Joint Commission Releases New Sentinel Event Alert on Long Work Hours

The Joint Commission is warning hospitals about the potential dangers of extended hours and excessive workloads in a new Sentinel Event Alert. The alert contains documented links between healthcare worker fatigue and adverse events, as well as lower productivity. Sleep deprivation or lack of quality sleep over an extended amount of time can lead to confusion, irritability, memory lapses, loss of empathy, and compromised problem-solving, among other things, according to the Alert. The Joint Commission suggests organizations assess their fatigue-related risks, including off-shift hours and consecutive shift work; examine the hand-off process; invite staff to offer input in their own work schedules; implement a fatigue management plan; and educate staff about the effects of fatigue on patient safety.

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CALL TO ACTION: CHANGE THE STATISTIC:

BY ALEX CHRISTGEN, BS, CPPS Center for Patient Safety The article follows the 1999 IOM report which made the first attempt to determine preventable harm in healthcare. The IOM report estimated a staggering

The Second Victim Experience – Train-the-Trainer Workshop:

Most health care providers adjust well to the multitude of demands encountered during an unexpected or traumatic clinical event. Providers often have strong emotional defenses that carry them through and l

Center for Patient Safety Appoints New Executive Director:

NEWS RELEASE For Release: July 29, 2016 For more information, please contact Revee White at 573-817-8300 ext 187. Center for Patient Safety appoints new executive director JEFFERSON CITY – The Center for

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The Center for Patient Safety believes that collaboration and sharing are the best ways to drive improvement. We strive to provide the right solutions and resources to improve healthcare safety and quality.