Posted in PSES, PSO, PSO case law, PSWP Posted August 27, 2014
The Kentucky Supreme Court has issued its anxiously awaited opinion in Tibbs, et al. v. Bunnell (2012-SC-000603-MR). The opinion is available online here. Earlier in the case, the Kentucky Court of Appeals ruled that only work reflecting “self-examining analysis,” could be protected PSWP, eliminating data or reports used as part of that analysis from protection. The hospital appealed, with support from the national PSO community. The Kentucky Supreme Court rejected that restriction based on the language of the law and final rule. It went on to examine the definition of PSWP as applied to the information sought by the plaintiff, which included incident reports. Read More
From the Center for Healthy Aging, National Council on Aging (NCOA):
Strong Today, Falls Free® Tomorrow
Date: September 23, 2014
The 7th annual Falls Prevention Awareness Day will be observed on September 23, 2014—the first day of fall. This year’s theme, Strong Today, Falls Free® Tomorrow, seeks to raise awareness about how to prevent fall-related injuries among older adults.
The Falls Free® Initiative is a national effort led by NCOA to address the growing public health issue of falls and fall-related injuries and deaths in older adults.
Posted in EMS, EMS PSO, Patient Safety Posted August 22, 2014
Ever wondered what an ambulance from another country might look like? Ronald Rolfsen from Oslo University Hospital recently spoke about Ambulance Safety and Design at the Kansas EMS Conference. In Norway, there is a tradition to use smaller ambulances compared to USA. The ambulances are designed with a focus on automobile safety, occupant safety, ergonomics, and user friendliness. At the head of the stretcher is a seat where the airway of the patient would be managed. If you look closely you will see that equipment and necessary tools are within reach. Rolfsen says it’s important to set design standards so crews can take care of the patient and remain secure with seat-belts. The pictures are from Oslo ambulance services new intensive care ambulance. Thank you for the great presentation at KEMSA, Ronald Rolfsen!
Click “Read More” to see interior photos of a Norway ambulance. Read More
Posted in EMS, EMS PSO, Events, Patient Safety Posted August 11, 2014
Multiple stretcher-related incidents have been reported to the Center’s Patient Safety Organization. The areas of concern are from real events. Read the full Safety Watch on EMS Stretchers.
Posted in Patient Safety Posted August 6, 2014
EMT Hand-Washing Habits Need Improvement
Have you read this interesting and surprising study about EMS and hand sanitizing? As an industry we might want to study and discuss it further as well as support each other for better compliance? Does it raise a deeper question? What about the equipment we touch while taking care of our patients? When we are gloved are we risking cross contamination to ourselves and our next patient? Furthermore, think about the cab of our ambulances with the many things we touch and have contact with. Is there any risk there? Most services are vigilante and proactive with their disinfection process, however, we are prone to slips and drift from best practices.
What are your thoughts, do you wash your hands?
Communicating effectively about changes in a resident’s condition is always difficult. However, in long-term care it is complicated by staffing patterns and the subtlety of the changes that can signal significant health events. The Agency for Healthcare Research and Quality has hosted a series of webinars (accessible here) to support staff training for improvement in this critical area.
Participants on the webinars described how the “Stop and Watch” form (a part of the INTERACT program, form available here) can support efforts by all staff, but particularly CNAs and other non-licensed individuals, to spot the subtle changes that can indicate a need for intensified observation or care for residents.
They also found the C-U-S communication tool very helpful, especially with families. That tool simply lists three ways to start communicating: “I am Concerned, “ “I am Uncomfortable,” and, for more serious situations, “I believe the resident’s Safety is at risk.” (The C-U-S tool is available here.) Organizations reported that they put C-U-S and/or Stop and Watch forms near the sign-in book to facilitate communication with family members or visitors about changes they notice.
AHRQ also offers training modules and tools for staff development on identifying and communicating significant changes in resident condition, as well as fall prevention and management, on its website. And all of their resources are available at no charge.