Categories
Thumbnail associated with Event Reporting story titled: Reporting a Networkwide Supply Shortage
Telemetry leads were on backorder, and replacement leads were being used instead.
Thumbnail associated with Event Reporting story titled: Reporting a Problem Catches Unrecognized Systemwide Failure
At around 10 p.m. on a Sunday, a registered nurse reported to her unit director that her telemetry pager was not receiving alarms for a patient with arrhythmias, although it had been working when she came on the night shift at 7 p.m
Thumbnail associated with Event Reporting story titled: Assessing Respiratory Risk With Opioid Use
Opioid use results in decreased respiratory rate, low oxygen saturation, and sedation, a condition known as opioid-induced respiratory depression (OIRD), which may result in serious harm—including death or brain damage.