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Patient Safety Blog | Patient Safety Blog

Consumers outraged by EpiPen price increases. August 25, 2016. 8221; and referred to Mylan (the manufacturer of the EpiPen ) as “vultures”. (See our previous blog. On the price increase of Daraprim.). Most of the general public will just have to wait: for a generic to be introduced, for Adrenaclick to be covered by insurance, or for the Senate to quash the price gouging. Sewage Leak Kills Two Mechanics. August 17, 2016. Into the incident. In order to fully understand the issues associated with the in...

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Consumers outraged by EpiPen price increases. August 25, 2016. 8221; and referred to Mylan (the manufacturer of the EpiPen ) as “vultures”. (See our previous blog. On the price increase of Daraprim.). Most of the general public will just have to wait: for a generic to be introduced, for Adrenaclick to be covered by insurance, or for the Senate to quash the price gouging. Sewage Leak Kills Two Mechanics. August 17, 2016. Into the incident. In order to fully understand the issues associated with the in...
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Patient Safety Blog | Patient Safety Blog | patient-safety-blog.com Reviews

https://patient-safety-blog.com

Consumers outraged by EpiPen price increases. August 25, 2016. 8221; and referred to Mylan (the manufacturer of the EpiPen ) as “vultures”. (See our previous blog. On the price increase of Daraprim.). Most of the general public will just have to wait: for a generic to be introduced, for Adrenaclick to be covered by insurance, or for the Senate to quash the price gouging. Sewage Leak Kills Two Mechanics. August 17, 2016. Into the incident. In order to fully understand the issues associated with the in...

INTERNAL PAGES

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1

patient safety | Patient Safety Blog

http://www.patient-safety-blog.com/tag/patient-safety

Tag Archives: patient safety. It’s Faster to Send a Rescue Mission to the International Space Station Than to the South Pole. June 22, 2016. What makes the evacuation so risky that there is a debate over whether or not to rescue an ailing scientist? View the one-page downloadable Cause Map by clicking “Download PDF” above. Particulate Matter Closes Operating Rooms at VA Hospital. May 26, 2016. Regulators ask hard questions about blood testing startup Theranos. May 13, 2016. Raised concerns about the accu...

2

Kim Smiley | Patient Safety Blog

http://www.patient-safety-blog.com/author/ksmiley

All posts by Kim Smiley. Mechanical engineer, consultant and blogger for ThinkReliability, obsessive reader and big believer in lifelong learning. The end of the Guinea worm? June 17, 2016. Working to Eradicate a Painful Parasite to learn more about the problems caused by Guinea worm disease.). So how has this horrible disease been fought so effectively? Human hosts will often put the fiery blister into water to soothe the pain. The female worm senses the water and releases thousands of embryos from ...

3

hacking | Patient Safety Blog

http://www.patient-safety-blog.com/tag/hacking

Hospital pays hackers ransom of 40 bitcoins to release medical records. February 26, 2016. In February 2016, Hollywood Presbyterian Medical Center’s computer network was hit with a cyberattack. The hackers took over the computer system, blocking access to medical records and email, and demanded ransom in return for restoring the system. After days without access to their computer system, the hospital paid the hackers 40 bitcoins. Worth about $17,000, in ransom and regained control of the network. The Foo...

4

public safety | Patient Safety Blog

http://www.patient-safety-blog.com/tag/public-safety

Tag Archives: public safety. Put down the cookie dough. August 12, 2016. Almost everybody knows that there are potential risks with eating raw cookie dough (or any other raw batter). However, much of that risk was thought to be due to the potential of salmonella from raw eggs and so, if the plan was to eat, rather than cook, the dough, the eggs could just be left out. No more! To view the Cause Map of the problems associated with raw cookie dough, please click on “Download PDF” above. July 7, 2016. About...

5

The Willie King Case: Wrong Foot Amputated | Patient Safety Blog

http://www.patient-safety-blog.com/2014/01/16/the-willie-king-case-wrong-foot-amputated

The Willie King Case: Wrong Foot Amputated. January 16, 2014. In one of the most notorious medical error examples in US history, the wrong foot was amputated on a patient named Willie King on February 20, 1995. Both the hospital and surgeon involved paid hefty fines. And the media had a feeding frenzy covering the dramatic and alarming mistake. So how did a doctor remove the wrong foot? Such a mistake seems difficult to comprehend, but was it really as mind boggling as it looks at first glance? A visual ...

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Root Cause Analysis Workshops :: ThinkReliability

http://www.thinkreliability.com/CauseMappingI-II.aspx

Root Cause Analysis Training. Root Cause Analysis Training. Cause Mapping I and II – Effective Root Cause Analysis, Facilitation and Documentation. Early Bird Registration Fee:. 1,695 (deadline is one month prior to workshop). Please note: This is a three-day workshop with the option of attending the first 2 days of the workshop for Cause Mapping I. Cause Mapping I - Effective Root Cause Analysis. Early Bird Registration Fee:. 1,095 (deadline one month prior to workshop). You will learn how to:. Effectiv...

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Uncategorized Archives - Your Expert Root Cause Analysis Resource

http://root-cause-analysis.info/category/uncategorized

Your Expert Root Cause Analysis Resource. The Solution to America’s Most Unexpectedly Dangerous Mammal. August 5, 2016. Expensive solutions have been considered to help decrease the collision rate, including deer culling, contraception and highway crossings. However, it seems that nature may now be working towards its own natural solution. As the bounty programs were removed in the 1960s and 1970s, the cougars have slowly begun migrating back towards the east. A recent study. June 24, 2016. June 15, 2016.

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environmental Archives - Your Expert Root Cause Analysis Resource

http://root-cause-analysis.info/tag/environmental

Your Expert Root Cause Analysis Resource. The Solution to America’s Most Unexpectedly Dangerous Mammal. August 5, 2016. Expensive solutions have been considered to help decrease the collision rate, including deer culling, contraception and highway crossings. However, it seems that nature may now be working towards its own natural solution. As the bounty programs were removed in the 1960s and 1970s, the cougars have slowly begun migrating back towards the east. A recent study. April 22, 2016. On March 31,...

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Root Cause Analysis :: Sinking of the Titanic :: ThinkReliability

http://www.thinkreliability.com/titanic.aspx

The Sinking of the Titanic Cause Map. Click here to Download PDF. This is an example of how Cause Mapping root cause analysis can be applied to the sinking of the Titanic. Each of the Cause Mapping steps are explained below:. 1) Define the problem. 2) Analyze the causes. 3) Select the best solutions. Click here to View Video. Step 1. Define the Problem. The first step of the Cause Mapping method is to define the problem by asking the four questions: What is the problem? When did it happen? Typical respon...

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ThinkReliability :: Team Members

http://www.thinkreliability.com/bios.aspx

Mark Galley - Cause Mapping RCA Investigator, Instructor and Program Developer. Mark has a Bachelor of Science in Mechanical Engineering from the University of Colorado in Boulder and obtained his certification as a Reliability Engineer in 1993 through the American Society for Quality. Aaron Cross - Cause Mapping RCA Investigator, Instructor and Program Developer. Angela Griffith, P.E. – RCA Investigator and Customer Solutions. Prior to joining ThinkReliability in 2008, Angela worked for the Naval Nuclea...

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fatalities Archives - Your Expert Root Cause Analysis Resource

http://root-cause-analysis.info/tag/fatalities

Your Expert Root Cause Analysis Resource. Root Cause Analysis - Incident Investigation. Worker dies while manually measuring tank. April 15, 2016. The potential danger of confined spaces is well documented, but nine fatalities have shown that people working near open hydrocarbon storage hatches can also be exposed to dangerous levels of hydrocarbon gases and oxygen-deficient atmospheres. NPR recently highlighted this issue in an article entitled Mysterious Death Reveals Risk In Federal Oil Field Rules.

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Why Clients Select Cause Mapping - Effective Root Cause Analysis

http://www.thinkreliability.com/selectingtr.aspx

Selecting Cause Mapping - Effective Root Cause Analysis. The ThinkReliability approach consists of thoroughly investigating complex problems and making specific improvements to prevent the problem from occurring. The problems we work are the problems our clients don’t have the time, resources or specific facilitation skills to address. ThinkReliability leads and assists investigations, delivers problem solving workshops on-site and helps establish problem solving processes within our client...The Cause M...

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Root Cause Analysis :: Video :: Think Reliability

http://www.thinkreliability.com/videos.aspx

Cause Mapping I and II. September 6-8, 2016. For free, instant access to our video library, sign up for our no-spam email list below. If you previously accessed the video library, just enter the name and email address that you used to register and click Submit. Do Not Fill This Out. RCA - Incident Blog. RCA - Excel Template. Join Our Email List. Root Cause Problem Analysis.

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Kim Smiley, P.E.

http://root-cause-analysis.info/author/ksmiley

Your Expert Root Cause Analysis Resource. All posts by Kim Smiley. Mechanical engineer, consultant and blogger for ThinkReliability, obsessive reader and big believer in lifelong learning. Root Cause Analysis - Incident Investigation. Small fire leads to thousands of canceled flights. August 19, 2016. Starting August 8, 2016, thousands of travelers were stranded worldwide after widespread cancelations and delays. What caused this massive headache to so many travelers? 911 Outage in Baltimore. On July 16,...

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NPO法人 患者の権利オンブズマン

新たな 医療事故調査制度 について講演会のお知らせ 終了. 患者の権利オンブズマン 青書vol.4 を発行しました。 201508.12 累計アクセス数 377794件.

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Patient Safety Blog | Patient Safety Blog

Consumers outraged by EpiPen price increases. August 25, 2016. 8221; and referred to Mylan (the manufacturer of the EpiPen ) as “vultures”. (See our previous blog. On the price increase of Daraprim.). Most of the general public will just have to wait: for a generic to be introduced, for Adrenaclick to be covered by insurance, or for the Senate to quash the price gouging. Sewage Leak Kills Two Mechanics. August 17, 2016. Into the incident. In order to fully understand the issues associated with the in...

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D Internationaler Tag der Patientensicherheit

International Patient Safety Day. Internationaler Tag der Patientensicherheit. Journée internationale de la sécurité des patients. Giornata internazionale della sicurezza dei pazienti. Día Internacional de la Seguridad del Paciente. Patientensicherheit geht uns alle an. Am 17 September 2015 findet der Internationale Tag der Patientensicherheit statt. Das Engagement aller Interessierten ist gefragt!

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