Editor's Note Designed to address high rates of preventable medical errors, a new initiative from The National Quality Form (NQF), an affiliate of The Joint Commission, will modernize criteria for what constitutes a Serious Reportable Event (SRE) and align standards for reporting such events across different accountability systems. Dubbed “Focus…

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What is the purpose of the top 10 health technology hazards list, released every year by ECRI? “Our number one goal at ECRI is to reduce preventable harm,” stresses Jason Launders, MSC, former director of operations, device evaluation, at ECRI. “We know that every healthcare provider has a lot they…

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Editor’s Note An investigation by the nonprofit organization ProPublica and the Capital Forum revealed many doctors with a history of malpractice cases now serve as insurance company medical directors—a role with major influence on decisions that impact patient outcomes. According to a December 15 article in ProPublica, the organizations used…

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Editor's Note What is a hard stop? “Think about it,” Amy Bethel, MPA, BSN, RN, NE-BC, education coordinator for the OR Business Management Conference, urged this year’s OR Manager Conference attendees. “You all know what a hard stop is, and I know all of you have had hard stops. But…

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Editor's Note A qualitative study funded by Agency for Healthcare Research and Quality (AHRQ) and published in JAMA Network Open in April 2023 found that a majority of diagnostic errors are "at least partially caused by problems with electronic health records" (EHR), the American Organization for Nursing Leadership May 9…

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