Safe Table Forum

Management of Alcohol Withdrawal in the Acute Care Setting – a Multi-disciplinary Root Cause Analysis – CHPSO Safe Table Forum

Managing a patient who is withdrawing from alcohol is a complex balance of accurate assessments, consistent and aggressive medication management, and clear communication between the multi-disciplinary team. The case being presented follows a comprehensive Root Cause Analysis that was performed following the death of a patient withdrawing from alcohol. The case highlights the many challenges […]

Hospitals Advancing Equity in Perinatal Care – CHPSO Safe Table Forum

Despite California’s recent improvements in perinatal care and outcomes, Black mothers / birthing people are still multiple times more likely to die from pregnancy/birth-related causes and twice as likely to suffer a maternal morbidity (such as hemorrhage and infection) than those in other racial/ethnic groups. Hospitals are naturally called upon to help address these disparities, and […]