Patient Safety Alerts Library
AMC PSO Patient Safety Alerts and are short PDF documents that summarize a topic covered by our members. New editions are free and will be available here.
AMC PSO makes patient safety learnings available to the public as part of CRICO’s ongoing commitment towards improving patient safety across the continuum of care. Some of these learnings are in a newsletters called the AMC PSO Patient Safety Alerts and are short PDF documents that summarize a topic covered by our members. New editions are free and will be available here. We will also include learnings from a national convening called the National Safe Table.
Look through the topic list and request PDFs.
2023
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March 2023–Long Stay Critical Care Patients Boarding in the Emergency Department Issue 31: A review of the care of critically ill patients who are boarded in the Emergency Department. Patient safety risks and mitigation strategies associated with extended boarding of patients awaiting an intensive care unit (ICU) bed. |
2021
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December 2021–Informed Patient Refusal in Virtual Care |
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December 2021–Advisory: Detecting and Reporting Patient Safety Risks in Virtual Care Delivery |
2019
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December 2019–The Necessity of Peer Support |
2017
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August 2017 – Patient Identification Risks and the Intersection of Electronic Health Records |
2016
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December 2016–Electronic Health Record Risks in the Emergency Department |
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December 2016–Medication Administration in the Ambulatory Setting |
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March 2016–Patient & Visitor De-escalation |
2015
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December 2015 – Periprocedural Management of Anticoagulation Therapy |
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April 2015–Patient Falls |
2014
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December 2014–Failure to Rescue Issue 22: Insufficient patient monitoring and failure to rescue. |
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November 2014–Results Management Report Issue 21: Test results follow-up and management issues. |
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October 2014–Diagnosis and Treatment of Ischemic Stroke |
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May 2014–Missed and Delayed Diagnoses in the ED |
2013
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December 2013–Obstructive Sleep Apnea - Management Considerations Issue 19: Patient safety issues relevant to postoperative management of sleep apnea. |
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August 2013–Test Result Notification Issue 15: Current issues and possible solutions and propagate the natural progression of CRICO’s established mission of helping health care providers turn credible data into effective action. |
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August 2013–Pharmacy Compounding Safe Practice Recommendations Issue 14: Best practices regarding the issues within compounding sterile preparations. |
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July 2013–Pharmacy Compounding Issue 13: Current issues in compounding sterile preparations. |
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July 2013–Harvard Surgical Chiefs Endorse Automated Detection Technology for Retained Foreign Objects Issue 12: Analysis of patient safety events in the surgical setting has identified emerging technologies and new strategies to complement existing patient safety protocols. |
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June 2013–Delayed Diagnosis |
2012
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December 2012–Sepsis: Early Recognition and Treatment Issue 10: OB-related malpractice claims along with real-time root cause analysis information reveals trends and emerging risks. Part II |
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December 2012–Patient Safety in Labor and Delivery: Managing Complex Conditions in a Complex Environment Issue 9: OB-related malpractice claims along with real-time root cause analysis information reveals trends and emerging risks. Part I. |
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August 2012–Medication Safety in the ICU Issue 8: A review of adverse drug events in the ICU setting has identified several risks and vulnerabilities. |
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June 2012–Risks Associated with Interventional Procedures in the Ambulatory Setting |
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May 2012–RCA Information Exchange – PCA Pump Alarm Update |
2011
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December 2011–Surgical Fires: Electrosurgical Cases |
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November 2011–PCA Pump Alarm Safety Concerns |
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October 2011–Programmable Medical Equipment Risks and Interventions |
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August 2011–Risks of Programmable Medical Equipment |
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July 2011–Wrong Site Surgery |
Request access to these documents by filling out the form below.