Browsing Category
Patient Safety Crisis
21 posts
Why health-care professionals are ill prepared to manage complex systems [that impact patient safety]?
Steven J. SpearSeptember, 2008 Site editor: Joaquim Cardoso MSc.Health Transformation — ReviewSeptember 19, 2022 (francishealth) This is a republication of…
Death of a Patient: Functions but No Process [the root cause of adverse events in healthcare´s complex system]
Steven J. SpearSeptember, 2008 Site editor: Joaquim Cardoso MSc.Health Transformation — ReviewSeptember 19, 2022 urmgrp This is a republication of…
Erros médicos fatais acontecem até nos melhores Hospitais — o caso de Julia Lima @ Einstein [2015]
Esta é uma republicação do artigo abaixo, com o título acima. Prêmio Júlia Lima incentiva a disseminação de…
Fatal medical errors happens even at the best Hospitals — the case of Josie King and Ellen Roche @ Johns Hopkins [2001]
This is a republication of the article below, with the title above. An End to Error Fifteen years after…
A diagnosis of medical error — 55.000 people die per year in Brazil – [see also improvement cases @ Einstein and Sirio]
Recent studies survey hospital medical teams’ mistakes and show how to overcome them Revista Pesquisa FAPESPCarlos FioravantiIssue # 287M,…
Progress Against Antimicrobial Resistance Has Slipped – 29,400 deaths in 2020 with 40% infected in hospital
During the first year of the pandemic, more than 29,400 people died from antimicrobial-resistant infections commonly associated with…
Rethinking Use Of Air-Safety Principles To Reduce Fatal Hospital Errors [full version & best practices]
Health AffairsAndy Pasztor, Adam AndersenAUGUST 26, 2022 Executive Summary by: Joaquim Cardoso MSc.transform health — institute for continuous transformationpatient safety unitAugust…
Leapfrog Group Urges Hospitals to Focus on Patient Safety – that harms 1 in 4 Medicare patients (USA)
Leapfrog Group CEO Leah Binder urges hospitals to focus more on patient safety Chief Healthcare ExecutiveRon SouthwickJune 7, 2022…
Public hospitals had a in hospital mortality ~ 5 times higher than private hospitals — in Brazil during Covid-19 [2/2]
Health Revolution InstituteQuality Revolution UnitJoaquim Cardoso MSc.April 22, 2022 Key messages The In-Hospital Mortality rate of Brazilian Private…
How Your Hospital Can Make you Sick
Our centers for healing have turned into breeding grounds for dangerous — even deadly — infections. Consumer Reports’ new Ratings of more…
