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M AY/JUNE 2010<br />
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Patient Safety<br />
& QUALITY HEALTHCARE<br />
QUALITY HEALTHCARE<br />
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NEWS · SCIENCE · RESEARCH · OPINION<br />
MEDICATION<br />
RECONCILIATION<br />
EHR IMPLEMENTATION:<br />
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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 />
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<b<a title="PSQH May/June 2010 page 1" href="http://viewer.zmags.com/publication/06aeea6c?page=1">M AY/JUNE 2010Patient Safety& QUALITY HEALT</a> M AY/JUNE 2010Patient Safety& QUALITY HEALT<a title="PSQH May/June 2010 page 2" href="http://viewer.zmags.com/publication/06aeea6c?page=2">MICHIGAN HUMANFACTORS ENGINEERINGSHORT COURSED</a> MICHIGAN HUMANFACTORS ENGINEERINGSHORT COURSED<a title="PSQH May/June 2010 page 3" href="http://viewer.zmags.com/publication/06aeea6c?page=3"> The Ninth QUALITY </a> The Ninth QUALITY <a title="PSQH May/June 2010 page 4" href="http://viewer.zmags.com/publication/06aeea6c?page=4">ContentsMAY/JUNE 2010 · VOLUME 7 ISSUE 3</a> ContentsMAY/JUNE 2010 · VOLUME 7 ISSUE 3<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> Patient Safety EDITORIAL ADVISORY BOARD& <a title="PSQH May/June 2010 page 8" href="http://viewer.zmags.com/publication/06aeea6c?page=8">By Barry P. Chaiken, MD, FHIMSSHEALTH IT & Q</a> By Barry P. Chaiken, MD, FHIMSSHEALTH IT & Q<a title="PSQH May/June 2010 page 9" href="http://viewer.zmags.com/publication/06aeea6c?page=9"> The intermediation of the caregiverbetween</a> The intermediation of the caregiverbetween<a title="PSQH May/June 2010 page 10" href="http://viewer.zmags.com/publication/06aeea6c?page=10">By Dennis Tribble, PharmD, FASHPSAFETY CULTURE</a> By Dennis Tribble, PharmD, FASHPSAFETY CULTURE<a title="PSQH May/June 2010 page 11" href="http://viewer.zmags.com/publication/06aeea6c?page=11">care that it cannot contribute to patientsafety,</a> care that it cannot contribute to patientsafety,<a title="PSQH May/June 2010 page 12" href="http://viewer.zmags.com/publication/06aeea6c?page=12">Brian H. Fillipo, MD, MMM, FACPSherri Barnhill, </a> Brian H. Fillipo, MD, MMM, FACPSherri Barnhill, <a title="PSQH May/June 2010 page 13" href="http://viewer.zmags.com/publication/06aeea6c?page=13">REFERENCESGibson, J. J. (1977). The theory of</a> REFERENCESGibson, J. J. (1977). The theory of<a title="PSQH May/June 2010 page 14" href="http://viewer.zmags.com/publication/06aeea6c?page=14">By Rick O'PryELECTRONIC HEALTH RECORDSEHR </a> By Rick O'PryELECTRONIC HEALTH RECORDSEHR <a title="PSQH May/June 2010 page 15" href="http://viewer.zmags.com/publication/06aeea6c?page=15">Information gatheredduring the clinical reviewh</a> Information gatheredduring the clinical reviewh<a title="PSQH May/June 2010 page 16" href="http://viewer.zmags.com/publication/06aeea6c?page=16"> Meaningful UseARRA meaningful use deadlines</a> Meaningful UseARRA meaningful use deadlines<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> Today's healthcare executive is faced with <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> Our Lean solutions deliver savings, improved pa<a title="PSQH May/June 2010 page 20" href="http://viewer.zmags.com/publication/06aeea6c?page=20">MedicationReconciliationA SURVEY OF COMMUNITY P</a> MedicationReconciliationA SURVEY OF COMMUNITY P<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> their medication history at the time of hospi-ta<a title="PSQH May/June 2010 page 22" href="http://viewer.zmags.com/publication/06aeea6c?page=22">MEDICATION RECONCILIATIONwere distributed </a> MEDICATION RECONCILIATIONwere distributed <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> visit the pharmacy and 46% (36 of 79) of responde<a title="PSQH May/June 2010 page 24" href="http://viewer.zmags.com/publication/06aeea6c?page=24">MEDICATION RECONCILIATIONtion may help. Th</a> MEDICATION RECONCILIATIONtion may help. Th<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> the other to be a barrier, yet neither EDs nor co<a title="PSQH May/June 2010 page 26" href="http://viewer.zmags.com/publication/06aeea6c?page=26">Safety Huddlesfor a Cultureof SafetyBy Mary Lu</a> Safety Huddlesfor a Cultureof SafetyBy Mary Lu<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> Prior to the Safety Huddle, the patient s<a title="PSQH May/June 2010 page 28" href="http://viewer.zmags.com/publication/06aeea6c?page=28"> SAFETY HUDDLES We developed a desig</a> SAFETY HUDDLES We developed a desig<a title="PSQH May/June 2010 page 29" href="http://viewer.zmags.com/publication/06aeea6c?page=29">MeasurementThe monitoring of Safety Huddle data </a> MeasurementThe monitoring of Safety Huddle data <a title="PSQH May/June 2010 page 30" href="http://viewer.zmags.com/publication/06aeea6c?page=30"> SAFETY HUDDLESWe have seen a dramatic i</a> SAFETY HUDDLESWe have seen a dramatic i<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> Those Who Put Safety First In Selecting Patient <a title="PSQH May/June 2010 page 32" href="http://viewer.zmags.com/publication/06aeea6c?page=32">Common CauseAnalysis A large health organ</a> Common CauseAnalysis A large health organ<a title="PSQH May/June 2010 page 33" href="http://viewer.zmags.com/publication/06aeea6c?page=33"> Common cause analysis (CCA) aggregates acts</a> Common cause analysis (CCA) aggregates acts<a title="PSQH May/June 2010 page 34" href="http://viewer.zmags.com/publication/06aeea6c?page=34"> COMMON CAUSE ANALYSIS Development of</a> COMMON CAUSE ANALYSIS Development of<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> 3. Narcotics and Sedatives There were several<a title="PSQH May/June 2010 page 36" href="http://viewer.zmags.com/publication/06aeea6c?page=36"> COMMON CAUSE ANALYSIS insulin. Thus </a> COMMON CAUSE ANALYSIS insulin. Thus <a title="PSQH May/June 2010 page 37" href="http://viewer.zmags.com/publication/06aeea6c?page=37">“where,” with the “why” based on theobserved sys</a> “where,” with the “why” based on theobserved sys<a title="PSQH May/June 2010 page 38" href="http://viewer.zmags.com/publication/06aeea6c?page=38">Post-DischargeCall ProgramsIMPROVING SATISFACT</a> Post-DischargeCall ProgramsIMPROVING SATISFACT<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> F or patients coming home from One in five pat<a title="PSQH May/June 2010 page 40" href="http://viewer.zmags.com/publication/06aeea6c?page=40"> POST-DISCHARGE CALL PROGRAMS</a> POST-DISCHARGE CALL PROGRAMS<a title="PSQH May/June 2010 page 41" href="http://viewer.zmags.com/publication/06aeea6c?page=41">president and chief executive officer ofMedical </a> president and chief executive officer ofMedical <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> By Amy Stablein Georgulis, PharmD,and Sabina Dar<a title="PSQH May/June 2010 page 43" href="http://viewer.zmags.com/publication/06aeea6c?page=43"> The introduction of the heparininfusion proto</a> The introduction of the heparininfusion proto<a title="PSQH May/June 2010 page 44" href="http://viewer.zmags.com/publication/06aeea6c?page=44">PULSENPSF Honors National Leaders with Awards</a> PULSENPSF Honors National Leaders with Awards<a title="PSQH May/June 2010 page 45" href="http://viewer.zmags.com/publication/06aeea6c?page=45"> “Each year NPSF recognizes anorganization </a> “Each year NPSF recognizes anorganization <a title="PSQH May/June 2010 page 46" href="http://viewer.zmags.com/publication/06aeea6c?page=46">ABQAURPQUALITY CONUNDRUMSLynn Helmer, MD, MBA</a> ABQAURPQUALITY CONUNDRUMSLynn Helmer, MD, MBA<a title="PSQH May/June 2010 page 47" href="http://viewer.zmags.com/publication/06aeea6c?page=47">ABQAURPNEWS </a> ABQAURPNEWS <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> As a healthcare professional, you're prob-ably a<a title="PSQH May/June 2010 page 49" href="http://viewer.zmags.com/publication/06aeea6c?page=49">Hospital Association average of12.43 perce</a> Hospital Association average of12.43 perce<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> Patient Safety and Quality Healthcare (PSQH)welc<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>