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<br /> November/December 2014 Volume 11, Issue 6<br /> Using Simulation to<br /> Coordinate Care for<br /> Cardiac Surgery<br /> Alarm Management<br /> Audiovisual Monitoring<br /> for Fall Protection<br /> Root Cause Analysis<br /> Bolus Injectors<br /> Midas+ Solutions™<br /> Creating Better Outcomes Across the Healthcare Ecosystem<br /> Over 1,500 Hospitals Served<br /> “With the increased economic pressures facing health care today, hospitals can't just collect data to comply with certain<br /> standards, we have to use it to change the way we deliver care,” said Pat Metzger, system executive, Care Management,<br /> Memorial Hermann. “Now we have a proactive solution to manage our data and analyze everything from dollars we<br /> were gaining or losing, to overall efficiency. The software was<a title="PSQH Nov/Dec 2014 page 1" href="http://viewer.zmags.com/publication/6293b8a9?page=1"> November/December 2014 </a> <a title="PSQH Nov/Dec 2014 page 2" href="http://viewer.zmags.com/publication/6293b8a9?page=2"> Midas+ Solutions™ Creating Better Outcomes Across</a> <a title="PSQH Nov/Dec 2014 page 3" href="http://viewer.zmags.com/publication/6293b8a9?page=3"> NOW YOU HAVE A CHOICE! UNIt DOSE – PAtIENt SAFEty</a> <a title="PSQH Nov/Dec 2014 page 4" href="http://viewer.zmags.com/publication/6293b8a9?page=4"> 46 30 CONTENTS n ovember/december 2014 volum</a> <a title="PSQH Nov/Dec 2014 page 5" href="http://viewer.zmags.com/publication/6293b8a9?page=5"> Isn't a“solution” supposed to solve problem</a> <a title="PSQH Nov/Dec 2014 page 6" href="http://viewer.zmags.com/publication/6293b8a9?page=6"> </a> <a title="PSQH Nov/Dec 2014 page 7" href="http://viewer.zmags.com/publication/6293b8a9?page=7"> </a> <a title="PSQH Nov/Dec 2014 page 8" href="http://viewer.zmags.com/publication/6293b8a9?page=8"> SPONSORING ORGANIZATIONS </a> <a title="PSQH Nov/Dec 2014 page 9" href="http://viewer.zmags.com/publication/6293b8a9?page=9"> Visit Medical Interactive at the 2014 I</a> <a title="PSQH Nov/Dec 2014 page 10" href="http://viewer.zmags.com/publication/6293b8a9?page=10"> NEWS Mayo Clinic Shares lessons learned and pro</a> <a title="PSQH Nov/Dec 2014 page 11" href="http://viewer.zmags.com/publication/6293b8a9?page=11"> LETTER TO THE EDITOR what are best practices for</a> <a title="PSQH Nov/Dec 2014 page 12" href="http://viewer.zmags.com/publication/6293b8a9?page=12"> NEWS Sentrian Focuses ‘Remote patient Intelli</a> <a title="PSQH Nov/Dec 2014 page 13" href="http://viewer.zmags.com/publication/6293b8a9?page=13"> NEW You think it’s clean. But is it Prevantic</a> <a title="PSQH Nov/Dec 2014 page 14" href="http://viewer.zmags.com/publication/6293b8a9?page=14"> ROOT CAuSE ANALySIS Useful Activity or busy wo</a> <a title="PSQH Nov/Dec 2014 page 15" href="http://viewer.zmags.com/publication/6293b8a9?page=15"> HEALTH IT & QuALITy population health: Think L</a> <a title="PSQH Nov/Dec 2014 page 16" href="http://viewer.zmags.com/publication/6293b8a9?page=16"> HEALTH IT & QuALITy Merging patient health wit</a> <a title="PSQH Nov/Dec 2014 page 17" href="http://viewer.zmags.com/publication/6293b8a9?page=17"> No one wants to be sick twice.™ Xenex Germ</a> <a title="PSQH Nov/Dec 2014 page 18" href="http://viewer.zmags.com/publication/6293b8a9?page=18"> INNOvATION bolus Injectors: medication Adherenc</a> <a title="PSQH Nov/Dec 2014 page 19" href="http://viewer.zmags.com/publication/6293b8a9?page=19"> Reducing medication errors doesn’t scare</a> <a title="PSQH Nov/Dec 2014 page 20" href="http://viewer.zmags.com/publication/6293b8a9?page=20"> INNOvATION Utilize standard vials or ca</a> <a title="PSQH Nov/Dec 2014 page 21" href="http://viewer.zmags.com/publication/6293b8a9?page=21"> impact all other healthcare workers and individua</a> <a title="PSQH Nov/Dec 2014 page 22" href="http://viewer.zmags.com/publication/6293b8a9?page=22"> vIEWPOINT emerging challenges for patient safet</a> <a title="PSQH Nov/Dec 2014 page 23" href="http://viewer.zmags.com/publication/6293b8a9?page=23"> Not only are the processes of diagno- sis com</a> <a title="PSQH Nov/Dec 2014 page 24" href="http://viewer.zmags.com/publication/6293b8a9?page=24"> vIEWPOINT improve our</a> <a title="PSQH Nov/Dec 2014 page 25" href="http://viewer.zmags.com/publication/6293b8a9?page=25"> mine behavior modification efforts every time. </a> <a title="PSQH Nov/Dec 2014 page 26" href="http://viewer.zmags.com/publication/6293b8a9?page=26"> vIEWPOINT Conclusions Addressing the future</a> <a title="PSQH Nov/Dec 2014 page 27" href="http://viewer.zmags.com/publication/6293b8a9?page=27"> AMP </a> <a title="PSQH Nov/Dec 2014 page 28" href="http://viewer.zmags.com/publication/6293b8a9?page=28"> ISMP The dirty dozen: persistent safety gaffes </a> <a title="PSQH Nov/Dec 2014 page 29" href="http://viewer.zmags.com/publication/6293b8a9?page=29"> and prevent medication errors and its link to imp</a> <a title="PSQH Nov/Dec 2014 page 30" href="http://viewer.zmags.com/publication/6293b8a9?page=30"> ISMP may not be clear which syringe goes wit</a> <a title="PSQH Nov/Dec 2014 page 31" href="http://viewer.zmags.com/publication/6293b8a9?page=31"> of time. What is often missing in the double-chec</a> <a title="PSQH Nov/Dec 2014 page 32" href="http://viewer.zmags.com/publication/6293b8a9?page=32"> Using Simulation to Coordinate Care for Card</a> <a title="PSQH Nov/Dec 2014 page 33" href="http://viewer.zmags.com/publication/6293b8a9?page=33"> Courtesy of Cedars-Sinai </a> <a title="PSQH Nov/Dec 2014 page 34" href="http://viewer.zmags.com/publication/6293b8a9?page=34"> SIMuLATION complex team-</a> <a title="PSQH Nov/Dec 2014 page 35" href="http://viewer.zmags.com/publication/6293b8a9?page=35"> EngagingPatients.org The Voice of Patient Engage</a> <a title="PSQH Nov/Dec 2014 page 36" href="http://viewer.zmags.com/publication/6293b8a9?page=36"> SIMuLATION Courtesy of Cedars-Sinai Team handof</a> <a title="PSQH Nov/Dec 2014 page 37" href="http://viewer.zmags.com/publication/6293b8a9?page=37"> Both the OR and ICU teams must work cohesively </a> <a title="PSQH Nov/Dec 2014 page 38" href="http://viewer.zmags.com/publication/6293b8a9?page=38"> SIMuLATION Team debrief: operatin</a> <a title="PSQH Nov/Dec 2014 page 39" href="http://viewer.zmags.com/publication/6293b8a9?page=39"> “ASPPS membership helps me stay current and enhan</a> <a title="PSQH Nov/Dec 2014 page 40" href="http://viewer.zmags.com/publication/6293b8a9?page=40"> Alarm Management: First Things First Using Reli</a> <a title="PSQH Nov/Dec 2014 page 41" href="http://viewer.zmags.com/publication/6293b8a9?page=41"> W hen Hedy Cohen, RN, BSN</a> <a title="PSQH Nov/Dec 2014 page 42" href="http://viewer.zmags.com/publication/6293b8a9?page=42"> ALARM MANAGEMENT Up to 30% of alarms occur whi</a> <a title="PSQH Nov/Dec 2014 page 43" href="http://viewer.zmags.com/publication/6293b8a9?page=43"> Leading Software for Quality in Healthcare Events</a> <a title="PSQH Nov/Dec 2014 page 44" href="http://viewer.zmags.com/publication/6293b8a9?page=44"> ALARM MANAGEMENT patient’s pump is alarming—whe</a> <a title="PSQH Nov/Dec 2014 page 45" href="http://viewer.zmags.com/publication/6293b8a9?page=45"> It may turn out that some pump alarms simply h</a> <a title="PSQH Nov/Dec 2014 page 46" href="http://viewer.zmags.com/publication/6293b8a9?page=46"> ALARM MANAGEMENT The strides already made in</a> <a title="PSQH Nov/Dec 2014 page 47" href="http://viewer.zmags.com/publication/6293b8a9?page=47"> sary trips to the bedside. Remaining alarms becom</a> <a title="PSQH Nov/Dec 2014 page 48" href="http://viewer.zmags.com/publication/6293b8a9?page=48"> Making It Easy for Nurses to Reduce the Risk of </a> <a title="PSQH Nov/Dec 2014 page 49" href="http://viewer.zmags.com/publication/6293b8a9?page=49"> The port protector will disinfect and protect the</a> <a title="PSQH Nov/Dec 2014 page 50" href="http://viewer.zmags.com/publication/6293b8a9?page=50"> REDuCING CLABSI Over the years, I have learne</a> <a title="PSQH Nov/Dec 2014 page 51" href="http://viewer.zmags.com/publication/6293b8a9?page=51"> Patients are educated regarding the role of the a</a> <a title="PSQH Nov/Dec 2014 page 52" href="http://viewer.zmags.com/publication/6293b8a9?page=52"> A New Approach to Fall Prevention in Inpatien</a> <a title="PSQH Nov/Dec 2014 page 53" href="http://viewer.zmags.com/publication/6293b8a9?page=53"> Photo courtesy of AvaSure Figure 1. virtual sitt</a> <a title="PSQH Nov/Dec 2014 page 54" href="http://viewer.zmags.com/publication/6293b8a9?page=54"> FALL PREvENTION who are not impulsive and hav</a> <a title="PSQH Nov/Dec 2014 page 55" href="http://viewer.zmags.com/publication/6293b8a9?page=55"> FALL PREvENTION Family members of patients who</a> <a title="PSQH Nov/Dec 2014 page 56" href="http://viewer.zmags.com/publication/6293b8a9?page=56"> NEWS Quality Conundrums Lynn helmer, md, mbA, ch</a> <a title="PSQH Nov/Dec 2014 page 57" href="http://viewer.zmags.com/publication/6293b8a9?page=57"> American BoardAomfeQruicaalnitybAosasrudroafnqceu</a> <a title="PSQH Nov/Dec 2014 page 58" href="http://viewer.zmags.com/publication/6293b8a9?page=58"> Patient Safety and Quality Healthcare (PSQH) welc</a> <a title="PSQH Nov/Dec 2014 page 59" href="http://viewer.zmags.com/publication/6293b8a9?page=59"> *At the conclusion of the conference, attendees w</a> <a title="PSQH Nov/Dec 2014 page 60" href="http://viewer.zmags.com/publication/6293b8a9?page=60"> </a>