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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.

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

Learning from the past to improve patient safety.

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Starting Points for Patient Safety
By Jock Hoffman, CRICO

Patient Safety: Benchmark before improving. Learn how.

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A Patient Safety Survey Course
By Jock Hoffman, CRICO

What do you want to learn more about?

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Who’s Who in Health Care?
By Jock Hoffman, CRICO

It’s not always clear who does what.

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Distraction, Poor Planning for OB Patient
By Tom A. Augello, CRICO, Thomas Beatty, MD

Language barrier, distraction, and lack of planning contributed to a delay in treating fetal distress. In this case study, a baby is born with deficits, and the settlement against an OB is over $1 million.

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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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Rosie’s Story
By Jock Hoffman, CRICO, Dana Siegal, CRICO

Data without a story may not hold your audience’s attention.

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