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Premier SafetyShare(TM) Newsletter - Transforming Healthcare Together
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2006 Malcolm Baldrige National Quality Award Reipient

August 2009

Dear Colleague:

System redesigns could have prevented the medical errors reported in our news stories this month, including tubing misconnections, omissions in standard ICU care, avoidable readmissions, forgetting to report test results, and wrong-site surgery. Preventing HAIs continues “front and center" with news on more funding to the states for prevention efforts in both acute and non-acute settings.


Gina Pugliese, editor
Vice President, Premier Safety Institute


  • “No news is good news" not a safe message for patients about test results
  • Tubing misconnection error and H1N1 claim lives of newborn and mother
  • Checklist review of 35 seconds