Sound familiar? It has been a very long year with the pandemic and working through one crisis after another right? It is truly time to get back to basics, let’s move the bar and take action on some of the things that we can truly change or improve! Root Cause Analysis has been around forever and a day, it assists …
Improving Patient Safety – Communication
Despite the challenges faced this year and an emphasis on promoting physical distance, publications in 2020 have demonstrated that persistent efforts continue to evaluate and improve health care communication. Some of these efforts have been in direct response to changes imposed by the COVID pandemic. Moving forward, specific areas and considerations identified in the literature underscore the need for future …
WPOE
Wrong-patient order entry (WPOE) represents an important type of error. Although studies indicate that practitioners place more than 99.9% of all orders for the correct patient, the large number of orders placed by practitioners each day suggests that even an error rate of less than 1 in 1000 orders would still lead to approximately 600,000 orders placed for the wrong …
Resource Limitation and Patient Care
Early reports from frontline clinicians in global epicenters describing extreme shortages and bedside rationing of ventilators and intensive care unit beds prompted a national conversation about how to respond to similar challenges in the United States. Hospitals and health care systems drew on frameworks developed by the Institute of Medicine (OM) and other national organizations to guide care in resource-limited …