Adverse Events

  • AORN Issues Implementation Guide for Prevention of Retained Surgical Items
    The Association of periOperative Registered Nurses (AORN) has published an Implementation Guide for the "Recommended practices for prevention of retained surgical items (RSIs)." The guide, in the February 2012 issue of AORN Journal, is the third in a series of Journal ...More
    7 hours ago
    Posted in News, Policies and Practice
  • University of Michigan Health System Creates Solution to Prevent Retained Surgical Items
    The University of Michigan Health System has created a new system using state-of-the-art technologies to insure that no foreign objects are left behind during surgery, reducing potentially serious medical errors. “Having a foreign object left behind during surgery is ...More
    2 days ago
    Posted in News
  • Medicare Study Shows Most Medical Errors Go Unreported
    A new study released the first week in January 2012 by the Office of the Inspector General (OIG) of the Department of Health and Human Services (HHS) found that hospital employees are only reporting 14 percent of all medical errors and usually don't change their practices ...More
    5 weeks ago
    Posted in News
  • FDA and Partners Working to Prevent Surgical Fires
    The Food and Drug Administration (FDA) is building a coalition of public and private healthcare organizations to prevent a medical error — the surgical fire. A surgical fire is a fire that occurs in, on or around a patient undergoing a medical or surgical procedure. An ...More
    December 9, 2011
    Posted in News
  • AAMI Creates Glossary to Help End Confusion Surrounding 'Adverse Event' Terms
    The Association for the Advancement of Medical Instrumentation (AAMI) has created a glossary of terms and suggested meanings related to adverse events. The glossary, available for free at www.aami.org/utti/glossary, was created by AAMI’s Clinical Engineering Management ...More
    October 18, 2011
    Posted in News
  • Survey Reveals Reasons Doctors Avoid Online Error-Reporting Tools
    "Too busy," and "too complicated." These are the typical excuses one might expect when medical professionals are asked why they fail to use online error-reporting systems designed to improve patient safety and the quality of care. But, Johns Hopkins investigators found ...More
    October 4, 2011
    Posted in News
  • Cognition Research Aims to Reduce Medical Errors
    How doctors, nurses and other healthcare professionals can be better prepared to reduce medical mistakes and improve patient care is the focus of several studies published in a special issue of the American Psychological Association's Journal of Experimental Psychology: ...More
    September 12, 2011
    Posted in News
  • Study Cites Multiple Causes for Retained Surgical Items
    The Centers for Medicare and Medicaid Services (CMS) will no longer reimburse healthcare facilities for the additional patient care related to "never events," including outcomes associated with a surgical item that has been left in the patient. For reimbursement and patient ...More
    August 9, 2011
    Posted in News
  • Electronic Health Records Should Play Bigger Role in Patient Safety Initiatives
    Patient safety researchers are calling for the expanded use of electronic health records (EHRs) to address the disquieting number of medical errors in the healthcare system that can lead to readmissions and even death. Their commentary is in the July 6 issue of JAMA, the ...More
    July 19, 2011
    Posted in News
  • Surgeons' Civility in the OR Benefits Patients, Reduces Costs
    A surgeon’s behavior in the operating room affects patient outcomes, healthcare costs, medical errors and patient- and staff-satisfaction, says a commentary in the July issue of Archives of Surgery. In an increasingly rude society where it is rare for a stranger to give up ...More
    July 18, 2011
    Posted in News
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