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Search results for "Health Care Executives and Administrators"

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Audiovisual > Audiovisual Presentation

IHI/NPSF Webcast: The Business Case for Patient Safety.

IHI/NPSF Patient Safety Coalition, Healthcare Financial Management Association. July 25, 2017; 1:00–2:00 PM (Eastern).

Building the business case for safety has been a persistent challenge to attaining leadership buy-in and commitment for improvement. This webinar will highlight tools to help safety and financial experts collaborate to demonstrate the return on investment of patient safety programs.

Perspectives on Safety > Perspective

Doctors With Multiple Malpractice Claims, Disciplinary Actions, and Complaints: What Do We Know?

with commentary by David Studdert, LLB, ScD, Legal Issues and Patient Safety, July 2017

This piece explores the risk of recurring medicolegal events among providers who have received unsolicited patient complaints, faced disciplinary actions by medical boards, or accumulated malpractice claims.

Perspectives on Safety > Interview

In Conversation With… Michelle Mello, MPhil, JD, PhD

Legal Issues and Patient Safety, July 2017

Michelle Mello is Professor of Law at Stanford Law School and Professor of Health Research and Policy at Stanford University School of Medicine. She conducts empirical research into issues at the intersection of law, ethics, and health policy. We spoke with her about legal issues in patient safety.

Special or Theme Issue

The 2016 John M. Eisenberg Patient Safety and Quality Awards.

Jt Comm J Qual Patient Saf. 2017;43:315-337.

Spotlighting the accomplishments of the 2016 recipients of the John M. Eisenberg Patient Safety and Quality Awards, this issue includes an interview with Carolyn Clancy, MD, as well as articles on the I-PASS Study Group, and Christiana Care Health System, Wilmington, Delaware.

Audiovisual > Audiovisual Presentation

Shared Decision Making and Patient Safety: Making the Connections.

National Patient Safety Foundation. June 21, 2017; 1:00–2:00 PM (Eastern).

Shared decision making is gaining recognition as a way to improve patient understanding of their care options to enhance communication with their care team. This webinar will discuss shared decision making and informed consent as patient safety strategies.

Journal Article > Commentary

A piece of my mind. Speak up.

Merrill DG. JAMA. 2017;317:2373-2374.

Team support and respect are key elements of a culture of safety. This commentary highlights how clinicians can experience disrespectful encounters with patients and explains why insufficient awareness and reporting by team members of such incidents can normalize the behavior to diminish the safety of the practice environment.

Journal Article > Study

Efficiency and interpretability of text paging communication for medical inpatients: a mixed-methods analysis.

Luxenberg A, Chan B, Khanna R, Sarkar U. JAMA Intern Med. 2017 Jun 19; [Epub ahead of print].

Prior research suggests that text paging in the health care setting may not be the most effective mode of communication for promoting patient safety. Researchers analyzed 575 distinct text pages regarding 217 patients and found that the messages lacked standardization, often did not indicate the level of urgency, and were frequently unclear. A related commentary considers structured versus fluid communication in health care.

Journal Article > Commentary

State sepsis mandates—a new era for regulation of hospital quality.

Hershey TB, Kahn JM. N Engl J Med. 2017;376:2311-2313.

Delays in diagnosis and treatment of sepsis can have serious consequences. This commentary discusses successful programs, built on policy mandates, that aim to ensure effective standardized approaches are in place at health care facilities to prevent harm associated with sepsis.

Newspaper/Magazine Article

Rude providers jeopardize patient safety. So stop it.

Thew J. HealthLeaders Media. June 14, 2017.

Rudeness can affect teamwork and hinder safe, transparent care. This news article reports on one hospital's approach to manage disruptive behavior through strategies such as peer identification and proactive behavior adjustment.

Journal Article > Study

Associations between patient factors and adverse events in the home care setting: a secondary data analysis of two Canadian adverse event studies.

Sears NA, Blais R, Spinks M, Paré M, Baker GR. BMC Health Serv Res. 2017;17:400.

Adverse events occur frequently in the home care setting. A previous study estimated that about 10% of patients receiving home care experienced an adverse event, and research suggests that a significant proportion of these may be preventable. Early identification of patients at increased risk for harm in the home care setting may help inform hospital discharge planning and improve patient safety. Analyzing data from two prior Canadian home care patient safety studies, researchers found that both increased dependency for instrumental activities of daily living and a higher number of comorbid medical conditions placed patients at greater risk for adverse events. A past PSNet perspective discussed safety issues associated with care transitions after hospital discharge.

Journal Article > Review

Mobilising or standing still? A narrative review of Surgical Safety Checklist knowledge as developed in 25 highly cited papers from 2009 to 2016.

Mitchell B, Cristancho S, Nyhof BB, Lingard LA. BMJ Qual Saf. 2017 Jun 3; [Epub ahead of print].

Checklists have been heralded as an important tool to improve health care safety. This review examined whether the science supports that recognition. Numerous studies have been published, but the literature base hasn't been developed to fully understand the complexities of surgical checklist implementation programs.

Patient Safety Primers

Falls

Falls are a common source of patient harm in hospitals, and are considered a never event when they result in serious injury. Fall prevention requires a coordinated, multidisciplinary approach that entails individualized risk assessment and preventive interventions.

Perspectives on Safety > Interview

In Conversation With… Paul Aylin, MBChB

The Weekend Effect, June 2017

Professor Aylin is Professor of Epidemiology and Public Health at Imperial College London. We spoke with him about the weekend effect in health care—the observation that patients admitted to the hospital over the weekend often have worse outcomes than those admitted during the week.

Patient Safety Primers

Long-term Care and Patient Safety

A large and growing number of Americans require care in skilled nursing facilities, inpatient rehabilitation facilities, or long-term acute care hospitals, often after an acute hospitalization. Data indicates that more than 20% of patients in these settings experience an adverse event during their stay.

Patient Safety Primers

Patient Safety 101

This Primer provides an overview of the history and current status of the patient safety field and key definitions and concepts. It links to other Patient Safety Primers that discuss the concepts in more detail.

Perspectives on Safety > Perspective

The Weekend Effect in Cardiology: Is It Real? If So, Can It Be Fixed?

with commentary by Vanessa K. Martin, DO, MS; Nasim Mirnateghi, PhD; and Mahdi Khoshchehreh, MD, MS, The Weekend Effect, June 2017

This piece explores the weekend effect in cardiology and recommends allowing invasive management for patients with non ST-elevation myocardial infarction to improve outcomes in this group.

Audiovisual > Audiovisual Presentation

Medication Safety Certificate Program.

American Society of Health-System Pharmacists and Institute for Safe Medication Practices.

Leadership commitment to reduce medication errors can help address this safety problem. This certificate program presents key concepts that support organizational efforts to augment medication safety, including event analysis, safety culture, risk identification, and change management.

Journal Article > Study

Implications of electronic health record downtime: an analysis of patient safety event reports.

Larsen E, Fong A, Wernz C, Ratwani RM. J Am Med Inform Assoc. 2017 May 30; [Epub ahead of print].

When electronic health records are out of use, either for planned upgrades or because of unexpected malfunction, this downtime disrupts usual hospital workflow. This study conducted an automated text search to identify incident reports related to electronic record downtime and analyzed the selected reports. Electronic health record downtime led to issues with laboratory testing including specimen identification errors and delayed transmission of results. Medication administration errors were also prevalent during downtime. Researchers found that downtime could hinder patient identification and information availability, which may result in serious safety hazards. The authors advocate for development of more comprehensive downtime procedures to address safety concerns as well as more consistent adherence to existing procedures.

Audiovisual > Audiovisual Presentation

IHI Virtual Expedition: Understanding and Improving​ Safety Culture.

Institute for Healthcare Improvement. IHI Virtual Expedition; May 25–August 3, 2017.

Safety culture is essential for hospitals to ensure patient safety, but health care continues to struggle with achieving culture change. This series of webinars will educate participants about the impact of safety culture on an organization, ways to measure culture, and how to drive lasting improvement.

Journal Article > Commentary

Towards high-reliability organising in healthcare: a strategy for building organisational capacity.

Aboumatar HJ, Weaver SJ, Rees D, et al. BMJ Qual Saf. 2017 May 25; [Epub ahead of print].

High reliability organizations embrace strategies to actively reduce errors and accidents. This commentary outlines a framework that focuses on integrating competencies at all levels of the health care workforce across the organization to support high reliability.

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