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The PRISMA Incident Analysis Method: Improving Patient Safety

Patient Safety Blog

The PRISMA (Prevention and Recovering Information System for Monitoring and Analysis) incident analysis method is a widely used method for analyzing and uncovering the root causes of incidents. patient safety incident management analyze & report

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Running circles around patient safety

Pro CRNA

In comparison, Yale University used revised criteria to define death due to preventable medical error and found that 22,000 patients were lost in 2020 due to needless mistakes. Safety circles in healthcare. Leadership articles aorn safety Chief CRNA patient safety

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Patient Safety Representatives Unite to Implement Global Patient Safety Action Plan in the United States

CDC

Preventable harm in the healthcare system is an urgent public health challenge, internationally and in the United States. Globally, more people die now from medical errors or other breakdowns in the quality and safety of healthcare services than from lack of access to them. (1)

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CDC Launches Blog Series on Patient Safety

CDC

Patient safety is an urgent, global public health concern, Infection Control and Prevention Patient Stories and Patient Safety patient stories and patient safety

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Sentinel Events & Patient Safety: The Disturbing Data, Part I

Readiness Rounds

After looking at and digesting the data, one thing is very clear: hospitals, by and large, have not embraced a culture of safety or come to the realization that any occurrence of patient harm is absolutely unacceptable. National Highway Traffic Safety Administration.

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Litigation and Patient Safety: The Importance of Good Communication Strategies

Bill of Health

Good record keeping and communication practices are essential prerequisites for safe and proper patient care. Serious patient injury, including death, can result from poor record keeping and other communication failures. Knee injection intended for another patient (2).

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I AM Patient Safety - 2021 Annual Achievement Awards

Patient Safety

Executive Director’s Choice Award: Fall prevention is an important initiative for every hospital unit in providing excellent care. Staff were educated on the new patient education form developed by the Fall Prevention Committee.

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A Perioperative Intervention to Prevent and Treat Emergence Delirium at a Veterans Affairs Medical Center

Patient Safety

Emergence delirium (ED) is a temporary condition associated with a patient awakening from an anesthetic and/or adjunct agent (e.g., sedatives and analgesics).

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National Patient Safety Awareness Week: March 13 – 19, 2022

Briggs Healthcare

Patient Safety Awareness Week is an annual recognition event intended to encourage everyone to learn more about health care safety. During this week, IHI (Institute of Healthcare Improvement) seeks to advance important discussions locally and globally, and inspire action to improve the safety of the health care system — for patients and the workforce. Preventing harm in health care settings is a public health concern.

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Preventable hospital patient safety events declined over past decade, Leapfrog Group says

Healthcare Dive

Incidents of falls and trauma and of objects unintentionally left in a body after surgery decreased by about 25% since 2012, according to the group that assigns letter grades to hospitals

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Leapfrog raises concerns about CMS proposal to suppress patient safety data

Healthcare Dive

The CMS is the only source for this data, and without it the public will not have information on preventable complications such as bed sores, inpatient falls that result in a broken hip, or sepsis, Leapfrog executives said

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They Deserve Better: Preventing Suicide in Skilled Nursing Facilities

Patient Safety

Tony Salvatore, director of Suicide Prevention at Montgomery County Emergency Service, provides insight into the problem and how we can better quantify it, and some simple fixes that can have a big impact

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Between a Rock and Hard Place: Recommendations for Balancing Patient Safety and Pandemic Response

Briggs Healthcare

March 8, 2022 – As the world enters the third year of the COVID-19 pandemic, the Association for Professionals in Infection Control and Epidemiology (APIC) is issuing an urgent call-to-action to shore up the nation’s infection prevention and control (IPC) infrastructure.

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Why is Patient Safety in Its Own Bucket?

Susan E. Mazer, Ph.D

I have always wondered why patient safety is talked about by itself. As if all other procedures, policies, and practices are not about safety. And why should patient safety be separate from the patient experience? It prevents clarity in communication.

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Pediatric Dose Calculation Issues and the Need for Human Factors–Informed Preventative Technology Optimizations

Patient Safety

From these reports, we identified whether the patient was impacted by the error, the type of medication involved, and whether a technology optimization could have mitigated the issue. Most of these dose calculation issues impacted the patient (219 of 326, 67.2%).

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From Unaware and Unprepared to Safe Healthcare Advocates

CDC

This blog is a part of a series that CDC launched to highlight the importance of patient safety by providing educational information and simple ways to help people stay informed on public safety topics.

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How Are Patient Safety and the Patient Experience Related?

Susan E. Mazer, Ph.D

How can patients have good experiences if they do not feel safe? And, how is patient safety evidenced beyond the accidents that do not happen? Safety precautions are ever present in our daily lives. Focusing on the Obvious for Patient Safety. I am confused.

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Masthead

Patient Safety

As the journal of the Patient Safety Authority, committed to the vision of “safe healthcare for all patients,” Patient Safety (ISSN 2689-0143) is fully open access and highlights original research, advanced analytics, and hot topics in healthcare.

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Postoperative Pneumonia Prevention Checklist Improves Provider Compliance and Patient Awareness of Previously Established Reduction Protocol

Patient Safety

Background: Postoperative pneumonia (PoPNA) is a highly prevalent complication in patients. Methods: Between October 2020 and May 2021, patients were surveyed to measure 10 initiatives which have shown previous success.

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A Prescription for Safety: Medication Error Reporting, Education, and Advocating for Change

Patient Safety

In 1974, pharmacist Michael Cohen learned of a serious adverse event with insulin at a hospital and began sharing information about it with other pharmacists to prevent the error from happening again.

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Masthead

Patient Safety

As the journal of the Patient Safety Authority, committed to the vision of “safe healthcare for all patients,” Patient Safety (ISSN 2689-0143) is fully open access and highlights original research, advanced analytics, and hot topics in healthcare.

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Impacting Outcomes in the Hospitalized Oncology Patient: Evidence-Informed Quality and Safety Project to Implement Routine Screening for Delirium

Patient Safety

Background: Delirium can occur in cancer patients during an acute hospitalization or in the terminal stages of cancer. days for patients screening positive for delirium. Delirium prevention is the goal for potential associated iatrogenic conditions

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Masthead

Patient Safety

As the journal of the Patient Safety Authority, committed to the vision of “safe healthcare for all patients,” Patient Safety (ISSN 2689-0143) is fully open access and highlights original research, advanced analytics, and hot topics in healthcare.

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Seeing The Potential Harm of Antibiotic Overuse Clearly

CDC

This blog is a part of a series that CDC launched to highlight the importance of patient safety by providing educational information and simple ways to help people stay informed on public safety topics. Infection Control and Prevention Patient Stories and Patient Safety

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Encore Post: “Do No Harm” is Not Enough Anymore for Patient Safety

Susan E. Mazer, Ph.D

Note: This is a popular post from 2014 that is still relevant to the critical issue of patient safety. Florence Nightingale was not only the Mother of Modern Nursing; she also was the Mother of Healthcare Design and Patient Safety. Patient Safety

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Letter From the Editor

Patient Safety

I am excited to bring you the June issue of Patient Safety ! You have probably heard time and again that involving families in patient care is the right thing to do. But how does family/visitor involvement impact patient safety? Can it make patient safety worse?

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It’s Story Time: Unlocking the Learnings in Malpractice Settlements

Patient Safety

Risk managers and the insurers with whom we work have the greatest opportunity in healthcare today to improve patient safety. Our most egregious mistakes become medical malpractice claims and lawsuits.

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Masthead

Patient Safety

As the journal of the Patient Safety Authority, committed to the vision of “safe healthcare for all patients,” Patient Safety (ISSN 2689-0143) is fully open access and highlights original research, advanced analytics, and hot topics in healthcare.

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How to Prevent Documentation Errors in Healthcare

Icanotes

When done right, providers stay on the same page and get a complete picture of a patient's health to help guide treatment and analyze results. But when errors appear, they can cause significant problems and even risk the patient's safety or privacy.

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Masthead

Patient Safety

As the journal of the Patient Safety Authority, committed to the vision of “safe healthcare for all patients,” Patient Safety (ISSN 2641-4716) is fully open access and highlights original research, advanced analytics, and hot topics in healthcare.

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Asking Your Healthcare Provider the Hard Questions

CDC

This blog is a part of a series that CDC launched to highlight the importance of patient safety by providing educational information and simple ways to help people stay informed on public safety topics.

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Letter From the Editor

Patient Safety

This week marks Patient Safety Awareness Week. In this issue, you will find stories of the individuals and teams recognized by the Patient Safety Authority (PSA) in our 2022 I AM Patient Safety Annual Achievement Awards.

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Implementation of Improvements Based on the Analysis of Severe Adverse Events in Pediatric Patients

Patient Safety

Introduction: Health systems currently present a great degree of complexity, which provides risks to patients related to healthcare, and the possibility of incidents with or without harm.

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Masthead

Patient Safety

As the journal of the Patient Safety Authority, committed to the vision of “safe healthcare for all patients,” Patient Safety (ISSN 2689-0143) is fully open access and highlights original research, advanced analytics, and hot topics in healthcare.

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M&A: Avel eCare Acquires NightWatch to Expand Remote Pharmacy Services

HIT Consultant

NightWatch provides after-hours remote hospital pharmacy coverage to help ensure patient safety and prevent burnout among pharmacists. Health IT Healthcare Mergers & Acquisitions Nursing Homes patient safety Pharmacy telemedicine

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Comparison of Simulation-Only vs. Simulation + Live Training in Paracentesis

Patient Safety

The addition of a live training experience to complement the simulation training was not sufficient to prevent skills decline

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Masthead

Patient Safety

As the journal of the Patient Safety Authority, committed to the vision of “safe healthcare for all patients,” Patient Safety (ISSN 2689-0143) is fully open access and highlights original research, advanced analytics, and hot topics in healthcare.

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Safety Trade-Offs in Home Care During COVID-19: A Mixed Methods Study Capturing the Perspective of Frontline Workers

Patient Safety

The transmission of COVID-19 and the nature of home care work raise several questions about the overall safety of these workers during the pandemic. These relationships were particularly important for PCAs who did not have access to safety guidance from a home care agency

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Change for the Medical Malpractice Compensation System in England?

Bill of Health

However, saying this, we must also remember that a patient has been injured by those who were meant to care for them, so we must be careful not to prejudice their right to sue for compensation. Arguably it is not the role of tort law to drive system wide patient safety improvements.

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Masthead

Patient Safety

As the journal of the Patient Safety Authority, committed to the vision of “safe healthcare for all patients,” Patient Safety (ISSN 2689-0143) is fully open access and highlights original research, advanced analytics, and hot topics in healthcare.

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Virtual Health Tech Enables the Continuum of Health from Hospital to Home

Health Populi

The report lays out the many components of the virtual health ecosystem in three broad areas covering the continuum of care: Triage and intake, the front-door of routing patients to the most appropriate pathway for their symptoms.

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“The Front Line Is Shrinking:” Nurses Re-Imagine Nursing at the #NurseHack4Health Hackathon

Health Populi

This year inspired nearly 800 registrants from at least 48 countries to convene via Microsoft Teams for one huge, timely and profound purpose: to acknowledge and improve the state of nursing for nurses, for patients, and for health care.

Nursing 105
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Letter From the Editor

Patient Safety

Today, September 17, 2021, is World Patient Safety Day. While the United States breathed a sigh of relief early this summer, many communities are once again facing record numbers of patients who are sick and hospitalized with COVID-19.