Categories
Thumbnail associated with Event Reporting story titled: Code Blood Bank
Code Blood Bank
Emergency Department
Communication
Lab
In response to an emergent blood transfusion scenario, emergency department (ED) staff followed policy and contacted the blood bank to start the unmatched blood acquisition process in case rapid transfusion was needed. However, once the order was received, the blood bank encountered several barriers to complete the request.
Thumbnail associated with Event Reporting story titled: Improving Employee Safety
Improving Employee Safety
Emergency Department
Nursing
Opioids
Just as reporting adverse events helps improve patient safety, reporting workplace incidents that have harmed or had the potential to harm employees can inspire change to protect healthcare staff as well as patients and visitors.
Thumbnail associated with Event Reporting story titled: Diabetes Task Force Improves Care
Diabetes Task Force Improves Care
Electronic Health Record
Emergency Department
Nursing
At one facility, over a few months several incidents occurred involving patients in diabetic ketoacidosis (DKA), a life-threatening complication in which too much acid (ketones) builds up in the blood, in both the emergency department and acute care.