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Category: Error Analysis

Porter QI / Articles / Error Analysis
Accountability Communication Continuous Improvement Error Analysis Healthcare Patient Safety Risk Management Safety Culture Secured

Virtue Symptom #1: Voluntary Reporting Occurs

  • By Gayle Porter
  • March 28, 2025

Patient safety reporting is often depersonalized to provide distance and objectivity during an investigation and to help the team see opportunities clearly. But if we lean on system issues because we

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Care Coordination Continuous Improvement Error Analysis Healthcare Interoperability Patient Care Patient Safety Secured

Ghost Stories

  • By Gayle Porter
  • September 9, 2024

“You’re supposed to be dead!” the professor stammered. “I know. I heard. Sorry to disappoint!”  During our recent road trip, my husband recalled how an error in paperwork resulted

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Continuous Improvement Error Analysis Healthcare Healthcare Cybersecurity Infection Control Patient Safety Quality Improvement Uncategorized

Safety: Worth A Fortune

  • By Gayle Porter
  • August 16, 2024

Have you noticed that our culture has become increasingly reactionary? I mean, there is an entire genre on YouTube for Reaction Videos. People sit and watch other people react

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Communication Continuous Improvement Error Analysis Healthcare Patient Care Patient Safety Quality Improvement Risk Management Secured

Why is Patient “Risk” a Dirty Word?

  • By Gayle Porter
  • March 1, 2024

The patient had undergone an elective surgery to reduce “noisy breathing.” Post-op, she never got off the ventilator because of a lifelong neuromuscular disease. Who, in their right mind,

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Care Coordination Communication Error Analysis Healthcare Healthcare Cybersecurity Innovation Patient Safety Quality Improvement Risk Management Secured

Digital Harm?

  • By Gayle Porter
  • February 15, 2024

The patient’s transfer and medication reconciliation had been done twice – once by the attending physician and once by the specialist ordering an upgrade in acuity. As the nurses

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Continuous Improvement Error Analysis Healthcare Innovation Patient Care Patient Safety Quality Improvement Respiratory Therapy

My Clinical Wish List: A Portable MAR for Respiratory Therapy

  • By Gayle Porter
  • December 8, 2023

I recently visited a big box store to buy groceries while I host our family from out of town. The best part of this trip was that I was

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