*Indicates High Risk
QUICK VIEW Newsletter and Publication
January 31, 2017
Each month, Strategies for Patient Safety explores the myriad ways 30-plus years of analyzing medical malpractice data can guide physicians and nurses practicing amidst today’s patient safety risks.
The wrong words may be harmful.
QUICK VIEW Podcast and Video
January 27, 2017
Case studies and interviews are aligned with clinical specialties and high risk areas identified in the Harvard system.
January 24, 2017
For many in the medical profession, some of the basics of law and malpractice claims are a little mysterious. The key question about negligence is whether or not the provider failed to meet the “standard of care.” But how do we know what the standard of care is? We hear from a lawyer and and a doctor about what they’ve learned working in the world of medical errors and malpractice law.
Patient Safety Alerts Library
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Ambulatory, Clinical Guidelines, Communication, Emergency Medicine, Primary Care, General Surgery, Nursing, Obstetrics, Surgical Specialties, Medical Specialties, Patient Safety Awareness, Teamwork Training
December 2016–Electronic Health Record Risks in the Emergency Department
Issue 27: When EHR workflows do not align with ED clinical workflows, common workarounds erupt, increasing the potential for error
December 2016–Medication Administration in the Ambulatory Setting
Issue 26: The nature of ambulatory health care often creates scenarios where providers and their staff are confronted with tensions inherent to these settings, including high patient volumes coupled with a need for operational expediency
March 2016–Patient & Visitor De-escalation
Issue 25: Due to the unpredictable nature and potentially serious outcomes related to workplace violence events, hospitals are now working to develop more comprehensive security protocols and training programs
December 2015 – Periprocedural Management of Anticoagulation Therapy
Issue 24: Patient Safety professionals discuss the contributing factors often associated with this medication event type, and the strategies to proactively mitigate this risk.
April 2015–Patient Falls
Issue 23: Nursing leaders review recent trends, evaluate the current literature, and discuss novel interventions aimed at mitigating the risk regarding patient falls.
December 2014–Failure to Rescue
Issue 22: Insufficient patient monitoring and failure to rescue.
November 2014–Results Management Report
Issue 21: Test results follow-up and management issues.
October 2014–Diagnosis and Treatment of Ischemic Stroke
Issue 20: Challenges in assessing and treating patients presenting with symptoms related to ischemic stroke, and, in particular, vertebrobasilar stroke.
May 2014–Missed and Delayed Diagnoses in the ED
Issue 18: Study some of the problems that can impede a prompt and accurate diagnosis.
December 2013–Obstructive Sleep Apnea - Management Considerations
Issue 19: Patient safety issues relevant to postoperative management of sleep apnea.
August 2013–Test Result Notification
Issue 15: Current issues and possible solutions and propagate the natural progression of CRICO’s established mission of helping health care providers turn credible data into effective action.
August 2013–Pharmacy Compounding Safe Practice Recommendations
Issue 14: Best practices regarding the issues within compounding sterile preparations.
July 2013–Pharmacy Compounding
Issue 13: Current issues in compounding sterile preparations.
July 2013–Harvard Surgical Chiefs Endorse Automated Detection Technology for Retained Foreign Objects
Issue 12: Analysis of patient safety events in the surgical setting has identified emerging technologies and new strategies to complement existing patient safety protocols.
June 2013–Delayed Diagnosis
Issue 11: Practices identified to reduce risks resulting from missed diagnoses or delayed diagnoses in the ED.
December 2012–Sepsis: Early Recognition and Treatment
Issue 10: OB-related malpractice claims along with real-time root cause analysis information reveals trends and emerging risks. Part II
December 2012–Patient Safety in Labor and Delivery: Managing Complex Conditions in a Complex Environment
Issue 9: OB-related malpractice claims along with real-time root cause analysis information reveals trends and emerging risks. Part I.
August 2012–Medication Safety in the ICU
Issue 8: A review of adverse drug events in the ICU setting has identified several risks and vulnerabilities.
June 2012–Risks Associated with Interventional Procedures in the Ambulatory Setting
Issue 7: Address the risks associated with interventional procedures in the ambulatory setting.
May 2012– RCA Information Exchange – PCA Pump Alarm Update
Issue 6: A review of safety issues involving ambulatory pumps used to administer patient controlled analgesia (PCA).
December 2011–Surgical Fires: Electrosurgical Cases
Issue 5: Analysis identified three surgical fire interventions: prevention, response, and training.
November 2011–PCA Pump Alarm Safety Concerns
Issue 4: Many issues surround new PCA pumps.
October 2011–Programmable Medical Equipment Risks and Interventions
Issue 3: Factors that can contribute to risks associated with programmable medical devices.
August 2011–Risks of Programmable Medical Equipment
Issue 2: Several recommendations to decrease risks related to equipment complexity and user fallibility.
July 2011– Wrong Site Surgery
Issue 1: Interventions to address the factors that can contribute to wrong-site surgery.
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