Ontario Critical Incident Learning

Bulletins

• Iss.18/2016 – Strengthening Medication Reconciliation (MedRec) at Discharge
• Iss.17/2016 – Summary of 2015 Critical Incident Reporting Analysis
• Iss.16/2016 – Critical Incidents – Disclosure to Patients and Families
• Iss.15/2016 – High-Alert Medications Need Multiple Safeguards
• Iss.14/2015 – Errors Continue with Amphotericin B
• Iss.13/2015 – Resources to Sustain Incident Learning
• Iss.12/2015 – Fluid Management
• Iss.11/2014 – Multiple IV Infusions: Risks and Recommendations
• Iss.10/2014 – Naloxone Saves Lives
• Iss.9/2014 – Sharing Insulin Pens is a High-Risk Practice
• Iss.8/2014 – Safe Pain Control in the Emergency Department
• Iss.7/2014 – Smart Pumps Need Smart Systems
• Iss.6/2013 – Monitoring Processes Contribute to Safe Use of Warfarin
• Iss.5/2013 – Promoting the Safe Use of Insulin in Hospitals
• Iss.4/2013 – Designing Effective Recommendations
• Iss.3/2013 – Quality Medication Reconciliation Processes Are Critical
• Iss.2/2013 – HYDROmorphone Remains a High-Alert Drug
• Iss.1/2012 – Mandatory Reporting—Can We Do Better?