Industry Focus—Culture of Safety: Just Culture…It’s Much More Than an Algorithm
In a high-reliability culture, a paradigm exists that simply states that it is not realistic to expect zero human error. Human error is ubiquitous; it is inevitable. As much as we dictate policy and guidelines, as much as we practice and train, humans will commit errors; it is a constant.
Clinician Visits at SNFs Linked to Readmission and Mortality Rates
The recent study, published in Health Affairs and LDI Research Brief, found clinician visits to hospital-discharged patients at SNFs were strongly associated with readmission and mortality rates.
More Than Manners: Involving Patients and Representatives in Care Decisions
Featured in this month’s PSQI Online Spotlight: Patient safety coaches explain how to involve patients in their care decisions.
In-Hospital Delirium Predictive of Readmission, Discharge to Postacute Facilities, ER Visits
The recent research in the Journal of Hospital Medicine featured data collected from more than 700 delirious patients and nearly 8,000 non-delirious patients. The researchers found delirious patients had increased odds for 30-day readmissions, ED visits, and discharge to postacute care facilities.
How Intermountain Reduced NICU Infections, Pain, Blood Loss
In 2008, Dixie Regional Medical Center in St. George, Utah, launched an initiative to reduce infections and other harms linked to invasive procedures in the Intermountain Healthcare facility’s NICU.
Improve Medication Reconciliation, Postacute Handoff Using 2-Part Discharge Checklist
Without a thorough discharge summary and completed medication reconciliation, postacute-care teams can be bewildered, and patients can be at risk of costly readmissions. Research has linked readmissions to poor communication and poor care coordination between hospitals and primary care providers.
Joint Commission to Publicly Report C-sections
Hospital rankings will be based on The Joint Commission’s perinatal care (PC) Cesarean Birth measure PC-02. Hospitals accredited by TJC are already required to report that data to the accreditor, but this will be the first time it’ll be visible to the public.
Envision Develops Portal for Patient Handoff Best Practices
During the transition between care providers, the potential for patient harm grows due to the transfer of inaccurate, incomplete, delayed, misinterpreted, or otherwise unhelpful information about the patient’s condition.
Happy Patient, Happy Hospital: Increase Patient Engagement With Advocates
Advocates who work for hospitals and health systems help patients navigate the care they receive within that system, as well as any associated financial responsibilities. They do so for all patients, free of charge, as part of their in-hospital services.
Are Your Physicians Suffering from Burnout—or Moral Injury?
Research indicates that nearly half of physicians nationwide are experiencing burnout symptoms, and a study published in October found burnout increases the odds of physician involvement in patient safety incidents, unprofessionalism, and lower patient satisfaction.