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- Policies and Operations
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Search results for "Policies and Operations"
- Newspaper/Magazine Article
- Policies and Operations
R3 Report. 2017 Aug 29;11:1-7.
DeMarco P. Globe Magazine. November 3, 2018.
This magazine article reports on the preventable death of a patient during an acute asthma attack. Written by the patient's husband, the article outlines the failures that led to her death despite the fact that she was at the door of a hospital emergency department and on the phone with an emergency dispatcher. Factors discussed include overreliance on poorly functioning technology, communication failures, and lack of fail-safes.
Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm.
ISMP Medication Safety Alert! Acute Care Edition. October 4, 2018;23:1-4.
Increased urgency to prevent maternal mortality has uncovered various factors that diminish safety. This newsletter article reports on incidents involving the accidental misuse of epidural analgesia and intravenous antibiotics in labor and delivery care, describes contributing factors (e.g., health technology missteps, barcoding mistakes, and look-alike medications), and offers improvement strategies to mitigate harm.
ISMP Medication Safety Alert! Acute Care Edition. January 11, 2018;23:1-4.
Drug shortages are known to disrupt the safety of care. This newsletter article reports the results of a survey exploring the impact of drug shortages on practice and recommends strategies to help organizations safely manage drug shortages, including standardizing processes and raising awareness among clinicians regarding shortages.
Bendix J. Med Econ. September 25, 2017.
The persistent problem of opioid-related harm calls for changes in pain management practices and system processes in all care settings. This magazine article reports on ways physicians can help proactively recognize and address the potential for patient opioid misuse, such as adherence to guidelines and monitoring patient opioid use. An Annual Perspective discussed the opioid crisis as a patient safety problem.
Rice S. Modern Healthc. August 15, 2015.
Barishansky RM, Glick DE. EMS Magazine. 2009 Mar;38:43-47.
This article explains the elements of preparing policies and procedures for reportable incidents in emergency medical services.
Lerner M. Star Tribune.com. March 29, 2008.
This article reports on the evolution in policy among Minnesota hospitals and practitioners to disclose and apologize for medical errors as well as near misses.
Landro L. Wall Street Journal. March 5, 2008:D1.
This article reports on new policies and procedures adopted by hospitals to prevent errors in the use of high-alert medications, such as heparin.