Monthly Archives August 2011

The Joint Commission Posts New ‘Speak Up’ Video to Reduce Falls

    Posted in Falls, Patient Safety    |    Comments Off

The new video is a resource for consumers. One out of three adults age 65 and older gets injured from falls every year, but anyone can fall. Some simple changes can be made that can make a big difference in the prevention of falls. This video can help you learn how to reduce your risk of falling.

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Rhode Island Hospital Focus on Culture of Safety to Reduce Adverse Events

    Posted in Culture of Safety, Learning, Patient Safety    |    Comments Off

7 Lessons from a Hospital CEO – A CEO shares lessons learned about leadership responsibilities to develop, encourage and maintain a culture for safety, including the importance of collaboration among providers, and providing true leadership.

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Illinois Surgery Center Cited for Infection Control Practices

    Posted in ambulatory surgery centers, Infection Prevention, Patient Safety    |    Comments Off

Illinois surveyors are finding lapses at same day surgery centers throughout the state as they, along with other states, continue to crack down on infection control practices in ambulatory settings in response to a 2008 Hepatitis C outbreak in Las Vegas believed to be caused by unsafe clinic practices.

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The Joint Commission Releases Sentinel Event Statistics

    Posted in Learning, Patient Safety    |    Comments Off

Almost 8,000 total sentinel events have been reported to TJC since 1995.  The majority of reports were submitted by hospitals (64%), 62% of the total reports resulted in patient death, and the most prevalent types of events reported through this voluntary reporting system are wrong-patient, wrong-site, or wrong-procedure, and unintended retention of a foreign body.  Leadership, human factors and communication were identified as the most frequently identified root cause of such events.

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Sue Scott, University of Missouri HealthCare, to Attend Patient Safety Course in Switzerland

    Posted in Learning, Patient Safety    |    Comments Off

Congratulations to Sue Scott of University of Missouri HealthCare for being selected to attend the Institute of Nursing Science Summer School course, titled, “Applied Patient Safety: Real Data, Real Tools, Real Solutions,” in Basel, Switzerland.

This summer school provides comprehensive patient safety and quality improvement concepts and methods. The training prepares doctoral students and postdoctoral fellows in nursing and related fields as well as nurses and physicians in leadership and/or quality management positions with the frameworks, data, and tools that are needed to facilitate patient safety efforts at the unit/clinical area level.  Learn more about the program.  Good luck, Sue!

CMS Releases New Tools and Launches Initiatives Linked to Patient Safety

    Posted in CMS, HAI, Healthcare Acquired Infections, Hospital Acquired Infections, Infection Prevention, Medicare Medicaid, Quality of Care    |    Comments Off

CMS has released a new online tool to empower consumers to make informed choices about their health care. The Quality Care Finder links consumers with all of Medicare’s compare tools in one convenient location (www.Medicare.gov/QualityCareFinder). Also released is a revised Hospital Compare website with additional data related to outpatient surgical infections and heart attack care (www.hospitalcompare.hhs.gov).   Dr. Don Berwick, CMS Administrator, states “These tools are new ways CMS is making sure consumers have… important information they need to make the best decisions about where to receive high-quality care.”

5 Current Trends in Patient Safety (from ASC Review)

    Posted in Just Culture, Patient Safety, PSO    |    Comments Off

Article from GE Healthcare Performance Solutions on current safety trends worth reading:  PSOs, Just Culture, review of policies and procedures, use of simulation, and reduction of variance.  PSOs is listed as the #1 trend, identified as the only way health care providers can share stories and learning without fear of litigation “because big improvements in safety are about learning.”

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AHRQ Issues Healthcare Associated Infections Research Protocol

    Posted in AHRQ, ambulatory surgery centers, HAI, Infection Prevention, Prevention    |    Comments Off

“Closing the Gap:  Prevention of Health Care-Associated Infections” updates a 2007 AHRQ report, recognizing the “volume and range of activity” in reducing HAIs.  The report expands to healthcare settings other than hospitals, including ambulatory surgery centers; focuses on infections relating to surgical sites, and the use of central lines, catheters, and ventilators; discussing the link between quality improvement strategies and reduction of HAIs.

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“Closing the Gap: Prevention of Health Care-Associated Infections” updates a 2007 AHRQ report, recognizing the “volume and range of activity” in reducing HAIs. The report expands to healthcare settings other than hospitals, including ambulatory surgery centers; focuses on infections relating to surgical sites, and the use of central lines, catheters, and ventilators; discussing the link between quality improvement strategies and reduction of HAIs.

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