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

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.

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Human Factors 101

Human Factors 101

Affordances and Constraints Improve Reliability

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.

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