- Part II: Electronic Help for Follow Through
- Closed Case Abstract: Deaths Preventable with Computers
- Legal Report: Three Risks to Avoid in Health IT
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Program 2, 2008
- MD Empathy: The Patient Perspective
- Closed Case Abstract: Delayed Diagnosis of Post-op Infection
- The Nature of Resident Errors
- Legal Report: Lost Evidence Loses Cases
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Program 1, 2008
- For Safety, Are Intact Surgical Teams Possible?
- Legal Report: Openness and Caution in Disclosing Adverse Events
- Some Real World Solutions for Rising Diagnosis Problems
- Closed Case Abstract: Decreased Fetal Movement In Diagnosis
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November 2007
- Payer Pressure to Fix Errors
- Case Study: Assumptions Among Providers Delay Dx
- Trying to Manage Outpatient Risks
- Legal Report: Courts Expect Careful Credentialing
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September 2007
- Surgeons Fixing Communications Errors
- Case Study: Attending Unaware of Patient Problems
- Legal Report: Tighter Consent Rules from CMS
- Competing Hospitals Unite More to Cut Errors
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May 2007
- Breakdowns in ED Diagnoses
- Careful Curbside Consults
- Case Study: Trouble Diagnosing Embolism
- PCPs Miss Chances with MIs
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March 2007
- Repeat ED Visits, Delayed Diagnosis, Lost Ovary
- Adding Structure for Safer Hand-offs
- Follow Up Falls on MDs
- Carrots, Sticks from Liability Insurers
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January 2007
- New Outpatient Diagnosis Insights
- Case Study: No Screen, Then Colon Cancer
- Updated Colorectal Cancer Screening Algorithm
- Legal Report: Patients Now Sue for “Loss of Chance”
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November 2006
- Vague Talk Between OB and RN Caused Delay
- Special Report: Part 1: Teams - Patient Safety Findings from Harvard Grant Program
- Special Report: Part 2: Communication - Patient Safety Findings from Harvard Grant Program
- Legal Report: Rational Court Results for Med-mal?
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September 2006
- Case Study: Long Surgery, Consent Faulted in Blindness
- Surgery Data Belie Slip of Knife Myth
- Informed Consent: Who’s Doing What?
- Legal Report: Does Legal System Cull Bad Claims?
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July 2006
- Wrong Site, Quickly Settled
- Surgeons and Error Disclosure
- Best Practice: Informed Consent that Sticks
- Legal Report: Risky "Favors" for Friends
- New Patient Safety Guidance for OBs
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May 2006
- Special Edition: Highlights of “Seize the Moment: Reaching Excellence in Patient
Safety”
- Closed Claim Abstract: Assumptions, Lack of Structure in Surgery Handoffs
- A Business Tool ID’s Change Barriers
- Hurt By Medicine: Patients Talk
- Knowing the Limits of Expertise
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