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Contributing factors often associated with management of anti-coagulation therapy.
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Newsletter
Periprocedural Management of Anticoagulation Therapy
Patient Safety Alert 24: Periprocedural Management of Anticoagulation Therapy (PDF)
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.
Risks
- Fluctuating diagnostic evaluations and their impact on anticoagulation administration can add to the patient risk profile.
- ...and more.
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.
Patient Falls
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Patient Safety Alert Issue 23: 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.
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.