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Patient Safety Monitor Alert

This e-mail newsletter provides healthcare professionals with the latest patient safety news, while offering useful information on creating safer patient care environments and reducing medical errors.

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Patient Safety Monitor Alert

Issue 50, December 17, 2003

• 1. Cost keeps physicians from incorporating technology into their clinical pract

  1. Cost keeps physicians from incorporating technology into their clinical practices 2. Influenza...

Issue 49, December 10, 2003

• 1. Length of stay has declined 26% in past ten years 2. Study links surgical de

  1. Length of stay has declined 26% in past ten years 2. Study links surgical death rates to...

Issue 47, November 26, 2003

• 1. Anesthesia machines may catch fire, Abbott warns 2. IOM report: National net

  1. Anesthesia machines may catch fire, Abbott warns 2. IOM report: National networked system would...

Issue 46, November 19, 2003

• 1. Heart patients are discharged without life-preserving treatments 2. The JCA

  1. Heart patients are discharged without life-preserving treatments 2. The JCAHO will unveil new...

Issue 45, November 12, 2003

• 1. Premature babies undergo painful procedures without any pain medication 2

  1. Premature babies undergo painful procedures without any pain medication 2. Children need...

Issue 44, November 4, 2003

• 1. The JCAHO publishes new sentinel event statistics 2. FDA warns of drug na

  1. The JCAHO publishes new sentinel event statistics 2. FDA warns of drug name confusion...

Issue 42, October 22, 2003

• 1. NEW FDA GUIDANCE SEEKS TO REDUCE USE OF UNAPPROVED DRUGS 2. COMING SOON:

  1. NEW FDA GUIDANCE SEEKS TO REDUCE USE OF UNAPPROVED DRUGS 2. COMING SOON: QUALITY MEASURES...

Issue 41, October 15, 2003

• 1. SEPSIS INFECTIONS, SURGICAL WOUNDS AMONG MEDICAL INJURIES THAT CAN BOOST PE

  1. SEPSIS INFECTIONS, SURGICAL WOUNDS AMONG MEDICAL INJURIES THAT CAN BOOST PER-PATIENT EXPENSES...

Issue 40, October 8, 2003

• 1. BEWARE OF DRUGS THAT BEGIN WITH THE LETTER "Z"

  2. PHYSICIANS TRAINED

  1. BEWARE OF DRUGS THAT BEGIN WITH THE LETTER "Z" 2. PHYSICIANS TRAINED AT CERTAIN MEDICAL...

Issue 39, October 3, 2003

• 1. STUDY LINKS DEATH RATES, NURSE EDUCATION 2. HOPSITALS PREPARE FOR FALSE SARS

  1. STUDY LINKS DEATH RATES, NURSE EDUCATION 2. HOPSITALS PREPARE FOR FALSE SARS ALARMS AS FLU...

Issue 38, September 24, 2003

• 1. COMMUNICATION BREAKDOWN CITED AS FACTOR IN CHILD'S DEATH 2. HEALTH CARE QUAL

  1. COMMUNICATION BREAKDOWN CITED AS FACTOR IN CHILD'S DEATH 2. HEALTH CARE QUALITY DIFFERS...

Issue 36, September 12, 2003

• 1. Two common diabetes drugs may cause heart failure 2. More adults with asthma

  1. Two common diabetes drugs may cause heart failure 2. More adults with asthma need to receive...

Issue 35, September 2, 2003

• 1. New latex gloves reduce allergic reactions and sensitivities 2. Clearer dis

  1. New latex gloves reduce allergic reactions and sensitivities 2. Clearer distinctions between...

Issue 32, August 15, 2003

• 1. Medical board backlog put patients at risk 2. Maryland nurse's license s

  1. Medical board backlog put patients at risk 2. Maryland nurse's license suspended after...

Issue 31, August 6, 2003

• 1. Change focus of physician rounds to improve patient care 2. New Florida

  1. Change focus of physician rounds to improve patient care 2. New Florida law cracks down on...

Issue 30, August 1, 2003

• 1. Cypher stent linked to clots when not used properly 2. Minnesota nurse pr

  1. Cypher stent linked to clots when not used properly 2. Minnesota nurse probed in five...

• 1. The JCAHO approves the 2004 National Patient Safety Goals 2. New universal

  1. The JCAHO approves the 2004 National Patient Safety Goals 2. New universal protocol for...

• Minnesota nurse probed in five patient deaths

  Minnesota nurse probed in five patient deaths

• Rural hospitals might be less prepared for bioterrorism threat

  Rural hospitals might be less prepared for bioterrorism threat

Issue 27, July 8, 2003

• Study ties feeding tube use to patient race and location
  Patient safety goa

  Study ties feeding tube use to patient race and location Patient safety goals an area of focus for...

Issue 26, July 1, 2003

• Study: Many doctors say they don't feel patient safety has improved
  Opinio

  Study: Many doctors say they don't feel patient safety has improved Opinions differ on new...

Issue 23, June 12, 2003

• Study: Transfer patients can make big hospitals look bad
  Rhode Island tries

  Study: Transfer patients can make big hospitals look bad Rhode Island tries out electronic...

Issue 20, May 20, 2003

• JCAHO tweaks wrong-site surgery scoring
  WHO encourages hospitals to screen

  JCAHO tweaks wrong-site surgery scoring WHO encourages hospitals to screen for SARS National...

• Report: Purchasers have not yet reached their potential to influence quality

  Report: Purchasers have not yet reached their potential to influence quality United Kingdom warns...

Issue 19, May 13, 2003

• Report finds medical errors throughout developed countries
  Study: Less medi

  Report finds medical errors throughout developed countries Study: Less medication may decrease...

Issue 18, May 6, 2003

• JCAHO considers 2004 National Patient Safety Goals
  AHRQ recommends patient

  JCAHO considers 2004 National Patient Safety Goals AHRQ recommends patient safety strategies Home...

Issue 17, April 28, 2003

• Investigators target research at VA hospitals
  Study: Anesthesia provider cr

  Investigators target research at VA hospitals Study: Anesthesia provider credentials don't affect...

Issue 16, April 22, 2003

• National Quality Forum endorses four new safe practices
  Study: More that a

  National Quality Forum endorses four new safe practices Study: More that a quarter of ambulatory...

Issue 15, April 15, 2003

• New IOM report calls for core competency requirements to promote quality
  Or

  New IOM report calls for core competency requirements to promote quality Organizations plan to pay...

Issue 14, April 8, 2003

• JCAHO announces shift to unannounced surveys
  SARS restrictions cause stress

  JCAHO announces shift to unannounced surveys SARS restrictions cause stress for Toronto...

Issue 13, April 1, 2003

• Consumer group ranks harshness of state medical boards
  Thirty-three lawsuit

  Consumer group ranks harshness of state medical boards Thirty-three lawsuits over gastric surgery...

Issue 12, March 25, 2003

• Power outage leads to scrambled drug labels
  Duke CEO pledges hospital will

  Power outage leads to scrambled drug labels Duke CEO pledges hospital will become safety...

Issue 11, March 18, 2003

• New York accused of going easy on malpracticing doctors
  Study: EDs generate

  New York accused of going easy on malpracticing doctors Study: EDs generate more improper dosing...

Issue 10, March 11, 2003

• FDA may require bar codes on all medications
  AHRQ announces two online pati

  FDA may require bar codes on all medications AHRQ announces two online patient safety...

Issue 9, March 5, 2003

• Study: Many adverse drug events among elderly outpatients are preventable
  C

  Study: Many adverse drug events among elderly outpatients are preventable Colorado...

Issue 8, February 25, 2003

• Study: Role models--not sink access--may be key to handwashing
  Lawsuit sno

  Study: Role models--not sink access--may be key to handwashing Lawsuit snowballs against...

Issue 6, February 13, 2003

• Survey: IT executives list patient safety as top concern
  CMS seeks input on

  Survey: IT executives list patient safety as top concern CMS seeks input on patient experience...

• Survey: IT executives list patient safety as top concern
  CMS seeks input on

  Survey: IT executives list patient safety as top concern CMS seeks input on patient experience...

Issue 5, February 7, 2003

• 
  Study finds adverse events follow patients home
  All Minnesota hospitals

  Study finds adverse events follow patients home All Minnesota hospitals to take Leapfrog's public...

Issue 4, January 28, 2003

• Double mastectomy victim calls hospital's apology a 'PR ploy CMS introduces per

  Double mastectomy victim calls hospital's apology a 'PR ploy CMS introduces performance...

Issue 2, January 14, 2003

• New IOM report may help officials link payment to quality JCAHO worries about u

  New IOM report may help officials link payment to quality JCAHO worries about underreporting to...

• Emergencies, procedure changes contribute to left-behind surgical instruments P

  Emergencies, procedure changes contribute to left-behind surgical instruments Pfizer slaps bar...

Issue 1, January 8, 2003

• Upcoming JCAHO surveys to include patient safety interview Airport detector fin

  Upcoming JCAHO surveys to include patient safety interview Airport detector finds four-month-old...