Joint Commission journal on quality and patient safety / Joint Commission Resources
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Jt Comm J Qual Patient Saf · Jul 2006
Improving health care quality and safety for people with disabilities: an interview with Lisa Iezzoni. Interview by Steven Berman.
Dr. Iezzoni addresses issues in the quality and safety of health care for people with disabilities, who may be especially likely to experience problems in care.
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Jt Comm J Qual Patient Saf · Jul 2006
Using HFMEA to assess potential for patient harm from tubing misconnections.
Reported cases of tubing misconnections and other tubing errors prompted Columbus Children's Hospital to study their potential for harm in its patient population. A Health Failure Mode and Effects Analysis (HFMEA) was conducted in October 2004 to determine the risks inherent in the use and labeling of various enteral, parenteral, and other tubing types in patient care and the potential for patient harm. ⋯ This proactive risk assessment project has identified failure modes and possible causes and solutions; several recommendations have been implemented. No tubing misconnections have been reported.