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An innovative program at The Baylor Medical Center in Grapevine, TX, has increased reporting of errors and near misses tenfold by encouraging staff to plant a flag when coming across a pothole in the road. The hospital uses the pothole analogy to encourage staff to do something when it sees a potential medical error.
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The next time you see footage of an airline crew working in the cockpit of an airliner, listen to how they interact. They speak clearly to ensure information is conveyed well. Each crew member watches the others work to spot errors. If they can do that while flying from Newark to San Diego, why cant your staff do the same while caring for a post-op surgical patient? They can, according to advocates of a strategy called crew resource management.
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The new 2004 National Patient Safety Goals released recently by the Joint Commission on Accreditation of Healthcare Organizations continue all of the 2003 goals and add one to reduce health care-acquired infections.
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As part of our falls prevention program, were considering more exercise programs for patients at risk for falls, to help them develop stability and balance. But weve heard some concerns that the at-risk patient is better off in bed instead of doing something that could result in a fall. What should we do?
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A 17-year-old female was admitted to a hospital to undergo a breast reduction procedure. While recovering from surgery she received an overdose of morphine, which killed her. The case against the hospital was settled prior to trial for $400,000.
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The Joint Commission on Accreditation of Healthcare Organizations and the National Committee for Quality Assurance have started a new Privacy Certification Program for Business Associates to assess whether organizations designated as business associates under HIPAA are meeting essential requirements for safeguarding personally identifiable health information.
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The Centers for Medicare & Medicaid Services says HIPAA privacy regulations dont negate requirements under the Social Security Act that the results of the most recent nursing home survey must be made available to the public.
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A San Francisco insurer is offering health care providers what it says may be a first in underwriting a professional liability insurance policy specifically geared toward electronic-based and web-enabled transactions for health care operations.
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The new protocol for preventing wrong-site surgery is likely to be considered the standard of care immediately and plaintiffs attorneys will use it against you in court, says a prominent trial attorney. Risk managers should act quickly to implement the protocol now and not wait for the protocols deadline, the attorney adds.
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A patient with stab wounds to the abdomen was taken to an emergency department. He was admitted, and a series of tests were ordered. Once on the floor, his condition deteriorated rapidly. His father came to visit and found his son in a wheelchair at the nurses station. After inquiring as to his condition, the son suffered cardiopulmonary arrest and died in front of the nurses station. The estate brought suit against the hospital and attending surgeon. Both settled prior to trial for a combined $850,000
