The 80+ Children’s Hospitals’ Solutions for Patient Safety (SPS) Network hospitals are driven by the shared goal to urgently reduce and then eliminate serious harm for the children being cared for in our facilities. To guide this work, SPS network hospitals have come together around the following tenants.
SPS is focused on reducing harm by preventing readmissions, serious safety events and 9 specific hospital acquired conditions, including:
Attention nurses, doctors, physician assistants, and all healthcare personnel – recent investigations by health departments and the CDC have identified improper use of syringes, needles, and medication vials during routine injections. These practices have resulted in patients needing to be tested for bloodborne diseases including hepatitis and HIV. In addition to patient harm, clinicians are subject to disciplinary action. Make sure you are familiar with CDC’s Guide to Infection Prevention.http://ow.ly/zvZCk
I will be facilitating a “Candlelight Vigil: Honoring our Patients, Friends, and Family Members” at the IHI Forum again this year. You can find out more information after you enroll for the 2014 IHI National Forum.
We plan to hold this memorial on Sunday, December 7th from 6:30 PM – 7:00 PM. Please find a little time in your busy schedules at the Forum to reflect and remember your patients and loved ones by lighting a candle in their memory.
I’m creating a list of helpful links and resources for your facilities to assist families after loss which will be available following the event.
Let’s reinforce our focus on saving lives together. Many have written that this event is one of the most memorable. Your presence is appreciated.
Medical experts and researchers testify before a Senate Health, Education, Labor and Pensions subcommittee about errors in medical treatment and patient safety.
Would be great if my readers would write to the Senate Subcommittee to thank them for their support of patient safety and transparency in medicine and encourage them to continue the discussion as lives are depending on them to take action for all of us as we (the patient and family) can’t do it alone.
Senator Bernie Sanders 332 Dirksen Building Washington, D.C. 20510 tel (202) 224-5141 fax (202) 228-0776
Senator Barbara A. Mikulski 503 Hart Senate Office Building Washington, DC 20510 Phone: 202-224-4654 Fax: 202-224-8858
Senator Kay R. Hagan 521 Dirksen Senate Office Building Washington, DC 20510 Phone 202-224-6342 Fax 202-228-2563
New AHRQ Reports Show Private Insurance Premiums Rising at Modest Rate
Evidence Lacking on Depression Treatment for Pregnant and Postpartum Women
Study Suggests Ways To Measure Quality of Children’s Health Care More Accurately
New Guide To Clinical Preventive Services Available, E-Book Version Coming Soon
Register Now for July 22 AHRQ Health Care Innovations Exchange Webinar on Patient- and Family-Centered Care
‘Vulnerability is not weakness. Vulnerability is the most accurate measure of courage. Vulnerability is the birthplace of innovation, creativity and change.’
—Brene Brown, PhD, LMSW, The Gifts of Imperfection
Mrs. George (not her real name) was not unlike many patients we see for complex abdominal wall problems. Several years earlier, she had an open abdominal vascular procedure and developed an enlarging incisional hernia. She recounts that when she complained to her primary care physician and her surgeon, she was told she was getting fat and there was nothing wrong with her abdominal wall. Eventually, she became angry because her physicians simply were not listening to her. After a while, she sought a second opinion, and that surgeon told her she had an incisional hernia. Due to its size, she was referred to our hernia program….(read on)
CONCLUSIONS: Implementation of a standardized evidence-based handoff process across 23 children’s hospitals resulted in a significant decrease in handoff-related care failures, observed over all handoff types. Compliance to critical components of the handoff process improved, as did provider satisfaction.
Amazing post from our PIPSQC Ambassador and friend, Johannah Bruns Back, about a big wooden door, privacy and love.
“I am just a mom. But, I am a mom who has seen and felt the impact that one tragic mistake can cause. I’m a mom who has spent countless days within hospitals, witnessing and experiencing first-hand how what may seem like minor shortcuts against policy to some, can drastically affect patients and their loved one’s well-being. As a mom, I want to thank you and your organization for making sure that your staff is following HIPAA rules and regulations as they apply to patient care/privacy.”