If you are visually impaired or blind, you can visit the PDF version by Pressing CONTROL + ALT + 4
<br /> M AY/JUNE 2010<br /> Patient Safety<br /> & QUALITY HEALTHCARE<br /> QUALITY HEALTHCARE<br /> DIGITAL VERSION<br /> AVAILABLE!<br /> Visit: www.psqh.com/digital<br /> NEWS · SCIENCE · RESEARCH · OPINION<br /> MEDICATION<br /> RECONCILIATION<br /> EHR IMPLEMENTATION:<br /> A VENDOR'S DIARY<br /> POST-DISCHARGE<br /> POST-DISCHARGE<br /> CALL PROGRAMS<br /> CALL PROGRAMS<br /> SAFETY HUDDLES<br /> SAFETY HUDDLES<br /> MICHIGAN HUMAN<br /> FACTORS ENGINEERING<br /> SHORT COURSE<br /> Designing Systems, Products and Services to Make<br /> them Easier, Safer and More Effective for Human Use<br /> UNIVERSITY OF MICHIGAN<br /> IMPROVING HUMAN FACTORS<br /> ENGINEERING FOR 51 YEARS<br /> Anywhere there is a person using a system, product or service...<br /> Mobile Products Military Systems<br /> Consumer Products Vehicles<<a title="PSQH May/June 2010 page 1" href="http://viewer.zmags.com/publication/06aeea6c?page=1"> M AY/JUNE 2010 Patient Safety & QUALITY HEALT</a> <a title="PSQH May/June 2010 page 2" href="http://viewer.zmags.com/publication/06aeea6c?page=2"> MICHIGAN HUMAN FACTORS ENGINEERING SHORT COURSE D</a> <a title="PSQH May/June 2010 page 3" href="http://viewer.zmags.com/publication/06aeea6c?page=3"> The Ninth QUALITY </a> <a title="PSQH May/June 2010 page 4" href="http://viewer.zmags.com/publication/06aeea6c?page=4"> Contents MAY/JUNE 2010 · VOLUME 7 ISSUE 3 </a> <a title="PSQH May/June 2010 page 5" href="http://viewer.zmags.com/publication/06aeea6c?page=5"> </a> <a title="PSQH May/June 2010 page 6" href="http://viewer.zmags.com/publication/06aeea6c?page=6"> </a> <a title="PSQH May/June 2010 page 7" href="http://viewer.zmags.com/publication/06aeea6c?page=7"> Patient Safety EDITORIAL ADVISORY BOARD & </a> <a title="PSQH May/June 2010 page 8" href="http://viewer.zmags.com/publication/06aeea6c?page=8"> By Barry P. Chaiken, MD, FHIMSS HEALTH IT & Q</a> <a title="PSQH May/June 2010 page 9" href="http://viewer.zmags.com/publication/06aeea6c?page=9"> The intermediation of the caregiver between</a> <a title="PSQH May/June 2010 page 10" href="http://viewer.zmags.com/publication/06aeea6c?page=10"> By Dennis Tribble, PharmD, FASHP SAFETY CULTURE</a> <a title="PSQH May/June 2010 page 11" href="http://viewer.zmags.com/publication/06aeea6c?page=11"> care that it cannot contribute to patient safety,</a> <a title="PSQH May/June 2010 page 12" href="http://viewer.zmags.com/publication/06aeea6c?page=12"> Brian H. Fillipo, MD, MMM, FACP Sherri Barnhill, </a> <a title="PSQH May/June 2010 page 13" href="http://viewer.zmags.com/publication/06aeea6c?page=13"> R EFERENCES Gibson, J. J. (1977). The theory of</a> <a title="PSQH May/June 2010 page 14" href="http://viewer.zmags.com/publication/06aeea6c?page=14"> By Rick O'Pry ELECTRONIC HEALTH RECORDS EHR </a> <a title="PSQH May/June 2010 page 15" href="http://viewer.zmags.com/publication/06aeea6c?page=15"> Information gathered during the clinical review h</a> <a title="PSQH May/June 2010 page 16" href="http://viewer.zmags.com/publication/06aeea6c?page=16"> Meaningful Use ARRA meaningful use deadlines</a> <a title="PSQH May/June 2010 page 17" href="http://viewer.zmags.com/publication/06aeea6c?page=17"> </a> <a title="PSQH May/June 2010 page 18" href="http://viewer.zmags.com/publication/06aeea6c?page=18"> Today's healthcare executive is faced with </a> <a title="PSQH May/June 2010 page 19" href="http://viewer.zmags.com/publication/06aeea6c?page=19"> Our Lean solutions deliver savings, improved pa</a> <a title="PSQH May/June 2010 page 20" href="http://viewer.zmags.com/publication/06aeea6c?page=20"> Medication Reconciliation A SURVEY OF COMMUNITY P</a> <a title="PSQH May/June 2010 page 21" href="http://viewer.zmags.com/publication/06aeea6c?page=21"> their medication history at the time of hospi- ta</a> <a title="PSQH May/June 2010 page 22" href="http://viewer.zmags.com/publication/06aeea6c?page=22"> MEDICATION RECONCILIATION were distributed </a> <a title="PSQH May/June 2010 page 23" href="http://viewer.zmags.com/publication/06aeea6c?page=23"> visit the pharmacy and 46% (36 of 79) of responde</a> <a title="PSQH May/June 2010 page 24" href="http://viewer.zmags.com/publication/06aeea6c?page=24"> MEDICATION RECONCILIATION tion may help. Th</a> <a title="PSQH May/June 2010 page 25" href="http://viewer.zmags.com/publication/06aeea6c?page=25"> the other to be a barrier, yet neither EDs nor co</a> <a title="PSQH May/June 2010 page 26" href="http://viewer.zmags.com/publication/06aeea6c?page=26"> Safety Huddles for a Culture of Safety By Mary Lu</a> <a title="PSQH May/June 2010 page 27" href="http://viewer.zmags.com/publication/06aeea6c?page=27"> Prior to the Safety Huddle, the patient s</a> <a title="PSQH May/June 2010 page 28" href="http://viewer.zmags.com/publication/06aeea6c?page=28"> SAFETY HUDDLES We developed a desig</a> <a title="PSQH May/June 2010 page 29" href="http://viewer.zmags.com/publication/06aeea6c?page=29"> Measurement The monitoring of Safety Huddle data </a> <a title="PSQH May/June 2010 page 30" href="http://viewer.zmags.com/publication/06aeea6c?page=30"> SAFETY HUDDLES We have seen a dramatic i</a> <a title="PSQH May/June 2010 page 31" href="http://viewer.zmags.com/publication/06aeea6c?page=31"> Those Who Put Safety First In Selecting Patient </a> <a title="PSQH May/June 2010 page 32" href="http://viewer.zmags.com/publication/06aeea6c?page=32"> Common Cause Analysis A large health organ</a> <a title="PSQH May/June 2010 page 33" href="http://viewer.zmags.com/publication/06aeea6c?page=33"> Common cause analysis (CCA) aggregates acts</a> <a title="PSQH May/June 2010 page 34" href="http://viewer.zmags.com/publication/06aeea6c?page=34"> COMMON CAUSE ANALYSIS Development of</a> <a title="PSQH May/June 2010 page 35" href="http://viewer.zmags.com/publication/06aeea6c?page=35"> 3. Narcotics and Sedatives There were several</a> <a title="PSQH May/June 2010 page 36" href="http://viewer.zmags.com/publication/06aeea6c?page=36"> COMMON CAUSE ANALYSIS insulin. Thus </a> <a title="PSQH May/June 2010 page 37" href="http://viewer.zmags.com/publication/06aeea6c?page=37"> “where,” with the “why” based on the observed sys</a> <a title="PSQH May/June 2010 page 38" href="http://viewer.zmags.com/publication/06aeea6c?page=38"> Post-Discharge Call Programs IMPROVING SATISFACT</a> <a title="PSQH May/June 2010 page 39" href="http://viewer.zmags.com/publication/06aeea6c?page=39"> F or patients coming home from One in five pat</a> <a title="PSQH May/June 2010 page 40" href="http://viewer.zmags.com/publication/06aeea6c?page=40"> POST-DISCHARGE CALL PROGRAMS </a> <a title="PSQH May/June 2010 page 41" href="http://viewer.zmags.com/publication/06aeea6c?page=41"> president and chief executive officer of Medical </a> <a title="PSQH May/June 2010 page 42" href="http://viewer.zmags.com/publication/06aeea6c?page=42"> By Amy Stablein Georgulis, PharmD, and Sabina Dar</a> <a title="PSQH May/June 2010 page 43" href="http://viewer.zmags.com/publication/06aeea6c?page=43"> The introduction of the heparin infusion proto</a> <a title="PSQH May/June 2010 page 44" href="http://viewer.zmags.com/publication/06aeea6c?page=44"> PULSE NPSF Honors National Leaders with Awards </a> <a title="PSQH May/June 2010 page 45" href="http://viewer.zmags.com/publication/06aeea6c?page=45"> “Each year NPSF recognizes an organization </a> <a title="PSQH May/June 2010 page 46" href="http://viewer.zmags.com/publication/06aeea6c?page=46"> ABQAURP QUALITY CONUNDRUMS Lynn Helmer, MD, MBA</a> <a title="PSQH May/June 2010 page 47" href="http://viewer.zmags.com/publication/06aeea6c?page=47"> ABQAURP NEWS </a> <a title="PSQH May/June 2010 page 48" href="http://viewer.zmags.com/publication/06aeea6c?page=48"> As a healthcare professional, you're prob- ably a</a> <a title="PSQH May/June 2010 page 49" href="http://viewer.zmags.com/publication/06aeea6c?page=49"> Hospital Association average of 12.43 perce</a> <a title="PSQH May/June 2010 page 50" href="http://viewer.zmags.com/publication/06aeea6c?page=50"> Patient Safety and Quality Healthcare (PSQH) welc</a> <a title="PSQH May/June 2010 page 51" href="http://viewer.zmags.com/publication/06aeea6c?page=51"> </a> <a title="PSQH May/June 2010 page 52" href="http://viewer.zmags.com/publication/06aeea6c?page=52"> </a>