Mundelein, Illinois, March 16, 2011—The Association of periOperative Registered Nurses (AORN) has recently released the AORN Retained Surgical Items Confidence-Based Learning Module (CBL) based on the association’s current Recommended Practices for Prevention of Retained Surgical Items (RSIs).
PULSE: Cleveland Clinic Team Develops New Quality Index for Hospitals
In a major paper published in the journal Anesthesiology, a Cleveland Clinic-led research team announced the development of a new publicly available tool to help patients, regulators, and hospitals compare patient outcomes and quality.
Healthcare Team Training (HTT) and Smart Horizons have partnered to launch a new online learning course, Coaching for Success, which is approved for CEU credit through Duke University Health System Clinical Education & Professional Development. This course develops individual coaching knowledge and skills for healthcare professionals.
Hospitals that had operating room personnel participate in a medical team training program that incorporates practices of aviation crews, such as training in teamwork and communication, had a lower rate of surgical deaths compared to hospitals that did not participate in the program, according to a study in the October 20 issue of JAMA.
Building a Culture of Safety
In the 10-plus years since the inaugural publication of the Institute of Medicine (IOM) study on medical error, To Err Is Human, there has been surprisingly little progress in reducing the rate of medical error, despite the adoption of technologies specifically intended to combat medical errors. A growing number of people attribute this lack of progress to fundamental flaws in the American healthcare culture that prevent success.
Safety Huddles for a Culture of Safety
When the Institute of Medicine (IOM) published To Err Is Human: Building a Safer Health System in 2000, the executives and quality and patient safety staff at Gundersen Lutheran immediately started discussions around issues emphasized in the report.
Building a Team of Informaticists
In “Clinical Informatics and the CMIO” (PSQH 2010, Jan./Feb.), I discussed the importance of clinical informatics in institutions achieving their EMR implementation goals. I talked about why you can’t “just take the paper order set and make it appear on the screen” and how you should brace yourself for organizational change when you start doing electronic order entry.
Lucian Leape Institute Finds Medical Schools Fall Short in Teaching How to Provide Safe Care
The Lucian Leape Institute at the National Patient Safety Foundation has released a report that finds that U.S. “medical schools are not doing an adequate job of facilitating student understanding of basic knowledge and the development of skills required for the provision of safe patient care.” The report comes approximately 10 years after the Institute of Medicine’s landmark 1999 report, To Err Is Human, which found that 98,000 Americans die unnecessarily from preventable medical errors.