Risk Management Archives - Page 13 of 13 - Patient Safety & Quality Healthcare

Patient Safety

Certain Types of Vena Cava Filters May Fracture and Fragment, Causing Potentially Life-Threatening Complications

August 9, 2010 ‐ Brooke Schmidt

Two specific types of vena cava filters, devices used to prevent blood clots from reaching the lungs, appear to have evidence of fracturing inside the body, with some fractured fragments traveling to the heart and causing potentially life-threatening complications, according to a report posted online that will appear in the November 8 print issue of Archives of Internal Medicine, one of the JAMA/Archives journals.

Risk Management

Wilson Memorial Hospital Adopts Amplifi for Formulary Management

June 15, 2010 ‐ Brooke Schmidt

Pharmacy OneSource, Inc., software-as-a-service provider to more than 1,300 hospitals in the United States, announced that Wilson Memorial Hospital in Sidney, Ohio has implemented Amplifi to manage their formulary and communicate medication information throughout the hospital.

Risk Management

Human Factors 101

May 22, 2010 ‐ Brooke Schmidt

Human Factors 101

Affordances and Constraints Improve Reliability

Brian H. Fillipo, MD, MMM, FACP
Sherri Barnhill, RN, MA

In the first article in this series, we introduced concepts of human factors engineering (HFE) and their application to healthcare. We discussed how healthcare traditionally relies on the “weak aspects of cognition” (short term memory, attention to details, vigilance, multitasking etc.) and how that contributes to many of the errors experienced in healthcare.

Patient Safety

Dangerous Bed Rails Live On

April 6, 2010 ‐ Patton McGinley

By William A. Hyman, ScD, PE

The Canadian government agency Health Canada issued a reminder to hospitals
last fall on the risk of entrapment of patients in hospital beds. This
notice raises again what should by now be a well known hazard.

Medication Safety

Heparin: Improving Treatment and Reducing Risk of Harm

August 3, 2009 ‐ Patton McGinley

The short-acting, reversible anticoagulant heparin is widely used in hospitalized patients to prevent the development or extension of potentially life-threatening blood clots. However, numerous issues make the use of this high-risk agent particularly challenging and error-prone.