Preventable Adverse Events Are a System Failure
by MNA President Linda Hamilton, RN, BSN
After nine years, hospitals are still reporting 314 adverse events that could have been prevented.
Patients are suffering; families are grieving because systems did not adequately protect them from preventable mistakes, such as falls and the development of pressure ulcers.
Beyond the sobering revelations of Wednesday’s 2013 Adverse Health Event report, nurses at the bedside are deeply concerned that other troubling instances are not reported. We catch our breath with every “near miss,” every late medication, every discharge with hasty instruction. We provide a safety net through our continual monitoring, but we see the foundation of that net eroding more each day.
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