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What’s New in the Patient Safety World

March 2022

The Annual Top 10 Lists Begin



This time of year, many organizations publish their “Top 10” lists of various problems in patient safety. You can go to the primary sources for details of what follows, but here are some of the early lists:



ECRI's Top 10 Health Technology Hazards for 2022 (ECRI 2022) are as follows:

1.     Cybersecurity Attacks Can Disrupt Healthcare Delivery, Impacting Patient Safety     

2.     Supply Chain Shortfalls Pose Risks to Patient Care          

3.     Damaged Infusion Pumps Can Cause Medication Errors                      

4.     Inadequate Emergency Stockpiles Could Disrupt Patient Care during a Public Health Emergency              

5.     Telehealth Workflow and Human Factors Shortcomings Can Cause Poor Outcomes

6.     Failure to Adhere to Syringe Pump Best Practices Can Lead to Dangerous Medication Delivery Errors       

7.     AI-Based Reconstruction Can Distort Images, Threatening Diagnostic Outcomes       

8.     Poor Duodenoscope Reprocessing Ergonomics and Workflows Put Healthcare Workers and Patients at Risk           

9.     Disposable Gowns with Insufficient Barrier Protection Put Wearers at Risk

10.  Wi-Fi Dropouts and Dead Zones Can Lead to Patient Care Delays, Injuries, and Deaths


ISMP’s Top 10 Medication Safety Concerns (ISMP 2022):

1.     Mix-ups between the pediatric and adult formulations of the Pfizer-BioNTech COVID-19 vaccines

2.     Mix-ups between the COVID-19 vaccines or boosters and the 2021-2022 influenza (flu) vaccines

3.     EPINEPHrine administered instead of the COVID-19 vaccine

4.     Preparation errors with the Pfizer-BioNTech purple cap or gray cap COVID-19 vaccines

5.     Errors and delays with hypertonic sodium chloride

6.     Errors with discontinued or paused infusions

7.     Infection transmission with shared glucometers, fingerstick devices, and insulin pens

8.     Adverse glycemic event errors

9.     Every organization needs a medication safety officer

10.  Increasing error reporting


Becker’s (Bean 2022) Top 5 top safety issues for hospitals to address in 2022:

1.     Foundational safety work

2.     Supporting the healthcare workforce

3.     Integrating equity into safety work

4.     Diagnostic harm

5.     Healthcare-associated infections


Leapfrog’s 3 top patient safety concerns right now (Masson 2022):

1.     Hospitals bringing in underqualified physicians because of staffing shortages.

2.     Significant rise in bacterial, fungal infections

3.     Practicing proper hand-hygiene monitoring


ISPOR’s (ISPOR 2022) Top 10 Health Economics and Outcomes Research Trends:

1.     Real-World Evidence

2.     Value Assessment

3.     Health Equity

4.     Healthcare Financing

5.     Patient Engagement

6.     Drug and Healthcare Pricing

7.     Public Health

8.     Health Technology Assessment

9.     Health Data

10.  Artificial Intelligence






ECRI. Top 10 Health Technology Hazards for 2022 Executive Brief. ECRI 2022



ISMP (Institute for Safe Medication Practices). Start the year off right by addressing these Top 10 Medication Safety Concerns from 2021. ISMP 2022; January 27, 2022



Bean M. 5 top safety issues for hospitals to address in 2022. Becker’s Hospital Review 2022; January 3rd, 2022



Masson G. 3 top patient safety concerns right now, per Leapfrog CEO. Becker’s Clinical Leadership & Infection Control 2022; January 25th, 2022



ISPOR—The Professional Society for Health Economics and Outcomes Research (HEOR). ISPOR 2022-2023 Top 10 HEOR Trends Report. ISPOR 2022






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