Viewpoint: Let’s Fix One Real Problem with Patient Safety

By Annie Callanan and Frank Mazza, MD

Measurement has proven foundational to advancing individual and collective performance in every business endeavor, vocational pursuit, professional sport, and recreational hobby. People do not always appreciate being measured, and some fear the implication more than others. But every successful advancement over the past century has been aided, and ultimately affirmed, by metrics that authenticate comparative achievement.

Measurements serve as foundational pillars underlying performance in every facet of our lives. They form the basis of compensation structures, bragging rights, passions, and failures. Measurements define individuals for whom they are and how they evolve and progress. A systematic approach to measurement has even permeated 21st-century philanthropy, thanks in no small part to the Bill and Melinda Gates Foundation, which counts deep inroads toward the ultimate elimination of malaria as a victory of actionable assessment (Bill & Melinda Gates Foundation, 2010; What we do, n.d.).

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Patient Safety Experts Highlight Key Concerns for 2016

For many healthcare facilities, a new year means new goals. As we say goodbye to 2015, patient safety experts from around the country share their focus areas for the coming year. Improving EHR systems After spending the last several years implementing, launching, and optimizing a system-wide electronic medical record (EMR) system, Henry Ford Health System … Continued

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Patient Safety News Roundup

CMS penalizes 758 hospitals for patient safety infractions The CMS has fined 758 hospitals across the country for high rates of patient safety incidents including infections, sepsis, and hip fractures. More than half of the hospitals that were fined in 2015 also received fines the previous year, according to Kaiser Health News. Hospitals will pay … Continued

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New Tool Simplifies the Process of Patient Safety Improvement

A new tool offers a straightforward approach to improvement A new tool endorsed by the National Patient Safety Foundation aims to streamline patient safety and quality improvement efforts using a simple, evidence-based model. “The Healthcare Adventures Graphic Gameplan for Patient Safety,” released in October 2015, offers a standardized approach both leaders and clinicians can use … Continued

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Study: Poor Communication Leads to Malpractice, Death

Poor communication in healthcare has tangible, measurable effects. A new study released by CRICO Strategies found that communications failures were a factor in 30% of malpractice cases between 2009 to 2013, including 1,744 deaths. The reports estimate that both the deaths and $1.7 billion in malpractice costs could have been avoided with better communication between patients and physicians. 

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JAMA: Nurses Key to Surviving Surgery

A study released in The Journal of the American Medical Association has found that surgical patients in hospitals with better nursing environments receive better care without drastically increasing costs. Researchers found the rate of 30-day mortality rates for postoperative patients was 4.8% at hospitals with more than 1.5 nurses per bed (NPB), while facilities with … Continued

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Nominations Open for Sherman Award for Excellence in Patient Engagement

EngagingPatients.org, an online community dedicated to sharing best practices in patient and family engagement, is now accepting nominations for the 2016 John Q. Sherman Award for Excellence in Patient Engagement. Established in 2014, the Sherman Award is dedicated to recognizing innovative work that has resulted in better, safer care and improved outcomes by engaging patients … Continued

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The Hidden Patient Experience

Alexandra  Wilson Pecci, for HealthLeaders Media How well-meaning and clinically important actions can make or break the patient experience, and how leaders at Cleveland Clinic and Mount Sinai Health System are refocusing efforts. During her hospital’s monthly executive leadership rounds, Cleveland Clinic’s executive chief nursing officer, K. Kelly Hancock, MSN, RN, NE-BC, met a patient … Continued

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Physical Therapy Joins the Movement

By Susan Carr

This year’s annual conference of the American Physical Therapy Association’s Massachusetts chapter (APTAMA) focused on a microcosm of issues in healthcare improvement: value, collaboration, measurement, and spread. After hearing Alan M. Jette, PT, PhD, FAPTA, deliver the keynote address, “System Thinking to Thrive in a Changing Health Care Environment,” I participated on a panel that included Jette in a discussion of the issues he raised.

Leaders in physical therapy are working hard to inspire practicing physical therapists (PT) to pursue improvement efforts within their profession, in healthcare more broadly, and with consumers directly. Leaders such as Jette and Mary Duffy Zupkus, PT, MPA, president of the APTAMA (and—full disclosure—my PT), believe that physical therapy offers unique opportunities to advance healthcare delivery and must reposition itself as a profession in order to survive the new demands of the healthcare marketplace. The enthusiasm and savvy of those who attended the conference, presented on the panel, and asked insightful questions were reminders that important stakeholders continue to join the improvement movement.

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