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© 2025 Patient Safety Authority
Lessons from Event Reports
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Categories
Anesthesia
Cardiology
Communication
Electronic Health Record
Emergency Department
Equipment
Falls
Infection Prevention
Lab
Medication
Monitoring
Neurology
Nursing
Nutrition
OB/GYN
Opioids
Pediatric
Radiology
Respiratory
Sepsis
Surgery
Timeout
Transplant Services
Identifying a Supply Issue Affecting Patient Safety
Equipment
Nursing
Nutrition
A facility called the Patient Safety Authority with a concern regarding misplacements of nasogastric feeding tubes.
Updating Best Practices for Patient Diets
Electronic Health Record
Nutrition
A hospital’s Patient Safety Department noted safety concerns related to patients not receiving the correct diet. To understand what was happening, they identified and tracked 17 patients with incorrect diets.
Nutrition
