A Quality Conundrum—Can We Learn From the Dogs?
Eight weeks ago, we came home from work to find our dog, Marlin, awaiting us with great anxiety and agitation. Our newly adopted (and reportedly spayed) dog, Ruby, was not at the gate. Something was clearly wrong!
Concerned, we rushed inside to find Ruby guarding a dog bed containing something brown and wriggling—ultimately identified as 10 puppies.
My Root Cause Analysis has come up with the following:
- Checking patient identifiers pre-procedure does matter. Ruby’s original procedure should have been a hysterectomy. Probably a similar looking dog had that procedure and is now infertile, whether or not she wanted to be. If that other dog needed a different medically indicated procedure, which is even worse….
- Expectation bias is huge. Two vets confirmed that Ruby had had a hysterectomy because they felt a scar where they expected one. (There is no scar.)
- Denial is a powerful force. Ruby was vomiting (dogs get morning sickness), gaining weight, and showing significant ‘mammary development.’ Pregnancy should not have been a tough diagnosis.
- Socioeconomic factors impact patient outcomes. We were able to care for, and enjoy, Ruby and 10 puppies. Not everyone could.
While no one can argue the importance of outcomes measures in evaluating quality and research, let’s not lose track of the value of process and structure measures.
Ruby’s puppies are our quality conundrum. From a structure, process, and quality-of-care perspective, this story is a nightmare. From an outcomes perspective, the puppies are awesome.
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Those certified in HCQM set themselves apart from the crowd and are distinguished by superior skills; balancing appropriateness of services with cost and quality. They are not just better care providers, they are quality leaders!
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Membership with ABQAURP demonstrates your deep commitment to patient safety, health care quality, and effective care. Whether you are directly involved with the health care of patients or the administration of the care they receive, joining our organization shows that you are proactive and enthusiastic about your career and the level of excellence in the care you provide.
We are not simply “another association.” We are a community, comprised of virtually every type of health care professional, striving to improve health care quality, applying what we learn to current and future innovations.
ABQAURP’s Professional Membership was established for those individuals who are devoted to the concepts and objectives outlined in ABQAURP’s Mission “to improve the overall quality of health care that is provided to the consuming public.” Many choose to utilize membership as a pathway to certification, taking advantage of our educational opportunities while preparing for our Certification in Health Care Quality and Management.
Benefits include discounted registration fees for the Certification Exam, live conferences, and all courses. The education credits earned for these programs may be applied toward eligibility for the certification exam. In addition, you will receive a complimentary subscription to Patient Safety & Quality Healthcare. Professional members are also listed in ABQAURP’s online directory and have unlimited access to the Member’s Only section of the website. Professional members can take advantage of employment opportunities through ABQAURP’s participating health care placement companies and prospective networking at continuing education conferences.
To the Faculty and Attendees of the 36th Annual Conference
and Readmission Boot Camp
— From ABQAURP’s Board of Directors and Staff
We hope to see you next year at our annual meeting!
The Source: “What’s New” Monthly Articles
Ongoing - Online Education
Wound Care Boot Camp
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Advances in Clinical Laboratory Medicine
April 6, 2013 – Atlanta GA
May 11, 2013 - Seattle, WA
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June 13, 2013 - Los Angeles, CA
The 4th Annual Leadership Summit on the Business of Women’s Health
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