Tag: error analysis

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 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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Artificial Intelligence Continuous Improvement Error Analysis Healthcare Secured

“Computers Don’t Make Mistakes” and Other Fallacies

By Gayle Porter
March 20, 2023

I gasped as the image became clear: A young ballerina with six fingers, backwards ears, and teeth like a carnivorous piranha. I was trying to use an Artificial Intelligence

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