Engaging Patients and Families in Root Cause Analysis of Sentinel Healthcare Events: The Story of Justin Micalizzi

Working with two patient advocates, the Reliability Center has released a webcast that analyzes the sudden, unexpected death in January 2001 of 11-year-old Justin Micalizzi immediately following surgery for an infected ankle. For 10 years, the Micalizzi family—especially his mother, Dale, now a well known patient safety advocate—sought unsuccessfully and without the cooperation of the hospital to discover what caused Justin’s death or at least to elicit a clear and honest pledge that the hospital would commit sincerely to understanding what had happened.

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NPSF Awards Research Grants for Patient Safety Projects

The National Patient Safety Foundation (NPSF) announced on May 9 that it has awarded a total of $200,000 in grants for two innovative patient safety research projects. The grants are awarded through the NPSF Research Grants Program, which promotes studies leading to the prevention of human errors, system errors, patient injuries, and their consequences.

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Psych Patients Need Patience in the ER, Average Wait 11 Hours

Patients having psychiatric emergencies wait 11.5 hours in the emergency department, and those who are older, uninsured or intoxicated wait even longer, according to a study published online recently in Annals of Emergency Medicine (“Patient and Practice-Related Determinants of Emergency Department Length of Stay for Patients with Psychiatric Illness”).

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Another Way to Do Harm

In PSQH, we usually focus on preventing patient harm that results from errors—mediation overdoses, wrong-site surgery, MRI accidents, failure to rescue, etc.—that trace back to systemic problems in healthcare institutions. Those problems include poor communication, environments full of distraction and stress, inadequate training, power hierarchies, to name a few.

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50,000 Physicians Now on Doximity Medical Network

In the year since its launch, Doximity has grown to over 50,000 active physicians and is now used by 9% of all doctors in the United States. In that time, Doximity has also facilitated more than one million connections between doctors— affecting the care of tens of millions of American patients. In reaching this milestone, Doximity has established itself as the largest and fastest-growing professional network for physicians online.

Doximity uniquely provides a HIPAA-compliant platform where physicians use their real name and verified credentials to establish and share their professional expertise.

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