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< Back To Patient Safety

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

The wrong words may be harmful.


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Opioids, Skipped Test, Wrong Dx, and more...
By Alison Anderson, Missy Padoll, Wallinda Hutson, CRICO

Insight January 2017:  Opioids, Skipped Test, Wrong Dx, and more.

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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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Could this Happen in Our Practice?
By Jock Hoffman, CRICO

Learning from the past to improve patient safety.

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Patient Voice: Beth Felt a Lump but the Nurse Didn’t. How a Patient and her Providers Turned it Around
By Tom A. Augello, CRICO

Patient Voice: Beth felt a lump in her breast but the NP covering for her regular primary care doctor told her there wasn't a need for testing because she didn't feel it. An insistent patient, a concerned doctor, an apology, stellar coordination with specialists, and remission complete the story. Now, this patient praises her health care providers and the institutions they work in.

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MedMal Defendants, Prostate Cancer Screening, and more...
By Alison Anderson, CRICO, Missy Padoll, CRICO, Wallinda Hutson, CRICO

Insights December 2016: MedMal Defendants, Prostate CA Screening, and more...

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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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Opioids, Jurors, Doctors in Court, and more...
By Alison Anderson, CRICO, Missy Padoll, CRICO, Wallinda Hutson, CRICO

Insights November 2016: Opioids, Jurors, Doctors in Court, and more...

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21-30 of (367) items Page of 37