Groups   |   Careers   |   Sign In   |   Join Now
Search our Site
General Patient Safety Discussion
|<
<
1 | 2 |
3
| 4 | 5 | 6
>
>>
>|
Forum Actions

Topics   Replies Score Author Latest Post
Staff and ventilated patients 0 W. Hyman A recent ventilator recall for non-alarming raised what might be some interesting expectations for staff. In brief these include: 1. Ensure patients are appropriately monitored (with constant attention) by trained caregivers 2. Always have an alternate power source and means of ventilation available when the ventilator is in use 3. Always use appropriate monitors to ensure sufficient oxygenation and ventilation Overall the message is: Do not rely on the ventilator alarms themselves.   Are there things real world expectations? If they aren't real world and there is a patient problem the manufacturer might blame you for not following the instructions.   https://www.fda.gov/Safety/Recalls/ucm550870.htm?source=govdelivery&utm_medium=email&utm_source=govdelivery
by W. Hyman
Wednesday, April 5, 2017
NPSF Open Access Webcast Archive 0 P. McTiernan Missed a Webcast? View the Replay in the NPSF Webcast Archive We are pleased to announce that complimentary access to past Professional Learning Series webcast replays is now available in the NPSF Webcast Archive. Learn more at https://npsf.site-ym.com/?PLSOpenAccess Please note that continuing education credit is not available for replays and was only available to those who attended the live event. If you are interested in viewing a webcast for continuing education credit, please click here to view the upcoming webcast schedule. Webcast replays will be added to the archive on a quarterly basis, so be sure to check back often.
by P. McTiernan
Tuesday, April 4, 2017
April Webcast: Improving Serious Illness Care 0 P. McTiernan Professional Learning Series Webcast The NPSF Professional Learning Series offers the convenience of continuing education and peer-to-peer collaboration in an online learning environment. Improving Serious Illness Care: More, Earlier, and Better Conversations about Patient Values and Goals April 19, 2017 | 1:00-2:00 pm Eastern Time Find out more and register, http://bit.ly/PLS0417 Featured speakers: Ellen DiPaola President & CEO Honoring Choices Massachusetts Joanna Paladino, MD Assistant Director of Implementation Serious Illness Care Program Ariadne Labs This webcast will review the importance of high quality communication between clinicians and patients about values and goals of care. We will discuss patient-centered, effective serious illness communication and its outcomes, including reduced physical and emotional suffering for patients and families, improved well-being, and improvements in the quality of serious illness care. In particular, we will discuss high quality communication as a patient safety issue and the ways in which the absence of communication, its initiation late in the illness course, or the lack of accessible documentation about patient goals can harm patients. The activity will also share best practices for improving patient/provider communication throughout a patient’s lifetime.
by P. McTiernan
Tuesday, April 4, 2017
Patient Safety Risk Assessment 4 C. Blalock Thank you for offering to share your Patient Safety Committee risk assessment. My email is ginger.castleberry@valir.com
by G. Castleberry
Tuesday, March 21, 2017
Patient Safety Awareness Week 2017 In Review 0 P. McTiernan Patient Safety Awareness Week took place March 12-18, 2017, with health care organizations, patients, and health professionals from across the country and internationally demonstrating their commitment to safe care. Thank you for all who took part. If you have not already shared your activities, you can still do so at www.unitedforpatientsafety.org.   Read about the week's highlights here, http://www.unitedforpatientsafety.org/patient_safety_awareness_week_2017_in_review
by P. McTiernan
Monday, March 20, 2017
Patient Safety Awareness Week Special Offer 0 P. McTiernan In honor of Patient Safety Awareness Week, NPSF has just announced a special, limited time offer: Save 10% on registration for the NPSF Patient Safety Congress, May 17-19, in Orlando when you use the code PSAW10 and register by midnight on March 31, 2017. The Early Bird rate is in effect until March 31, so you save twice!   For details of the meeting, go to http://www.npsf.org/congress.
by P. McTiernan
Friday, March 17, 2017
3/15 Webcast - The Voice of the Patient and the Public 0 K. Rowbotham Thank you to those that attended today’s webcast titled The Voice of the Patient and the Public with Marshall Allen of ProPublica, Rosemary Gibson of The Hastings Center, and Martin J. Hatlie, JD of Project Patient Care.   Get Involved in Patient Safety Awareness Week >>  Download Free Campaign Materials >>  Visit the Online Store >>  Help Us Spread Awareness by Donating to the Cause >>  Join the Discussion >>  Share Your Plans   Make sure to download and share the newly released Call to Action here.   Don’t forget to use the event hashtags #unitedforpatientsafety and #PSAW2017 to let everyone know what you are up to for the week.   We also encourage you to continue the discussion by adding your comments or questions below.
by K. Rowbotham
Wednesday, March 15, 2017
AHRQ and NPSF: #UnitedforPatientSafety 0 P. McTiernan Twenty years ago, the National Patient Safety Foundation (NPSF) was created to enhance awareness of issues related to patient safety. Two years later, AHRQ was officially designated as the Federal government's lead patient safety agency. So it's fair to say that our two organizations have been working alongside clinicians and others in leading the field toward solutions for the pernicious problems that affect far too many of our patients every day. Read this full blog post by Jeff Brady, MD, MPH, AHRQ's Center for Quality Improvement and Patient Safety and an assistant surgeon general in the U.S. Public Health Service. Dr. Gandhi is president and CEO of the National Patient Safety Foundation.
by P. McTiernan
Monday, March 13, 2017
Institute for Healthcare Improvement and NPSF Agree to Merger 0 P. McTiernan   Organizations uniting to advance common goals and accelerate progress in patient and workforce safety Boston, MA, March 13, 2017 — Recognizing that patient safety is a public health issue in need of fresh, robust approaches and constant focus for health care systems today, the Institute for Healthcare Improvement (IHI) and the National Patient Safety Foundation (NPSF) announce plans for a merger, effective May 1.   Read the press release.
by P. McTiernan
Monday, March 13, 2017
Patient Safety Awareness Week Starts Today 0 P. McTiernan   Join us in celebrating Patient Safety Awareness Week and help us spread the message that #WeAreAllPatients. Patient Safety Awareness Week Day 1 It’s the first day of Patient Safety Awareness Week! We have lots of opportunities for you to engage with us this week, and we hope you’ll join us in the celebration by taking our polls, sharing your plans, and spreading the word.   Visit www.UnitedforPatientSafety.org!   Patient Safety: What Patients Want (and Need) to Know Tuesday, March 14, 2017 | 1:00-2:00 pm ET Use the hashtag #PSAW17chat to join the conversation!   Register for the Complimentary Webcast at http://bit.ly/psawweb17   The Voice of the Patient and the Public Wednesday, March 15, 2017 2:00pm – 3:00pm (Eastern) | 1:00pm – 2:00pm (Central) | 11:00am – 12:00pm (Pacific) This webcast will look at the advancing role of the patient and the public in patient safety. We will explore past efforts that brought forth transparency to patient safety issues, examine where we are today, and discuss how we can shape the future together.
by P. McTiernan
Sunday, March 12, 2017
Better Than "Be Careful!" 0 W. Hyman A UK medical device recall related to the hazards of dropping the batteries included notice that a "Representative will schedule an on-site visit to affix a “Do Not Drop” label on the battery and provide additional instructions which will indicate to take extra care to avoid dropping the battery." How effective do you think labeling something Do Not Drop would be? And if effective, how might this concept be extended, eg Do Not Break, Do Not Misuse, or the more general Do Not Err.
by W. Hyman
Tuesday, March 7, 2017
Deadline Extended: Sherman Award for Excellence in Patient Engagement 0 P. McTiernan DEADLINE EXTENDED: Sherman Award for Excellence in #PatientEngagement. Submit outstanding programs by 3.10.17! www.engagingpatients.org/award
by P. McTiernan
Thursday, March 2, 2017
2/27 Webcast: Sleep Deprivation, Health Care Providers, and Patient Safety 0 K. Rowbotham Thank you to those that attended today’s webcast titled Sleep Deprivation, Health Care Providers, and Patient Safety with Christopher P. Landrigan, MD, MPH of Boston Children’s Hospital, Brigham and Women’s Hospital, and Harvard Medical School.   Please see some additional resources below. Make sure to check out our recent blog post on this issue. Read the recent Washington Post article co-authored by Dr. Landrigan. For more background, see Dr. Landrigan’s interview with AHRQ’s PSNet. We also encourage you to continue the discussion on health care provider fatigue by adding your comments or questions below.
by K. Rowbotham
Monday, February 27, 2017
A Health Care Change that Could Prove Catastrophic 0 P. McTiernan If you are interested in ACGME review of duty hour limits for PGY-1 interns, you may be interested in this op-ed co-authored by Dr. Christopher Landrigan.   Dr. Landrigan is the research director of the Inpatient Pediatrics Service at Boston Children’s Hospital, director of the Sleep and Patient Safety Program at Brigham and Women’s Hospital and an associate professor at Harvard Medical School. Charles A. Czeisler is director of the Sleep Health Institute and chief of the Division of Sleep and Circadian Disorders at Brigham and Women’s Hospital and a professor at Harvard Medical School.   Read their piece in yesterday's Washington Post here, https://www.washingtonpost.com/opinions/a-health-care-change-that-could-prove-catastrophic/2017/02/22/2a4970d2-f30e-11e6-a9b0-ecee7ce475fc_story.html?utm_term=.7bd8dabbd400   Dr. Landrigan is the speaker for our next webcast, Monday, Feb. 27, at 1pm ET, on Sleep Deprivation, Health Care Providers, and Patient Safety. Register at http://bit.ly/PLS0217
by P. McTiernan
Thursday, February 23, 2017
Nominations Closing Soon: 2017 Sherman Award 0 J. Carmona We wanted to let you know that nominations will close soon for the 2017 Sherman Award for Excellence in Patient Engagement. This award was created by EngagingPatients.org to recognize the innovative work being done by providers to advance patient and family engagement. The award is conferred annually in conjunction with the National Patient Safety Foundation’s Lucian Leape Institute and Taylor Healthcare.   We hope you will consider submitting a nomination. One person from the winning organization will receive an all-expenses paid trip to the National Patient Safety Foundation's Annual Congress from May 17-19 in Orlando, Fla., where the award will be presented. Additionally, the winning program will be recognized on EngagingPatients.org and through other public relations outreach. The award is a great way to recognize your work and showcase the exceptional patient and family engagement programs you have created. Please note that self-nominations are accepted and the award nomination form is fairly simple and should not be time-consuming.   Please take a few moments to visit www.engagingpatients.org/award to download the nomination form. Deadline for award submissions is March 3, 2017.
by J. Carmona
Tuesday, February 21, 2017
Sleep Deprivation, Health Care Providers, and Patient Safety 0 J. Carmona Fatigue can compromise the safety of patients and the health care workforce. by Joanna Carmona Christopher Landrigan, MD, MPH   Medical residents working shifts of 24 hours or more make 36% more serious medical errors than those who are limited to working 16 consecutive hours, according to a 2004 study published in the New England Journal of Medicine. Even with patient and physician safety in jeopardy over sleep deprivation and fatigue, there’s still much debate over reducing trainees’ hours. Some of the objection to duty hour limits comes from the idea that trainees need to work extra hours in order to gain clinical experience and that shorter shifts may cause harm due to the increased handoffs required. To Christopher P. Landrigan, MD, MPH, research director of the Inpatient Pediatrics Service at Boston Children’s Hospital, director of the Sleep and Patient Safety Program at Brigham and Women’s Hospital, and associate professor of pediatrics and medicine at Harvard Medical School, however, the misunderstanding of this key issue is the jumping off point to start discussion and change. In a 2013 interview in PSNet, Dr. Landrigan said that “the trick is to implement changes in work hours in concert with concentrated efforts to improve the handoff process, teamwork, and infrastructure. Doing so can address fatigue-related errors without necessarily leading to a substantial increase in handoff errors. The net result can indeed be one where fatigue-related errors are reduced and handoff errors are not increased either.”           Dr. Landrigan has a wealth of experience on this topic and is the featured speaker for the National Patient Safety Foundation’s next Professional Learning Series Webcast, Sleep Deprivation, Health Care Providers, and Patient Safety, on February 27, 2017. He has led numerous landmark studies on the epidemiology of medical errors and adverse events, and interventions designed to reduce their incidence. His most important work has been focused on developing reliable patient safety measurement tools, and improving the organization of residency programs and academic medical centers. Dr. Landrigan’s work has contributed to national changes in resident work hour standards. In 2011, the Accreditation Council for Graduate Medical Education (ACGME) created a set of requirements stating that duty periods of PGY-1 (Post Graduate Year One) residents must not exceed 16 hours in duration. Most recently, however, ACGME is in the midst of a re-review of the requirements with the intention of deciding whether or not to revert these requirements, allowing PGY-1 residents to take on 28-hour shifts like their more senior colleagues. We know that when restrictions on shift hours are put in place, residents report that their quality of life improves and the rate of serious medical errors is reduced. We’ll discuss this and much more on the relationship between health care provider work hours, sleep deprivation, and patient safety. Please join us for this timely discussion.    
by J. Carmona
Tuesday, February 21, 2017
NPSF E-News, February 0 P. McTiernan White Paper: A Framework for Safe, Reliable, and Effective Care The Institute for Healthcare Improvement (IHI) has released a white paper which offers strategies to advance patient safety issues in areas, including leadership, teamwork, negotiation, transparency, reliability, improvement and measurement. Read the paper here, http://www.ihi.org/resources/Pages/IHIWhitePapers/Framework-Safe-Reliable-Effective-Care.aspx.   Get more NPSF News and Patient Safety News and Resources via our February e-News, available at http://www.npsf.org/page/enewsfeb2017npsf.
by P. McTiernan
Thursday, February 16, 2017
Don Berwick Announced as Keynote Speaker: NPSF Congress 0 P. McTiernan   19th Annual NPSF Patient Safety Congress Wednesday, May 17–Friday, May 19, 2017 Orlando, FL           Visit the Congress Website Register Online Now and Save $200 Join us at the one and only globally relevant conference with a sole focus on patient safety. The 2017 program includes Inspiring keynote sessions with renowned thought leaders Hands-on educational breakout sessions led by get-it-done experts The engaging and interactive Learning & Simulation Center Optional Immersion Workshops provide in-depth full-day sessions on specific issues in workforce and health care safety Plus — More than 100 posters Live and interactive medical simulation 80 solutions providers 2 networking receptions, daily breakfast and lunch — and more. Who Should Attend Patient safety, quality, and risk professionals Hospital executives and board members Frontline clinicians, including nurses, physicians, and pharmacists Patient advocates, payors, researchers, and policy setters All those dedicated to patient safety — Across the continuum | Across all specialties Don Berwick Announcing Keynote Sessions Among others —  The History of Safety, Reflections on the Past, Look to the Future With featured speaker Donald M. Berwick, MD, MPP, FRCP Don Berwick, President Emeritus and Senior Fellow, Institute for Healthcare Improvement, is also former Administrator of the Centers for Medicare & Medicaid Services. A pediatrician by background, he has served on the faculty of the Harvard Medical School and Harvard School of Public Health, and on the staffs of Boston's Children's Hospital Medical Center, Massachusetts General Hospital, and the Brigham and Women's Hospital. Dr. Berwick served two terms on the Institute of Medicine's (IOM's) Governing Council, was a member of the IOM's Global Health Board, and served on President Clinton's Advisory Commission on Consumer Protection and Quality in the Healthcare Industry. In 2005, he was appointed "Honorary Knight Commander of the British Empire" by Her Majesty, Queen Elizabeth II, in recognition of his work with the British National Health Service. Dr. Berwick is the author or co-author of over 160 scientific articles and six books. Breakout Sessions Choose from 30 informative sessions in six educational tracks: Advancing Safety Science Implementation Caring for the Caregiver Culture of Safety in the Workplace Innovative Technology Medication Safety Across the Continuum Patient Safety Beyond the Walls of the Hospital Immersion Workshops Make the most of your Congress experience by participating in our Immersion Workshops (additional day, separate registration). Select one of these full-day programs that take deep dives into compelling areas of patient safety. Leadership Day: The Business Case for Patient Safety Certified Professional in Patient Safety Review Course Patient Safety 101 Emotional Harm and Peer Support NEW THIS YEAR! Hotel Information Attendees can book accommodations by going online to https://aws.passkey.com/go/nps2017 or by calling the hotel directly at 1-800- 266-9432. Please indicate that you are with the National Patient Safety Foundation. Sleeping rooms are available on a first-come, first-served basis within the designated NPSF block. Rates are $189 per night, exclusive of state and local taxes. REGISTER for Congress Today Stand Up for Patient Safety members receive a 20% discount on Congress registration. Check the member pages of www.npsf.org for details. Members of the American Society of Professionals in Patient Safety (ASPPS) receive a 10% discount on Congress registration. Check the member pagesof www.npsf.org for details. Supporters, Exhibitors Learn more about supporting or exhibiting at the Annual NPSF Congress. Special Discount NPSF Patient Safety Congress Keynote Speaker Series Couldn't make it to the last Annual NPSF Congress? We’ve got you covered: Watch three of the Keynotes and earn continuing education credits at the same time. You can now purchase the Keynotes for the discounted rate of $29 each. Available until May 15, 2017. Learn more here.
by P. McTiernan
Friday, February 10, 2017
Patient Safety News Roundup, February 6 0 J. Carmona   Improving Medication Reconciliation PSQH|December 9, 2016 http://www.psqh.com/analysis/medication-reconciliation-improve-compliance-across-healthcare-settings/#   Intentional Rounding to Prevent Patient Falls Journal of Clinical Nursing| December 22, 2016 http://onlinelibrary.wiley.com/doi/10.1111/jocn.13401/full   MRSA Prevention Initiative American Journal of Infection Control| January 1, 2017 http://www.ajicjournal.org/article/S0196-6553%2816%2930814-8/fulltext   Risk of Infection with Endoscopes American Journal of Infection Control|February 1, 2017 http://www.ajicjournal.org/article/S0196-6553(16)30970-1/fulltext   High Risk Drugs and Medication Errors Applied Nursing Research|February, 2017 http://www.appliednursingresearch.org/article/S0897-1897%2816%2930376-7/fulltext   White Paper: A Framework for Safe, Reliable, and Effective Care Institute for Healthcare Improvement|2017 http://www.ihi.org/resources/Pages/IHIWhitePapers/Framework-Safe-Reliable-Effective-Care.aspx
by J. Carmona
Thursday, February 9, 2017
NPSF Offers New Health Literacy Educational Module 0 J. Carmona New Complimentary Educational Module Promoting Clear Health Communication Limited health literacy is a serious problem facing our health care system. By some estimates, nearly 9 out of 10 adults have difficulty using information that is routinely available from health care facilities, in their communities, and in the media.    The newest educational module from NPSF, Promoting Clear Health Communication with Ask Me 3®, reviews the nature of limited health literacy as well as what health care professionals can do to help patients increase their understanding of health care information. View the 26-minute video individually or with staff and learn how to: Define limited health literacy and identify its prevalence and impact Identify potential at-risk populations and red flag behaviors related to limited health literacy Outline best practices for improving patients’ understanding of health care information Outline tactics for successfully implementing Ask Me 3 within organizations   Learn more and access the new educational module as well as other complimentary Ask Me 3 materials. Please note that registration and agreement with the terms and conditions regarding usage is required.   
by J. Carmona
Wednesday, February 8, 2017
Copyright ©2017 National Patient Safety Foundation. All Rights Reserved.



Membership Software  ::  Legal