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Category Archives: Patient safety
Vision Problems and Patient Safety by Pat Iyer
Elders at home, in assisted living, and nursing homes are at risk for injury because of decreased vision. Visual problems run the gamut from reliance on glasses to legal blindness. Legal blindness is defined as corrected visual acuity in the … Continue reading
Posted in Legal nurse consulting, Nursing home, Nursing malpractice, Patient safety
Tagged blindness, decreased vision, falls
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By Pat Iyer: Death after being restrained
The charge nurse found Alexis Evette Richie alone in a small room at SSM DePaul Health Center, motionless and sprawled facedown on a bean bag chair. Minutes earlier, the 16-year-old foster child had tried to hit, scratch and bite staff … Continue reading
Posted in Damages, Healthcare Risk Management, Medical errors, Patient safety
Tagged Alexis Richie, asphyxiation, choking, death in restraints
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When should nursing staff call a rapid response team? by Pat Iyer
A sudden deterioration in a patient’s condition should stimulate activation of emergency efforts. The goal of a rapid response team (RRT) is to avert a cardiac arrest – to take action before the patient stops breathing. Here are some generally … Continue reading
By Pat Iyer: Failure to rescue
Imagine this scene: You are visiting your elderly father in the hospital when you notice his speech is becoming slurred and he is less awake than usual. Concerned, you call his nurse into the room. She assesses your father, then … Continue reading
Why don’t healthcare providers follow the rules? Part 2 by Pat Iyer
Normalization of deviance occurs when a provider, such as a nurse, knowingly disregards a safety practice, like using two patient identifiers to verify patient identity. Repeated deviation from the safe practices tends to “normalize” the risky behavior in the nurse’s … Continue reading
Why don’t healthcare providers follow the rules? Part 1 by Pat Iyer
I’ve been updating a chapter on the roots of patient injury for the fourth edition of Nursing Malpractice. I’ve been thinking about the reasons people don’t follow policies and procedures. Back in the 1980s when I ran a nursing hospital’s … Continue reading
Prescription drug overdoses on the rise in U.S.
by Megan Brooks (Reuters Health) – More and more Americans are landing in the hospital due to poisoning by powerful prescription painkillers, sedatives and tranquilizers, according to a report released American Journal of Preventive Medicine, April 2010. City-living middle-aged women … Continue reading
Common Errors of Pharmacy Technicians – Guest Post by Ashley Jones
Medications save lives, but they do so only when they’re taken correctly – by the right patient, who takes the right medicine, at the right time, in the right dosage, by the right route, and for the right amount of … Continue reading
6 Pieces of Good News For Nursing – and Patients by Pat Iyer
In the January/February 2010 The American Nurse, a publication distributed to members of the American Nurses Association, President of the ANA, Rebecca Patton, shared reasons to be optimistic about nursing. 1. The growing focus on the nursing shortage and the … Continue reading
The real outcome of patient safety
Reducing the number of preventable patient injuries in California hospitals from 2001 to 2005 was associated with a corresponding drop in malpractice claims against physicians, according to a study issued by the RAND Corporation. Researchers studied both medical malpractice claims … Continue reading


