Email Updates
Newspaper/Magazine Article
Latent and active failures perfectly align to allow a preventable adverse event to reach a patient.
February 1, 2023
ISMP Medication Safety Alert! Acute care edition. January 12, 2023;28(1):1-4.
The patient safety movement has raised awareness of the presence of multiple factors that align to result in patient harm, yet implementing processes to fully examine and change practice from that perspective is challenged. This article discusses this situation and provides recommendations to orient improvement efforts toward deeper investigation methods to identify latent contributors to care failure.
