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National Patient Safety Foundation

Archive for July, 2012

2012 Professional Learning Series Webcast

Webcast held July 10, 2012, 2-3 pm EDT

Faculty

Jane Englebright, PhD, RN
Chief Nursing Officer & Vice President Clinical Services Group
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Boston, MA (July 23, 2012) –The Lucian Leape Institute at the National Patient Safety Foundation is pleased to announce the appointment of Janet M. Corrigan, PhD, MBA, as its newest member, effective July 1. Read More→

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July (1) 2012 | Volume 16, Issue 7:1

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Boston, MA (July 18, 2012)—The Lucian Leape Institute (LLI) at the National Patient Safety Foundation has announced the program for its 5th Annual Forum & Gala to be held in Boston on Thursday, September 13, 2012. Read More→

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ASPPS e-News, July 2012

On Jul 17, 2012 | Comments (0)
In this issue
  • ASPPS Members in the News
  • Patient Safety in the News
    • NPSF Welcomes New Board Members
    • Get the Final Check
    • NQF Endorses Complications-Related Patient Safety Measures
    • Improving Patient Safety in Inpatient Units – A Canadian Context

...

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Categories : ASPPS e-News
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June (2) 2012 | Volume 16, Issue 6:2

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Simple initiative shown to reduce mislabeled blood specimens by 90 percent

The College of American Pathologists estimates that 1 in 1,000 blood specimens ends up being labeled with the wrong patient identifiers. That type of error can potentially harm two patients—the patient whose blood was mislabeled as well as the patient who was incorrectly linked to that specimen. Both patients may end up with incorrect diagnoses, missed treatment, or treatment that they do not need.

Now, a collaboration between Palmetto Health Richland Hospital, the South Carolina Hospital Association, and Outcome Engenuity, LLC, has resulted in a simple intervention that hospitals can use to dramatically reduce the rate of mislabeled blood specimens. Called The Final Check, the intervention was used for the first time at Palmetto Health in 2011, resulting in a 90 percent decrease in mislabeled specimens in the first month it was used. Those results have since been validated at five other hospitals in South Carolina and sustained for five consecutive months to date. Read More→

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A Culture of Respect

On Jul 10, 2012 | Comments (0)

In a two-part series published in Academic Medicine, the journal of the Association of American Medical Colleges, Lucian Leape, MD, and co-authors describe six categories of disruptive behavior in health care and how such behavior can impact patient and worker safety.

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