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Extending temporary privileges to a traveling surgeon can be risky business, says Leilani Kicklighter, RN, ARM, MBA, CPHRM, LHRM, a patient safety and risk management consultant with The Kicklighter Group in Tamarac, FL, and a past president of the American Society for Healthcare Risk Management (ASHRM) in Chicago.
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Photographs of ED patients' clinical findings are being taken more frequently, due to the ubiquity of digital cameras, increasing use of electronic medical records, and their recognized value in medical education.
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Once administrators at Broward General Medical Center in Fort Lauderdale, FL, discovered that a nurse had exposed patients to serious infections by reusing disposable tubing and IV bags, the hospital acted quickly to notify those affected and arrange testing.
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Needlestick injuries were a hot topic in years past, when the health care industry took notice of the risk posed by exposure to hepatitis and HIV in the workplace, but now it is easy to assume that you've taken all the right precautions and lowered the risk as much as possible. But have you really?
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The Centers for Disease Control and Prevention in Atlanta reports that data from 60 U.S. hospitals show health care workers suffer about 384,325 sharps and percutaneous injuries annually. These findings were presented recently at the International Conference on Nosocomial and Healthcare-Associated Infections in Atlanta.
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A woman presented at her gynecologist's office with complaints of post-menopausal bleeding. The gynecologist ordered a pelvic ultrasound, which displayed abnormal findings.
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A woman underwent a hysterectomy. During the procedure, an endotracheal tube was inserted, which resulted in a perforation of the woman's esophagus.
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It has been 10 years since the Institute of Medicine's report To Err is Human revolutionized patient safety by encouraging a focus on systemic flaws that allow errors to occur, rather than blaming the individual who actually made the mistake. From the start, however, risk managers have struggled with the idea of how to avoid a "culture of blame" without letting people get away with extraordinary negligence or deliberate misbehavior.
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Risk managers have struggled for years to reconcile the notion of a "no-blame" culture with incidents in which - systemic problems or not - one individual clearly committed a willful violation of procedure. Embracing the philosophy is easier when the evidence suggests the health care worker made a mistake, even a failure of attention or diligence, but willful and even malicious misbehavior seems to pose a dilemma.
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Free wireless Internet access, known as Wi-Fi, is offered in many retail establishments and public buildings, allowing customers and visitors to access the Internet with their laptop computers and cell phones. But as health care providers venture into offering this convenience, questions arise about network security and possible breaches of sensitive data.
