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11-20 of (301) items Show items per page Page of 31
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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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Medication Administration in the Ambulatory Setting

The AMC PSO convened a panel of nursing leaders to review risks in the medication delivery processes in the ambulatory setting and discuss potential interventions aimed at mitigating the risks associated with medication administration.

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Resources for Presenters

The CRICO Are You Safe? case studies contain information that you can access in different formats: web pages, one page handouts, and a slideshow version with additional data included.

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Called to be Juror in Medmal Case? Lawyers Want to Talk to You
By Ellen Cohen, Esq.
Adler, Cohen, Harvey, Wakeman, Guekguezian, LLP

In Massachusetts, the law recently changed, regarding how juries are selected in civil trials, including medical malpractice cases. Now lawyers can question individual jurors directly.

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CRICO’s Are You Safe? Case Studies

These case studies are designed to help all members of a multidisciplinary team reduce the risk of patient harm in the course and diagnosis and treatment. Office-based events that trigger malpractice cases present valuable opportunities to identify vulnerabilities in communication, clinical judgment, and patient care systems.

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Are You Safe? Library

Are You Safe? cases are available as double-sided single sheets or slideshows that you can use to discuss improving patient safety in the office setting. This page lists all items by topic. Click through to see how you can earn category 2 Risk Management credits.

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11-20 of (301) items Page of 31