Patient Safety in Africa: A Culture Shift?

Patient Safety in Africa: A Culture Shift?

Patient safety has received increased attention in African countries in the last decade, yet little is known about African patient safety challenges and quality improvement opportunities.

Read More »

Telluride Interdisciplinary Patient Safety Roundtable

Telluride Interdisciplinary Patient Safety Roundtable:
Medical Students’ Daily Narrative Reflections

As each new report of medical harm is published, the need to redesign medical education to prepare young physicians capable of approaching patient care in ways that decrease the opportunity for harm reaches a new level of urgency.

Read More »

The Stories Behind the Data

The Stories Behind the Data

Narratives in event reporting database reveal opportunities for fall prevention.

Patient falls continue to be one of the leading causes of adverse events and patient harm in hospitals (Dykes et al., 2010). Injuries from falls can increase the length of hospital stay and increase hospital costs (Dykes et al., 2010; Krauss et al., 2007). As a result, fall reduction and prevention has become the focus for many national and international organizations (Szumlas et al., 2004).

Read More »

Gray Market, Black Heart

ISMP

Gray Market, Black Heart

Pharmaceutical gray market finds a disturbing niche during the drug shortage crisis.

Widespread accounts of frustration, outrage, and serious compromises to patient care came across loud and clear from purchasing agents and pharmacists at 549 hospitals who participated in ISMP’s July-August survey (2011) on gray market activities associated with drug shortages.

Read More »

The Link Between Transparency and Patient Safety

Event Reporting

The Link Between Transparency and Patient Safety

Since early 2010, 13 private, acute care hospitals in Rhode Island have been collaborating in a major initiative to improve patient safety through better reporting of data on adverse and near-miss medical events. The hospitals now use the same medical event reporting technology and have standardized their reporting criteria.

Read More »

Provider-Friendly Terminology Speaks the Language of Quality and Safety

Medical Terminology Management

Provider-Friendly Terminology Speaks the Language of Quality and Safety

As a practicing physician, my peers often ask me what I do in the technology arena. When I reply, “standardization or medical terminology management,” I’ve usually lost them. And at its core, the goal of standardization really is not to complicate matters for physicians and other clinicians. Provider-friendly terminology (PFT) is an example of the kind of standardization our industry needs.

Read More »

Health IT & Quality

Health IT & Quality

It’s All About Jobs

What would Steve do? Steve Jobs, the 20th century’s greatest and most successful innovator, engrained that mantra into the heads of every Apple employee. Only those staff members who thought through problems the way Jobs did would offer solutions that were acceptable to their boss.

Read More »

Editor’s Notebook

Editor’s Notebook

‘Do No Harm’ to Clinicians, Too

In her work as president of MITSS (Medically Induced Trauma Support Services), Linda Kenney has always included clinicians among those who may need support following traumatic events in the course of medical care. She has steadily increased her efforts on behalf of clinicians in recent years, publishing a toolkit in 2010 to help organizations design and implement programs.

Read More »

Patient Safety and Health IT

by Susan Carr

The Institute of Medicine’s consensus report, Health IT and Patient Safety: Building Safer Systems for Better Care, gives a realistic, sobering view of the safety implications of electronic medial/health records (EHRs)…

Read More »

NEXT STEP Program Wins 2011 HOPE Award

Nov. 14, 2011—The winner of the 2011 MITSS HOPE Award is the NEXT STEP Program at St. Joseph Mercy Hospital Emergency Department in Ann Arbor, Michigan. The HOPE Award Honors Outstanding People Everywhere who have furthered the MITSS mission of Supporting Healing and Restoring Hope to patients, and families, and clinicians who have been impacted by adverse medical events. RL Solutions’ President and CEO, Sanjay Malaviya, presented the award at the MITSS 10th Annual Dinner and Fundraiser held at the Westin Copley Place, Boston, on Tuesday, November 1st. 

Read More »