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Patient safety issues relevant to postoperative management of sleep apnea.
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.
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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.
Patient & Visitor De-escalation
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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
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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.
Electronic Health Record Risks in the Emergency Department
Newsletter
Patient Safety Alert Issue 27: 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
Harvard Surgical Chiefs Endorse Automated Detection Technology for Retained Foreign Objects
Newsletter
Patient Safety Alert Issue 12: The AMC PSO has performed an in-depth analysis of patient safety events in the surgical setting and has identified emerging technologies and new strategies to complement existing patient safety protocols.
Establishing a Regional Registry for Neonatal Encephalopathy: Impact on Identification of Gaps in Practice
News
Neonatal encephalopathy continues to be a significant risk for death and disability. To address this risk, regional guidelines were developed with the support of CRICO. A neonatal encephalopathy registry was also established. The aim of this study was to identify areas of variation in practice that could benefit from quality improvement projects.
Utilization of Electronic Health Record Sex and Gender Demographic Fields: A Metadata and Mixed Methods Analysis
News
CRICO Grants
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.
Postpartum Malpractice Claims: Can We Understand Preventable Harms and Socioeconomic Factors?
News
Candello Member
In a multifactorial study, The Doctors Company (a Candello member organization) investigated postpartum claims to develop clinical recommendations to decrease the risks of postpartum morbidity and mortality.