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Patient Safety Tool Helps ID Hospital Errors
Health Leaders Media

Reporting and analyzing every error that almost harmed a patient may be an expensive hassle. But for Paula Holbrook, RN, BHS, JD, CPHRM, associate director of risk management and clinical risk manager for the University of Kentucky Healthcare’s A.B. Chandler Medical Center, it’s just as valuable for preventing harm as reviewing those mistakes that did hurt patients.

Holbrook and her team want to capture the “near misses, the little things that don’t reach the patient,” she says.