Newsletter
Patient Falls
Patient Safety Alert 23: Patient Falls (PDF)
The AMC PSO convened a panel of nursing leaders to review recent trends, evaluate the current literature, and discuss novel interventions aimed at mitigating the risk regarding patient falls.
Risks
Table 1 includes a list of the contributing factors to patient falls identified at this session: To gain a better understanding of failure to rescue’s causes and potential solutions, the AMC PSO assembled a panel of subject matter experts to review the following:
- Inadequate patient assessment, specifically related to medication regimens...
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.
Guidance to Reduce the Risk of Retained Surgical Items
Newsletter
Patient Safety Alert Issue 33: Experts found three main categories of risk related to RSI: distractions, hand offs, and relationships/trust. Discover their strategies and best practices found to reduce risk in each of these areas.
Periprocedural Management of Anticoagulation Therapy
Newsletter
Patient Safety Alert Issue 24: The AMC PSO recently convened to discuss this high-risk area and important patient safety issue, the contributing factors often associated with this medication event type, and the strategies to proactively mitigate this risk.
Non-Operating Room Anesthesia Self-Assessment Tool
Newsletter
Patient Safety Alert Issue 35: This document identifies areas of vulnerability and offers a self-assessment table to help organizations evaluate existing NORA settings and identify strengths and opportunities for providing safe care.
No Surgical Items Left Behind
Newsletter
While the occurrence is rare, Massachusetts reported rising rates of retained surgical items over the past several years.