Inside: Capturing pharmacy interventions as near misses Prevent QI from stretching your resources too thin When is your hospital at risk for patient harm? What should hospitals focus ...

Did you notice a significant change in the Universal Protocol™ (UP) recently? No? We’re not surprised. Most of us missed the fact that The Joint Commission removed the UP FAQs from its web...

Most clinicians understand the dangers multidrug-resistant organisms (MDRO) present to patients. Most also understand that these germs are easily spread through hands and other surfaces, and that hand...

Preventing medical errors and patient harm is a top priority for most hospitals. Physicians, nurses, and other clinicians do not enter their professions to produce poor outcomes....

Inside: Disclosure-with-offer program provides more transparent culture Changing clinician behavior proves a challenge Stories, not data, have most influence for change Lean in health...

Editor’s note: The following column answers some data-related questions on “Patient Safety Talk,” an HCPro listserv that addresses many of the topics covered in this newsletter and i...

True or false: When preparing to administer blood or blood products, it is important to use a two-person verification process to ensure that the correct patient is getting the correct product. ...

Brookwood Medical Center (BWMC), a Tenet facility in Birmingham, AL, has an active, cohesive, and well-led education department. I believe employees are not fully aware of the extensive coordination a...

Q. What are some good criteria for establishing whether a process at our hospital is safe?...

When Fredonia (KS) Regional Hospital looked into updating its utilization review program, it focused on two key areas: involving the right people and being aware of its communication with the medical ...