<br />
<br />
SEPTEMBER/OCTOBER 2011<br />
Patient Safety<br />
<br />
Subscribe to<br />
the PSQH eNews Alert<br />
at www.psqh.com<br />
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& Q U A L I T Y H E A LT H C A R E<br />
Q U A L I T Y H E A LT H C A R E<br />
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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 />
MEDICATION RECONCILIATION<br />
IN DAILY ROUNDS IN THE NICU<br />
<br />
<br />
WHY SAFETY TOOLS AND<br />
CHECKLISTS AREN'T ENOUGH<br />
MEDICAL INTERPRETATION<br />
EMERGENCY CARE<br />
STORY POWER<br />
<br />
AHRQ<br />
Eliminating CLABSI: Progress on a National Patient Safety Imperative<br />
By Carolyn M. Clancy, MD<br />
<br />
HEALTH IT & QUALITY<a title="PSQH September/October 2011 page 1" href="http://viewer.zmags.com/publication/4ff1daec?page=1">SEPTEMBER/OCTOBER 2011Patient SafetySubscri</a> SEPTEMBER/OCTOBER 2011Patient SafetySubscri<a title="PSQH September/October 2011 page 2" href="http://viewer.zmags.com/publication/4ff1daec?page=2"></a> <a title="PSQH September/October 2011 page 3" href="http://viewer.zmags.com/publication/4ff1daec?page=3"></a> <a title="PSQH September/October 2011 page 4" href="http://viewer.zmags.com/publication/4ff1daec?page=4">AHRQEliminating CLABSI: Progress on a National P</a> AHRQEliminating CLABSI: Progress on a National P<a title="PSQH September/October 2011 page 5" href="http://viewer.zmags.com/publication/4ff1daec?page=5"></a> <a title="PSQH September/October 2011 page 6" href="http://viewer.zmags.com/publication/4ff1daec?page=6">EDITOR'S NOTEBOOKSeptember/October 2011Volum</a> EDITOR'S NOTEBOOKSeptember/October 2011Volum<a title="PSQH September/October 2011 page 7" href="http://viewer.zmags.com/publication/4ff1daec?page=7"></a> <a title="PSQH September/October 2011 page 8" href="http://viewer.zmags.com/publication/4ff1daec?page=8"> EDITORIAL ADVISORY BOARD Patient Safety</a> EDITORIAL ADVISORY BOARD Patient Safety<a title="PSQH September/October 2011 page 9" href="http://viewer.zmags.com/publication/4ff1daec?page=9"></a> <a title="PSQH September/October 2011 page 10" href="http://viewer.zmags.com/publication/4ff1daec?page=10">By Carolyn M. Clancy, MD AHRQElimin</a> By Carolyn M. Clancy, MD AHRQElimin<a title="PSQH September/October 2011 page 11" href="http://viewer.zmags.com/publication/4ff1daec?page=11"> associations to discuss and address t</a> associations to discuss and address t<a title="PSQH September/October 2011 page 12" href="http://viewer.zmags.com/publication/4ff1daec?page=12">By Barry P. Chaiken, MD, FHIMSS HEALTH </a> By Barry P. Chaiken, MD, FHIMSS HEALTH <a title="PSQH September/October 2011 page 13" href="http://viewer.zmags.com/publication/4ff1daec?page=13">expert committees can then shift to uti-lizing </a> expert committees can then shift to uti-lizing <a title="PSQH September/October 2011 page 14" href="http://viewer.zmags.com/publication/4ff1daec?page=14">By the Institute for Safe Medication Practices </a> By the Institute for Safe Medication Practices <a title="PSQH September/October 2011 page 15" href="http://viewer.zmags.com/publication/4ff1daec?page=15">devices, in large part because thescreen may be </a> devices, in large part because thescreen may be <a title="PSQH September/October 2011 page 16" href="http://viewer.zmags.com/publication/4ff1daec?page=16">By Armando Ezquerra Hasbun MEDICAL IN</a> By Armando Ezquerra Hasbun MEDICAL IN<a title="PSQH September/October 2011 page 17" href="http://viewer.zmags.com/publication/4ff1daec?page=17">bilinguals can have devastating effectsfor all p</a> bilinguals can have devastating effectsfor all p<a title="PSQH September/October 2011 page 18" href="http://viewer.zmags.com/publication/4ff1daec?page=18">16Look at and speakdirectly to the patient,no</a> 16Look at and speakdirectly to the patient,no<a title="PSQH September/October 2011 page 19" href="http://viewer.zmags.com/publication/4ff1daec?page=19"></a> <a title="PSQH September/October 2011 page 20" href="http://viewer.zmags.com/publication/4ff1daec?page=20">Medication Reconciliationin Daily Roundsin the </a> Medication Reconciliationin Daily Roundsin the <a title="PSQH September/October 2011 page 21" href="http://viewer.zmags.com/publication/4ff1daec?page=21">cists in NICUs, this is not always possible. Ther</a> cists in NICUs, this is not always possible. Ther<a title="PSQH September/October 2011 page 22" href="http://viewer.zmags.com/publication/4ff1daec?page=22"> MEDICATION RECONCILIATION environment too</a> MEDICATION RECONCILIATION environment too<a title="PSQH September/October 2011 page 23" href="http://viewer.zmags.com/publication/4ff1daec?page=23"></a> <a title="PSQH September/October 2011 page 24" href="http://viewer.zmags.com/publication/4ff1daec?page=24"> MEDICATION RECONCILIATION </a> MEDICATION RECONCILIATION <a title="PSQH September/October 2011 page 25" href="http://viewer.zmags.com/publication/4ff1daec?page=25"></a> <a title="PSQH September/October 2011 page 26" href="http://viewer.zmags.com/publication/4ff1daec?page=26"> MEDICATION RECONCILIATION quently updated</a> MEDICATION RECONCILIATION quently updated<a title="PSQH September/October 2011 page 27" href="http://viewer.zmags.com/publication/4ff1daec?page=27"></a> <a title="PSQH September/October 2011 page 28" href="http://viewer.zmags.com/publication/4ff1daec?page=28">State-wide LeadershipCreates a Culture of Patien</a> State-wide LeadershipCreates a Culture of Patien<a title="PSQH September/October 2011 page 29" href="http://viewer.zmags.com/publication/4ff1daec?page=29">for managers in this regard had not been adequate</a> for managers in this regard had not been adequate<a title="PSQH September/October 2011 page 30" href="http://viewer.zmags.com/publication/4ff1daec?page=30"> CULTURE OF PATIENT SAFETY Creating a Lear</a> CULTURE OF PATIENT SAFETY Creating a Lear<a title="PSQH September/October 2011 page 31" href="http://viewer.zmags.com/publication/4ff1daec?page=31"></a> <a title="PSQH September/October 2011 page 32" href="http://viewer.zmags.com/publication/4ff1daec?page=32">DAILY CHECK-IN FOR SAFETY:From Best Practice to</a> DAILY CHECK-IN FOR SAFETY:From Best Practice to<a title="PSQH September/October 2011 page 33" href="http://viewer.zmags.com/publication/4ff1daec?page=33">Table 1.Sample ofHealthcareOrganizationsPract</a> Table 1.Sample ofHealthcareOrganizationsPract<a title="PSQH September/October 2011 page 34" href="http://viewer.zmags.com/publication/4ff1daec?page=34"></a> <a title="PSQH September/October 2011 page 35" href="http://viewer.zmags.com/publication/4ff1daec?page=35"></a> <a title="PSQH September/October 2011 page 36" href="http://viewer.zmags.com/publication/4ff1daec?page=36"> DAILY CHECK-IN </a> DAILY CHECK-IN <a title="PSQH September/October 2011 page 37" href="http://viewer.zmags.com/publication/4ff1daec?page=37"> Here is one example of thisfrom Wyoming Med</a> Here is one example of thisfrom Wyoming Med<a title="PSQH September/October 2011 page 38" href="http://viewer.zmags.com/publication/4ff1daec?page=38"> DAILY CHECK-IN Oh yes…across the </a> DAILY CHECK-IN Oh yes…across the <a title="PSQH September/October 2011 page 39" href="http://viewer.zmags.com/publication/4ff1daec?page=39"></a> <a title="PSQH September/October 2011 page 40" href="http://viewer.zmags.com/publication/4ff1daec?page=40">Automated Pre-opInstructions in a Culture ofCon</a> Automated Pre-opInstructions in a Culture ofCon<a title="PSQH September/October 2011 page 41" href="http://viewer.zmags.com/publication/4ff1daec?page=41"> The legibility of handwritten notes was also a</a> The legibility of handwritten notes was also a<a title="PSQH September/October 2011 page 42" href="http://viewer.zmags.com/publication/4ff1daec?page=42"> PRE-OP INSTRUCTIONS tion process, t</a> PRE-OP INSTRUCTIONS tion process, t<a title="PSQH September/October 2011 page 43" href="http://viewer.zmags.com/publication/4ff1daec?page=43"></a> <a title="PSQH September/October 2011 page 44" href="http://viewer.zmags.com/publication/4ff1daec?page=44">The Silent Treatment:Why Safety Toolsand Checkl</a> The Silent Treatment:Why Safety Toolsand Checkl<a title="PSQH September/October 2011 page 45" href="http://viewer.zmags.com/publication/4ff1daec?page=45">· 29% said they were in this situation at least</a> · 29% said they were in this situation at least<a title="PSQH September/October 2011 page 46" href="http://viewer.zmags.com/publication/4ff1daec?page=46"> THE SILENT TREATMENT MAGNET RECOGNITION PR</a> THE SILENT TREATMENT MAGNET RECOGNITION PR<a title="PSQH September/October 2011 page 47" href="http://viewer.zmags.com/publication/4ff1daec?page=47"></a> <a title="PSQH September/October 2011 page 48" href="http://viewer.zmags.com/publication/4ff1daec?page=48"> THE SILENT TREATMENT which, took them fro</a> THE SILENT TREATMENT which, took them fro<a title="PSQH September/October 2011 page 49" href="http://viewer.zmags.com/publication/4ff1daec?page=49"></a> <a title="PSQH September/October 2011 page 50" href="http://viewer.zmags.com/publication/4ff1daec?page=50">Patient SafetySummit inEmergency CareBy Stephe</a> Patient SafetySummit inEmergency CareBy Stephe<a title="PSQH September/October 2011 page 51" href="http://viewer.zmags.com/publication/4ff1daec?page=51">the department. Moreover, the continuity of those</a> the department. Moreover, the continuity of those<a title="PSQH September/October 2011 page 52" href="http://viewer.zmags.com/publication/4ff1daec?page=52"> EMPSF SAFETY SUMMIT chaotic, crowded, and</a> EMPSF SAFETY SUMMIT chaotic, crowded, and<a title="PSQH September/October 2011 page 53" href="http://viewer.zmags.com/publication/4ff1daec?page=53">In healthcare, a safer mindset to adopt mayin fa</a> In healthcare, a safer mindset to adopt mayin fa<a title="PSQH September/October 2011 page 54" href="http://viewer.zmags.com/publication/4ff1daec?page=54"> By Tom Inglesby REMOTE MONITORING </a> By Tom Inglesby REMOTE MONITORING <a title="PSQH September/October 2011 page 55" href="http://viewer.zmags.com/publication/4ff1daec?page=55"></a> <a title="PSQH September/October 2011 page 56" href="http://viewer.zmags.com/publication/4ff1daec?page=56">A B Q A U R P QUALITY CONUNDRUMSLyn</a> A B Q A U R P QUALITY CONUNDRUMSLyn<a title="PSQH September/October 2011 page 57" href="http://viewer.zmags.com/publication/4ff1daec?page=57">N E W SABQAURPAmerican Board of Quality Assuran</a> N E W SABQAURPAmerican Board of Quality Assuran<a title="PSQH September/October 2011 page 58" href="http://viewer.zmags.com/publication/4ff1daec?page=58">Patient Safety and Quality Healthcare (PSQH)welc</a> Patient Safety and Quality Healthcare (PSQH)welc<a title="PSQH September/October 2011 page 59" href="http://viewer.zmags.com/publication/4ff1daec?page=59"></a> <a title="PSQH September/October 2011 page 60" href="http://viewer.zmags.com/publication/4ff1daec?page=60"></a>