The Risk of Workarounds

In April, Patient Safety and Quality Healthcare published an article summarizing a recent webinar presented through ourCenter for Safety and Clinical Excellence. The article is titled “Smart Pump Workarounds – What’s the Legal Risk?”, and it focuses on personal accountability on the part of caregivers in safely operating Smart IV pumps.

Caregiver accountability has been a hot topic in recent months. As it relates to IV medication safety, it’s a critical issue and worth paying attention to. It’s been shown that clinicians often implement process workarounds, including not utilizing the drug library, overriding soft dose and concentration alerts, reprogramming infusions as rate in ml/hr following hard limits, and occasionally removing IV tubing from pumps and delivering medication boluses by gravity to avoid a high dose alert.

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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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International ACS NSQIP Scholarships 2012

The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) offers International ACS NSQIP Scholarships for two surgeons from countries other than the United States or Canada who demonstrate strong interests in surgical quality improvement.

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