Newsletter
Patient ID Risks & the Intersection of Electronic Health Records
Aug 23, 2017
Patient Safety Alert 28: Patient Identification Risks and the Intersection of Electronic Health Records (PDF)
The AMC PSO recently convened a multidisciplinary group of stakeholders across its membership to review and discuss strategies for safer patient identification.
Causes of Patient Identification Error
- Checking patient’s wristband is considered the domain of nurses
- Patient answers to wrong name
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
Newsletter
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.
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.
Utilization of Electronic Health Record Sex and Gender Demographic Fields: A Metadata and Mixed Methods Analysis
News
This CRICO co-funded retroactive study published in the Journal of the American Medical Informatics Association analyzed the records of patients 18 years of age or older in the Mass General Brigham health system with a first Legal Sex entry (registration requirement) between 2018 and 2022. The study was important because “Sex and gender demographic data are widely viewed as essential to providing culturally responsive gender affirming care and facilitating research and public health interventions.”
The Safety of Outpatient Health Care
News
Although most care occurs in the outpatient setting, knowledge of outpatient adverse events (AEs) remains limited. This study looks at adverse events in outpatient settings.
Medication Errors and Malpractice: What a Decade of Cases Reveals About Risk Across the Care Continuum
News
Published in MPLA’s Inside Medical Liability, the article uses a decade of Candello med mal data to highlight medication error risks and the need for coordinated safeguards across every stage of care.
Report Underscores the Importance of Documentation. Can AI Reduce the Burden on Clinicians?
News
Candello’s new benchmarking report on documentation is featured in an article on the Betsy Lehman Center for Patient Safety website. The article highlights the critical role of accurate and timely documentation in patient care.