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The New Enteral Connectors
February Status Report

Responding to concerns that feeding solutions and epidural local anesthetic solutions were potentially fatal when inadvertently administered intravenously, California passed a law establishing deadlines for the adoption of different connectors for these different applications.

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“Paging Dr. Strong” and Other Confusing Hospital Emergency Codes

Hearing “Paging Dr. Strong” on the intercom system does not necessarily mean the operator is summoning an actual Dr. Strong. Some facilities use that code to call in the security guards to deal with misbehaving patients or visitors. Code Silver in one hospital may refer to “missing person” and in another “somebody with a gun.” These codes might be standardized across a hospital or a hospital system, but there is little standardization across regions or states.

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ASK CHPSO
What is a safe table? -K.D., from a hospital in Southern California

Safe tables are meetings held by a PSO to foster frank, privileged discussions around safety events that hospitals face among members belonging to a PSO. Typically, one hospital representative will present a case to the group (e.g., a near miss or a severe harm) and the group is invited to discuss their experiences with a similar event or work through potential causes and identify areas of opportunity.

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CHPSO Annual Report to be mailed at the End of February

CHPSO will be mailing all member hospitals with their hospital-specific annual report in addition to the CHPSO 2015 annual report at the end of February. The hospital-specific reports include a dashboard with an overview of events submitted by hospital and events submitted to CHPSO from January 1 - December 31, 2015. The dashboard also includes a graph of reporting tools used by member hospitals, participation in safe table meetings and a harm scale. The harm scale includes events from all CHPSO hospitals and will include the individual hospital’s rating, blinding all other hospitals.

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CHPSO Reporting Process with NextPlane Solutions

CHPSO has worked with the NextPlane Solutions team for the last four months to successfully implement the reporting tools for member hospitals. Going forward, CHPSO member hospitals will solely report their safety events to the NextPlane Solutions website. Hospitals have the option to enter events in a semi-automated fashion through their incident reporting vendor or to manually. Other documents such as causal analysis reports or other notes may be submitted through NextPlane’s secure communications portal.