Patient Safety Alert 18: Missed and Delayed Diagnoses in the ED (PDF)
The AMC PSO has recently convened Emergency Medicine Leaders to discuss patient safety issues relevant to the Emergency Department setting, yielding both an in-depth analysis of patient safety issues as well as a look at emerging technologies and new strategies to complement existing patient safety protocols.
Participants discussed case studies, as well as emerging technologies and new strategies that are now available to complement existing patient safety protocols aimed at reducing ED adverse events.
Read the full report
- An elderly patient presented to a regional ED with a complaint of chest discomfort, self-described as “lung pain.” [...] The patient returned to the ED a few days later and was found to have suffered a cardiac event.
More AMC PSO Content
Publications such as whitepapers and guidelines derived from the AMC PSO convenings.
Programmable Medical Equipment Risks and Interventions
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
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
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
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
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.
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