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.
PULSE: Respectful Management of Serious Clinical Adverse Events
The Institute for Healthcare Improvement has released a new white paper in the IHI Innovation Series titled Respectful Management of Serious Clinical Adverse Events.
ECRI Institute and the Center for Aging Services Risk Management (CASRM) announce that 32 participants from aging services organizations around the nation have been designated as Certified Professionals in Aging Services Risk Management (CPASRM) by the Center for Aging Services Risk Management.
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.
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.
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).