Newsletter
Medication Safety in the ICU
Patient Safety Alert 8: Medication Safety in the ICU (PDF)
The AMC PSO has performed an in-depth review of adverse drug events with a focus on the ICU setting and has identified several risks and vulnerabilities.
Alert
Risks associated with adverse drug events in the ICU:
- Interruptions and Distractions: Nurses often represent the “last line of defense” against medication errors.
- ...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.
No Surgical Items Left Behind
Newsletter
While the occurrence is rare, Massachusetts reported rising rates of retained surgical items over the past several years.
Hospital at Home (HaH)
Newsletter
Patient Safety Alert Issue 36: When implementing or expanding a HaH program, consider programmatic resources, goals, and the patient population to identify and mitigate risks and deliver safe, high-quality care.
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 & Visitor De-escalation
Newsletter
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.