Using Big Data Meaningfully to Improve Quality and Safety
By Hardeep Singh,MD, MPH; and Dean F. Sittig, PhD
It’s rare to attend a conference on quality, safety, or informatics without feeling the excitement of “big data,” a loose term referring to large volumes of interconnected (and often unverified) data that may be updated and processed rapidly.
The Internet of Healthcare Things
By Mitch Work, MPA, FHIMSS
Many healthcare organizations are currently seeking to leverage the potential benefits of the Internet of Healthcare Things (IoHT), where objects have network connectivity and data can be shared and analyzed, resulting in better, more efficient healthcare and giving patients the power to proactively care for themselves.
Six Professional Schools Provide Team-Based Learning
By Nazanin Kuseh Kalani Yazd
The University of Colorado Anschutz Medical Campus approaches interprofessional education in a manner that mimics the reality of working on an interprofessional team. To prepare students to work in a field that requires coordination across many different disciplines, the University of Colorado takes advantage of the diversity at its health sciences campus by bringing together students from six professional schools in one interprofessional course. In the Interprofessional Education and Development (IPED) course, students in the medical, dentistry, nursing, pharmacy, physical therapy, and physician assistant programs collaborate to solve team-based exercises in 16 two-hour sessions over the course of two years.
Policies for the Use of Personal Mobile Devices in Surgical Suites
By Anne V. Irving, MA, FACHE, CPHRM, DFASHRM
Human factors studies indicate that distractions and multitasking increase the likelihood of error (Feil, 2013; Wiegmann, ElBardissi, Dearani, Daly, & Sundt, 2007). Allowing personnel to bring their cell phones, smartphones, or other mobile devices into a surgical suite introduces a new distraction into an already complex, noisy, high-stakes environment.
Interoperability in the Perioperative Suite: Promise and Reality
By Charlie Berg, BA, BSEE
In recent years, hospitals have made great strides in the adoption of electronic health records (EHR). As of 2014, 76% of hospitals in the United States were employing an EHR system to manage clinical information (American Hospital Association, 2015). The perioperative staff is now looking for improvements to their workflow and work environment from these electronic systems, seeking patient-safety focused integration of information carefully selected from the growing flood of electronic data.
Integrating Quality Into Medical School Curriculum: One Student’s Perspective
By Anne Press
The traditional medical school curriculum has a heavy scientific focus, especially in the first two years. In an already jam-packed curriculum, it can be difficult to replace any of the materials with improvement science. To combat this, Hofstra-North Shore-LIJ School of Medicine launched—with the school’s inaugural class in 2011—a four-year curriculum in patient safety, quality, and effectiveness.
Get FHIRed Up
By Barry P. Chaiken, MD, MPH
Although I’m a physician, not a technology expert, I’m jazzed about the FHIR® (Fast Healthcare Interoperability Resources) specification. Organizations struggle to share patient information with each other due to data structure and definition incompatibilities. This lack of interoperability forces physicians to treat patients without the benefit of a complete patient record, which leads to duplicate testing, unnecessary procedures, misdiagnoses, and medical errors.
Editor’s Notebook: The Measurement Challenge
Measurement is central to current discussions about the state of patient safety, as well as federal healthcare reform and efforts to move toward value-based purchasing. Using data to understand, drive, and evaluate improvement efforts has a long history. In fact, the patient safety movement was launched by a memorable data point: medical errors cause between 44,000 and 98,000 deaths each year in the United States (Kohn, Corrigan, & Donaldson, 2000). And the axiom “you can’t improve what you can’t measure” is a touchstone for quality improvement.
Dispelling a Few Myths
By the Institute for Safe Medication Practices
Now that 2016 is underway, the Institute for Safe Medication Practices (ISMP) would like to extend its sincere thanks to the many healthcare providers, consumers, advocacy groups, organizations, agencies, and companies that have allowed us to be part of their journey to reduce patient harm from medication errors. It has been both a distinct privilege and a profound responsibility to touch the lives of so many during the past year. Since becoming a charitable organization more than two decades ago, ISMP has pursued a singular mission to advance patient safety worldwide by empowering the healthcare community, including consumers, to prevent medication errors.
Crossing the Medication Safety Chasm
New technology identifies, measures, and documents manual intravenous bolus injections in real time
By James H. Philip, ME(E), MD, CCE; Mark Mitchell, MD, MSEE; and Celine Peters, RN, MN
Anesthesiologists have long played a role in advancing medication safety. More than 30 years ago, the Anesthesia Patient Safety Foundation (APSF) was launched as an independent organization with the vision that “no patient shall be harmed by anesthesia” (Stoelting, n.d.). Recognizing the importance of multidisciplinary collaboration, the APSF includes anesthesiologists, nurse anesthetists, nurses, manufacturers of equipment and drugs, regulators, risk managers, attorneys, insurers, and engineers.