The PSNet Collection

COVID-19 Focused Inspection Initiative in Healthcare.

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Occupational Safety and Health Administration. March 2, 2022.

The impact of nursing home inspections to ensure the quality and safety of the service environment is lacking. Weaknesses in the process became more explicit as poor long-term care infection control was determined to be a contributor to the early spread of COVID amongst nursing home residents. This announcement outlines a targeted inspection initiative to assess whether organizations previously sited have made progress toward improving workforce safety.

Medical malpractice claims by members of the uniformed services.

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Department of Defense Office of General Counsel. 32 CFR Part 45. Fed Register. 86(115); June 17, 2021:32194-32215.

Organizations with safety cultures facilitate the ability for an injured patient to seek an effective response to untoward incidents. This United States rule outlines the standards that enable members of the armed forces to file claims should they be harmed while in the military health care system.

Best Practices in Developing Proprietary Names for Human Nonprescription Drug Products.

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Rockville, MD: US Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research; December 7, 2020.

Nonprescription drugs are commonly associated with medication errors. This draft guidance seeks to provide a structure for industry to reduce instances of drug name confusion in nonprescription formulas of prescription medications. It describes the US Food and Drug Administration (FDA) vetting process for drug names to improve naming actions prior to submission to the agency. The timeline for submitting comments is early February 2021.

Joint Statement on Multiple Patients Per Ventilator.

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The Anesthesia Patient Safety Foundation, Society of Critical Care Medicine, American Association for Respiratory Care, American Society of Anesthesiologists, American Association of Critical‐Care Nurses, AACN, and American College of Chest Physicians. March 26, 2020.

Innovations must be incorporated into care processes with safety in mind. This announcement shares insights to mitigate strategies that may cause patient harm through alternative use of ventilators to support multiple patients with compromised respiratory function.

Summary of Proposed Changes to ACGME Common Program Requirements Section VI.

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Accreditation Council for Graduate Medical Education; ACGME.

Implementation of resident duty hours, meant to address fatigue in health care, has long been a subject of patient safety discussions. This website provides a summary of proposed changes to the current ACGME residency Common Program Requirements that shape working hours, offers rationale for the revisions.

Heparin-containing medical devices and combination products: recommendations for labeling and safety testing. Draft guidance for industry and Food and Drug Administration staff.

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US Department of Health and Human Services; HHS; Food and Drug Administration; FDA.

Heparin is a high-alert anticoagulant that has been associated with patient harm due to issues with administration and contamination. This draft guidance seeks to engage insights from the field to help improve labeling practices. The deadline for officially submitting comments was October 7, 2015.

New 2012 National Patient Safety Goal - catheter-associated urinary tract infection (CAUTI).

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Joint Commission.

This announcement reveals the new National Patient Safety Goal for 2012, which aims to reduce catheter-acquired infections in hospitals. Note: This alert has been retired effective January 1, 2020.

Preventing accidents and injuries in the MRI suite.

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Sentinel Event Alert. 2008;38:1-3.

This alert provides risk reduction strategies and recommendations to minimize opportunities for failures associated with the use of magnetic resonance imaging (MRI). Note: This alert has been retired effective August 2016. Please refer to the information link below for further details.

Vincristine (and other vinca alkaloids) should only be given intravenously via a minibag.

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World Health Organization. Alert 115. July 18, 2007.

This international announcement provides guidance on the safe administration of the chemotherapeutic agent vincristine.

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