What if EVERYONE who works in a hospital or nursing home, (Excluding anyone physically limited) is required to take a 6-8 week Nurse Assistant course? The CEO or Nursing Home Administrator giving someone a shower or helping change a combative patient who has been incontinent? A doctor, are you kidding? People laugh and roll […]
What Triggers a Root Cause Analysis (RCA) & What Should, but Doesn’t? Part II-What Health Care Professionals & Patient Advocates Need to Know
(Recycling important series on RCA with permission from Bob Latino) In Part I of this series on Root Cause Analysis (RCA) leading expert, Robert Latino, CEO of Reliability Center Inc. in Hopewell, Va shared his preferred definition of RCA and explained the importance of asking ‘HOW’ rather than ‘WHY’ a medical error occurred. (This point is […]
Similarities in Surgical Errors in USA & UK: What Might These Stats and Nurse Feedback Reveal about People Skills?
Check out these statistics from the USA and UK and see if you can see any interesting similarities. And while you do, keep in mind the top three categories of root causes of Sentinel Events from 2010 through 2012 according to the Joint Commission are: Leadership, Human Factors, and Communication. In May of 2013, […]
“Beyond the Checklist” A Compelling Resource Links Success in Aviation Safety to Potential for Patient Safety!
Beyond the Checklist: What Else Health Care Can Learn from Aviation Teamwork and Safety is a well-written and well-researched book that makes a compelling case for a collaborative leadership and team development process called Crew Resource Management (CRM). CRM, explained by authors Suzanne Gordon, Patrick Mendenhall, and Bonnie Blair O’Connor was developed by the airline industry […]