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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.
No Surgical Items Left Behind
Newsletter
While the occurrence is rare, Massachusetts reported rising rates of retained surgical items over the past several years.
Hospital at Home (HaH)
Newsletter
Patient Safety Alert Issue 36: When implementing or expanding a HaH program, consider programmatic resources, goals, and the patient population to identify and mitigate risks and deliver safe, high-quality care.
Medication Administration in the Ambulatory Setting
Newsletter
Patient Safety Alert Issue 26: The AMC PSO convened a panel of nursing leaders to review risks in the medication delivery processes in the ambulatory setting and discuss potential interventions aimed at mitigating the risks associated with medication administration.
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.
Medication Errors and Malpractice: What a Decade of Cases Reveals About Risk Across the Care Continuum
News
Published in MPLA’s Inside Medical Liability, the article uses a decade of Candello med mal data to highlight medication error risks and the need for coordinated safeguards across every stage of care.
Establishing a Regional Registry for Neonatal Encephalopathy: Impact on Identification of Gaps in Practice
News
CRICO Grants
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.