Apparently the closest children’s hospital was 30 miles away. Most of these procedures in a 6 yr old would be done there in the OR under anesthesia.
I can’t imagine what was done with the lidocaine but it seems a clinical guideline would have prevented this tragedy. Also children’s care is a specialty and there should be tighter control on the expertise required to treat them.
SafetyDog
-
About this blog: You’ve heard of Leapfrog now there’s SafetyDog!
This blog will merge ideas from management, nursing, medicine and psychology (and many others) to offer a different view of patient safety. The author has a Masters in Industrial-Organizational Psychology, a graduate certificate in Error Science and Patient Safety and also a BSN in Nursing and has worked as an RN since 1985. All comments are welcome..you never know when one of your thoughts might save a life!
Latest News RSS- An error has occurred; the feed is probably down. Try again later.
- Engaging the Patient blog
- An error has occurred; the feed is probably down. Try again later.
SafetyDog Tweets
- @Marr9Sally @NickStoico @NahantTown @itemlive The truth is out there but not on that page 4 days ago
- @Marr9Sally @Sandra46427493 @nywolforg @NahantTown Whatever. You know nothing about the truth 4 days ago
- @Mike_Pence Is woke going to be your campaign slogan? Bad strategy you will never win unless you come clean and be… twitter.com/i/web/status/1… 1 week ago
- @BAMinvestor Idiot he's talking about epi surveillance not police surveillance 1 week ago
- @XfinitySupport moved to a different unit in assisted living. Had cable switched over fine but my phone won't fit i… twitter.com/i/web/status/1… 2 weeks ago
Blog Stats
- 16,822 views
- All non-referenced information is attributed to blog author's opinions 2010-2012.
-
For a magazine view of this site on Ipad, add to home screen.
-
Recent Posts
- Way to take the Lead Brigham and Womens!
- QI tools from across the pond
- Culture transformation Thursday : power and deviance
- Lessons from a Cat
- Unintended Consequences
- Chorhexidine injected into leg 2013
- Organizational justice
- Reduce obesity and improve Patient Safety?
- When sorry isnt the hardest word
- Ebola
- User centered design and safety
- Neuroscience Saturdays: Stress could be a threat to patient safety
- Infectious moments
- Neuroscience Saturday: BJ Fogg and Starter Steps
- Capitol Hill and Patient Harm
- Neuroscience Saturdays: Pain
- This about sums up all that healthcare should be
- Story telling to change safety culture
- WE could use these labels in healthcare
- TBT: Ahrq 2014 safety culture survey.
- Threats from Antibiotic Overuse…
- Infection kills 29 year old mom after childbirth
- Hosptials are nothing to croak about
- The gold standard may be tarnished…
- Chocolates and patient safety
- “They killed my patient then tried to hide it!”
- Scarier than Halloween: new estimates of harm
- Neuroscience Saturdays: Placebo “I shall please”
- Stamp out unsafe processes
- Neuroscience Saturdays: Want to see? skip the fish
- Infographic on the GE ANA survey of Nurses and Patient Safety
- Neuroscience Saturdays: Sleep and the full moon
- Forbes takes on the FDA
- Neuroscience Saturdays: Probiotics can control emotion
- Safety overview in 5 weeks: starts in June
- Neuroscience Saturdays: Muscle response to Sound
- New feature: BEST.ARTICLE.EVER
- Wrong side wrong system?
- Neuroscience Saturdays
- dig down deep or side step?
- No world unity..please!
- A reminder to Listen to the children
- Resilience
- Safety in Solidarity
- Mind Brain Health and …Economics
- Top 50 leaders in patient safety
- Luck of the Irish or workflow?
- Need an interpreter for research data?
- Packing?
- RCA on Root Cause Analysis
- No med is safe…
- Fake Fixes
- Do as I say not as I do
- Find the mistake
- CNN is re-airing its 25 Shocking Medical Mistakes programming
- Propublica series on Patient Safety
- Can we honesty say we are doing enough to keep our children safe from harm?
- Safety Signs, instruction and designs
- CPPS
- Despite bacteria in labs, clean pharmacy report
- The Human Factor in team work and communication
- When productivity trumps safety we all lose.
- Holy toledo! A lost kidney?
- Calling all Dummies and Smarties!
- McKayla is not impressed…goes viral
- Non-compliance: have we transferred complexity to the patient?
- Where are we safe? Stay home and watch this movie.
- TED talks: Medical Mistakes
- Behavior change and policy change: BJ Fogg for health!
- Do bundles Work?
- Transparent Health
- I’ve spent precious time struggling to understand how my diagnosis was missed
- Realtime adverse event information
- Physician-Patient Alliance for Health & Safety
- Almost like being there…
- Summary of Healthcare Design Conference
- Change healthcare workers behaviors by Fogging them :)
- Cheese and safety; cookies and safety!
- Celebrate patient safety!
- Consumers will do it
- All safety news all the time!
- Avoid Medical Errors…..dot com
- A leading cause of death in the US…
- New from the Just Culture Community…Patient safety applied to Life!
- Back to the Future…
- $9.6 million fine? will that make our blood supply safe?
- Caps don’t belong INSIDE patients
- Can functional medicine improve patient safety?
- Human error and Hepatitis C
- How fast is your intuition?
- Patient Empowerment: “Let Patients Help”
- Culture Pathogens
- Human Error? Nice try Rolling Hills…
- Safetydog: Last 10 posts Wordle
- Safety Mantra: Can’t not Don’t
- Human centered Design
- More Fogg….
- Articles Nurses may Never read…
- HH
- Mobile Persuation: the future of patient safety?
- adverse events alarm fatigue Behavior change BEST.ARTICLE.EVER. Bundles Checklists culture design ergonomics Force function High Reliability Orgs hospital human error Human Factors I-O Psychology Interuptions ismp Multitasking Neuroscience Normal Accident Theory Patient empowerment Patient Safety Resiliency Root cause analysis safety Safety climate Teamwork usability user experience Welcome
Archives
- March 2016 (1)
- November 2015 (1)
- October 2015 (1)
- June 2015 (1)
- April 2015 (1)
- March 2015 (3)
- December 2014 (1)
- October 2014 (1)
- August 2014 (2)
- July 2014 (4)
- May 2014 (3)
- April 2014 (1)
- March 2014 (1)
- November 2013 (1)
- October 2013 (2)
- September 2013 (6)
- August 2013 (1)
- July 2013 (2)
- June 2013 (1)
- May 2013 (4)
- April 2013 (8)
- March 2013 (4)
- February 2013 (4)
- January 2013 (2)
- December 2012 (1)
- November 2012 (2)
- October 2012 (2)
- September 2012 (3)
- August 2012 (2)
- July 2012 (3)
- June 2012 (2)
- May 2012 (1)
- April 2012 (4)
- March 2012 (3)
- February 2012 (5)
- January 2012 (3)
- December 2011 (9)
- November 2011 (1)
- September 2011 (3)
- August 2011 (2)
- June 2011 (3)
- May 2011 (2)
- April 2011 (8)
- March 2011 (8)
- February 2011 (5)
- January 2011 (5)
- December 2010 (7)
- November 2010 (11)
- October 2010 (12)
- September 2010 (23)
- August 2010 (3)
-
You can teach an old dog new Tricks!
Get Educated! Check out these incredible links.Blogroll
- Emergiblog One of the most popular nurse blogs
- Mark Graban LEAN not LAME
- suzanne gordon Suzanne Gordon is an award-winning journalist and author/editor of 12 books.
- NOT Running a Hospital Paul Levy former President and CEO of Beth Israel Deaconess Medical Center
IO Psychology
- IOatWork Great site with reviews of articles pertinent to workplace psychology.
- Intro to Human Factors Analysis and Classification System (HFACS) HFACS for error investigation and prevention.
- Science News: Psychology Psychology Headlines
- Disruptive Women Mission: We’re driving change, creating chaos & finding cures; We’re disrupting the status quo!
- Human Factor Blog the human factor advocate
- HumanFactors Not blaming the user since 2007!
- Just Culture Community David Marx and others convene with resources on Just culture
- Evidence Based Nursing Management Evidence should be used in hospital management as well as clinical care. Same author as this blog.
- Minding the Workplace: legal and psychological
Patient Safety
- IHI The Institute for Healthcare Improvement has an entire section on patient safety.
- IOM Institute of Medicine..their 1999 report “To Err is human” started it all.
- ISMP Institute for Safe Medication Practices. If you are looking for information on safe medication practices (and unsafe ones) they have great newsletters and other resources.
- AHRQ The Agency for Healthcare Research and Quality. Great site from the Department of Health and Human services. Contains research articles and safety guidelines and tools. The link is to Patient safety net
- Leap Frog Group The Consumer Reports for hospitals. Encouraging transparency and comparison of quality and safety.
- ECRI Applying scientific research to healthcare. A federal patient safety organization.
- Healthcare Quarterly Best practices and peer reviewed articles. Editor is a PhD from the University of North Carolina.
- Safe Patient Project The Consumer’s Union’s efforts to “end secrecy, save lives.”
- MA Coalition for the Prevention of Medical Errors A public-private partnership whose mission is to improve patient safety and eliminate medical errors in Massachusetts
- Consumer Med Safety As healthcare workers we need to keep our patients safe in our care but also when they are caring for themselves at home.
- The List A link to a comprehensive list of patient safety websites
- Just Culture Community David Marx and others convene with resources on Just culture
- DoD Patient safety from the Department of Defense
- AHRP Human Research protection group particularly interested in the safety of pharmaceuticals
- WHO on patient safety safety across the planet from the World Health Organization
- Journal of Patient Safety The title of this journal says it all
- American Society for Quality not just healthcare
- Patient Safety News news aggregater
- Safetydog Newspaper Health, technology and safety news items.
- Sorry Works! The right way to handle adverse events
- educate the young by David Mayer : safety expert
- Insight :Patient safety magazine
Safety Dog's Blog 