Browsing Category
Patient Safety Transformation
10 posts
Misdiagnosis in the ED – Time for a System Solution [to avoid 350 000 preventable permanent disability or death]
institute for health transformation Joaquim Cardoso MScFounder and Chief Researcher & EditorJanuary 31, 2023 EXECUTIVE SUMMARY The AHRQ report…
An alarming rate of 25% adverse events found in inpatient care – 1/4 were preventable [despite 30+ years of the patient safety movement]
This is a republication of the paper “The Safety of Inpatient Health Care”, with the title above. the…
Fatigue in anaesthesiology: Call for a change of culture — [it´s time for health care to catch up with fatigue best practices from other industries — e.g. airline]
This is a republication of the paper “Fatigue in anaesthesiology: Call for a change of culture”, with the…
Preventable medication errors kill 3,0 million people every year. 0,5 million are killed by drug abuse [70% being opioids]
World Patient Safety Day: Ensuring Medicines Are Properly Prescribed Health Policy WatchStefan Anderson16/09/2022 Site editor: Joaquim Cardoso MSc.health…
A Culture of [Blood] Cultures — Why hasn’t rapid sequencing for serious infections and sepsis become standard of care? [Despite 11 million deaths by sepsis/year ? ]
This is a republication of the article “A Culture of [Blood] Cultures — Why hasn’t rapid sequencing for serious infections…
Cancer Screening Guidelines Lack Information on Harms — in a review of 33 cancer screening guidelines [USA]
health transformation institute the most comprehensive knowledge portalfor continuous health transformation Joaquim Cardoso MSc*Chief Strategy Officer (CSO), Chief…
13% of Surgical Site Infections could be prevented by “routine change of gloves and instruments before wound closing”
Health Transformation Institute (HTI) Joaquim Cardoso MSc*Chief Researcher and EditorNovember 5, 2022(* MSc from London Business School — MIT Sloan…
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…
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…
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,…
