Quality & Patient Safety

Patient Safety Monitor Journal, May 2017

Patient Safety Monitor, May 1, 2017

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Editor's Note: Click the PDF button above for a full edition of the May 2017 edition of Patient Safety Monitor Journal


Innovation in pursuit of high-reliability culture


The Institute of Medicine sent waves racing across the surface of American healthcare when it published To Err Is Human in 1999. The unsettling report suggested medical errors were killing at least 44,000 and as many as 98,000 patients nationwide each year. Even the lower end of that spectrum would rank such mistakes eighth among leading causes of death—ahead of breast cancer, AIDS, and motor vehicle accidents.The report challenged the self-perception of modern healthcare personnel and inspired reforms designed to prevent errors or at least catch them before they impacted patients. Ambitious goals were set. But the path forward proved complex, and the fallout from that disturbing report continues to ripple from coast to coast as innovators pursue what has become known as “high-reliability culture.”


ECRI: The rules on copying and pasting medical information
 

In 2016, the ECRI Institute’s Partnership for  Health IT Patient Safety released its Health IT Safe Practices: Toolkit for the Safe Use of Copy and Paste. The toolkit outlines the risks and benefits of reusing medical information in electronic health records (EHR), along with four safe-practice recommendations on copy and paste policies. It also provides checklists, educational materials, and implementation tools to assist in identifying hazards and adopting safety practices.

Bringing universal suicide screening to your hospital


In 2014, the Parkland Health and Hospital System (PHHS) in Dallas became the first in the nation to establish a universal suicide screening program (SSP) in all its departments. The program screens every admitted patient for suicidal ideation, regardless of the patient’s chief complaint or estimated risk. The screening is incorporated into PHHS’ electronic health record (EHR), and the entire staff have been trained on suicide screening and prevention. Since the go-live, PHSS has achieved almost 100% program compliance, screened over a million patients, collected invaluable suicidal ideation data, and helped countless patients get the care and treatment they need—all without slowing down hospital workflow or straining resources.

Q&A: How to respond to the WHO's top 12 superbugs list

In February, The World Health Organization (WHO) published its first list of a dozen families of antibiotic-resistant “priority pathogens” that pose the greatest threat to humanity.
"This list is a new tool to ensure R&D responds to urgent public health needs," said Marie-Paule Kieny, WHO's assistant director-general for health systems and innovation, in a press release. "Antibiotic resistance is growing, and we are fast running out of treatment options. If we leave it to market forces alone, the new antibiotics we most urgently need are not going to be developed in time." The following is an edited Q&A about the WHO’s list with Jennifer Pisano, MD, medical director of the antimicrobial stewardship program (ASP) at the University of Chicago Medicine and Biological Sciences, and Trevor Van Schooneveld, MD, FACP, medical director of the University of Nebraska Medical Center’s ASP, program director of its infectious disease fellowship, and associate professor in its Division of Infectious Disease.

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Patient Safety Monitor.

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