ISMP: Oops, Sorry, Wrong Patient!

ISMP

Oops, Sorry, Wrong Patient!

Applying the JCAHO “two-identifier” rule beyond the patient’s room

When we think of “wrong patient” errors, the most common scenario that comes to mind is a nurse walking into a patient’s room and administering medications intended for one patient to another patient — often a roommate. However, “wrong patient” errors occur in a variety of ways.

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Implementation of Program for Operating Room Staff that Emphasizes Teamwork Associated with Reductions in Surgical Deaths

Hospitals that had operating room personnel participate in a medical team training program that incorporates practices of aviation crews, such as training in teamwork and communication, had a lower rate of surgical deaths compared to hospitals that did not participate in the program, according to a study in the October 20 issue of JAMA.

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Prospective Risk Management

Prospective Risk Management
Analysis, Evaluation, and Control

The philosophy and requirements of ISO 14971 can be applied more broadly within the healthcare setting.

In medical device design and regulation, risk management has been embodied in the ISO 14971 standard: Medical Devices—Application of risk management to medical devices.

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Hospitals Collaborate to Prevent Wrong-Site Surgery

Hospitals Collaborate to Prevent Wrong-Site Surgery

The wrong-site surgery prevention program is one of numerous patient safety initiatives undertaken collaboratively by hospitals in the Greater Philadelphia region since 2006 under the direction of the Partnership for Patient Care (PPC).

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Prepare for the Worst

How to Survive a Medical Malpractice Lawsuit is a manual intended to demystify what one can expect when named as a defendant in a malpractice claim. Given the likelihood that a physician practicing in the U.S. will be sued at some point in his/her career – especially those in “high risk” specialties – this book should have broad appeal in the medical community.

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