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Welcome to the latest issue of Clinical Risk Insights, brought to you by the Clinical Risk Unit of the State Claims Agency. In this issue, you will find articles on admission and discharge incidents relating to transfer of care, errors when interpreting laboratory test results, vancomycin-related incidents reported on NIMS, the National Incident Management System, and new clinical risk and State indemnity learning resources from the Clinical Risk Unit to help enhance patient safety and care across the sector.
In this issue
Transfer of Care: Focus on admission and discharge
In this article, the second in a series focusing on the transfer of care, Wayne Meehan, Clinical Risk Advisor, and Dr Natasha Coen, Senior Clinical Risk Manager, spotlight incidents related to admission and discharge during transfer of care and provide advice on what health and social care services can do to minimise their occurrence.
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Diagnostic Safety: Spotlight on errors when interpreting laboratory test results
In this article, Dr Natasha Coen, Senior Clinical Risk Manager, spotlights incidents associated with limitations of laboratory tests and provides advice for healthcare professionals to minimise their occurrence.
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Focus on medication - Vancomycin
In this article, Mark McCullagh, Clinical Risk Advisor, reviews vancomycin related medication incidents reported on NIMS, the National Incident Management System, and considers how to reduce the risk of such incidents occurring.
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Indemnity Corner: Consultants performing un-rostered overtime and 'Good Samaritan' acts
In this edition of Indemnity Corner, Cliodhna Grady, Senior Clinical Risk Manager, responds to some recently received State indemnity queries from health and social care services whose claims are delegated for management to the State Claims Agency.
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Patient Safety Notification: Incorrect specimen/sample collection and labelling
Patient Safety Notification: Incorrect specimen/sample collection and labelling
Based on analysis of incidents on NIMS relating to incorrect sample/specimen collection and labelling, the Clinical Risk Unit have prepared advice to help enhance safe practice and reduce the risk of adverse outcomes during clinical care.
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Event Report: Understanding and Improving Diagnosis in Healthcare
The Clinical Risk Unit in the State Claims Agency hosted a conference 'Understanding and Improving Diagnosis in Healthcare' for delegated State authorities under the Clinical Indemnity Scheme on 1 October.
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Clinical Risk Video | Enhancing safety in clinical handover during transfers of care
This video focuses on issues with communication during transfers of care and patient handover.
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Clinical Risk Video | Documentation and recording in clinical practice: Getting it right
This video focuses on the importance of documenting and maintaining good clinical records, a fundamental part of providing patient care.
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Clinical Risk Insights
Clinical Risk Insights is the regular newsletter issued by the Clinical Risk Unit of the State Claims Agency for health and social care workers in Ireland. View past editions of Clinical Risk Insights.
