<br />
JANUARY/FEBRUARY 2012<br />
Patient Safety<br />
Subscribe to<br />
the PSQH eNews Alert<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 />
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 />
MAKING SENSE OF SAFETY DATA:<br />
BUSINESS INTELLIGENCE SOFTWARE<br />
BIG DATA DRIVES BIG CHANGE<br />
MEDICAL DEVICE INTEGRATION<br />
FORGING A NEW ERA<br />
OF ACCOUNTABLE CARE<br />
<br />
<br />
Contents<br />
JANUARY/FEBRUARY 2012 · VOLUME 9 ISSUE 1<br />
Features<br />
2<br />
22<br />
30<br />
34<br />
38<br />
42<br />
4<br />
8<br />
10<br />
12<br />
14<br />
18<br />
SURVEILLANCE TECHNOLOGY<br />
Taking CDS to the Next Level for Medication Management<br />
By Steve Riddle, BSPharm, BCPS, FASHP<br />
ISMP<br />
Multiple Latent Failures Align to Allow a Serious Drug<br />
Interactio<a title="PSQH January/February 2012 page 1" href="http://viewer.zmags.com/publication/770ab128?page=1"> JANUARY/FEBRUARY 2012 Patient Safety Subscrib</a>
<a title="PSQH January/February 2012 page 2" href="http://viewer.zmags.com/publication/770ab128?page=2"> </a>
<a title="PSQH January/February 2012 page 3" href="http://viewer.zmags.com/publication/770ab128?page=3"> </a>
<a title="PSQH January/February 2012 page 4" href="http://viewer.zmags.com/publication/770ab128?page=4"> Contents JANUARY/FEBRUARY 2012 · VOLUME 9 ISS</a>
<a title="PSQH January/February 2012 page 5" href="http://viewer.zmags.com/publication/770ab128?page=5"> </a>
<a title="PSQH January/February 2012 page 6" href="http://viewer.zmags.com/publication/770ab128?page=6"> EDITOR'S NOTEBOOK January/February 2012 Volume</a>
<a title="PSQH January/February 2012 page 7" href="http://viewer.zmags.com/publication/770ab128?page=7"> </a>
<a title="PSQH January/February 2012 page 8" href="http://viewer.zmags.com/publication/770ab128?page=8"> EDITORIAL ADVISORY BOARD Patient Safety</a>
<a title="PSQH January/February 2012 page 9" href="http://viewer.zmags.com/publication/770ab128?page=9"> </a>
<a title="PSQH January/February 2012 page 10" href="http://viewer.zmags.com/publication/770ab128?page=10"> By Barry P. Chaiken, MD, FHIMSS HEALTH </a>
<a title="PSQH January/February 2012 page 11" href="http://viewer.zmags.com/publication/770ab128?page=11"> decisions based upon erroneous results gleaned fr</a>
<a title="PSQH January/February 2012 page 12" href="http://viewer.zmags.com/publication/770ab128?page=12"> By Susan Niemeier, RN, BSN, MHA DEVICE </a>
<a title="PSQH January/February 2012 page 13" href="http://viewer.zmags.com/publication/770ab128?page=13"> only about data collection and managem</a>
<a title="PSQH January/February 2012 page 14" href="http://viewer.zmags.com/publication/770ab128?page=14"> By Brian Overstreet TRENDS A Closer </a>
<a title="PSQH January/February 2012 page 15" href="http://viewer.zmags.com/publication/770ab128?page=15"> viously held views, the study showed that there m</a>
<a title="PSQH January/February 2012 page 16" href="http://viewer.zmags.com/publication/770ab128?page=16"> By Steve Riddle, BSPharm, BCPS, FASHP S</a>
<a title="PSQH January/February 2012 page 17" href="http://viewer.zmags.com/publication/770ab128?page=17"> </a>
<a title="PSQH January/February 2012 page 18" href="http://viewer.zmags.com/publication/770ab128?page=18"> 16 combination of potassium, ACE/ARB and K spari</a>
<a title="PSQH January/February 2012 page 19" href="http://viewer.zmags.com/publication/770ab128?page=19"> </a>
<a title="PSQH January/February 2012 page 20" href="http://viewer.zmags.com/publication/770ab128?page=20"> By the Institute for Safe Medication Practices </a>
<a title="PSQH January/February 2012 page 21" href="http://viewer.zmags.com/publication/770ab128?page=21"> to ISMP felt the attending physician believed th</a>
<a title="PSQH January/February 2012 page 22" href="http://viewer.zmags.com/publication/770ab128?page=22"> 20 By themselves, latent failures are often subt</a>
<a title="PSQH January/February 2012 page 23" href="http://viewer.zmags.com/publication/770ab128?page=23"> </a>
<a title="PSQH January/February 2012 page 24" href="http://viewer.zmags.com/publication/770ab128?page=24"> Making Sense of a Safety Reporting System's</a>
<a title="PSQH January/February 2012 page 25" href="http://viewer.zmags.com/publication/770ab128?page=25"> S afety incident detection and analysis are key c</a>
<a title="PSQH January/February 2012 page 26" href="http://viewer.zmags.com/publication/770ab128?page=26"> MAKING SENSE OF DATA </a>
<a title="PSQH January/February 2012 page 27" href="http://viewer.zmags.com/publication/770ab128?page=27"> Figure 1: Safety Data Reporting Dashboard Th</a>
<a title="PSQH January/February 2012 page 28" href="http://viewer.zmags.com/publication/770ab128?page=28"> MAKING SENSE OF DATA </a>
<a title="PSQH January/February 2012 page 29" href="http://viewer.zmags.com/publication/770ab128?page=29"> Figure 3: Falls Report Drill-Down Functionality </a>
<a title="PSQH January/February 2012 page 30" href="http://viewer.zmags.com/publication/770ab128?page=30"> MAKING SENSE OF DATA ability to quickly a</a>
<a title="PSQH January/February 2012 page 31" href="http://viewer.zmags.com/publication/770ab128?page=31"> Clinicians in our organization welcomed the BI to</a>
<a title="PSQH January/February 2012 page 32" href="http://viewer.zmags.com/publication/770ab128?page=32"> Forging a New Era of Accountable Care By Todd Coz</a>
<a title="PSQH January/February 2012 page 33" href="http://viewer.zmags.com/publication/770ab128?page=33"> community. This will offer all constituents</a>
<a title="PSQH January/February 2012 page 34" href="http://viewer.zmags.com/publication/770ab128?page=34"> ACCOUNTABLE CARE level is expected to be </a>
<a title="PSQH January/February 2012 page 35" href="http://viewer.zmags.com/publication/770ab128?page=35"> ment of certain therapies. Sustainable health com</a>
<a title="PSQH January/February 2012 page 36" href="http://viewer.zmags.com/publication/770ab128?page=36"> Safety in Numbers? Try Connectivity How medical</a>
<a title="PSQH January/February 2012 page 37" href="http://viewer.zmags.com/publication/770ab128?page=37"> Regardless, these standalone devices generat</a>
<a title="PSQH January/February 2012 page 38" href="http://viewer.zmags.com/publication/770ab128?page=38"> SAFETY IN NUMBERS? Let's assess b</a>
<a title="PSQH January/February 2012 page 39" href="http://viewer.zmags.com/publication/770ab128?page=39"> Just as device connectivity improves access to re</a>
<a title="PSQH January/February 2012 page 40" href="http://viewer.zmags.com/publication/770ab128?page=40"> Perioperative Technology Improves SCIP Measuremen</a>
<a title="PSQH January/February 2012 page 41" href="http://viewer.zmags.com/publication/770ab128?page=41"> · Appropriate pre-surgery hair removal adherenc</a>
<a title="PSQH January/February 2012 page 42" href="http://viewer.zmags.com/publication/770ab128?page=42"> On behalf of Medcenter One, Sandy Fleck accepts t</a>
<a title="PSQH January/February 2012 page 43" href="http://viewer.zmags.com/publication/770ab128?page=43"> Success relies on continually improving both clin</a>
<a title="PSQH January/February 2012 page 44" href="http://viewer.zmags.com/publication/770ab128?page=44"> WANDER-RISK PATIENTS: Best Practices f</a>
<a title="PSQH January/February 2012 page 45" href="http://viewer.zmags.com/publication/770ab128?page=45"> O l</a>
<a title="PSQH January/February 2012 page 46" href="http://viewer.zmags.com/publication/770ab128?page=46"> WANDER-RISK PATIENTS LAGUNA HONDA HOSPITAL</a>
<a title="PSQH January/February 2012 page 47" href="http://viewer.zmags.com/publication/770ab128?page=47"> </a>
<a title="PSQH January/February 2012 page 48" href="http://viewer.zmags.com/publication/770ab128?page=48"> Emergency Ultrasound at the Bedside: Not Just FAS</a>
<a title="PSQH January/February 2012 page 49" href="http://viewer.zmags.com/publication/770ab128?page=49"> Increased focus on improving patient safety has p</a>
<a title="PSQH January/February 2012 page 50" href="http://viewer.zmags.com/publication/770ab128?page=50"> ULTRASOUND AT THE BEDSIDE However, ev</a>
<a title="PSQH January/February 2012 page 51" href="http://viewer.zmags.com/publication/770ab128?page=51"> </a>
<a title="PSQH January/February 2012 page 52" href="http://viewer.zmags.com/publication/770ab128?page=52"> P U L S E Technology Issues Hospital Executives</a>
<a title="PSQH January/February 2012 page 53" href="http://viewer.zmags.com/publication/770ab128?page=53"> AORN Releases New Recommended Practice for Medica</a>
<a title="PSQH January/February 2012 page 54" href="http://viewer.zmags.com/publication/770ab128?page=54"> P U L S E Interdisciplinary Call-to-Action: Red</a>
<a title="PSQH January/February 2012 page 55" href="http://viewer.zmags.com/publication/770ab128?page=55"> </a>
<a title="PSQH January/February 2012 page 56" href="http://viewer.zmags.com/publication/770ab128?page=56"> A B Q A U R P QUALITY CONUNDRUMS Lynn Helmer, MD</a>
<a title="PSQH January/February 2012 page 57" href="http://viewer.zmags.com/publication/770ab128?page=57"> N E W S ABQAURP American Board of Quality Assuran</a>
<a title="PSQH January/February 2012 page 58" href="http://viewer.zmags.com/publication/770ab128?page=58"> Patient Safety and Quality Healthcare (PSQH) welc</a>
<a title="PSQH January/February 2012 page 59" href="http://viewer.zmags.com/publication/770ab128?page=59"> </a>
<a title="PSQH January/February 2012 page 60" href="http://viewer.zmags.com/publication/770ab128?page=60"> </a>