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< Back To Patient Safety

Patient ID Risks & the Intersection of Electronic Health Records

The AMC PSO recently convened a multidisciplinary group of stakeholders across its membership to review and discuss strategies for safer patient identification.

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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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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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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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Electronic Health Record Risks in the Emergency Department

The AMC PSO convened a panel of Emergency Medicine thought leaders to identify significant areas of concern and to explore potential mitigation strategies for use of electronic health record risks in the Emergency Department

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Starting Points for Patient Safety
By Jock Hoffman, CRICO

Patient Safety: Benchmark before improving. Learn how.

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Missing an MI When Symptoms Didn't Match Diagnosis
By Tom A. Augello, CRICO, Lisa Heard, MSN, RN, CGRN, CPPHQ, CRICO Carla Ford, MD, CRICO

A presumptive diagnosis during an office visit kept the doctor from broadening the differential to include a much more serious condition. Commentator Carla Ford, MD says, “These are the kinds of situations that our primary care providers and urgent care providers are faced with all the time.”

 

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National MedMal Huddle Looks at Communication Errors/Solutions
By Tom A. Augello, CRICO

Nearly 3 in 10 medical malpractice cases have identifiable problems with communication, according to a report by CRICO, the malpractice insurer for the Harvard medical institutions. Proven solutions highlighted a national gathering of patient safety leaders in Boston.

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Residents, OR Teamwork, Empathy, and more...
By Alison Anderson, CRICO, Missy Padoll, CRICO

Insights July 2016: Residents, OR Teamwork, Empathy, and more...

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A First Place Mindset About Medical Error
By Jock Hoffman, CRICO

The size of the problem isn’t what’s important.

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