Physician Surveyor at The Joint Commission. The postings on this site are my own and do not represent the views of The Joint Commission.
Jupiter, FL
Joined November 2010
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Charles Murphy, MD retweeted
An Ohio woman is suing after her surgeon allegedly amputated the wrong leg when she underwent a below-the-knee amputation that the lawsuit says was required because of cancer in her right leg. foxla.com/news/ohio-cancer-p…
Charles Murphy, MD retweeted
Would it surprise you to learn where perioperative mortality ranks among causes of death?
💬 Does this change how you think about perioperative risk? Tell us below. 👇
▶️ Watch the recorded conference on the APSF YouTube channel.
#PatientSafety #Anesthesiology #Anesthesia
Charles Murphy, MD retweeted
Sepsis is a life-threatening response to infection. Early recognition and timely care can save lives. Let’s recognise the signs, act early and prevent sepsis.
@MoHFW_INDIA
@ICMRDELHI
#WorldSepsisDay #SepsisAwareness #PatientSafety #ICMR4NewIndia
Charles Murphy, MD retweeted
Thrilled to be a part of this!
Charles Murphy, MD retweeted
Due to a mixup in the Ascension hospital pharmacy, FOUR patients received potassium instead of bupivicaine for epidurals before routine joint surgeries. At least one is now paralyzed.
The worst error I’ve ever heard of. Hard to see how this could happen.
newschannel5.com/news/newsch…
Charles Murphy, MD retweeted
You might have heard about the terrible wrong drug medication error that affected multiple patients at a Nashville hospital recently. Here are some more details from Reddit and some photos from a pharmacy colleague of mine. No intervention provides complete protection from this kind of error, but colleagues of mine who are medication safety officers at large health systems tell me that if bar coding had been used at the point of preparation (something like dispense prep), it might have been avoided. reddit.com/r/news/comments/1…
Charles Murphy, MD retweeted
🚨National Patient Safety Alert🚨
A new alert has been issued in response to the risk of harm from incorrectly assembled breathing circuits lacking proper exhalation routes for patients receiving invasive or non-invasive ventilatory support. pslhub.org/learn/improving-p…
Charles Murphy, MD retweeted
🔥 High-risk airway
Anterior mediastinal masses can collapse the airway + great vessels during anesthesia.
Let’s review red flags, risk scores, imaging, and the need for spontaneous ventilation + early planning.
#APSF #PatientSafety #AirwayManagement
Charles Murphy, MD retweeted
In cardiac anesthesia, the biggest safety gains came from systems:
🩸Restrictive transfusion
🫘 AKI-prevention strategies
❤️ AF-prevention bundles
📋ERAS Cardiac
#patientsafety #CardiacAnesthesia #anesthesia #anesthesiology
apsf.org/article/enhancing-s…
Charles Murphy, MD retweeted
🗨️We have found that when staff have a safe and trusted route to raise issues then all manner of issues can become visible to the leadership🗨️
Changing attitudes and patterns of behaviour in the workplace: An interview with Shaun Keep and Paul Adams. pslhub.org/learn/culture/goo…
Charles Murphy, MD retweeted
Adverse events in #airway management leading to severe injury most commonly occur during emergencies and outside of the elective OR setting. Go to the October 2025 #APSFNewsletter to read more! #anesthesia #anesthesiology #patientsafety
Charles Murphy, MD retweeted
🤰🏽 Check out the latest #APSFPodcast on maternal safety! Special thanks to Nihon Kohden for their continued support of APSF. Don’t forget to lilke, subscribe, and review! #obanes #patientsafety
apsf.org/podcast/278-transfo…
Charles Murphy, MD retweeted
🏥 Sterile compounding compliance is improving, but immediate-use compounding still trips up hospitals. See what the Joint Commission cites most often and tips to stay survey-ready ➡️ pharmacypracticenews.com/a/8… #Pharmacy #SterileCompounding #PatientSafety
Charles Murphy, MD retweeted
Happy Halloween. Posting UPMC 6-7 Impella 5.5 best practices…Early shock team activation, complete hemodynamics in first 6 hours, use of Impella Order Set, hemodynamic monitoring q2-4h until lactate clear, GDMT on support for weaning, use of weaning algorithm! 7 -ambulate!
Charles Murphy, MD retweeted
🗨️This underlines why observing Work as Done is always beneficial: it allows us to see the realities of practice, understand where systems are fragile, and identify opportunities to strengthen them before harm occurs.🗨️
New blog on the hub this week⬇️
pslhub.org/learn/investigati…
Charles Murphy, MD retweeted
🤰🏽🩺 Fever isn’t always there. > 1 in 4 women who died of maternal sepsis never had one. This #APSFPodcast covers early detection, rapid antibiotics, TXA timing, & VTE prevention.
Special thanks to @eminaoum; Beth Clayton, CRNA; & Lisa Leffert, MD.
ow.ly/P1Of50XeCEK
Charles Murphy, MD retweeted
This week is International Infection Prevention Week (Oct. 19–25), organized by @APIC. This year's theme is "Stand UPPP for Infection Prevention"—with UPPP standing for Unite, Protect, Prevent, Prevail.
Please read if you are involved with patient safety #PatientSafety #pharmacy
Charles Murphy, MD retweeted
Have you ever swapped the wrong medication because the vials looked similar? This is a serious issue in #anesthesia - what would you do in this situation? When is “just read the vial” not enough?
#lookalikevials #APSF #patientsafety