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Under the plan proposed by the Agency for Healthcare Research and Quality (AHRQ), patients and their relatives would report medical errors and near misses through a web site and in telephone interviews.
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News: A woman prematurely gave birth to an infant in 2002. The womans labor was induced, and she experienced a prolonged vaginal birth. The fetus was under distress during delivery.
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News: The patient was a 45-year-old woman who had been experiencing chest discomfort. Her primary care physician told her to obtain a complete heart check-up at the hospital.
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Given the lack of reporting of errors and potential errors, it should be seen as good news that the number of sentinel events reported to The Joint Commission has gone up, right? The organization figures that voluntary reporting brings it maybe 1% of the total of what's out there, but the numbers are steadily rising.
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No one ever says "as memorable as a PowerPoint slide," do they? Or "as much fun as a white paper." If you want people to remember something important, you have to spark their interest. And when the material is as dry as patient safety goals, well, you have your work cut out for you.
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If trends hold in 2012, it will be the 13th straight year that nurses top the Gallup poll on ethics and honesty (http://www.gallup.com/poll/151460/Record-Rate-Honesty-Ethics-Members-Congress-Low.aspx). They are widely viewed by the public as being trustworthy and caring about what they do. Indeed, no one would suggest that a nurse does anything on the job that would knowingly imperil patients.
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The 2013 National Patient Safety Goals (NPSG) came out last month and did not really include any big surprises. Indeed, there was nothing new in them. But that doesn't mean you do not have to pay attention to them.
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Editor's Note: Last month, Hospital Peer Review looked at some of the differences between the two largest hospital accreditation organizations, The Joint Commission (TJC) and DNV, and asked several DNV clients to talk about what made them choose DNV. This month, we look at some organizations that thought about leaving TJC and either came back after trying out DNV, or changed their minds. What brought them back?
