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Tag Archives: Patient safety
New study identifies lack of improvement in health care
Temporal Trends in Rates of Patient Harm Resulting from Medical Care”, New England Journal of Medicine, 11/25/2010. Read at http://tinyurl.com/297884t This new study reviewed 2,341 patients’ records from stays at 10 North Carolina hospitals from 2002 to 2007. The reviewers … 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
Do You See What I See? by Pat Iyer
From behind, the group of people walking in front of me through Newark Airport last week looked like a family. There was an older woman, a young couple, and a baby being pushed in the stroller. I filled in: grandmother, … 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
How much error can we tolerate in health care? by Pat Iyer
The Joint Commission, one of the preeminent bodies that accredits a wide variety of healthcare organizations, is shining a spotlight on the critical role of leadership in reaching a zero-defect level of safety. Although other industries, such as aviation, manufacturing, … Continue reading
Reducing Distractions is Reducing Medication Errors – by Pat Iyer
My father was fascinated by airplanes when I was little. I recall going to Idlewild Airport in New Jersey to watch planes land. My father was trained as an aeronautical engineer. Little did I know as a child the lessons … Continue reading
On Challenging an Authority by Pat Iyer
A nurse sees a physician about to commit a grievous error. A resident watches an attending physician brush aside warning signs of a medical error. What factors go into challenges that may save a patient’s life? Malcolm Gladwell provides insights … Continue reading
What Nurses Think: Patient Safety by Pat Iyer
What change in healthcare would lead to the greatest improvement in patient safety? A survey of nurses found these answers: Mandated staffing ratios: 48.2% Better communication between nurses and doctors: 29.3% Electronic medical records: 14.2% Automated medication administration: 8.3% Source … Continue reading
Can one person make a difference? by Pat Iyer
The amazing story of Captain Chelsea “Sully” Sullenberger, the pilot who landed a plane on the Hudson River, reminds us that there are times that the right person is in the right place at the right time. Sully had 40 … Continue reading
Posted in Patient safety
Tagged Captain Sullenberger, Hudson River landing, Patient safety
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Insulin: More than a simple injection
Have you litigated cases involving insulin overdoses? Insulin is commonly used to control the blood sugars of juvenile or Type 1 diabetics. It is a mistake to take this seemingly harmless drug for granted. Insulin is one of the most … Continue reading


