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11-20 of (306) items Show items per page Page of 31
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How Simulators Help OR Teams Really Act Like Teams
By Tom A. Augello, CRICO

Surgeons, nurses, doctors, technicians and others gather in simulators at Harvard to learn teamwork.

Participants say it saves lives, money, and grief. Even skeptics say it’s worth the time and it should be done everywhere.grant_icon

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Malpractice Risks Associated with Electronic Health Records
By Penny Greenberg, MS, RN, CPPS, CRICO and Gretchen Ruoff, MPH, CPHRM, CRICO

Read this study about whether or not EHR use has unintended consequences that detract from the safety of health care.

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Being a defendant, tips from a judge, medication errors, and more
By Alison Anderson, Missy Padoll, Wallinda Hutson, CRICO

May 2017 Insights newsletter. See Judge Zobel’s key rules for being deposed...

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What is the “Standard of Care”?
By Jock Hoffman, CRICO, Tom Augello, CRICO

Learn how medical care is measured in legal cases.

 

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Cancer Diagnosis, Doctors in the Courtroom, and more…
By Alison Anderson, Missy Padoll, Wallinda Hutson, CRICO

Insight March 2017:  Cancer Diagnosis, Doctors in the Courtroom, and more

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Culture Helped, Hurt in this Dosage Error
By Barbara Szeidler, RN, BS, LNC, CPHQ, CPPS, CRICO
Tom A. Augello, CRICO

In this case, an 8-year-old girl experienced a tenfold dosing error of clotting factor, requiring admission and observation due to increased risk of stroke. It could be said that the culture at this hospital both contributed to the error, and contributed to a good response by staff.

 

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Defendants Talk, Standard of Care, Case Studies, and more...
By Alison Anderson, Missy Padoll, Wallinda Hutson, CRICO

Insight February 2017:  Defendants Talk, Standard of Care, Case Studies, and more

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Let’s Be Clear About This
By Jock Hoffman, CRICO

The wrong words may be harmful.


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No Review of Test Result, and
Girl Suffers Wrong Dx for Years
By Kathy Dwyer, MSN, RN, CRICO, Terese Berry, MD, CRICO, Tom A. Augello, CRICO

An 8-year old girl was treated over three years for a condition she never had. Multiple providers missed a test result that showed she had celiac disease, so it went untreated and she suffered. The resulting lawsuit resulted in a settlement against two of her doctors. This case study not only reviews the facts, but it also features suggestions from an expert reviewer on how to prevent similar mistakes managing test results.

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Patient Safety Alerts Library

Each AMC PSO Patient Safety Alert takes an in-depth look at one or two topics such as Patient Falls and Results Management. Visit our library to see the available reports and fill out a form to receive a PDF of one or more issues. 

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11-20 of (306) items Page of 31