As one of the nation's first and most trusted Patient Safety Organizations, we understand the importance of knowledge sharing in order to improve the quality of healthcare. For this reason, Clarity PSO has developed a series of educational reports that focus on the risk-quality-safety (RQS) issues we have spotted through our incident reporting data collection and analyses. Each of these reports will include our findings on a given topic and our recommendations on how to use knowledge to mitigate risk and improve patient safety.
The latest report explores medication events related to secondary infusions and interventions to prevent future incidents.