Posts Tagged ‘clinical risk management’

Respectful Management of Serious Clinical Adverse Events – an IHI Perspective

Saturday, January 15, 2011 18:49 1 Comment

You just heard at this morning’s CEO leadership meeting that a 40-year-old father of five children died in the Surgical ICU last night, hours after receiving medication intended for another patient. Everyone is upset. Questions are flying around the hospital: What does the family know? Who did it? What happened? What can we say? Would [...]

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I Care For You; I Am Your Doctor

Friday, August 20, 2010 8:08 No Comments

“I care for you, I care about you, and I know you in ways no one else does; I am your doctor. ” The physician patient relationship is unique, sensitive, and vitally important.  Imagine for a moment, that you are the physician who made the opening statement, and that the patient to whom you spoke those words has suddenly, [...]

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Medical Error: The Second Victim

Friday, February 29, 2008 9:23 3 Comments

The doctor (physician assistant, nurse, etc.) who makes the mistake needs help too. From the British Medical Journal: http://www.bmj.com/cgi/content/full/320/7237/726 ============ When I was a house officer another resident failed to identify the electrocardiographic signs of the pericardial tamponade that would rush the patient to the operating room late that night. The news spread rapidly, the [...]

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