Risk Management Tools & Resources

 


CASE STUDY: Lapses in Elopement Policies Have Grave Consequences for Behavioral Health Patient

CASE STUDY: Lapses in Elopement Policies Have Grave Consequences for Behavioral Health Patient

Laura M. Cascella, MA

Details

The patient was a 20-year-old male with behavioral health issues who had multiple prior admissions to a hospital psychiatric unit over a 6-year span. On October 10, he was admitted to the psychiatric unit again through the emergency department (ED) for emergency detention. Upon arrival, the patient was having a psychotic episode (hallucinations and paranoia), but after 14 hours of sleep, he appeared calm and engaged. A nurse screened the patient for suicidal ideation and classified him as low risk. Because he had tried to leave the ED the previous day, the patient was placed on elopement precaution.

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Improving the Care and Management of Behavioral Health Patients in the Emergency Department

Improving the Care and Management of Behavioral Health Patients in the Emergency Department

Laura M. Cascella, MA

Behavioral health issues have escalated in recent years and pose serious public health and patient safety concerns. Nearly 1 in 5 adults in the United States has a behavioral health condition; more than 1 in 10 adolescents report having a major depressive disorder in the last year; and only half of people who have mental illnesses receive treatment.1

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Taking Decisive Action to Address Sexual Harassment in Healthcare

Taking Decisive Action to Address Sexual Harassment in Healthcare

Laura M. Cascella, MA

Sexual harassment in the workplace is not a new problem — yet, in the past couple of years, it has received renewed attention as a result of the #MeToo movement and countless numbers of women and men coming forward with accounts of being victimized. These reports indicate that harassment is an ongoing and serious issue across all types of industries and organizations, and healthcare certainly isn’t immune.

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The Frontline: Cybersecurity Training for Healthcare Workers

The Frontline: Cybersecurity Training for Healthcare Workers

Laura M. Cascella, MA

In recent years, “cybersecurity” has become a top buzzword in business and public sectors, including healthcare. The need to protect proprietary and sensitive information is increasingly challenging as technology expands and evolves. Complex networks and data exchanges, cloud-based services, social media, online portals, the Internet of Things, and other technologies have introduced opportunities and efficiencies but also potential threats.

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Preparing for the Inevitable: Security Incidents and Data Breaches

Preparing for the Inevitable: Security Incidents and Data Breaches

Laura M. Cascella, MA

In an ideal world, putting in place proactive security measures would guarantee the safety of protected health information (PHI) and other confidential data. However, experience has shown that even well-guarded networks and systems can be infiltrated, resulting in compromised infrastructure, privacy and security violations, and even data losses (for example, in cases of ransomware).

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CASE STUDY: Numerous Lapses Lead to Medication Error and Subsequent Patient Death

The patient was a male in his early sixties who had undergone a total hip replacement and was discharged to a rehabilitation facility. The patient was prescribed warfarin postsurgery to prevent deep vein thrombosis (DVT). A few days after being admitted to the rehab facility, the patient dislocated his new hip and was readmitted to the hospital. An attempt at closed relocation of the hip was unsuccessful, so the patient was scheduled for a second surgery to implant a larger prosthetic joint.

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Getting in the Weeds With Recommending Marijuana for Medical Treatment

Over the past two decades, a shift has occurred in both public opinion related to using marijuana for medical purposes ("medical marijuana"1) and state laws that address this topic. Since 1996, 33 states, the District of Columbia, Puerto Rico, and Guam have enacted laws that permit marijuana for medicinal purposes.2 However, marijuana is still classified as a Schedule 1 drug under the federal Controlled Substances Act — thus, it is illegal.

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Due Diligence of Outsourced Pharmacy Compounding as Part of Infection Prevention Efforts in Hospitals

Data suggest that the majority of hospitals outsource some or all of their compounded sterile preparations (CSPs), and more will likely do so in the future.1 The reasons for outsourcing are numerous. For example, healthcare organizations might outsource compounding services if they:

  • Need to acquire medications that are outside the scope of their usual compounding services
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