If you are visually impaired or blind, you can visit the PDF version by Pressing CONTROL + ALT + 4
MARCH/APRIL 2011<br /> Patient Safety & Quality Healthcare<br /> 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<br /> FREE SUBSCRIPTION AT WWW.PSQH.COM<br /> REDUCING ALARM HAZARDS<br /> SAFER PCA THERAPY<br /> TEAM TRAINING IN OB<br /> ANESTHESIA INFORMATION SYSTEMS<br /> PATIENT MOBILIZATIONOhio Medical CorporationNPSF- National Patient Safety FoundationContents<br /> MARCH/APRIL 2011 · VOLUME 8 ISSUE 2<br /> Features<br /> 14 Reducing Alarm Hazards: Selection and Implementation of Alarm Notification Systems <br /> Tim Gee, Bridget A. Moorman, CCE<br /> 18 Team Training in Obstetrics: Improving Care by Learning to Work Together <br /> Diane W. Shannon, MD, MPH<br /> 26 Rapid Implementation of an Anesthesiology Information Management System <br /> Kermit Randa, MHA, FACHE, CPHIMS<br /> 30 Safer PCA Therapy: Patient Safety Benefits of Continuous Respiratory Rate and End Tidal Monitoring <br /> Ti<a title="PSQH March/April 2011 page 1" href="http://viewer.zmags.com/publication/1f27c16d?page=1">MARCH/APRIL 2011 Patient Safety & Quality Healthc</a> <a title="PSQH March/April 2011 page 2" href="http://viewer.zmags.com/publication/1f27c16d?page=2">Ohio Medical Corporation</a> <a title="PSQH March/April 2011 page 3" href="http://viewer.zmags.com/publication/1f27c16d?page=3">NPSF- National Patient Safety Foundation</a> <a title="PSQH March/April 2011 page 4" href="http://viewer.zmags.com/publication/1f27c16d?page=4">Contents MARCH/APRIL 2011 · VOLUME 8 ISSUE 2 </a> <a title="PSQH March/April 2011 page 5" href="http://viewer.zmags.com/publication/1f27c16d?page=5">University of Michigan</a> <a title="PSQH March/April 2011 page 6" href="http://viewer.zmags.com/publication/1f27c16d?page=6">EDITOR'S NOTEBOOK March/April 2011 Volume 8 Issu</a> <a title="PSQH March/April 2011 page 7" href="http://viewer.zmags.com/publication/1f27c16d?page=7">EDITORIAL ADVISORY BOARD Lionheart Publishing</a> <a title="PSQH March/April 2011 page 8" href="http://viewer.zmags.com/publication/1f27c16d?page=8">AHRQ What Is Your Organization’s Patient Safety</a> <a title="PSQH March/April 2011 page 9" href="http://viewer.zmags.com/publication/1f27c16d?page=9"> have the lowest scores. • Administration/managem</a> <a title="PSQH March/April 2011 page 10" href="http://viewer.zmags.com/publication/1f27c16d?page=10">naires developed in one cultural setting cannot al</a> <a title="PSQH March/April 2011 page 11" href="http://viewer.zmags.com/publication/1f27c16d?page=11">Safer Healthcare</a> <a title="PSQH March/April 2011 page 12" href="http://viewer.zmags.com/publication/1f27c16d?page=12">Health & IT Quality Seeing Is Not Believing Ba</a> <a title="PSQH March/April 2011 page 13" href="http://viewer.zmags.com/publication/1f27c16d?page=13">human beings process their environment. As noted a</a> <a title="PSQH March/April 2011 page 14" href="http://viewer.zmags.com/publication/1f27c16d?page=14">ISMP Root Causes: A Roadmap to Action By the I</a> <a title="PSQH March/April 2011 page 15" href="http://viewer.zmags.com/publication/1f27c16d?page=15"> name” alerts into the order entry system for acti</a> <a title="PSQH March/April 2011 page 16" href="http://viewer.zmags.com/publication/1f27c16d?page=16">Reducing Alarm Hazards: Selection and Implementa</a> <a title="PSQH March/April 2011 page 17" href="http://viewer.zmags.com/publication/1f27c16d?page=17">ALARM HAZARDS Alarm notification problems can b</a> <a title="PSQH March/April 2011 page 18" href="http://viewer.zmags.com/publication/1f27c16d?page=18">ALARM HAZARDS across the enterprise, the easier</a> <a title="PSQH March/April 2011 page 19" href="http://viewer.zmags.com/publication/1f27c16d?page=19">ALARM HAZARDS The most advanced alarm notificat</a> <a title="PSQH March/April 2011 page 20" href="http://viewer.zmags.com/publication/1f27c16d?page=20">Team Training in Obstetrics: Improving Care by L</a> <a title="PSQH March/April 2011 page 21" href="http://viewer.zmags.com/publication/1f27c16d?page=21">RAPID IMPLEMENTATION which had recently experie</a> <a title="PSQH March/April 2011 page 22" href="http://viewer.zmags.com/publication/1f27c16d?page=22">RAPID IMPLEMENTATION olution tools such as the </a> <a title="PSQH March/April 2011 page 23" href="http://viewer.zmags.com/publication/1f27c16d?page=23">RAPID IMPLEMENTATION Winchester Hospital ate</a> <a title="PSQH March/April 2011 page 24" href="http://viewer.zmags.com/publication/1f27c16d?page=24">Healthcare Conference Administrators Quality Co</a> <a title="PSQH March/April 2011 page 25" href="http://viewer.zmags.com/publication/1f27c16d?page=25">Healthcare Conference Administrators Quality Co</a> <a title="PSQH March/April 2011 page 26" href="http://viewer.zmags.com/publication/1f27c16d?page=26">RAPID IMPLEMENTATION an interactive program. “T</a> <a title="PSQH March/April 2011 page 27" href="http://viewer.zmags.com/publication/1f27c16d?page=27">RAPID IMPLEMENTATION to change without a corres</a> <a title="PSQH March/April 2011 page 28" href="http://viewer.zmags.com/publication/1f27c16d?page=28">Rapid Implementation of an Anesthesiology Informat</a> <a title="PSQH March/April 2011 page 29" href="http://viewer.zmags.com/publication/1f27c16d?page=29">system, the 512-bed hospital implemented the techn</a> <a title="PSQH March/April 2011 page 30" href="http://viewer.zmags.com/publication/1f27c16d?page=30">“We knew that we would have to carefully choreogra</a> <a title="PSQH March/April 2011 page 31" href="http://viewer.zmags.com/publication/1f27c16d?page=31">was impossible to determine if the warming blanket</a> <a title="PSQH March/April 2011 page 32" href="http://viewer.zmags.com/publication/1f27c16d?page=32">Safer PCA Therapy Patient Safety Benefits of Cont</a> <a title="PSQH March/April 2011 page 33" href="http://viewer.zmags.com/publication/1f27c16d?page=33">The following interviews were adapted from a Novem</a> <a title="PSQH March/April 2011 page 34" href="http://viewer.zmags.com/publication/1f27c16d?page=34">SAFER PCA THERAPY The nurse assigned to him d</a> <a title="PSQH March/April 2011 page 35" href="http://viewer.zmags.com/publication/1f27c16d?page=35">CareFusion</a> <a title="PSQH March/April 2011 page 36" href="http://viewer.zmags.com/publication/1f27c16d?page=36">SAFER PCA THERAPY Dr. Vanderveen: What is you</a> <a title="PSQH March/April 2011 page 37" href="http://viewer.zmags.com/publication/1f27c16d?page=37">SAFER PCA THERAPY likely to understand the impo</a> <a title="PSQH March/April 2011 page 38" href="http://viewer.zmags.com/publication/1f27c16d?page=38">SAFER PCA THERAPY patient’s PCA setting was D</a> <a title="PSQH March/April 2011 page 39" href="http://viewer.zmags.com/publication/1f27c16d?page=39">SAFER PCA THERAPY Holmes: Policies and procedur</a> <a title="PSQH March/April 2011 page 40" href="http://viewer.zmags.com/publication/1f27c16d?page=40">SAFER PCA THERAPY Holmes: At first the nursin</a> <a title="PSQH March/April 2011 page 41" href="http://viewer.zmags.com/publication/1f27c16d?page=41">Standard Register</a> <a title="PSQH March/April 2011 page 42" href="http://viewer.zmags.com/publication/1f27c16d?page=42">Patient Mobilization Best practices improve healt</a> <a title="PSQH March/April 2011 page 43" href="http://viewer.zmags.com/publication/1f27c16d?page=43">PATIENT MOBILIZATION care organizations are red</a> <a title="PSQH March/April 2011 page 44" href="http://viewer.zmags.com/publication/1f27c16d?page=44">PATIENT MOBILIZATION repositioning patients. </a> <a title="PSQH March/April 2011 page 45" href="http://viewer.zmags.com/publication/1f27c16d?page=45">UnSummit</a> <a title="PSQH March/April 2011 page 46" href="http://viewer.zmags.com/publication/1f27c16d?page=46">Alarm Management Showcase By Tom Inglesby </a> <a title="PSQH March/April 2011 page 47" href="http://viewer.zmags.com/publication/1f27c16d?page=47">Dalcon Alert Alimed IQ Easy Alarm Product Sh</a> <a title="PSQH March/April 2011 page 48" href="http://viewer.zmags.com/publication/1f27c16d?page=48">ABQAURP Quality Conundrums Lynn Helmer, MD, MB</a> <a title="PSQH March/April 2011 page 49" href="http://viewer.zmags.com/publication/1f27c16d?page=49">ABQAURP American Board of Quality Assurance and </a> <a title="PSQH March/April 2011 page 50" href="http://viewer.zmags.com/publication/1f27c16d?page=50">Advertisers' Guidelines Patient Safety and Qual</a> <a title="PSQH March/April 2011 page 51" href="http://viewer.zmags.com/publication/1f27c16d?page=51">ABQAURP</a> <a title="PSQH March/April 2011 page 52" href="http://viewer.zmags.com/publication/1f27c16d?page=52">Masimo</a>