Babies Switched in Hospital – Nurse Fired!

January 16, 2014    |   By: Calevir

Doug Wojcieszak of Sorry Works! shares an interesting blog regarding a mistake made at a hospital in Texas where babies were given to the wrong mothers.   DNA testing assured the parents had their correct babies, but the nurse was fired. We don’t know the details, but consider the harm done to the nurse as well as the hospital.  Do you think their employees are willing to report future errors or near misses?  Read more


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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

Joint Commission New Sentinel Event Alert 61: Managing the Risks of Direct Oral Anticoagulants:

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

CPS Safety Watch/Alert – Culture Can Improve the Control of Multi-Drug Resistant Organisms:

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

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