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Identify and then manage system errors and users errors common in EHR-related adverse events.
Newsletter
Electronic Health Record Risks in the Emergency Department
Patient Safety Alert 27: Electronic Health Record Risks in the Emergency Department (PDF)
While there has been recent focus on EHR risks, this has not filtered down to the level of areas with unique workflows and potentially high severity outcomes, such as the ED. It was because of this, the AMC PSO decided to convene a group of Emergency Medicine thought leaders to identify significant areas of concern and to explore potential mitigation strategies.
Risk Mitigation Strategies
- Use a photo, watermark, or room number in the EHR to easily and readily identify a patient
- Limit the number of open patient records per user to reduce errors related to toggling between charts
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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
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While the occurrence is rare, Massachusetts reported rising rates of retained surgical items over the past several years.
Patient & Visitor De-escalation
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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 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 ID Risks & the Intersection of Electronic Health Records
Newsletter
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.