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Welcome to our newest contributing organization
Welcome to the newest contributing organization to Global Patient Safety Alerts: the Health Quality Council of Alberta!
Alert 1: Rockyview General Hospital and Calgary Laboratory Services Diagnostic and Scientific Centre and Royal Alexandra Hospital: Review of the Quality Anatomical Pathology Specimen Preparation and Interpretation
Contributed by: Health Quality Council of Alberta
Description: This systemic review discusses patient safety incidents which occurred when patient tissue specimens were either inappropriately prepared in the laboratory for pathologist review or slides of tissue specimens were misinterpreted by a pathologist.
Alert 2: Administration of 10 times proper dosage to pediatric patients
Contributed by: Japan Council for Quality Health Care
Description: This alert discusses eight patient safety incidents where a 10 fold overdose was administered to pediatric patients. Several incidents involved high alert drugs.
Alert 3: Implant Verification
Contributed by: Minnesota Hospital Association
Description: This alert discusses patient safety incidents of wrong surgeries or wrong procedures. Close to 40% of wrong surgeries/procedures reported under the Minnesota Adverse Event Reporting Law in 2010-2011 were related to wrong implants.
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