Newsletter
Obstructive Sleep Apnea - Management Considerations
Dec 31, 2013
Patient Safety Alert 19: Obstructive Sleep Apnea – Management Considerations (PDF)
The AMC PSO recently convened its member opinion leaders from multiple disciplines to share their expertise regarding patient safety issues relevant to postoperative management of sleep apnea.
CASE REVIEW
- Background: A young adult enters a regional hospital for a scheduled outpatient minor procedure. [...] Approximately 12 hours after discharge, the patient was rushed to a local hospital suffering a cardiac arrest.
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.
Programmable Medical Equipment Risks and Interventions
Newsletter
The AMC PSO has identified a series of practices employed to address the factors that can contribute to risk associated with programmable medical devices.
Wrong Site Surgery Report
Newsletter
The AMC PSO has identified the a series of practices employed to address the factors that can contribute to a wrong-site surgery.
The Risks of Programmable Medical Equipment
Newsletter
The AMC PSO has identified a broad array of programmable medical devices and made several recommendations to decrease risk due to user fallibility, equipment complexity, and highly variable processes.
PCA Pump Alarm Safety Concerns
Newsletter
The AMC PSO has identified a series of practices employed to address the factors that can contribute to risk associated with ambulatory pumps.
The Safety of Inpatient Health Care
News
Funded by CRICO, The Safety of Inpatient Health Care study published in the New England Journal of Medicine on January 12, 2023 is an important follow up to the landmark Harvard Medical Practice Study (HMPS), published in 1991.
Improving Clinical Documentation Compliance Pre-gastrointestinal Endoscopy Procedures Through the Use of an Endoscopy Checklist
News
A Beth Israel Deaconess Medical Center quality improvement project showed how a standardized tool (checklist) to promote team communication and clarification of discrepancies pre-procedure can contribute to prevention of errors.