Posted in Uncategorized Posted January 28, 2015
Written by Lee Varner, BS EMS, EMT-P and Mike Wallace, EMS Captain, Central Jackson County Fire Protection District
Does this sound like your EMS service….
Your typical runs include calls for chest pain, shortness of breath, seizures, and even cardiac arrest. You run these calls day in and day out. You drop patients off at the hospital just in time to clear for another call.
At the end of the day, ask yourself these simple questions:
- Do you look back at the calls to determine how well your providers performed from the perspective of protocol compliance or customer service?
- Do you have performance benchmarks established, for example time to 12 lead or aspirin administration on chest pain patients?
- Do you know the percentage of survival for cardiac arrest patients in your community?
- Do you have a mechanism in place that allows for the self-reporting of events as they relate to medication errors, equipment malfunctions, or near misses?
If you answered yes to all of these questions, great job! However, some of you probably said no to most.
Posted in AHRQ Posted January 20, 2015
The Agency for Healthcare Research and Quality (AHRQ) has released their latest issue of the Web Morbity & Mortality cases and commentaries. For more information, visit AHRQs website using the links found in the case summaries:
Spotlight Case: Monitoring Fetal Health
A woman who had an uncomplicated pregnancy and normal labor with no apparent signs of distress delivered a cyanotic, flaccid infant requiring extensive resuscitation. Although fetal heart rate tracings had shown signs of moderate-to-severe fetal distress for 90 minutes prior to delivery, clinicians did not notice the abnormalities on the remote centralized monitor, which displayed 16 windows, each for a different patient. The commentary by Mark W. Scerbo, PhD, of Old Dominion University, and Alfred Z. Abuhamad, MD, of Eastern Virginia Medical School, provides an overview of fetal heart rate monitoring, the risks and benefits of this complex process, and factors that influence its safety such as staff training and safety culture. (CME/CEU credit available.)
Posted in Patient Safety Posted January 18, 2015
CPS offers Just Culture Training and Survey of Resident/Patient Safety Culture (SOPS) as they are effective tools to manage employee learning and organizational performance. A recent study (available here and discussed for LTC here) has demonstrated the adverse impact on organizational health of workers who feel slighted—who believe that their employer has not met the employee’s expectations. SOPS culture survey can help healthcare providers identify areas where staff believes they are not supported, allowing facility management to address those issues proactively. Just Culture provides many pathways to explore the expectations and understandings of employees, and encourages intervention where employee understanding is inconsistent with the organization’s goals.
Sign up for either one or get more information at www.centerforpatientsafety.org.
Posted in Becky Miller, Center Info, Events Posted January 14, 2015
Becky Miller, MHA, CPHQ, FACHE, CPPS
Center for Patient Safety
We are excited about the Center for Patient Safety’s 10th year as a part of the solution to address the multitude of issues surrounding patient safety. Safety culture is the KEY! Medical error prevention and reduced patient harm occurs in organizations with a strong safety culture, supporting and encouraging the reporting of adverse events, near misses and unsafe conditions; reporting that leads to learning what and why errors occur and to sharing of solutions.
We hope you will join us as the celebration continues throughout 2015, including our March patient safety conference and available resources during Patient Safety Awareness Week!
Find out more about Patient Safety Awareness Week.
Posted in Events, PSES, PSO, PSO case law, PSQIA, PSWP Posted January 14, 2015
January 21 @ 11 Central – Free webinar
Confused about Patient Safety Organizations (PSOs)? You’re not alone!
Join the experts at the Center for Patient Safety as they describe the basics of the Patient Safety and Quality Improvement Act (PSQIA) and provide an introduction to the terminology and concepts of PSO participation. Applications to EMS, LTC, medical offices, and hospitals will be presented. Q&A available during webinar. Register
Posted in AHRQ, HHS, Patient Safety Posted January 13, 2015
The U.S. Department of Health and Human Services (HHS) and Agency for Healthcare Research and Quality (AHRQ) is offering a free train-the-trainer workshop on shared decision making on January 23, 2015 in St. Louis, MO.
Using the SHARE Approach, a five-step process for shared decision making, these free workshops provide health care professionals with patient decision aids, conversation starters, tips to communicate with patients, an implementation guide for clinical teams, and other tools that support shared decision making in clinical practice settings.
Clinicians who participate will learn how to implement the SHARE Approach and train peers in shared decision making. Participants can earn up to seven hours of continuing medical education credits (CME)/continuing education units (CEUs). A learning network and webinar series will also be available to support ongoing implementation.
The January 23 workshop will take place at the Robert A. Young (RAY) Federal Building, 1222 Spruce Street, St. Louis, MO 63103 from 8:30 a.m. to 4:30 p.m. Click here to register. To learn more about the SHARE Approach please visit the AHRQ website.