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M AY/JUNE 2010
Patient Safety
& QUALITY HEALTHCARE
QUALITY HEALTHCARE
DIGITAL VERSION
AVAILABLE!
Visit: www.psqh.com/digital
NEWS · SCIENCE · RESEARCH · OPINION
MEDICATION
RECONCILIATION
EHR IMPLEMENTATION:
A VENDOR'S DIARY
POST-DISCHARGE
POST-DISCHARGE
CALL PROGRAMS
CALL PROGRAMS
SAFETY HUDDLES
SAFETY HUDDLES
MICHIGAN HUMAN
FACTORS ENGINEERING
SHORT COURSE
Designing Systems, Products and Services to Make
them Easier, Safer and More Effective for Human Use
UNIVERSITY OF MICHIGAN
IMPROVING HUMAN FACTORS
ENGINEERING FOR 51 YEARS
Anywhere there is a person using a system, product or service...
Mobile Products Military Systems
Consumer Products Vehicles<
M AY/JUNE 2010 Patient Safety & QUALITY HEALT
MICHIGAN HUMAN FACTORS ENGINEERING SHORT COURSE D
The Ninth QUALITY
Contents MAY/JUNE 2010 · VOLUME 7 ISSUE 3
Patient Safety EDITORIAL ADVISORY BOARD &
By Barry P. Chaiken, MD, FHIMSS HEALTH IT & Q
The intermediation of the caregiver between
By Dennis Tribble, PharmD, FASHP SAFETY CULTURE
care that it cannot contribute to patient safety,
Brian H. Fillipo, MD, MMM, FACP Sherri Barnhill,
R EFERENCES Gibson, J. J. (1977). The theory of
By Rick O'Pry ELECTRONIC HEALTH RECORDS EHR
Information gathered during the clinical review h
Meaningful Use ARRA meaningful use deadlines
Today's healthcare executive is faced with
Our Lean solutions deliver savings, improved pa
Medication Reconciliation A SURVEY OF COMMUNITY P
their medication history at the time of hospi- ta
MEDICATION RECONCILIATION were distributed
visit the pharmacy and 46% (36 of 79) of responde
MEDICATION RECONCILIATION tion may help. Th
the other to be a barrier, yet neither EDs nor co
Safety Huddles for a Culture of Safety By Mary Lu
Prior to the Safety Huddle, the patient s
SAFETY HUDDLES We developed a desig
Measurement The monitoring of Safety Huddle data
SAFETY HUDDLES We have seen a dramatic i
Those Who Put Safety First In Selecting Patient
Common Cause Analysis A large health organ
Common cause analysis (CCA) aggregates acts
COMMON CAUSE ANALYSIS Development of
3. Narcotics and Sedatives There were several
COMMON CAUSE ANALYSIS insulin. Thus
“where,” with the “why” based on the observed sys
Post-Discharge Call Programs IMPROVING SATISFACT
F or patients coming home from One in five pat
POST-DISCHARGE CALL PROGRAMS
president and chief executive officer of Medical
By Amy Stablein Georgulis, PharmD, and Sabina Dar
The introduction of the heparin infusion proto
PULSE NPSF Honors National Leaders with Awards
“Each year NPSF recognizes an organization
ABQAURP QUALITY CONUNDRUMS Lynn Helmer, MD, MBA
ABQAURP NEWS
As a healthcare professional, you're prob- ably a
Hospital Association average of 12.43 perce
Patient Safety and Quality Healthcare (PSQH) welc