February 7, 2012 | By: Calevir
Lawrence Smith, MD, founding dean of the Hofstra North Shore-LIJ School of Medicine, recently gave an interview, on resident supervision and patient safety. Listen to an excerpt online or download a podcast. An accompanying perspective piece, by C. Jessica Dine, MD, MA, and Jennifer S. Myers, MD, University of Pennsylvania, examine how increased supervision influences the educational experience for trainees.
“E-prescribing: E for error?†A canceled electronic prescription went through to the pharmacy anyway, and the patient received it. Elisa W. Ashton, PharmD, of UCSF, addresses risks and benefits associated with e-prescribing.
“Poorly Advanced Directives,†Wendy G. Anderson, MD, MS, of UCSF, explores the limitations of DNR orders and emphasizes the importance of advance care planning discussions.
“Amended Lab Results: Communication Slip,†a pregnant woman with new onset hypertension and proteinuria was set to be discharged but a later amended medical report showed her results were elevated and abnormal, confirming a diagnosis of preeclampsia. Vanitha Janakiraman Mohta, MD, of Kaiser Permanente, discusses challenges surrounding communication of amended laboratory results.
A recent Pennsylvania case shows how courts narrowly interpret the PSQIA, ignoring the D & A pathway and the clear language of the Final Rule. (Ungurian v. Beyzman, et al., 2020 PA Super 105). The cour
The Center for Patient Safety wants to share this important harm-prevention advice from The Joint Commission and its Sentinel Event Alert: Managing the Risks of Direct Oral Anticoagulants. The Joint Commis
Issue: A number of events reported co CPS’ Patient Safety Organization (PSO) demonstrate poor handoff communication about the patients’ infectious disease status Examples include: Patient with
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.