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NPSF July 2015 e-news
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July 2015

President's Corner

This month, NPSF President and CEO Dr. Tejal Gandhi writes about organizations that are improving health care safety through greater transparency about errors and outcomes. Read her column.

       Tejal K. Gandhi



Transparency as a Path to Improve Patient Safety
Members of the NPSF Lucian Leape Institute co-authored an article about the importance of increasing transparency throughout the health care system. Read it on the Health Affairs blog.

NPSF Publishes Executive Summary of 2015 Leadership Day Program
Prior to the start of the 2015 NPSF Patient Safety Congress earlier this year, NPSF hosted a Pre-Congress program focusing on transparency between patients and providers, among organizations and physicians, and within England’s National Health System. Read more or download the Executive Summary.

From the P.S. Blog –
Breaking Health Care’s First Commandment
Creating communications bridges between departments is vital to avoiding breakdowns in infection protocol. Read the post.

Upcoming Events


Professional Learning Series Webcasts
The NPSF Professional Learning Series offers the convenience of continuing education and peer-to-peer collaboration in an online learning environment.


Thursday, August 6, 2015 | 1:00–2:00 pm Eastern Time
Reevaluating the Safe Use of Opioids

Featured Speaker:
Roy G. Soto, MD
Professor, Oakland University William Beaumont School of Medicine
Residency Program Director, Department of Anesthesiology

Register or learn more


Want a discount on webcast registration? Join one of our membership programs! Stand Up for Patient Safety member organizations receive complimentary registration for their teams. Members of the American Society of Professionals in Patient Safety may register for their individual participation at the member rate of only $20.

Thursday, September 17, 2015 | Boston, MA
NPSF Lucian Leape Institute 8th Annual Forum & Keynote Dinner

Guest speakers:

Mark Bonchek
CEO, SHIFT Thinking

  Dr. Jonathan Perlin
President of Clinical
Services and CMO, HCA; and Chair, AHA


Join national leaders in patient safety for an afternoon educational forum and an evening keynote and networking reception. Learn more about attending or supporting this unique event. 

Thursday, September 24, 2015 | 10:00 am–5:00 pm Eastern Time
Certified Professional in Patient Safety Review Course Webinar

This course is open to experienced patient safety professionals who plan to take the Certified Professional in Patient Safety (CPPS) examination. This program is approved for six (6) contact hours toward the fulfillment of the requirements of CPPS recertification. Read details or register.

Patient Safety News & Resources


Health IT Safety Webinar Series
EHR Documentation and Health IT Safety
Thursday, July 30, 2015 | 1:00–2:30 pm Eastern Time
Attendance is free. Register online. This is the 8th in a 10-part webinar series presented by RTI International and funded by the ONC.


Surgeon Scorecard Published Online
The nonprofit news agency ProPublica has published results of a years-long analysis of surgical outcomes using Medicare data. The report covers 8 common elective surgeries and gives scores for hospitals and doctors on complications. Read the story.

Risks Associated with Temporary Names for Newborns
A study in the current issue of Pediatrics recommends mitigating wrong-patient errors in neonatal intensive care by using a more specific naming convention than is usually used. Jason Adelman, MD, MS, lead author of the study, is a lifetime member of the American Society of Professionals in Patient Safety at NPSF (ASPPS). Read the open access study, or read a news summary from Medscape.

New Insights on Safety and Health IT
perspective piece on AHRQ’s Web M&M was co-authored by Rollin J. “Terry” Fairbanks, MD, MS, FACEP, CPPS, a member of the NPSF Board of Governors and a member of the American Society of Professionals in Patient Safety at NPSF (ASPPS). 

Diagnostic Error in Medicine Discussion
open-access article, from Diagnosis, discusses results from a participant discussion at the 7th International Conference on Diagnostic Error in Medicine facilitated by a World Café technique. Barbara Balik, RN, EdD, a member of the NPSF Board of Governors and a member of ASPPS, is a co-author. 

Do No Harm
The latest story in a series on patient safety from focuses on prevention of central line associated bloodstream infections.

Patient and Family Engagement: A Survey of US Hospital Practices
An open-access article reports results of a survey by the Health Research and Educational Trust of the American Hospital Association. 

Stay Connected 2015
NPSF is helping to spread the word about coming changes to tubing connections. The introduction of ENFit tip syringes and feeding tubes has been delayed in the US, Canada, and Puerto Rico to the first quarter of 2016. Visit the website for the latest updates.

NAN Alert: Move Toward Full Use of Metric Dosing
The June 30 alert from the National Alert Network advises to eliminate dosage cups that measure liquids in fluid drams; use cups that measure mL.

AHA-McKesson Quest for Quality Prize
This award is presented annually to honor hospitals pursuing excellence through hospital leadership and innovation in quality improvement and safety. The deadline to nominate for 2016 is October 11. Read more

RightCare Action Week
NPSF encourages people to participate in this recognition week, October 18-24, by taking action to show patients that we have not forgotten what good medical care is. Visit the RightCare Action Week website for ideas about actions you can take or to submit new ideas.

Consumer Corner: Medication Safety Tips
NPSF publishes Medication Safety Tips for Patients, as well as a downloadable Medication Wallet Card that you can fill out and carry with you to always have a list of your medications.

Thinking about membership?

NPSF offers membership programs for individuals and organizations that provide valuable benefits to help you stay on top of developments in patient safety, achieve your professional goals, and help grow or sustain your organization’s patient safety program. Learn more about membership.

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Improving Care for Older Adults with Acute Care at Home

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