Press Release: Center Promotes Patient Safety Awareness Week March 11 -17th

The Center for Patient Safety (CPS) acknowledges the continuous focus on safe care across the continuum of healthcare. To support year-round efforts of healthcare providers, professionals and consumers, CPS will set aside time to highlight important patient safety issues, spread awareness and provide resources, during Patient Safety Awareness Week (PSAW).

“From March 11 to 17, we are emphasizing that safety in the delivery of healthcare is the highest priority all the time,” said Alex Christgen, Executive Director of CPS. “Safe care is the most important aspect of care regardless of where that care takes place, from EMS, to hospitals, physician offices, ambulatory settings, pharmacies, home or long-term care settings.”

CPS has several key initiatives planned for Patient Safety Awareness Week and beyond:

Patient Safety Forum, March 14, 2018 – CPS is highlighting PSAW by partnering with Medtronic to offer all caregivers a Forum in St. Louis MO focused on learning to identify and care for patients with respiratory compromise. The healthcare landscape is complicated as it evolves at an ever-quickening pace with new specialties, titles and tools. Coupled with the growing demands placed on clinicians and healthcare leaders, how do we ensure the safety of our patients? This forum is a collaborative opportunity to learn with other providers across the continuum of care how patient safety can be improved.

Patient Safety Awareness Week Tips and Toolkit – Healthcare professionals are encouraged to take advantage of the PSAW Tips page or download the PSAW2018 Toolkit, which is free to CPS Subscribers. The toolkit includes a downloadable poster, flyer, stickers, table tent, desktop wallpaper, and social media image. Also included is a Toolkit Guide to help you celebrate throughout the week and the rest of the year. Engage other providers in your community and across the care continuum, encouraging patients and family members to ask, “How do you provide safe care?”

About CPS: The Center for Patient Safety is a private, not-for-profit corporation dedicated to fostering change throughout the nation’s healthcare delivery systems and across the continuum of care. The Center’s vision is a healthcare environment safe for all patients and healthcare providers, in all processes, all the time. Find the Center on Facebook and Twitter @PtSafetyExpert and @PtSafetyEMS

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Free Teleconference

The Center for Patient Safety’s mission is to help health care providers improve their culture.  Along those lines, IHI is offering a free teleconference on Thursday, March 8 at 1:00 pm Central Time, when two leading experts will address the importance of mindfulness as it relates to patient safety.  No cost, but registration is required.  The presenters also recently shared a free white paper:   10 Mindfulness Exercises for the Health Care Workplace.

 

AHRQ Posts Medical Office Toolkit for Tests

Some of the best-known safety speedbumps for physician practices lie in the patient testing area.  Orders have to be developed and communicated, results communicated from the lab to the office and then to the patient or other providers.  The provider who ordered the test has to see the results and react appropriately.  Documentation of this process needs to be complete and accurate.   AHRQ has developed a toolkit to address this issues in collaboration with the University of Colorado.  It is available here.  [link:  https://www.ahrq.gov/professionals/quality-patient-safety/hais/tools/ambulatory-care/labtesting-toolkit.html?utm_source=ahrq&utm_medium=en&utm_term=&utm_content=1&utm_campaign=ahrq_iltp_2018]  And remember that in support of that work, the Center for Patient Safety offers the AHRQ Safety Culture Survey for Medical Offices, along with follow-up support to improve the culture behind the work.

 

Patient Safety Awareness Week is March 11-17, 2018

Patient Safety Awareness Week (PSAW), an initiative from the National Patient Safety Foundation (NPSF) and the Institute for Healthcare Improvement, is designed to raise patient safety awareness among healthcare providers and consumers. This year, PSAW is March 11-17. It’s a great time to celebrate successes and re-focus on patient safety opportunities in your organization. The Center encourages providers and consumers to obtain information about patient safety issues. Below are highlights of Patient Safety Awareness Week activities.

Take advantage of the following resources and conferences to help launch a successful campaign! The Center’s highly anticipated Patient Safety Toolkit will be available for download by CPS Subscribers.

Join us on social media and check out these patient safety resources and tips we’re sharing during #PSAW2018!


Patient Safety Forum, March 14, 2018

Everyday across the country, healthcare is provided in many clinical settings and environments.  Likewise, the healthcare landscape is complicated as it evolves at an ever-quickening pace with new specialties, titles and tools.  Coupled with the growing demands placed on clinicians and healthcare leaders, how do we ensure the safety of our patients?  Join us for this collaborative opportunity to learn with other providers across the continuum of care how patient safety can be improved.
Added Bonus! All attendees of the forum will become a Subscriber to CPS’s online resource center, which provides toolkits, special previews to upcoming events, and a community forum. Find out more about becoming a subscriber!

Learn more about the Forum


Second Victim Experience, March 19, 2018

Most health care providers adjust well to the multitude of demands encountered during an unexpected or traumatic clinical event. Providers often have strong emotional defenses that carry them through and let them “get the job done.” Yet sometimes the emotional aftershock (or stress reaction) can be difficult. Signs and symptoms of this emotional aftershock may last a few days, a few weeks, a few months, or longer.

Added Bonus! All attendees of the workshop will become a Subscriber to CPS’s online resource center, which provides toolkits, special previews to upcoming events, and a community forum. Find out more about becoming a subscriber!

Learn more about the Second Victim Workshop


The CPS Patient Safety Improvement Approach

The Center for Patient Safety believes every patient safety improvement journey includes an evaluation of your current culture. It’s important to use meaningful data to understand how staff perceive the organization’s approach to patient care. Our bundled approach gives you peace of mind that you’re working with the patient safety experts – and we want YOU to be successful!

Step 1: CPS administers a survey to your staff and provides a detailed interpretation of your results.
Step 2: We work closely with you to develop your action plans and next steps.
Step 3: Our work continues with you over the next six months to a year to provide education and training, workshops, resources and tools. We support you in reaching your goals!
Learn more about the CPS Patient Safety Approach through Culture Change

Patient Access to Care Notes

Heads up!  Copying and pasting in your electronic health record (EHR) might make your documentation process easier, but it can result in big issues downstream as other care providers take action based on inaccurate information.  AHRQ recently published an article by Dr. Shannon Dean from the University of Wisconsin School of Medicine which outlines the concerns and some potential “fixes”.  I like the following:  “The OpenNotes initiative—which allows patients to read their clinicians’ notes—represents another real opportunity for heightening provider awareness of the need for documentation accuracy, as patients will now also be able to hold us accountable for quality documentation.”  What do you think – would allowing patients access to the care notes lead to more accurate documentation?

Patient Safety Awareness Week 2018

Patient Safety Awareness Week 2018
March 11 to March 17

Following a Medical Error: What Patients Want

Becker’s Infection Control shared a summary of an article from JAMA Internal Medicine with results of interviews completed with 27 patients regarding what they want from their physician following a medical error.  It’s not surprising that patients want to know what the hospital is doing to prevent recurrence of the medical error.  But regretfully, only 6 of 30 family members and patients received this information.  Health care providers:  we can do better!       

 

2017 MarCom Awards Recognize EMSForward for Marketing Excellence

The Center for Patient is proud to announce the EMSForward Campaign booklet has received a Platinum Award, the highest honor, in the 2017 MarCom Awards. The EMSForward campaign booklet won in the non-profit publications category. MarCom is an international competition administered and judged by the Association of Marketing and Communication Professionals. The awards represent work across print media, strategic communications, digital media and video.

The EMSForward Campaign booklet was developed by the Center for Patient Safety with creative input and design interpretation by the Primaris marketing team, an affiliate of the Center for Patient Safety.

It’s an honor just to be able to be considered for such an award.

The MarCom Awards recognize outstanding achievement by creative professionals involved in the concept, direction, design and production of marketing and communication materials and programs. Entries come from corporate marketing and communication departments, advertising agencies, PR firms, design shops, production companies and freelancers.

Judges are industry professionals who look for companies and individuals whose talent exceeds a high standard of excellence and whose work serves as a benchmark for the industry.

About the awards:

One of the oldest, largest and most prestigious creative competitions in the world, the MarCom Awards recognize outstanding creative achievement by marketing and communication professionals. There were more than 6,000 entries from throughout the United States, Canada and several other countries in 2017.

MarCom entries come from corporate marketing and communication departments, advertising agencies, PR firms, design shops, production companies and freelancers. The competition has grown to perhaps the largest of its kind in the world. A look at the winners shows a range in size from individual communicators to media conglomerates and Fortune 500 companies. The competition is so well respected in the industry that national public relations organizations, local ad clubs, and local business communicator chapters are entrants.

Winners were selected from over 200 categories in seven forms of media and communication efforts- marketing, publications, marketing/promotion, public service/pro bono, creativity and electronic/interactive. Winners include industry leaders such as Cerner, Pepsico, United Healthcare, and more.

A complete list of winners can be found on the MarCom Awards website here.

National Fire Prevention Week perfect time to learn ways to stop surgical fires

The Center for Patient Safety joins The Joint Commission in recognizing National Fire Prevention Week. Unfortunately, surgical fires continue to occur.  Recent reports to the Center’s PSO include:

  • 4×4 held by the surgeon caught on fire from a cautery during eye surgery
  • Electrical fire in the fluoro base of a cysto table
  • Flash fire during removal of a mole
  • Patient’s beard started on fire during removal of lesions with cautery

 

It’s never too late to remind staff and physicians about the factors that contribute to surgical fires and  lace to reduce the risk of surgical fires. Together, we can make a safer environment!

CPS Safety Watch/Alert – Medication Shortages

Medication Shortages:

  • Adversely affect drug therapy
  • Can cause complications in medical procedures
  • Contribute to medication errors
  • Create frustration for providers & patients

ACTIONABLE ITEMS TO MITIGATE RISK

  • Validate details of shortage & check with suppliers
  • Determine stock on hand
  • Determine purchase history & true use
  • Estimate time until shortage impacts agency & length of shortage
  • Identify alternative drug and sources

THE CULTURE CONNECTION

  • Communicate with staff details regarding shortage:
    • Specific drug & effective date/length of shortage
    • Alternative drugs/concentrations
    • Temporary guidelines & processes
  • Utilize teamwork to identify susceptible patient population
  • Review the 5 “R’s” of medication administration (Right medication, Right dosage, Right route, Right patient, Right time)
  • Implement 2-person medication read-back or cross-check policy

RESOURCES

 

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RESOURCES:

The Center for Patient Safety believes that collaboration and sharing are the best ways to drive improvement. We strive to provide the right solutions and resources to improve healthcare safety and quality.