patient safety quality healthcare

May-June 2014

From Smart Pumps to Intelligent Infusion Systems – The Promise of Interoperability

A little more than a decade ago the introduction of “smart” pumps with dose error-reduction systems (DERS) dramatically improved the safety of intravenous (IV) infusion therapy. Wireless connectivity enhanced system management and laid the foundation for integrating smart pumps with other systems and devices.

Patient- and Family-Centered Care

This second article in a four-part series on patient- and family-centered-care (PFCC) focuses on family presence during resuscitations and invasive procedures. Continuing the story from the first article in the series (Homme et al., 2014), Max’s mother relates her experience as she prepared to be separated from her son...

Quality Initiative Focuses on Cellulitis and the Problem of Diagnostic Error

Cellulitis is a common infection that affects the skin and subcutaneous tissues and results in significant morbidity and associated healthcare costs. In fact, more than $3.7 billion were spent on 240,000 inpatient admissions for cellulitis in the United States in 2004 (Solucient, 2006). In addition to these costs, more than 14.5 million individuals were treated in offices, hospital outpatient clinics, and emergency departments for skin infections in 2005 (Hersh, Chambers, Maselli, & Gonzales, 2008).

Sound the Alarm

How much noise is heard over the course of the day in the average hospital unit? One study found alarm rates up to 700 per bed per day (ECRI Institute, 2013a; Graham & Cvach, 2010). When alarms sound so frequently, they simply cannot be managed adequately. Ineffective alarms lead to alarm fatigue among staff members...

Editor's Notebook - Personal Accountability: The Next Frontier

The patient safety movement is now 20 years old, if we tie its origin to publication of “Error in Medicine” by Lucian Leape, MD, in 1994. The movement has evolved, with an expanding agenda, deeper research, and increasing numbers of people from all walks of healthcare devoting themselves to improvement.

Health Data - Patient Reported Outcome Measures: Europe Shows Us the Way

Today the U.S. healthcare system is undergoing systemic transformation, as the focus shifts toward more value-based reimbursement for providers and a focus on increased quality of care along with expansion of access to health coverage.

ISMP - A Mislabeling Event: The Unintended Consequences of Practice Changes

Any time a change is made in the structure or processes associated with a given task, the risk of an unanticipated error is introduced, even if the changes are intended to reduce the risk of errors or improve the quality of outcomes.

Health IT & Quality - Bacchus and Healthcare

Showing great wisdom, our mothers cautioned us to never judge a book by its cover. Yet, when we purchase wine, we often look for the fancy label design, interesting back label story, or colorful capsule covering the cork.

Team Training - TeamSTEPPS® 2.0 Improves an Already Proven Program

Recently, the Agency for Healthcare Research and Quality (AHRQ) announced the release of an updated version of the successful teamwork and communication curricula TeamSTEPPS 2.0—Strategies and Tools to Enhance Performance and Patient Safety.

Special Advertising Section - Infection Control

Middle East Respiratory Syndrome (MERS) is an illness first reported in Saudi Arabia in 2012. It is caused by a coronavirus, MERS-CoV. Most people who have been confirmed to have MERS-CoV infection developed severe acute respiratory illness.

News - EngagingPatients.org Presents Inaugural John Q. Sherman Awards

On May 15, winners of the inaugural John Q. Sherman Awards for Excellence in Patient Engagement were honored in award ceremonies at the 16th Annual NPSF Patient Safety Congress in Orlando, Florida. Nasia Safdar, MD, PhD, hospital epidemiologist for the University of Wisconsin Hospital, was recognized with the individual award of excellence.

News - Data Integrity Tops List of Patient Safety Concerns

ECRI Institute has added a new “top 10” list to its other offerings and to the popular trend of enumerating the pressing issues that healthcare organizations face today. ECRI describes the list of patient safety concerns...

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ABQAURP American Society for Quality American Society for Quality Healthcare Division Consumers Advancing Patient Safety
EMPSF Institute for Safe Medical Practices
           
Medically Induced Trauma Support Services (MITSS) Medication Safety Officers Society NPSF Partnership for Patient Safety Society to Improve Diagnosis in Medicine