Safer PCA Therapy
Safer PCA Therapy
Patient Safety Benefits of Continuous Respiratory Rate and End Tidal Monitoring
The following interviews were adapted from a November 12, 2010, webcast, “Safer PCA Therapy,” that explored the application of continuous monitoring for patients receiving opioids, most typically using patient-controlled analgesia (PCA).
Rapid Implementation of an Anesthesiology Information Management System
Rapid Implementation of an Anesthesiology Information Management System
Careful planning allows a public hospital in California to reap patient safety
and financial benefits from technology on the fast track.
At most hospitals, it takes a significant time to bring in new information technology systems. Indeed, the wheels move slowly as these organizations attempt to get new technology approved, purchased—and finally implemented.
Team Training in Obstetrics: Improving Care by Learning to Work Together
Team Training in Obstetrics: Improving Care by Learning to Work Together
Communication gaps and breakdowns are a significant cause of medical errors within the healthcare system. According to data collected by the Joint Commission (2005), communication gaps are the primary root cause of two thirds of sentinel events.
Reducing Alarm Hazards: Selection and Implementation of Alarm Notification Systems
Reducing Alarm Hazards: Selection and Implementation of Alarm Notification Systems
Few threats to patient safety have existed for as long or been as thoroughly studied as alarm fatigue (Healthcare Technology Foundation). In December 2010, ECRI Institute listed “Alarm Hazards” as the second highest technology hazard of 2011.
Five Leading Health Systems Create New Care Connectivity Consortium
ISMP: Root Causes: A Roadmap to Action
ISMP
Root Causes: A Roadmap to Action
Problem: After receiving a report of a medication error that reached a 4-year-old child, we were once again reminded that errors are almost never caused by the failure of a single element in the system.
Health & IT Quality: Seeing Is Not Believing
Health & IT Quality
Seeing Is Not Believing
Consider this scenario: An adventure traveler begins his trek to a remote village in the Andes. Upon arriving at the airport, he rents a car and begins his journey on winding roads to the village. After 90 minutes of driving, he encounters an intersection with a traffic light. Upon seeing the bottom of the light glowing brightly, he continues through the intersection.
ARQH: What Is Your Organization’s Patient Safety Culture?
ARQH
What Is Your Organization’s Patient Safety Culture?
Ask any frontline clinician or healthcare support staff if they can identify the components that make up a “culture of patient safety,” and you might get a vague answer in response. But ask those same health providers if they feel they can speak up to report patient safety concerns without fearing retribution, and you’re likely to get very specific responses.
Editor’s Notebook: New Resources for Patient Engagement
Editor’s Notebook
New Resources for Patient Engagement
It’s easy enough to say that patient engagement—the process of including patients as respected and equal partners by removing barriers to information and participation—is important.