Patient Safety Action Alerts
Improving Identification of Patients at Risk for Human Trafficking
A Child Health Patient Safety Alert outlines health care professionals' roles in recognizing victims of labor and sex trafficking or exploitation.
Wrong-site Surgeries/Procedures are Still Occurring When Site is Difficult to Mark
Patients experience wrong-site surgeries/procedures when surgical/procedural sites are difficult, or impossible, to mark or when patients/families refuse site marking.
Central Vascular Access Devices: From Orders to Insertion
Inserting an inappropriate central vascular access device (CVAD) can result in additional procedures for placing the correct CVAD, which can delay needed therapy, and risk infection, vascular damage and other harm.
Procedural Mishaps: Retained Foreign Objects or Surgical Items
Hospitals should assess standardized processes for potential gaps in accounting for all surgical items, especially new or altered ones, guidewires and fragments.
Sustained or Extended Release Medication Fill and Administration Errors
Alert on assessing dispensing and verification procedures for high-risk medications such as sustained/extended release narcotics.
High-risk Pediatric Populations: Improving Safety and Reliability in Diabetes Care Management
This is a patient safety alert about an immediate safety concern related to treatment of pediatric patients diagnosed with diabetes.
Disinfection of Clinicians’ Personal Medical Devices to Prevent the Spread of Organisms
This is a patient safety alert about the disinfection of clinicians' personal medical devices to prevent spread of organisms.