I just wanted to bring these two articles to the group's attention:
Could it happen here? Learning from other organizations' safety errors.
Conway J. Healthc Exec. 2008;23:64-67.
Using external errors to signal a clear and present danger.
ISMP Medication Safety Alert! Acute Care Edition. November 6, 2008;13:1-2.
They both advocate for defined strategies to be implemented to help with the identification, dissemination and learning from published reports, news and stories about failure. I thought readers of this blog may find them useful in their efforts to get involved in safety work at their organizations.
Gaps in ambulatory patient safety for immunosuppressive specialty medications. - Patterson S, Schmajuk G, Evans M, et al. Jt Comm J Qual Patient Saf. 2019;45:348-367.
4 days ago