Tag: Medical errors

Key tactics for OR emergency readiness: Supply audits, team drills

Editor’s Note: This page is a companion piece to the main article, Emergency preparedness: Identifying essential supplies for unplanned surgical events. While the main article outlines the principles of emergency readiness and supply preparation in the OR, the posts below offer a closer look at two key implementation areas: Supply…

Read More

By: Lesley Barton
July 30, 2025
Share

FDA issues safety alert for Baxter Novum IQ large volume pumps

Editor's Note The US Food and Drug Administration (FDA) issued an early alert for Baxter’s Novum IQ Large Volume Pumps (Model 40700BAXUS) due to potential for underinfusion when transitioning from a flow rate to a higher flow rate (eg, rate change or bolus).   According to the agency’s July 22…

Read More

By: Matt Danford
July 23, 2025
Share

Recent FDA Class 1 recall designations include anesthesia systems, aortic root cannula

Editor's Note The US Food and Drug Administration (FDA) has designated recent medical device recalls involving GE Healthcare’s Carestation anesthesia system, Medtronic aortic root cannula systems, Zoll Circulation’s AutoPulse NXT Resuscitation System, and Medtronic’s Bravo CF Capsule Delivery Devices as Class 1, the most severe category indicating serious risk of…

Read More

By: Matt Danford
June 25, 2025
Share

Reframing the surgical time out to fight complacency, improve outcomes

Editor's Note On this National Time Out Day, perioperative leaders are being called to reinvigorate the time-out process to combat complacency and reduce adverse events. Despite decades of safety initiatives, the adverse event rate in surgical care remains high—38% of perioperative cases, with nearly half tied directly to surgical procedures,…

Read More

By: Tarsilla Moura
June 10, 2025
Share

Spotlight on safety: Call for renewed vigilance on National Time Out Day

Editor's Note Wrong-site surgeries are on the rise, and insufficient surgical time outs are a key contributor, according to new data highlighted by AORN on June 10 in honor of this year’s National Time Out Day on June 11. Based on The Joint Commission’s Sentinel Event Data 2023 Annual Review,…

Read More

By: Tarsilla Moura
June 10, 2025
Share

AI-powered smart glasses catch drug errors

Editor's Note An AI-powered wearable camera has achieved 99.6% accuracy in detecting potentially deadly drug mix-ups, including in the OR, NBC News reported May 25. Developed by Kelly Michaelsen, MD, at UW Medicine, the smart glasses scan medication labels in real time, alerting anesthesia providers to syringe-vial mismatches before drugs…

Read More

By: Matt Danford
May 30, 2025
Share

Leapfrog safety data spotlights persistent gaps; Florida hospitals sue

Editor's Note For the first time, the Spring 2025 Hospital Safety Grade from The Leapfrog Group introduces a “Straight A” designation for facilities that have earned top marks across five or more consecutive grading cycles. Published May 1, the latest edition of this biannual safety grade shows 346 hospitals—just 12%…

Read More

By: Matt Danford
May 6, 2025
Share

Advance of AI in nursing prompts safety, autonomy concerns

Editor's Note Although hospitals are already integrating artificial intelligence (AI), nurses warn that the technology may undermine their expertise and compromise patient care, The Associated Press (AP) reported March 16. The push for AI in healthcare stems from widespread nursing shortages. More than 100,000 nurses left the workforce during the…

Read More

By: Matt Danford
March 17, 2025
Share

Analysis: How the new US malpractice standard puts evidence-based ‘reasonable care’ over customary practice

Editor's Note A February 26 letter in JAMA Network reported a revised legal standard for medical negligence in the US, shifting from traditional reliance on customary practice toward a more patient-centered, evidence-based definition of “reasonable care.” The American Law Institute (ALI) updated its framework in 2024, retaining elements of prevailing…

Read More

By: Tarsilla Moura
March 12, 2025
Share

Medical gaslighting tops ECRI’s 2025 patient safety threat list

Editor's Note Misdiagnosis, delayed treatment, and a breakdown of trust in healthcare can all result from time and resource constraints preventing proper engagement with patients—a concern that tops ECRI’s list of the most significant patient safety risks for 2025. As detailed in the global healthcare safety nonprofit’s March 10 announcement,…

Read More

By: Matt Danford
March 11, 2025
Share

Join our community

Learn More
Video Spotlight
Live chat by BoldChat