My Latest Blog Posts

Explore a featured selection of my writing work below.

What is Near-Miss Reporting? And How Can it Save Lives?

The ECRI and ISMP Patient Safety Organization has reached a milestone: more than 5 million events reported since its inception. However, two thirds of the reports were about actual events that reached the patient. Only 15% were labeled as “near miss” events, incidences that were "close calls." This is despite the well-known fact that near miss events are 10 to 100 times more common than actual events. Why is that? Patient safety experts have long emphasized the necessity of creating a culture i

5 Traits to Help Your Team Become a High Reliability Organization

Achieving the status “High Reliability Organization (HRO)” is now the gold standard for healthcare organizations, but there is little agreement on how to achieve it. To help you move your organization toward this important goal, let’s try to make that term clearer. Authors Weick and Sutcliffe first used the phrase in their 2001 book, Managing the Unexpected, now in its 3rd revision (Weick, K. E., & Sutcliffe, K. M., 2015 Managing the unexpected, John Wiley & Sons). Translation: Accidents or err

Why You Need a Patient Safety Organization (PSO)

Healthcare workers want to keep patients safe and provide high quality care. Unfortunately, despite best intentions, erroneous, substandard, and unequal care are still too common, harming 1 in 10 hospitalized patients in the US. Today’s evidence-based Patient Safety Organizations (PSOs) are working toward zero-avoidable-harm healthcare. Choosing the right PSO can help your organization reach this goal. The World Health Organization defines Patient Safety as: “A framework of organized activities

Rethinking Patient Discharge

This position statement provides real time information to support policy decisions. This excerpt is from “Rethinking Patient Discharge: A Low-cost Opportunity for Healthcare Efficiency Gains” (Caligiuri C, Penzo-Mendez A, Mueller B. 2021 Dec). Frustration over hospital discharge delays and the bottlenecks they create are a familiar experience to patients and staff. Hours are wasted while inpatients wait to leave, staff wait for free beds, and new patients wait for initial evaluation in overcrow

Keep Healthcare Workers Safe to Improve Patient Safety

Healthcare workers face work-related risks, illnesses, and injuries, and patient safety is directly tied to worker safety. Creating a culture of safety is crucial. ECRI, and its affiliate, the Institute for Safe Medication Practices (ISMP), proudly joined global leaders in supporting World Patient Safety Day 2020, held September 17. Now in its second year, World Patient Safety Day was founded by the World Health Organization (WHO) to recognize patient safety as a global health priority. At its