<br />
SEPTEMBER/OCTOBER 2011<br />
Patient Safety<br />
Subscribe to<br />
the PSQH eNews Alert<br />
at www.psqh.com<br />
& 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 />
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 />
WHY SAFETY TOOLS AND<br />
CHECKLISTS AREN'T ENOUGH<br />
MEDICAL INTERPRETATION<br />
EMERGENCY CARE<br />
STORY POWER<br />
<br />
<br />
AHRQ<br />
Eliminating CLABSI: Progress on a National Patient Safety Imperative<br />
By Carolyn M. Clancy, MD<br />
HEALTH IT & QUALITY<br />
Web 3.0 Data-Mining for Comparative Effectiveness and CDS<br />
By Barry P. Chaiken, MD, FHIMSS<br />
ISMP<br />
Scanner Beep Only Means the Barcode Has Been Scanned<br />
54<br />
By the Institute for Safe Medication Practices<br />
Conte<a title="PSQH September/October 2011 page 1" href="http://viewer.zmags.com/publication/4ff1daec?page=1"> SEPTEMBER/OCTOBER 2011 Patient Safety Subscri</a>
<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"> AHRQ Eliminating CLABSI: Progress on a National P</a>
<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 NOTEBOOK September/October 2011 Volum</a>
<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>
<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 AHRQ Elimin</a>
<a title="PSQH September/October 2011 page 11" href="http://viewer.zmags.com/publication/4ff1daec?page=11"> associations to discuss and address t</a>
<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>
<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>
<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>
<a title="PSQH September/October 2011 page 15" href="http://viewer.zmags.com/publication/4ff1daec?page=15"> devices, in large part because the screen may be </a>
<a title="PSQH September/October 2011 page 16" href="http://viewer.zmags.com/publication/4ff1daec?page=16"> By Armando Ezquerra Hasbun MEDICAL IN</a>
<a title="PSQH September/October 2011 page 17" href="http://viewer.zmags.com/publication/4ff1daec?page=17"> bilinguals can have devastating effects for all p</a>
<a title="PSQH September/October 2011 page 18" href="http://viewer.zmags.com/publication/4ff1daec?page=18"> 16 Look at and speak directly to the patient, no</a>
<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 Reconciliation in Daily Rounds in the </a>
<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>
<a title="PSQH September/October 2011 page 22" href="http://viewer.zmags.com/publication/4ff1daec?page=22"> MEDICATION RECONCILIATION environment too</a>
<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>
<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>
<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 Leadership Creates a Culture of Patien</a>
<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>
<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>
<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>
<a title="PSQH September/October 2011 page 33" href="http://viewer.zmags.com/publication/4ff1daec?page=33"> Table 1. Sample of Healthcare Organizations Pract</a>
<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>
<a title="PSQH September/October 2011 page 37" href="http://viewer.zmags.com/publication/4ff1daec?page=37"> Here is one example of this from Wyoming Med</a>
<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>
<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-op Instructions in a Culture of Con</a>
<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>
<a title="PSQH September/October 2011 page 42" href="http://viewer.zmags.com/publication/4ff1daec?page=42"> PRE-OP INSTRUCTIONS tion process, t</a>
<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 Tools and Checkl</a>
<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>
<a title="PSQH September/October 2011 page 46" href="http://viewer.zmags.com/publication/4ff1daec?page=46"> THE SILENT TREATMENT MAGNET RECOGNITION PR</a>
<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>
<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 Safety Summit in Emergency Care By Stephe</a>
<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>
<a title="PSQH September/October 2011 page 52" href="http://viewer.zmags.com/publication/4ff1daec?page=52"> EMPSF SAFETY SUMMIT chaotic, crowded, and</a>
<a title="PSQH September/October 2011 page 53" href="http://viewer.zmags.com/publication/4ff1daec?page=53"> In healthcare, a safer mindset to adopt may in fa</a>
<a title="PSQH September/October 2011 page 54" href="http://viewer.zmags.com/publication/4ff1daec?page=54"> By Tom Inglesby REMOTE MONITORING </a>
<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 CONUNDRUMS Lyn</a>
<a title="PSQH September/October 2011 page 57" href="http://viewer.zmags.com/publication/4ff1daec?page=57"> N E W S ABQAURP American Board of Quality Assuran</a>
<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>
<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>