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Black and white photographic portrait of Catherine Brown, Director of OHSU Risk Management.

Internal audit is a function that has been around for centuries. The purpose of internal auditing is to provide independent, objective assurance and consult [...]

Patients and families may suffer from non-physical harm during interactions with the health care system, leading to emotional, psychological, socio-behavioral, and financ [...]

The term Adverse Safety Events (ASEs) refers to harm from medical errors and, if considered a disease, would rank third among the leading causes of death in the U.S. Pati [...]

This project took place at an 8-hospital system in the Pacific Northwest (PNWH). PNWH utilizes a Phillips telemetry monitor, which includes the capability for monitoring [...]

Surgical site infections (SSI) are a significant cause of morbidity and mortality in postoperative patients, occurring in approximately 1-3% of all inpatient surgical pro [...]

Optimizing medication management is a low-hanging fruit towards improving patient safety. However, while it is understood that medication errors are to be minimized, ther [...]

Healthcare professionals aim to provide the best care possible, but in the worst situations, the healthcare provided sometimes causes harm to patients. In 1999, the Insti [...]

Is worker safety, patient safety? Patient and worker safety relies on leadership, safety culture and teamwork?to be effective, yet are often administratively siloed leadi [...]