Newsletter
Patient ID Risks & the Intersection of Electronic Health Records
Aug 23, 2017
Patient Safety Alert 28: Patient Identification Risks and the Intersection of Electronic Health Records (PDF)
The AMC PSO recently convened a multidisciplinary group of stakeholders across its membership to review and discuss strategies for safer patient identification.
Causes of Patient Identification Error
- Checking patient’s wristband is considered the domain of nurses
- Patient answers to wrong name
AMC PSO
Our Patient Safety Organization convenes clinical leaders to identify and mitigate emerging risks.
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More AMC PSO Content
Publications such as whitepapers and guidelines derived from the AMC PSO convenings.
Sepsis: Early Recognition and Treatment
Newsletter
Patient Safety Alert Issue 10: The AMC PSO has performed an in-depth review of the risks associated with sepsis and has identified practices employed to reduce these risks.
Diagnosis and Treatment of Ischemic Stroke
Newsletter
Patient Safety Alert Issue 20: The AMC PSO has recently convened subject matter experts and ED clinical leaders to address challenges in assessing and treating patients presenting with symptoms related to ischemic stroke, and, in particular, vertebrobasilar stroke.
Patient & Visitor De-escalation
Newsletter
Patient Safety Alert Issue 25: The AMC PSO convened a panel of safety leaders to review recent trends and discuss novel interventions to mitigate the risk for hospital workplace violence, especially from patients and visitors.
Failure to Rescue
Newsletter
Patient Safety Alert Issue 22: The AMC PSO has recently assembled a panel of subject matter experts to review data, literature, and their own experiences with insufficient patient monitoring and failure to rescue.
Utilization of Electronic Health Record Sex and Gender Demographic Fields: A Metadata and Mixed Methods Analysis
News
This CRICO co-funded retroactive study published in the Journal of the American Medical Informatics Association analyzed the records of patients 18 years of age or older in the Mass General Brigham health system with a first Legal Sex entry (registration requirement) between 2018 and 2022. The study was important because "Sex and gender demographic data are widely viewed as essential to providing culturally responsive gender affirming care and facilitating research and public health interventions."
Characterizing Malpractice Cases Involving Emergency Department Advanced Practice Providers, Physicians in Training, and Attending Physicians
News
Beth Israel Deaconess Medical Center’s emergency department experts collaborated with CRICO patient safety experts to co-author this study that was published in the Academic Emergency Medicine journal.
The Patient Safety Adoption Framework: A Practical Framework to Bridge the Know-Do Gap
News
CRICO Grants
Many patient safety initiatives fail to be adopted and implemented, even when proven effective. This creates the well-recognized know-do gap—which occurs when health care workers know what should be done based on evidence vs. what takes place in practice. To address this issue, CRICO funded the development of a patient safety adoption framework and had it evaluated by leaders in quality and safety. The framework and its findings were published online in the Journal of Patient Safety in April 2023.
How Does Work Environment Relate to Diagnostic Quality? A Prospective, Mixed Methods Study in Primary Care
News
CRICO Grants
The aim of this CRICO-funded study was to develop a tool assessing key elements of the diagnostic assessment process and apply it to a series of diagnostic encounters examining clinical notes and encounters' recorded transcripts.