Interdisciplinary Patient Tracers: Routine, Systematic Safety Surveillance

2020 ◽  
pp. 106286062092930
Author(s):  
Merranda Logan ◽  
Claire Seguin ◽  
Colleen Snydeman ◽  
Jana Deen ◽  
Xiu Liu ◽  
...  
Keyword(s):  
Peer To Peer ◽  
Health Care Facilities ◽  
Improvement Project ◽  
Safety Issues ◽  
Institutional Improvement ◽  
Safety Surveillance ◽  
Care Facilities ◽  
National Patient ◽  
Level 1 ◽  
Integrated Program

Patient tracers and leadership WalkRounds proactively identify quality and safety issues. However, these programs have been inconsistent in application, results, and sustainability. The goal was to identify a more consistent and efficient approach to survey health care facilities. The authors developed a Peer-to-Peer Interdisciplinary Patient Tracer program to assess compliance with National Patient Safety Goals and to proactively identify areas of inpatient, ambulatory, and procedural risk. The program has been operational for more than 5 years, with continued expansion annually. In all, 96% of frontline leadership reported satisfaction; 100% reported that they would recommend the program to others (Kirkpatrick level 1 results). Mean absolute change in performance scores from 2014 to 2018 was 15%. All survey findings triggered the development of an improvement project. This novel integrated program advanced institutional improvement by strengthening internal peer-to-peer surveillance, engaging leadership, and creating an accountability structure for internal improvement efforts.

Safety Issues with Patient-Controlled Analgesia; Wake-Up Call: Unlabeled Containers Lead to Patient's Death

2005 ◽  
Vol 40 (2) ◽  
pp. 117-126
Author(s):  
Michael R. Cohen
Keyword(s):  
Medication Errors ◽  
Web Sites ◽  
Health Care Facilities ◽  
Inservice Training ◽  
Patient Controlled Analgesia ◽  
Safe Medication ◽  
Safety Issues ◽  
Care Facilities ◽  
Fail Safe ◽  
E Mail

These medication errors have occurred in health care facilities at least once. They will happen again—perhaps where you work. Through education and alertness of personnel and procedural safeguards, they can be avoided. You should consider publishing accounts of errors in your newsletters and/or presenting them in your inservice training programs. Your assistance is required to continue this feature. The reports described here were received through the USP Medication Errors Reporting Program (MERP), which is presented in cooperation with the Institute for Safe Medication Practices. If you have encountered medication errors and would like to report them, you may call USP toll-free, 24 hours a day, at 800-233-7767 (800-23-ERROR). Any reports published by ISMP will be anonymous. Comments are also invited; the writers’ names will be published if desired. ISMP may be contacted at the address shown below. Errors, close calls, or hazardous conditions may be reported through the ISMP ( www.ismp.org ) or USP ( www.usp.org ) Web sites or communicated directly to ISMP by calling 1-800-FAIL SAFE or via e-mail at [email protected] . ISMP guarantees the confidentiality and security of the information received and respects reporters’ wishes as to the level of detail included in publications.

Abstract 62: A Statewide Cooperative Motivational Strategy Significantly Improves IV Alteplase Rates in Maryland: Golden Brain Award

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Karen L Yarbrough ◽  
Anna Aycock ◽  
Chad Schrier ◽  
Marcella Wozniak ◽  
Keyword(s):  
Best Practices ◽  
Performance Improvement ◽  
Health Care Facilities ◽  
Phase Iii ◽  
Improvement Project ◽  
Care Facilities ◽  
Regional Conference ◽  
Special Programs ◽  
Stroke Center ◽  
Expert Faculty

Introduction: The Maryland Stroke Coordinators Consortium and the Maryland Institute for Emergency Medical Services Systems, Health Care Facilities formed the Maryland Stroke Coalition (MSC) to improve stroke practices in Maryland. The aim of this performance improvement project was to determine if a motivational strategy improves thrombolytic metrics. Methods: In 2018 a stroke summit for Maryland stroke centers with expert faculty discussed thrombolytic best practices. Then MSC members met bimonthly to discuss how to implement AHA’s Target: Stroke Phase III. In October 2018 a motivational strategy was implemented to improve thrombolytic benchmarks. Quarterly, the stroke center with the fastest median door to needle time was awarded a Golden Brain trophy and a monetary award. After four quarters the stroke center with the fastest door to needle time will be recognized at a regional conference. Stroke coordinators voluntarily submitted quarterly data to the Chief of Special Programs, MIEMSS. Data submitted: quarterly rates IV Alteplase, median door to needle time, and % of IV Alteplase < 45 minutes. Results: Seventeen out of 39 possible stroke centers participated during the study period. Baseline data for the quarter prior to implementation revealed 84 pts received IV Alteplase. For the next three quarters IV Alteplase rates increased from baseline, respectively by 52% (n=128), 54% (n=129) and 65% ( n=139); and the median door to needle time was 48 minutes. The winning centers for each quarter reported median door to needle times < 30 minutes. From baseline (36%, 42/114) to quarter 3 there was a 15.5% (51.5%, =49/95) increase in patients being treated with IV Alteplase in < 45 minutes. Conclusion: Implementation of a motivational strategy and sharing best practices appears to be associated with increasing IV Alteplase administration volumes. The results of this PI project will be used to engage stakeholders to develop strategies to assist stroke centers remove barriers to improve door to needle times. The limitations of this project may be the small number of stroke centers participating and the effect of highly functioning centers participating.

Symlin Insulin Adjunct Presents Safety Issues; Changed Ophthalmic Color-Code; Name Pair Confusion

2005 ◽  
Vol 40 (8) ◽  
pp. 643-648
Author(s):  
Michael R. Cohen
Keyword(s):  
Medication Errors ◽  
Web Sites ◽  
Health Care Facilities ◽  
Inservice Training ◽  
Color Code ◽  
Safe Medication ◽  
Safety Issues ◽  
Care Facilities ◽  
Fail Safe ◽  
E Mail

These medication errors have occurred in health care facilities at least once. They will happen again—perhaps where you work. Through education and alertness of personnel and procedural safeguards, they can be avoided. You should consider publishing accounts of errors in your newsletters and/or presenting them in your inservice training programs. Your assistance is required to continue this feature. The reports described here were received through the USP Medication Errors Reporting Program (MERP), which is presented in cooperation with the Institute for Safe Medication Practices. If you have encountered medication errors and would like to report them, you may call USP toll-free, 24 hours a day, at 800-233-7767 (800-23-ERROR). Any reports published by ISMP will be anonymous. Comments are also invited; the writers’ names will be published if desired. ISMP may be contacted at the address shown below. Errors, close calls, or hazardous conditions may be reported through the ISMP ( www.ismp .org) or USP ( www.usp.org ) Web sites or communicated directly to ISMP by calling 800-FAIL-SAFE or via E-mail at [email protected] . ISMP guarantees the confidentiality and security of the information received and respects reporters’ wishes as to the level of detail included in publications.

How to Prevent Errors – Safety Issues with Patient-Controlled Analgesia (Part 2); Potential for Confusing Dakin's Solution with Sterile Water

2005 ◽  
Vol 40 (3) ◽  
pp. 210-213 ◽  
Author(s):  
Michael R. Cohen
Keyword(s):  
Medication Errors ◽  
Web Sites ◽  
Health Care Facilities ◽  
Inservice Training ◽  
Sterile Water ◽  
Patient Controlled Analgesia ◽  
Safety Issues ◽  
Care Facilities ◽  
Fail Safe ◽  
E Mail

These medication errors have occurred in health care facilities at least once. They will happen again—perhaps where you work. Through education and alertness of personnel and procedural safeguards, they can be avoided. You should consider publishing accounts of errors in your newsletters and/or presenting them in your inservice training programs. Your assistance is required to continue this feature. The reports described here were received through the USP Medication Errors Reporting Program (MERP), which is presented in cooperation with the Institute for Safe Medication Practices. If you have encountered medication errors and would like to report them, you may call USP toll-free, 24 hours a day, at 800-233-7767 (800-23-ERROR). Any reports published by ISMP will be anonymous. Comments are also invited; the writers’ names will be published if desired. ISMP may be contacted at the address shown below. Errors, close calls, or hazardous conditions may be reported through the ISMP ( www.ismp.org ) or USP ( www.usp.org ) Web sites or communicated directly to ISMP by calling 800-FAIL SAFE or via E-mail at [email protected] . ISMP guarantees the confidentiality and security of the information received and respects reporters’ wishes as to the level of detail included in publications.

Suicidal Behavior in Black South Africans

Crisis ◽  
2003 ◽  
Vol 24 (1) ◽  
pp. 24-28 ◽  
Author(s):  
Lourens Schlebusch ◽  
Naseema B.M. Vawda ◽  
Brenda A. Bosch
Keyword(s):  
South African ◽  
Suicidal Behavior ◽  
Health Care Facilities ◽  
South African Society ◽  
South Africans ◽  
The Past ◽  
The People ◽  
Care Facilities ◽  
Black South Africans ◽  
To Come

Summary: In the past suicidal behavior among Black South Africans has been largely underresearched. Earlier studies among the other main ethnic groups in the country showed suicidal behavior in those groups to be a serious problem. This article briefly reviews some of the more recent research on suicidal behavior in Black South Africans. The results indicate an apparent increase in suicidal behavior in this group. Several explanations are offered for the change in suicidal behavior in the reported clinical populations. This includes past difficulties for all South Africans to access health care facilities in the Apartheid (legal racial separation) era, and present difficulties of post-Apartheid transformation the South African society is undergoing, as the people struggle to come to terms with the deleterious effects of the former South African racial policies, related socio-cultural, socio-economic, and other pressures.

ETHNOVETERINARY MEDICINAL USES OF SOME MEDICINAL PLANTS ON PNEUMONIA BY THE GUJJAR AND PAHARI TRIBES OF POONCH DISTRICT OF JAMMU AND KASHMIR

2017 ◽  
Vol 23 (2) ◽  
Author(s):  
JAMIL AHMED KHAN ◽  
RAJINDER PAUL
Keyword(s):  
Health Care ◽  
Medicinal Plants ◽  
Medicinal Plant ◽  
Natural Resources ◽  
Indigenous People ◽  
Health Care Facilities ◽  
Jammu And Kashmir ◽  
Medicinal Uses ◽  
Modern Health Care ◽  
Care Facilities

Poonch district of Jammu and Kashmir is a reservoir of enormous natural resources including the wealth of medicinal plants. The present paper deals with 12 medicinal plant species belonging to 8 genera of angiosperms used on pneumonia in cattle such as cows, sheep, goats and buffaloes in different areas of Poonch district. Due to poverty and nonavailability of modern health care facilities, the indigenous people of the area partially or fully depend on surrounding medicinal plants to cure the different ailments of their cattles. Further research on modern scientific line is necessary to improve their efficacy, safety and validation of the traditional knowledge.

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