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<br /> March/April 2013 Volume 10, Issue 2<br /> MEDICAL<br /> SIMULATION<br /> A HOLISTIC APPROACH<br /> IV Medication Safety<br /> Patient Experience<br /> Mentoring Programs<br /> Fall Prevention<br /> <br /> <br /> 32<br /> 46<br /> COVER<br /> Cover photo<br /> courtesy of<br /> the Center for<br /> Immersive and<br /> Simulation-Based<br /> Learning at<br /> Stanford University<br /> (Article begins on<br /> p. 18)<br /> CONTENTS<br /> March/April 2013 Volume 10, Issue 2<br /> Features<br /> 18 Medical Simulation: A Holistic Approach to<br /> Highly Reliable Healthcare<br /> By Ruth M. Fanning, Mb, MRCPI, FFARCSI<br /> 24 Intravenous Infusion Medication Safety:<br /> The Vision Becomes Reality<br /> By Tim Vanderveen, PharmD, MS<br /> 32 Patients and F<a title="PSQH March/April 2013 page 1" href="http://viewer.zmags.com/publication/79951363?page=1"> March/April 2013 </a> <a title="PSQH March/April 2013 page 2" href="http://viewer.zmags.com/publication/79951363?page=2"> </a> <a title="PSQH March/April 2013 page 3" href="http://viewer.zmags.com/publication/79951363?page=3"> </a> <a title="PSQH March/April 2013 page 4" href="http://viewer.zmags.com/publication/79951363?page=4"> 32 46 COVER Cover photo courtesy of the Center </a> <a title="PSQH March/April 2013 page 5" href="http://viewer.zmags.com/publication/79951363?page=5"> </a> <a title="PSQH March/April 2013 page 6" href="http://viewer.zmags.com/publication/79951363?page=6"> </a> <a title="PSQH March/April 2013 page 7" href="http://viewer.zmags.com/publication/79951363?page=7"> </a> <a title="PSQH March/April 2013 page 8" href="http://viewer.zmags.com/publication/79951363?page=8"> SPONSORING ORGANIZATIONS Amer</a> <a title="PSQH March/April 2013 page 9" href="http://viewer.zmags.com/publication/79951363?page=9"> </a> <a title="PSQH March/April 2013 page 10" href="http://viewer.zmags.com/publication/79951363?page=10"> NEWS EMPSF Launches Nationwide Campaign for a ‘</a> <a title="PSQH March/April 2013 page 11" href="http://viewer.zmags.com/publication/79951363?page=11"> Lucian Leape Institute Report Urges Emphasis on J</a> <a title="PSQH March/April 2013 page 12" href="http://viewer.zmags.com/publication/79951363?page=12"> </a> <a title="PSQH March/April 2013 page 13" href="http://viewer.zmags.com/publication/79951363?page=13"> </a> <a title="PSQH March/April 2013 page 14" href="http://viewer.zmags.com/publication/79951363?page=14"> ISMP Red Flags that Represent Credible Threats </a> <a title="PSQH March/April 2013 page 15" href="http://viewer.zmags.com/publication/79951363?page=15"> should lead a person with a concern to pursue it </a> <a title="PSQH March/April 2013 page 16" href="http://viewer.zmags.com/publication/79951363?page=16"> HEALTH IT & QUALITY The Eyes Have It By Ba</a> <a title="PSQH March/April 2013 page 17" href="http://viewer.zmags.com/publication/79951363?page=17"> encourage behavior change, such as clinical d</a> <a title="PSQH March/April 2013 page 18" href="http://viewer.zmags.com/publication/79951363?page=18"> HUMAN FACTORS Design Principles for Manual Safe</a> <a title="PSQH March/April 2013 page 19" href="http://viewer.zmags.com/publication/79951363?page=19"> the proper use of safety measures, asso- ciated o</a> <a title="PSQH March/April 2013 page 20" href="http://viewer.zmags.com/publication/79951363?page=20"> MEDICAL SIMULATION: A Holistic Appr</a> <a title="PSQH March/April 2013 page 21" href="http://viewer.zmags.com/publication/79951363?page=21"> I n the next three decades, significant demands wi</a> <a title="PSQH March/April 2013 page 22" href="http://viewer.zmags.com/publication/79951363?page=22"> MEDICAL SIMULATION Novice and experienced pract</a> <a title="PSQH March/April 2013 page 23" href="http://viewer.zmags.com/publication/79951363?page=23"> </a> <a title="PSQH March/April 2013 page 24" href="http://viewer.zmags.com/publication/79951363?page=24"> MEDICAL SIMULATION A few healthcare systems are</a> <a title="PSQH March/April 2013 page 25" href="http://viewer.zmags.com/publication/79951363?page=25"> Medical Simulation REFERENCES ACGME (Accredita</a> <a title="PSQH March/April 2013 page 26" href="http://viewer.zmags.com/publication/79951363?page=26"> INTRAVENOUS INFUSION MEDICATION SAFETY: The V</a> <a title="PSQH March/April 2013 page 27" href="http://viewer.zmags.com/publication/79951363?page=27"> In this article, I review technology adoption a</a> <a title="PSQH March/April 2013 page 28" href="http://viewer.zmags.com/publication/79951363?page=28"> IV INFUSION MEDICATION SAFETY Table 1. Medicat</a> <a title="PSQH March/April 2013 page 29" href="http://viewer.zmags.com/publication/79951363?page=29"> IV Infusion Medication Safety IV MEDICATION AD</a> <a title="PSQH March/April 2013 page 30" href="http://viewer.zmags.com/publication/79951363?page=30"> IV INFUSION MEDICATION SAFETY Table 3. PCA/Ep</a> <a title="PSQH March/April 2013 page 31" href="http://viewer.zmags.com/publication/79951363?page=31"> </a> <a title="PSQH March/April 2013 page 32" href="http://viewer.zmags.com/publication/79951363?page=32"> IV INFUSION MEDICATION SAFETY crease our unders</a> <a title="PSQH March/April 2013 page 33" href="http://viewer.zmags.com/publication/79951363?page=33"> </a> <a title="PSQH March/April 2013 page 34" href="http://viewer.zmags.com/publication/79951363?page=34"> PATIENTS AND FAMILIES: Key Partners in Im</a> <a title="PSQH March/April 2013 page 35" href="http://viewer.zmags.com/publication/79951363?page=35"> Institute’s soon-to-be-released paper, Voices of </a> <a title="PSQH March/April 2013 page 36" href="http://viewer.zmags.com/publication/79951363?page=36"> PATIENT EXPERIENCE Organizations need to push p</a> <a title="PSQH March/April 2013 page 37" href="http://viewer.zmags.com/publication/79951363?page=37"> and family voice outside of “formal” processes su</a> <a title="PSQH March/April 2013 page 38" href="http://viewer.zmags.com/publication/79951363?page=38"> PATIENT EXPERIENCE The ability to listen in th</a> <a title="PSQH March/April 2013 page 39" href="http://viewer.zmags.com/publication/79951363?page=39"> </a> <a title="PSQH March/April 2013 page 40" href="http://viewer.zmags.com/publication/79951363?page=40"> Integrated Solution Helps Improve Ped</a> <a title="PSQH March/April 2013 page 41" href="http://viewer.zmags.com/publication/79951363?page=41"> reduced Children’s medication errors—a decline of</a> <a title="PSQH March/April 2013 page 42" href="http://viewer.zmags.com/publication/79951363?page=42"> INTEGRATED SOLUTION Table 1. Barcode Medicatio</a> <a title="PSQH March/April 2013 page 43" href="http://viewer.zmags.com/publication/79951363?page=43"> • CareFusion continues to work with other hospit</a> <a title="PSQH March/April 2013 page 44" href="http://viewer.zmags.com/publication/79951363?page=44"> MENTORING PROGRAMS: Essential for Sustain</a> <a title="PSQH March/April 2013 page 45" href="http://viewer.zmags.com/publication/79951363?page=45"> Figure 1. Sample Self-Appraisal Worksheet Learnin</a> <a title="PSQH March/April 2013 page 46" href="http://viewer.zmags.com/publication/79951363?page=46"> MENTORING PROGRAMS help create healthy boundari</a> <a title="PSQH March/April 2013 page 47" href="http://viewer.zmags.com/publication/79951363?page=47"> ment and reten- tion figures, qual- ity measures</a> <a title="PSQH March/April 2013 page 48" href="http://viewer.zmags.com/publication/79951363?page=48"> A Team Approach to Fall Prevention By Cather</a> <a title="PSQH March/April 2013 page 49" href="http://viewer.zmags.com/publication/79951363?page=49"> cording to a survey of 140 nurse managers, the mo</a> <a title="PSQH March/April 2013 page 50" href="http://viewer.zmags.com/publication/79951363?page=50"> FALL PREVENTION </a> <a title="PSQH March/April 2013 page 51" href="http://viewer.zmags.com/publication/79951363?page=51"> falls, but there was a shift in the type of falls</a> <a title="PSQH March/April 2013 page 52" href="http://viewer.zmags.com/publication/79951363?page=52"> </a> <a title="PSQH March/April 2013 page 53" href="http://viewer.zmags.com/publication/79951363?page=53"> </a> <a title="PSQH March/April 2013 page 54" href="http://viewer.zmags.com/publication/79951363?page=54"> Enhancing Clinical Education and Training, Improv</a> <a title="PSQH March/April 2013 page 55" href="http://viewer.zmags.com/publication/79951363?page=55"> of medical conditions, and the appropriate applic</a> <a title="PSQH March/April 2013 page 56" href="http://viewer.zmags.com/publication/79951363?page=56"> ENHANCING CLINICAL EDUCATION cal simulation in </a> <a title="PSQH March/April 2013 page 57" href="http://viewer.zmags.com/publication/79951363?page=57"> </a> <a title="PSQH March/April 2013 page 58" href="http://viewer.zmags.com/publication/79951363?page=58"> SPECIAL ADVERTISING SECTION Fall Prevention No</a> <a title="PSQH March/April 2013 page 59" href="http://viewer.zmags.com/publication/79951363?page=59"> </a> <a title="PSQH March/April 2013 page 60" href="http://viewer.zmags.com/publication/79951363?page=60"> SPECIAL ADVERTISING SECTION ‘There is always </a> <a title="PSQH March/April 2013 page 61" href="http://viewer.zmags.com/publication/79951363?page=61"> </a> <a title="PSQH March/April 2013 page 62" href="http://viewer.zmags.com/publication/79951363?page=62"> SPECIAL ADVERTISING SECTION are definitely no</a> <a title="PSQH March/April 2013 page 63" href="http://viewer.zmags.com/publication/79951363?page=63"> </a> <a title="PSQH March/April 2013 page 64" href="http://viewer.zmags.com/publication/79951363?page=64"> NEWS Quality Conundrums Lynn Helmer, MD, MBA, CH</a> <a title="PSQH March/April 2013 page 65" href="http://viewer.zmags.com/publication/79951363?page=65"> American Board of Quality Assurance and Utilizati</a> <a title="PSQH March/April 2013 page 66" href="http://viewer.zmags.com/publication/79951363?page=66"> Patient Safety and Quality Healthcare (PSQH) welc</a> <a title="PSQH March/April 2013 page 67" href="http://viewer.zmags.com/publication/79951363?page=67"> </a> <a title="PSQH March/April 2013 page 68" href="http://viewer.zmags.com/publication/79951363?page=68"> </a> <a title="PSQH March/April 2013 page 69" href="http://viewer.zmags.com/publication/79951363?page=69"> PATIENT SAFETY & QUALITY HEALTHCARE Education & T</a> <a title="PSQH March/April 2013 page 70" href="http://viewer.zmags.com/publication/79951363?page=70"> COMPANY/EDUCATIONAL INSTITUTION INDEX ABQAURP Ad</a> <a title="PSQH March/April 2013 page 71" href="http://viewer.zmags.com/publication/79951363?page=71"> COURSE LISTINGS ABQAURP- American Board of Qual</a> <a title="PSQH March/April 2013 page 72" href="http://viewer.zmags.com/publication/79951363?page=72"> ABQAURP Focus on Quality: Patient Safety in the </a> <a title="PSQH March/April 2013 page 73" href="http://viewer.zmags.com/publication/79951363?page=73"> </a> <a title="PSQH March/April 2013 page 74" href="http://viewer.zmags.com/publication/79951363?page=74"> COURSE LISTINGS Certification Board for Professi</a> <a title="PSQH March/April 2013 page 75" href="http://viewer.zmags.com/publication/79951363?page=75"> COURSE LISTINGS The ISMP Medication Safety Int</a> <a title="PSQH March/April 2013 page 76" href="http://viewer.zmags.com/publication/79951363?page=76"> 8</a> <a title="PSQH March/April 2013 page 77" href="http://viewer.zmags.com/publication/79951363?page=77"> </a> <a title="PSQH March/April 2013 page 78" href="http://viewer.zmags.com/publication/79951363?page=78"> COURSE LISTINGS National Patient Safety Foundat</a> <a title="PSQH March/April 2013 page 79" href="http://viewer.zmags.com/publication/79951363?page=79"> COURSE LISTINGS University of Michigan, Inte</a> <a title="PSQH March/April 2013 page 80" href="http://viewer.zmags.com/publication/79951363?page=80"> </a> <a title="PSQH March/April 2013 page 81" href="http://viewer.zmags.com/publication/79951363?page=81"> </a> <a title="PSQH March/April 2013 page 82" href="http://viewer.zmags.com/publication/79951363?page=82"> COURSE LISTINGS UW-Madison Center for Quality a</a> <a title="PSQH March/April 2013 page 83" href="http://viewer.zmags.com/publication/79951363?page=83"> </a> <a title="PSQH March/April 2013 page 84" href="http://viewer.zmags.com/publication/79951363?page=84"> </a>