The Joint Commission created the first Sentinel Event policy in 1996.  Since that time, the organization has collected and maintained information on sentinel events.  The latest Sentinel Event Annual Review was recently released by the Joint Commission, offering the 2022 update. The Joint Commission is a non-profit organization based in the US that provides accreditation … Continued

Two studies reviewed Never Events to identify factors and consequences associated with preventable medical errors. Never Events are egregious medical errors that should never occur.  There are seven categories of Never Events that include surgical, device, patient protection, radiologic, environment, criminal and care management events. Recently two published studies took a deeper look into the … Continued

Home infusion therapy is an important avenue for the delivery of needed medication outside a healthcare setting.  But how safe is it? A recent study published in the American Journal of Infection Control (AJIC) suggests home infusion therapy (HIT) personnel lack critical training in identifying factors which can contribute to bloodstream infection through central-line catheters. … Continued

An algorithm passed the radiology board exam. Still in its infancy, ChatGPT and other AI applications are changing science, healthcare, and the world we live in. Recent articles in the journal Radiology offer information on the learning capabilities of two generations of Chat generative pre-trained transformer (ChatGPT). Artificial intelligence (AI) is already in use in … Continued

Defective equipment or poor surgical technique can cause patient burns or fires in the surgical suite. A new safety guide from The Joint Commission details best practices during arthroscopic, laparoscopic, or thoracoscopic procedures. The use of scopes during surgical procedures is common, especially minimally invasive methods designed to avoid an open surgery.  Strong lights are … Continued