Patient safety issues relevant to postoperative management of sleep apnea.
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.
- 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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More AMC PSO Content
Publications such as whitepapers and guidelines derived from the AMC PSO convenings.
Patient ID Risks & the Intersection of Electronic Health Records
Patient Safety Alert Issue 28: The AMC PSO recently convened a multidisciplinary group of stakeholders across its membership to review and discuss strategies for safer patient identification.
Medication Administration in the Ambulatory Setting
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
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.
Electronic Health Record Risks in the Emergency Department
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
Establishing a Regional Registry for Neonatal Encephalopathy: Impact on Identiﬁcation of Gaps in Practice
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.
Characterizing Malpractice Cases Involving Emergency Department Advanced Practice Providers, Physicians in Training, and Attending Physicians
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?
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.
Ambulatory Safety Nets: Protecting Providers and Promoting Safety with Systems to Reduce Delayed Cancer Diagnoses
Ambulatory safety nets (ASNs) are person-centered programs that provide a highly reliable backup system for following up on abnormal test results when the standard follow-up process fails. Co-authored by CRICO’s Pat Folcarelli RN, MA, PhD, and Luke Sato, MD, this article about ASNs was featured in Inside Medical liability Online.