risk management – Porter QI

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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Accountability Continuous Improvement Healthcare Patient Safety Quality Improvement Risk Management Safety Culture

Safety Culture and Virtue

By Gayle Porter
March 14, 2025

Over the past few weeks, I have wrestled with the idea of safety culture. Safety culture is itself a symptom of something that is difficult to pin down: virtue.

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Continuous Improvement Data Analytics Healthcare Mortality Patient Care Patient Safety Quality Improvement Risk Management

What is the “Mortality Index” and Why Should I Care?

By Gayle Porter
June 14, 2024

Have you ever wondered if your facility is especially good or bad at taking care of certain patients? You’re not alone. I’ve talked to professionals across the nation, and

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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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Accountability Communication Continuous Improvement Equity & Accessibility Healthcare Misinformation Nursing Patient Care Patient Safety Quality Improvement Research Risk Management

Misinformation: “Healthcare, We Have a Problem”

By Gayle Porter
August 17, 2023

One of the first moments I knew that my husband was “the one” was during a game of Balderdash. In this game, an unfamiliar word is read aloud, and

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Tag: risk management

Virtue Symptom #1: Voluntary Reporting Occurs

Safety Culture and Virtue

What is the “Mortality Index” and Why Should I Care?

Why is Patient “Risk” a Dirty Word?

Digital Harm?

Misinformation: “Healthcare, We Have a Problem”