Until I attended the 2016 World Patient Safety Summit, I had no idea 200,000+ lives are lost annually in the U.S. (3 million worldwide) to human errors.

Below is President Clinton’s keynote (an hour), and questions I asked Masimo CEO Joe Kiani (2 minutes) and PSMF President Jim Bialick (3 minutes).

President Clinton’s message: Define who has to be involved to get to zero preventable deaths and make sure each knows what has already been achieved so they have no excuse for not participating.

Joe Kiani’s message: Manufacturers need to be involved. Come to our Friday, June 10, 2016 midyear symposium in Falls Church, VA.

Jim Bialick’s message: Manufacturers who produce products that create patient data can make clinical decision-making tools more powerful.”

Pien Kranenburg
p.kranenburg@kwic.nl
Have been writing a blog about the transfusion chain and the importance of temperature monitoring during the entire transfusion chain during the life cycle of a blood component, see below. These objective and measurable temperature data can prevent for example Red cells that have been too warm, causing bacterial growth, to be transfused.
https://wordpress.com/post/kwicdoteu.wordpress.com/184

Panagiotis Bouros
bourosp@otenet.gr
Strict observance and application of SOP (Standard Operation Procedure) creation of new Patient check protocols for ICU admission more control of hospital infections.

Burrell (Bo) Clawson
boclawson@mac.com
There are subtle issues in the care of patients that get missed and make the formal 200-300,000 lives lost look miniscule.

25% of ICU beds are taken up with people who have sepsis, yet only about 10% of admissions are noted as having sepsis.

Either the patients are misdiagnosed at admission, OR they are under treated & under checked once in a hospital bed and sepsis rates soar.

If sepsis was considered a separate “disease” it would be responsible for the highest % of patient deaths in hospitals !!! Roughly half of hospital patient deaths are ultimately due to sepsis. There are a LOT of reasons for this and it is NOT simple, but closer patient monitoring and supervision plays a key role in early identification of sepsis conditions.

Papers and new hospital protocols have been written on this, but I’ve not heard of the sepsis rates going down.