Patient safety

Evaluating Security in the Outpatient Setting

It has been a little over a year since cardiologist Dr. Michael J. Davidson, 44, was shot and killed at Brigham and Women's Hospital in Boston. He was murdered during the day by the son of a patient he treated who had died a few months prior to the shooting. I remember that day well. I was working in my clinic and all of us wondered, “How could this happen? And could it happen in our clinic?” I like to think that all of our patients and families are thankful and appreciative for all we do for them, but unfortunately that isn't always the case.

February 24, 2016
Personal protective equipment (PPE)

What You Wear Matters When It Comes to Safety

“Hey, you didn’t dress up for me today. Where’s your pretty blue dress?”

At first I wasn’t sure what the patient in the chemotherapy chair was talking about. After a moment, I realized the patient was referring to the blue safety gowns we wear. I heard the infusion nurse respond as she removed the chemotherapy from the hazard bag, “Oh yeah, I’m kind of in a hurry today.”

While the patient could possibly benefit from the chemotherapy, for the nurse that same drug posed a serious hazard.

February 14, 2016
Patient safety

Creating a Culture of Change for Safety

Change is constant. Change is challenging. Some changes, like the five rights of medication administration, surgical timeouts, and clinical pathways, are compulsory. Changes are often identified when something fails. A traffic light becomes a permanent fixture at an intersection where accidents or a loss of life happen. A new protocol is enacted when a fatal error occurs. Awareness drives change and safety initiatives in health care.
February 09, 2016
Care coordination

It Started With an Intake Form: Promoting a Culture of Safety Through Accurate Documentation

During a patients’ initial visit, they’re asked to fill out a screening tool that helps provide a clearer picture as to what their home life is like. This tool addresses important information that helps to dictate our care. Though patients may feel like this is “just another piece of paperwork,” it is crucial to helping us understand their needs and to begin planning for special precautions we many need to take going forward.
February 05, 2016
Double-Lumen implanted port
Cancer treatments

The Case of the Double-Lumen Dilemma

Danielle has a double-lumen implanted port and is scheduled to receive rituximab for lymphoma. After accessing the lateral septum, the nurse is unable to get a blood return, even though saline flushes easily. Danielle comments that the “outside lumen hasn’t drawn well since it was placed a few months ago, and that the other nurses have been using the inside lumen.” The nurse accesses the inside lumen and is able to get a good blood return. What would you do?
July 16, 2013
ONS News

ONS and ASCO Release Revised Chemotherapy Safety Standards

In 2011, a work­group con­sist­ing of Amer­i­can Soci­ety of Clin­i­cal Oncol­ogy (ASCO) and ONS mem­bers was con­vened to review feed­back received since pub­li­ca­tion of the ASCO/​​ONS Stan­dards for Safe Chemother­apy Admin­is­tra­tion in 2009 and to clar­ify the stan­dards as needed. The most sig­nif­i­cant change is the deci­sion to extend their scope to the inpa­tient set­ting. This
February 27, 2012