Reduce Medication Errors in EMS

Posted by Lee Varner, BS EMS, EMT-P Posted in EMS, Patient Safety,

Nobody wants a medication error but often we don’t have a new strategy or method for prevention. Experts suggest that most errors are linked to a flaw in a system design or an unfortunate behavioral choice. Regardless, working towards prevention requires better processes as well as improving our safety behaviors. To learn more, check out this article by Kim D. McKenna MEd, RN, EMT-P, recently posted at emsreference.com.


AHRQ Releases WebM&M

Posted by Alex Christgen, BSBA Posted in AHRQ, Patient Safety Posted April

The Agency for Healthcare Research and Quality has released the April WebM&M, morbidity & mortality rounds on the web. Spotlighted case is “Dissecting the Presentation“, with additional cases: “Transition to Nowhere” and “Fire in the Hole! – An OR Fire“.

Surgical checklists are also addressed this month with an interview with Lucian Leape,MD, Adjunct Professor of Health Policy at the Harvard School of Public Health, and an interview with David Urbach, MD, MSc, Professor of Surgery and Health Policy, Management and Evaluation at the University of Toronto.

Safety Alert Issued: High Alert Medications

Posted by Alex Christgen, BSBA Posted in Alerts, PSO

PSOAlert!The Center for Patient Safety is issuing a Safety Alert based on industry data and recent findings from event data being submitted to the PSO. The following areas of concern have been reported to the PSO:

A pediatric patient receives a higher than standard dose of Propofol and requires resuscitation.
A battery fails on an insulin IV pump and goes unnoticed.
Approximately one in every five reported PSO medication events involves a high alert medication such as anticoagulants (warfarin, heparin, Lovenox), Propofol, insulin, hypoglycemic agents, opioids and so forth. Events relate to prescribing, dispensing, administering and monitoring errors.
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