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MARCH/APRIL 2011
Patient Safety & Quality Healthcare
N E W S · S C I E N C E · R E S E A R C H · O P I N I O N
FREE SUBSCRIPTION AT WWW.PSQH.COM
REDUCING ALARM HAZARDS
SAFER PCA THERAPY
TEAM TRAINING IN OB
ANESTHESIA INFORMATION SYSTEMS
PATIENT MOBILIZATIONOhio Medical CorporationNPSF- National Patient Safety FoundationContents
MARCH/APRIL 2011 · VOLUME 8 ISSUE 2
Features
14 Reducing Alarm Hazards: Selection and Implementation of Alarm Notification Systems
Tim Gee, Bridget A. Moorman, CCE
18 Team Training in Obstetrics: Improving Care by Learning to Work Together
Diane W. Shannon, MD, MPH
26 Rapid Implementation of an Anesthesiology Information Management System
Kermit Randa, MHA, FACHE, CPHIMS
30 Safer PCA Therapy: Patient Safety Benefits of Continuous Respiratory Rate and End Tidal Monitoring
Ti
MARCH/APRIL 2011 Patient Safety & Quality Healthc
Ohio Medical Corporation
NPSF- National Patient Safety Foundation
Contents MARCH/APRIL 2011 · VOLUME 8 ISSUE 2
University of Michigan
EDITOR'S NOTEBOOK March/April 2011 Volume 8 Issu
EDITORIAL ADVISORY BOARD Lionheart Publishing
AHRQ What Is Your Organization’s Patient Safety
have the lowest scores. • Administration/managem
naires developed in one cultural setting cannot al
Safer Healthcare
Health & IT Quality Seeing Is Not Believing Ba
human beings process their environment. As noted a
ISMP Root Causes: A Roadmap to Action By the I
name” alerts into the order entry system for acti
Reducing Alarm Hazards: Selection and Implementa
ALARM HAZARDS Alarm notification problems can b
ALARM HAZARDS across the enterprise, the easier
ALARM HAZARDS The most advanced alarm notificat
Team Training in Obstetrics: Improving Care by L
RAPID IMPLEMENTATION which had recently experie
RAPID IMPLEMENTATION olution tools such as the
RAPID IMPLEMENTATION Winchester Hospital ate
Healthcare Conference Administrators Quality Co
Healthcare Conference Administrators Quality Co
RAPID IMPLEMENTATION an interactive program. “T
RAPID IMPLEMENTATION to change without a corres
Rapid Implementation of an Anesthesiology Informat
system, the 512-bed hospital implemented the techn
“We knew that we would have to carefully choreogra
was impossible to determine if the warming blanket
Safer PCA Therapy Patient Safety Benefits of Cont
The following interviews were adapted from a Novem
SAFER PCA THERAPY The nurse assigned to him d
CareFusion
SAFER PCA THERAPY Dr. Vanderveen: What is you
SAFER PCA THERAPY likely to understand the impo
SAFER PCA THERAPY patient’s PCA setting was D
SAFER PCA THERAPY Holmes: Policies and procedur
SAFER PCA THERAPY Holmes: At first the nursin
Standard Register
Patient Mobilization Best practices improve healt
PATIENT MOBILIZATION care organizations are red
PATIENT MOBILIZATION repositioning patients.
UnSummit
Alarm Management Showcase By Tom Inglesby
Dalcon Alert Alimed IQ Easy Alarm Product Sh
ABQAURP Quality Conundrums Lynn Helmer, MD, MB
ABQAURP American Board of Quality Assurance and
Advertisers' Guidelines Patient Safety and Qual
ABQAURP
Masimo