January 2012
18 posts
WatchTALKS | TEDX
Brian Goldman: Doctors make mistakes. Can we talk about that?
AHRQ Quality Indicators™ Toolkit for Hospitals →
Improving Performance on the AHRQ Quality Indicators
To learn more about the toolkit from the developers and hear from a quality expert at a hospital that tested it, register for a free AHRQ-sponsored Webinar on February 15 from 2:30-4:00 p.m. ET:
http://tinyurl.com/6m4tn9n
The Webinar “How To Improve Performance on the AHRQ Inpatient Quality and Patient Safety Indicators: Introducing a Toolkit...
Learn more: Survey Finds ‘Discouraging’ Injection... →
“A new survey paints an at-times alarming picture of injection practices among anesthesiologists in New York state.”
One of the patient safety groups that I participate in is the NYS “One and Only” Safe Injection Practices Work group. I ask you to please take a look at this report (linked in the title) in Anesthesiology News this month.
Drs. Greene, Gounder and Beers...
Questions to ponder in healthcare injury and...
Training discussion topics:
What would be the one thing that you would change in healthcare that you know would save lives?
What have you learned from reading Justin’s story? What was done right? What was done wrong? What could have been done better?
Patients/Families: What does Justice mean to the patient/family who has experienced the harm? What do you honestly want to see occur to the...
NICHQ Powerful Partnerships A Handbook for... →
Introduction
“This guide is intended to help both family members and healthcare professionals who are working together to improve care for children with special healthcare needs. Joining together in multi-disciplinary teams, family members and providers are increasingly working as equal partners to improve care. Collaborating as equals may be new for family members and providers. This guide...
Parent to Parent/Family Voices of NYS Record... →
Advancing the global communication of scholarship... →
Please visit the author’s website: http://www.personcenteredmedicine.org/
“The International Network for Person-centered Medicine now denominated International College of Person-centered Medicine is a non-for-profit educational, research, and advocacy organization emerging from the Geneva Conferences on Person-centered Medicine since 2008 to date aimed at promoting the articulation of...
11 tags
“God hath not promised skies always blue,
Flower-strewn pathways all our lives...”
– I am often asked to share my wisdom and the wisdom and expertise of healthcare providers with patients and families to help them through trying, unbearable times when they are feeling abandoned. Sometimes, at the end of the day when nothing more can be done, advised or said, I give them this poem...
Medical-Legal Partnership Helping Patients and... →
Great talk today on WIHI “Removing Barriers to Better Health and Better Care with Medical-Legal Partnerships”
Barry Zuckerman, MD, Chair, Department of Pediatrics, Boston University School of Medicine; Founder, National Center for Medical-Legal Partnership
Robert Kahn, MD, MPH, Associate Professor of Pediatrics and Director, Division of General and Community Pediatrics, Cincinnati...
IHI Open School Presentation on Patient Safety,... →
I’m excited to be presenting for the Northeast Hospitals IHI Open School Chapter affiliated with Endicott College, North Shore Community College and Salem State University in Massachusetts on Jan. 30, 2012 at 6:30 pm. Please join us or form a chapter near you! (updated post)
IHI 23rd Annual National Forum on Quality... →
Presentations located on the PIPSQC web site
1. New Paradigms in Paediatric Patient Safety Lachman, P., MD, Associate Medical Director and Consultant in Service Redesign and Transformation, Great Ormond Street Hospital for Children NHS Trust 2. Pediatricians Partnering with Patients and Families to Save Lives Micalizzi, D., Pediatric Patient Safety Advocate and Consultant, The Task Force...
See IHITV: IHI 23rd Annual National Forum on... →
'Couch potato pill' may also prevent heatstroke →
Some of the intriguing scientific work being completed by Dr. Robert Dirksen, a professor of pharmacology at the University of Rochester Medical Center in New York and Dr. Susan Hamilton, a professor of molecular physiology at Baylor College of Medicine in Houston, Texas. Both were presenters at the 2010 MHAUS Scientific Conference. See more at MHAUS:...
Informed choice: The meeting point of law, ... →
Many thanks to the Health Issues Centre of Victoria’s Health Consumer Organisation (Australia) for providing our Justin’s HOPE audience with full access to this publication. Please visit their informative site at http://www.healthissuescentre.org.au/ and browse their impressive resource library at http://www.healthissuescentre.org.au/publications/library.shtml
Victoria’s Health...
Anesthesiology News NYS: Survey Finds... →
ABC News Video: Quality of Hospital Care →
It’s time we mandate reporting of medical mistakes! Noticing errors, reporting them and reducing them should be a priority and the law just like many of us who work with children are mandated to report child abuse. Having a state reporting agency “hot line” where you can make a call anonymously (or not) with your concerns can keep people safe. For not reporting a suspected error...
The Task Force for Global Health 2011 Annual... →
Please share this amazing work that the Task Force continues to accomplish. I’m very proud and honored to be involved in their work and mission to improve care internationally! Thank you to all of the staff for assisting our Justin’s HOPE project over the years to become an educational tool in providing safer and more transparent healthcare while educating and embracing students and...
December 2011
7 posts
WIHI-Heard at the Forum: New Ideas and Learning... →
Please listen to the archived broadcast with take away learning and resources from the #IHI 23rd Forum!
PIPSQC Minicourse at the IHI 23rd Annual National... →
PIPSQC Blog: PIPSQC’s Minicourse (M23) “Making Health Care Safer for Children” at the IHI 23rd Annual National Forum was a Great Success! Thank you to all our Participants. Presentations from the Minicourse will soon be posted online in the Resource Center.
We are delighted to announce Dr. Peter Lachman as the new Chair of PIPSQC! Peter was a founding member of PIPSQC and has served as PIPSQC...
Partnership for Patients initiative to improve... →
“…Achieving the Partnership for Patients’ objectives would mean approximately 1.8 million fewer injuries to patients in the hospital, saving over 60,000 lives over three years, and would mean more than 1.6 million patients to recover from illness without suffering a preventable complication requiring re-hospitalization.
The 26 organizations receiving awards are: American Hospital...
Regina Holliday's Medical Advocacy Blog: Embracing... →
I’m reposting Regina’s blog about our journey. Thank you for all you do in telling stories through your art, seeing all of those invisible details that make the story complete and real! (comments can be made on Regina’s blog linked above.)
Embracing Failure
1977, three bright students who graduated from Stanford University had an idea. Using a mimeograph machine as a...
Welcome to this special edition of TW@IHI with... →
Special Issue: LIVE from the IHI NATIONAL FORUM
More forum events here: http://tinyurl.com/d83o3r2
November 2011
17 posts
“Paying close attention to patients’ and families’ experience of care...”
– Drs. Charles Vincent and Rachel Davis, Imperial Centre for Patient Safety & Service Quality, Imperial College, London, UK
The Picture of Health Care Guide for the 23rd #IHI... →
Please join us and become involved!
CDC Family Health-Helping families be safer,... →
Also, the 2012 healthy living calendars are ready to download.
http://www.cdc.gov/family/calendar/?source=govdelivery
Our article on Informed choice was published in... →
Informed choice: The meeting point of law, medicine, and person-centred care
By Marie M. Bismark and Dale Ann Micalizzi
Abstract: Informed choice is the process by which people are educated about a treatment decision and then make an informed and voluntary decision about the healthcare they choose to receive. But behind that simple definition lies a complex history and no shortage of...
Occupy With Grace
Please join us in the “Engage with Grace” blog rally #EWG Once again, this Thanksgiving we are grateful to all the people who keep this mission alive day after day: to ensure that each and every one of us understands, communicates, and has honored their end of life wishes.
Seems almost more fitting than usual this year – the year of making change happen. 2011 gave us the Arab Spring...
Partnership for Patients and National Quality... →
From the National Quality Forum:
Partnership for Patients
Recently, the Department of Health and Human Services launched the Partnership for Patients initiative to dramatically improve patient safety across the country. This initiative will engage stakeholders from the private and public sectors to reduce all cause harm and hospital readmissions.
To reach this goal, the Centers for Medicare and...
ANESTHESIOLOGY 2011 Opening Session Target:... →
How do we get good at what we do? Listen to Dr. Atul Gawande’s presentation to learn about teamwork, honesty, education, improving confidence and reducing cost. “It’s gotten complicated”, he confides “and we can’t do it alone anymore..”
I first wrote to Atul after reading his book, Complications…and he wrote back. I’ve sat in the front row...
Handling Grief Through the Holiday Season →
Join The Compassionate Friends for a webinar on Handling Grief through the holidays.
Join us for a Webinar on November 17
“The holiday season is a difficult time of year for anyone grieving the loss of a loved one. Grief experts Dr. Gloria Horsley and Dr. Heidi Horsley, from the Open to Hope Foundation, will join Pat Loder, executive director of The Compassionate Friends, for a look at...
SUMC decreases annual liability premiums via the... →
“A recent report by the Institute for Healthcare Improvement (IHI) showed that a new approach to handling preventable medical errors has reduced liability premiums at Stanford hospitals by $3.2 million per year…” read more.
Please take the initiative to do the right thing.
Peter Pronovost podcast:
The Heart of...
Please join us at PIPSQC! Membership drive this... →
PIPSQC is an informal, international collaborative of professionals who share a passion for patient safety and quality in paediatrics, and who interact together across organizational and geographic boundaries, to advance learning and improvements in these areas. This complex adaptive system emerged in 2006 as a result of a pre-symposium invitational gathering before SickKids’ Second Annual...
NEW: Patient Death Due to Medication Error and... →
One of my most recent partnerships has been with Robert J. Latino, CEO, Reliability Center, Inc. and Dr. Tricia Pil, M.D. in creating a root cause analysis of Justin’s adverse medical event. We’re taking our time in piecing together the information that we have obtained from sloppy and inaccurate medical records, physician informants and medical experts opinions and hopefully creating...
ADVERSE EVENTS IN HOSPITALS: MEDICARE’S... →
U.S. Department of Health and Human Services, October 2011
Daniel R. Levinson Inspector General
Great new site at Johns Hopkins: Armstrong... →
Also, see Points from Pronovost-a new blog on this site by Dr. Peter Pronovost! http://armstronginstitute.blogs.hopkinsmedicine.org/
October 2011
17 posts
Stanford cuts liability premiums with cash offers... →
“Stanford University’s hospitals and clinics have saved $3.2 million in annual premiums since establishing a program to disclose and investigate adverse events and offer an apology and compensation to patients when the bad outcome has been deemed preventable….” read more.
Task Force Ranked 4th in Nation by Chronicle of... →
Congratulations to the Task Force for Global Health for their amazing work and for our partnership in improving health! I’m honored to be a project on your team. Click on title to read the press release.
“Medicine and technical support are key for addressing global health challenges in developing countries,” said Task Force President and Chief Executive Officer Mark L. Rosenberg, MD MPP....
PIPSQC Minicourse Monday December 5th, 8:30-4:30...
Will you be at the IHI Forum this year?
PIPSQC will be presenting Minicourse number M23 entitled “Making Health Care Safer for Children.” This minicourse will examine the complexities and challenges faced in integrating safer care for children into health care systems; developing a partnership with parents and families to safeguard children will be a central theme of this session.
Our...
Premier: Minimum Expectations for Safe Care Across... →
Here is a link to audio of the excellent presentation on Infection Prevention for Outpatient Settings held by Dr. Joe Perz of the CDC and Gina Pugliese of Premier Safety Institute on Wednesday. Please forward to anyone you think might benefit. Please also become involved with our NY “One and Only” Campaign http://www.oneandonlycampaign.org/partner/new-york
AFFORDABLE CARE ACT PROGRAM TO HELP HEALTHCARE... →
CMS Press Release: “CMS announced this week that it was accepting applications for a new Innovation Advisors program to help health professionals deepen skills that will drive improvements to patient care and reduce costs. These health care improvements will benefit people enrolled in Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). Made possible by the Affordable...
Respectful Management of Serious Clinical Adverse... →
“…The 2011 (second edition) update reflects a number of suggested improvements and clarifications, including new content on reimbursement and compensation as part of any discussion of disclosure and resolution, and disclosure of errors that have occurred at another institution, among other updates. Additional citations, resources, and examples from organizations mounting effective...
