People can grow used to anything, even alarms. Such is the danger of alarm fatigue; when excessive and nuisance alerts cause healthcare staff to become desensitized.
In November 2016, a study published in the British Journal of Anesthesia (BJA) found that each year there are 50 million postoperative complications worldwide.
Suicides were the third most common sentinel event of 2015, with 95 reported cases in 2015’s Sentinel Event Statistics. The total number of patient suicides reported to The Joint Commission is now up to 1,184 since the start of the decade.
By Susan M. Scott, BSN, MSN, RN, WOC Over the past five years, the incidence of perioperative hospital-acquired pressure injuries (HAPI) has increased (Chen, Chen, & Wu, 2012), causing patients pain and suffering and costing the U.S. healthcare system $11 billion per year (Brem et al., 2010). Pressure injuries (previously referred to as pressure ulcers) … Continued
Healthcare practitioners are repeatedly challenged by unexpected problems they encounter due to both large and small work-system failures that hinder patient care. The list of failures is varied and quite long, often making it difficult or impossible to execute tasks as designed (Edmondson, 2004).
When clinicians walk into a patient’s room at Brigham and Women’s Hospital in Boston, they only need a quick glance at a laminated, color-coded sheet of paper next to the bed to understand the fall risks of that patient.
The American College of Surgeons (ACS) released a much anticipated update to its “Statements on Principles” addressing both concurrent and overlapping surgeries. More than six months after a Spotlight Report from the Boston Globe into the concurrent surgeries at Massachusetts General Hospital, the ACS updates stipulate “a primary attending surgeon’s involvement in concurrent or simultaneous surgeries on … Continued
By William A. Hyman, ScD It should come as no surprise that the ability to do a particular surgery is likely to improve over some number of early attempts. A surgeon’s skill could be evaluated in part by measuring his or her complication rate for a given procedure and watching it decrease to a … Continued
In response to a series of ransomware attacks that crippled healthcare systems across the country, the Department of Homeland Security (DHS), the U.S. Computer Emergency Readiness Team (US-CERT), and the Canadian Cyber Incident Response Centre (CCIRC) released a warning on specific types of ransomware used in recent attacks. The warning is directed at all organizations … Continued
Mercy, the seventh largest Catholic health care system, has selected patient safety and risk management software from Datix to give a comprehensive view of incidents, complaints and claims across the organization. After a thorough evaluation, Datix was selected as a result of its ability to aggregate patient safety data in real time. Datix’s powerful dashboards … Continued