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.
Surgical fires: decreasing incidence relies on continued prevention efforts. - Bruley ME, Arnold TV, Finley E, Deutsch ES, Treadwell JR. PA-PSRS Pa Patient Saf Advis. June 2018;15.
2 days ago