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Victory Medical Center Pharmacy Issues Voluntary Nationwide Recall of Certain Lots of Compounded Glutathione 200 mg/mL Multi-Dose Vials Due to Elevated Endotoxin Levels
Fresenius Kabi Issues Voluntary Nationwide Recall of One Lot of Morphine Sulfate Injection, USP in a Simplist® Prefilled Syringe Due to Labeling Mix-up
Early Alert: Intraosseous Needle Set Issue from Becton Dickinson
Liebel-Flarsheim Company, LLC Issues Recall of OPTIRAY Imaging Bulk Package - 350, 500mL, Vial, Nationwide and Mexico Due to Presence of Particulate Matter
BD Issues Nationwide Recall for Specific Lots of BD® Intraosseous Vascular Access System Needle Sets Due to Reports of Difficulty Removing the Obturator
Convenience Kit Correction: Medical Action Industries Issues Correction for Kits Containing Recalled Namic Manifolds
Convenience Kit Correction: Medline Issues Correction for Kits Containing Huons Lidocaine Hydrochloride and Bupivacaine Hydrochloride in Dextrose Injection
American Regent, Inc. Animal Health Issues Nationwide Recall of Two Lots of Adequan® Canine and Two Lots of Adequan® I.M. Due to Visible Glass Fiber Material in the Product
Ventilator Correction: Resmed Issues Correction for Astral Ventilator
Convenience Kit Correction: Argon Medical Issues Correction for Convenience Kits Containing Spectra Medical Device Lidocaine Ampules
American Regent, Inc. Issues Voluntary Nationwide Recall of One Lot of Papaverine Hydrochloride Injection, USP 60 mg/ 2 mL Due to the Presence of Visible Particulate Matter
Baxter Issues Voluntary Nationwide Recall of Cefazolin in Dextrose Injection, USP, 2G / 100ml(20mg /ml) Single-Dose Infusion Bag in 100ml Due to Particulate Matter Found in Solution
BAXTER ISSUES VOLUNTARY NATIONWIDE RECALL OF CEFAZOLIN IN DEXTROSE INJECTION, USP, 2G / 100ML (20MG / ML) SINGLE-DOSE INFUSION BAG IN 100ML DUE TO PARTICULATE MATTER FOUND IN SOLUTION
Risk Statement: The use of the defective product has a
Early Alert: Percutaneous Catheter Issue from Boston Scientific
Sunny Pharmtech, Inc. Issues Voluntary Nationwide Recall of Cyclophosphamide for Injection, USP to the User Level Due to the Presence of Particulate Matter
Unique Pharmaceutical Laboratories (A Div. of J. B. Chemicals & Pharmaceuticals Ltd.) Issues Voluntary Nationwide Recall of Cetirizine Hydrochloride Tablets USP 5 mg Due to Potential Cross Contamination with Ranitidine
Early Alert: Intravascular Administration Set Issue from Baxter
Widening of the 'technical/practical divide: New advances in statistical process control bring new capabilities and new challenges.
Statistical process control (SPC) is a critically important approach for measurement and analysis in quality improvement. As initially developed by Shewhart,1 applied by Deming2 and later modernised and made more accessible by many others,3–9 SPC provides a statistically powerful yet visually elegant and inclusive approach to assessing performance variation to inform intelligent action. It has a substantial range of applications, from simple practical uses by frontline improvement teams to much more sophisticated applications,10 11 and can complement inferential analytical methods in mixed-methods approaches that can be used to inform improvement in health services research.12 A highly useful aspect of SPC is its ability to detect special cause signals—non-random variations that occur in a process compared with a reference measure of central tendency (a mean or...
Professional support is an important lifeboat, but lets also stop people falling into the water
The critical importance of doctors in providing high-quality healthcare is undisputed, but what happens when something goes wrong? When mistakes or substandard patient experiences occur, it is right that care should be scrutinised. However, even though the issue may be at the healthcare organisation or wider systems level, many doctors report the negative impact of complaints on individual clinicians, leading to defensive practice and detrimental effects on their mental health and well-being.1 This reflects a broader tendency within healthcare to focus on responding to harm once it has occurred rather than investing in upstream measures that prevent harm in the first place. As famously attributed to Desmond Tutu, ‘there comes a point where we need to stop just pulling people out of the river. We need to go upstream and find out why they’re falling in’.
Within this context, Brennan et al’s paper and accompanying guide in...
