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.
Maximize benefits of IV workflow management systems by addressing workarounds and errors. - ISMP Medication Safety Alert! Acute Care Edition. September 7, 2017;22:1-4.
1 day ago