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However, scientific patient safety research by Annegret Hannawa, among others, has shown that ineffective communication has the opposite effect as it can lead to severe patient harm. [28] [29] [30] Communication with regards to patient safety can be classified into two categories: prevention of adverse events and responding to adverse events ...
Patient safety work product includes any data, reports, records, memoranda, analyses (such as root cause analyses), or written or oral statements (or copies of any of this material), which are assembled or developed by a provider for reporting to a PSO and are reported to a PSO; or are developed by a patient safety organization for the conduct ...
A patient safety organization (PSO) is a group, institution, or association that improves medical care by reducing medical errors. Common functions of patient safety organizations are data collection, analysis, reporting, education, funding, and advocacy. A PSO differs from a Federally designed Patient Safety Organization (PSO), which provides ...
Fatigue is an example for the former. The risk of a car crash after a more than 24h shift for physicians has been observed to increase by 168%, and the risk of near miss by 460%. [3] Factors relating to the context include time pressures, unfamiliar settings, and in the case of health care, diverse patients, and high patient-to-nurse staffing ...
2017 University of Utah Hospital incident. On July 26, 2017, Jeff Payne, a then detective with the Salt Lake City Police Department (SLCPD), arrested nurse Alex Wubbels at the University of Utah Hospital after she refused to illegally venipuncture an unconscious patient. Footage of the incident released on August 31, 2017, went viral online.
A sentinel event is "any unanticipated event in a healthcare setting that results in death or serious physical or psychological injury to a patient, not related to the natural course of the patient's illness". [1] Sentinel events can be caused by major mistakes and negligence on the part of a healthcare provider, and are closely investigated by ...
Hospital incident command system (US) In the United States, the hospital incident command system (HICS) is an incident command system (ICS) designed for hospitals and intended for use in both emergency and non-emergency situations. It provides hospitals of all sizes with tools needed to advance their emergency preparedness and response ...
Goal 1: Identify patients correctly. Goal 2: Improve effective communication. Goal 3: Improve the safety of high-alert medications. Goal 4: Ensure safe surgery. Goal 5: Reduce the risk of health care-associated infections. Goal 6: Reduce the risk of patient harm resulting from falls. [2][4]