Safe Harbor

In 2003, the Committee on Health, Education, Labor and Pensions concluded that the confidential error reporting systems adopted by the Department of Veterans Affairs and the Federal Aviation Administration have proven the importance of reporting and analyzing information insulated from the risk of incurring additional liability.  Read more…

Dennis Quaid’s Quest

Dennis Quaid’s Quest
by: Meg Grant | from:
AARP The Magazine | September/October 2010 issue

The Quaid article describes in graphic detail the potential (horror) of a medical safety error. The Institute of Medicine Report in 1999 led the charge to better determine the possibility of a patient error and how to mitigate it. To quote from the article, “As a jet pilot, Quaid uses an aviation analogy to drive home the numbers.”That’s the equivalent of 20 jet airliners full of passengers going down every week,” he says.  Read more…

Are You Safe? Patient Safety Video

The issues of patient safety are very real in our medical care system. Patient Safety Organizations are in the business of collecting, aggregating and analyzing data that will be critical and necessary as we attempt to make improvements in the health care of our citizens. This video demonstrates the facts that make patient safety so compelling.  Video produced by Quantros, Inc.

“Patient Safety beyond the Hospital” – NEJM Article

Patient Safety beyond the Hospital
NEJM | September 8, 2010 | Topics: Health Care Delivery, Quality of Care
Tejal K. Gandhi, M.D., M.P.H., and Thomas H. Lee, M.D.

Referenced above is another relevant article in The New England Journal of Medicine. Dr. Gandhi and Dr. Lee draw attention to the many differences in today’s health care delivery.  The accumulation of these differences puts a strain on a health care provider’s ability to consistently deliver health care safely and accurately.  It is necessary to acknowledge the differences, measure, interpret & analyze the errors, and enact changes (to process, culture, etc.) to adapt to the differences and reduce the errors across health care settings and delivery platforms.  Read more…

Official “Do Not Use” List

In 2001, The Joint Commission issued a Sentinel Event Alert on the subject of medical abbreviations, and just one year later, its Board of Commissioners approved a National Patient Safety Goal requiring accredited organizations to develop and implement a list of abbreviations not to use. In 2004, The Joint Commission created its “do not use” list of abbreviations as part of the requirements for meeting that goal.  Read more…

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