Other highlights of the 2015 December Advisory include the following:
Addressing the Rise in Neonatal Abstinence Syndrome: A Multifaceted Approach: With the rising incidence of neonatal abstinence syndrome (NAS) in the last decade, helping newborns through withdrawal requires correct diagnosis and collaboration among the healthcare professionals who contribute to treatment. Families also play a key role in learning how to interact with their newborn, whose symptoms may include irritability, inconsolable crying, vomiting and poor feeding. Consumer tips are also available for this article on the Authority's website.
Patient Flow in the Emergency Department: Phase III—after Disposition Decision through Departure: Authority analysts identified four key vulnerabilities in events occurring during phase III of the patient's emergency department (ED) care: gaps in care unrecognized by ED personnel, delays, insufficient oversight, and lack of prompt transition. Care delivery and coordination may be enhanced through awareness of these vulnerabilities and implementation of risk reduction strategies and best practices in patient flow. An educational toolkit is also available with this article on the Authority's website.
Medication Errors Involving Overrides of Healthcare Technology: Users can bypass many of the safety features incorporated in medication-use technologies that provide warnings about possible unsafe conditions or errors. Of the 583 event reports related to the use of overrides, the most commonly mentioned technology was automated dispensing cabinets (77%), followed by computerized prescriber order entry (8.2%) and bar-code medication administration devices (7.5%). The most common classes of medications cited were antibiotics (12%), opioids (12%) and anticoagulants (7.4%); and 26.4% of the reports involved at least one high-alert medication. This article contains risk reduction strategies for organizations to consider.
Other Advisory features include: "Prolonged Prone Positioning for Patients with Acute Respiratory Distress Syndrome" and "Simulation Can Improve the Healthcare Systems We Work Within."