Please note that some links are available only to those on a Partners computer. Safety Matters was initially intended for Brigham only, but issues since the middle of 2015 are now available publicly.
2017
January: Medication Formulation Error Leads to Overdose
2016
October/November: Opioid Overdose by Visitor to Brigham Ends Fatally
August/September: Communication Breakdown Leads to Patient Burn
June/July: Price-Checking of Prescriptions Results in Dangerous Combination of Medications
April/May: Medication Error Sparks Transformation of Clinic’s Patient Safety Culture
February/March: Safety Reporting Leads to Safer Systems
Speak up for your Safety: 5 Tips to be a Partner in Your Care
January: Breakdown in Medication Reconciliation Leads to Inpatient Dose 16 Times Higher Than Home Dose
2015
December: Delayed Diagnosis
June/July: Follow the Lines, One at a Time
August/September: Error Leads to Delayed Cancer Diagnosis
Archive on Brigham intranet – issues from 2011 to 2015