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Sentinel Event

  • Joint Commission Alerts Healthcare Industry to Prevalence of Unsafe Injection Practices
    Patients visiting a clinic for an injection to relieve their pain or for chemotherapy don’t expect to leave with a new condition such as hepatitis, but unfortunately thousands of patients have been adversely affected in this way when they received an injection at ...More
    June 16, 2014 Posted in News
  • Medical Mistakes That Affect Multiple Patients Should Be Disclosed
    Healthcare organizations should disclose medical mistakes that affect multiple patients, such as with improperly sterilized instruments or equipment malfunctions, even if patients were not harmed by the event, according to an AHRQ-funded research paper published in the ...More
    September 7, 2010 Posted in News
  • National Quality Colloquium Offers Patient Safety Training
    The Ninth National Quality Colloquium is a hybrid conference and Internet event on patient safety, healthcare quality enhancement and medical errors reduction for healthcare executives, clinicians and patient-care staff. ...More
    July 19, 2010 Posted in News
  • OR Nurses Ask for Time Out to Reduce Surgical Errors
    The Association of periOperative Registered Nurses (AORN) is drawing on its ability to influence patient safety practices in the OR with the national launch of a “Time Out Commitment” campaign. The new year-round campaign begins on National Time Out Day, June ...More
    June 11, 2010 Posted in News
  • Needlesticks Among Errors Caused by Long Nursing Shifts
    A common practice of successive 12-hour shifts for U.S. hospital nurses leaves many with serious sleep deprivation, higher risk of health problems, and more odds of making patient errors, according to a University of Maryland, Baltimore (UMB) study presented today at the ...More
    June 8, 2010 Posted in News
  • Reform Law Poised to Make Healthcare Safer, Consumers Union Says
    While most of the attention surrounding the landmark healthcare reform measure just signed into law has focused on how it expands access to affordable insurance coverage, it also enacts important initiatives that will improve patient safety, according to Consumers Union, ...More
    April 2, 2010 Posted in News
  • Patient Safety Incidents at U.S. Hospitals Show No Decline, Cost $9 Billion
    Nearly 1 million patient-safety incidents occurred among Medicare patients over the years 2006, 2007, 2008, a figure virtually unchanged since last year’s annual study of patient safety by HealthGrades, a leading independent healthcare ratings organization. In ...More
    March 31, 2010 Posted in News
  • Quality in Healthcare... We Have All Heard It
    As costs increase and reimbursements decrease there are ways to reduce costs, improve efficiencies and improve the quality of care to meet regulatory requirements. The landmark report from the Institute of Medicine, “To Err is Human: Building a Safer Health ...More
    February 22, 2010 Posted in Articles
  • CDC to Monitor Reactions and Errors Associated with Blood Transfusions
    The Centers for Disease Control and Prevention (CDC) has launched the first national surveillance system to monitor adverse events in patients who receive blood transfusions. The CDC is encouraging healthcare facilities across the country to enroll in this new surveillance ...More
    February 18, 2010 Posted in News
  • Making a Better Medical Safety Checklist
    In the wake of Johns Hopkins’ success in virtually eliminating intensive-care unit bloodstream infections via a simple five-step checklist, the safety scientist who developed and popularized the tool warns medical colleagues that they are no panacea.“Checklists ...More
    February 15, 2010 Posted in News
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