Patient Safety Authority Update
Patient safety is everybody's business. The information published in the Advisory is relevant for all clinicians and is intended to be distributed to as many individuals in healthcare facilities as possible.
When Patients Speak—Collaboration in Patient Safety
Patients can offer key input into their own safety when given the opportunity, including rapidly identifying side effects or adverse events, ensuring that treatment is given, deciding on treatment, and helping to achieve accurate diagnosis.
Give 40 of K—You Know What I Mean, Don't You?
A verbal order from the physician that includes all the necessary elements and is read back by the nurse for verification could reduce errors related to the verbal mode of prescribing.
Multiple Messages, Multiple Tasks
After an event is determined to be the result of ineffective communication, two salient points include (1) fewer intermediaries create fewer opportunities for misunderstanding and (2) the less that intermediaries understand about the message, the greater the chance for misunderstanding.
Focusing on Eye Surgery
Two distinct patterns emerge from event reports involving eye surgery: (1) wrong-side surgery and (2) problems with intraocular lens implants.
Mismatching Medical Devices and Accessories
Submitted event reports describing injuries to patients from the use of incompatible device parts make evident the need for awareness about compatibility of medical devices and associated accessories that require assembly before use.