Preventing Wrong-Site Surgery in Minnesota: A 5-Year Journey
Preventing Wrong-Site Surgery in Minnesota: A 5-Year Journey
While rare, surgeries and invasive procedures on the wrong body part (wrong-site procedures) are proving to be one of the most intractable patient safety issues. Despite years of effort at the state, national, and individual facility levels, these preventable events continue to occur.
Radiology – Peer Review: Why Current Models Undermine Safety Culture
The field of radiology is known for its rapid innovations in technology. We continually offer up exciting new ways to image the body, but when it comes to improving the accuracy of professional interpretations, little meaningful progress has been made in the last 50 years. This is true in part because current radiology peer review models are insufficient, and in some circumstances, even harmful to quality improvement efforts.
Sterile Compounding Tragedy: Symptom of a Broken System
ISMP
Sterile Compounding Tragedy: Symptom of a Broken System
In the wake of the current multistate meningitis outbreak (www.cdc.gov/HAI/outbreaks/meningitis.html), ISMP wishes to express its deepest sympathy to all affected by the contamination of compounded products from a New England compounding pharmacy. This is certainly a tragedy of monumental proportions.
Key Characteristics of Successful Leaders
Lean Transformation
Key Characteristics of Successful Leaders
Replacing senior leaders in an organization is never easy. With a board of directors and other top executives having invested a lot of time and money in supporting the former leader, now they face the difficult task of replacing that knowledge and experience with a leader who will help advance the organization into the future. Finding effective leaders is different today than it might have been in the past, but there are certain, proven criteria organizations should consider using to find the right people.
The ‘Big Universe’ of Diagnostic Error
Editor’s Notebook
The ‘Big Universe’ of Diagnostic Error
Patient safety advocates look forward to the day when principles they currently pursue as part of a directed agenda infuse the practice of medicine extensively, resulting in less need for advocacy, remedial training, and re-engineering because patient safety is baked into the culture of medicine.
News: Meningitis Outbreak Prompts State and Federal Action to Improve Safety
News
Meningitis Outbreak Prompts State and Federal Action to Improve Safety
According to the Institute for Safe Medication Practices (ISMP), the fungal meningitis outbreak caused by contaminated products from a Massachusetts compounding pharmacy may be the most serious medication safety incident in recorded history.
News: The American Society of Medication Safety Officers
News
The American Society of Medication Safety Officers
A Conversation with Christian Hartman, Founder and President
PSQH Editor Susan Carr talked with Chris Hartman in June 2012 about the American Society of Medication Safety Officers (ASMSO), an organization he started in 2006.
News: AHRQ Patient Safety Project Reduces Bloodstream Infections by 40 Percent
News
AHRQ Patient Safety Project Reduces Bloodstream Infections by 40 Percent
A unique nationwide patient safety project funded by the Agency for Healthcare Research and Quality (AHRQ) reduced the rate of central line-associated bloodstream infections (CLABSIs) in intensive care units by 40 percent, according to the agency’s preliminary findings of the largest national effort to combat CLABSIs to date.
News: Best Care at Lower Cost: The Path to Continuously Learning Health Care in America
News
Best Care at Lower Cost: The Path to Continuously Learning Health Care in America
America’s healthcare system has become too complex and costly to continue business as usual, says a new report from the Institute of Medicine. Inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation’s economic stability and global competitiveness, the report says.
EMPSF 2nd Annual Patient Safety Summit
EMPSF 2nd Annual Patient Safety Summit
On March 22 and 23, 2012, the Emergency Medicine Patient Safety Foundation (EMPSF) held its 2nd Annual Patient Safety Summit: From Insights to Outcomes: Getting Results! The meeting brought together key stakeholders and thought leaders from across the emergency care continuum. Among the distinguished panel of speakers were the presidents of the American College of Emergency Physicians, Emergency Nurses Association, National Patient Safety Foundation, and the American Society for Healthcare Risk Management.