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March/April 2013 Volume 10, Issue 2
MEDICAL
SIMULATION
A HOLISTIC APPROACH
IV Medication Safety
Patient Experience
Mentoring Programs
Fall Prevention
32
46
COVER
Cover photo
courtesy of
the Center for
Immersive and
Simulation-Based
Learning at
Stanford University
(Article begins on
p. 18)
CONTENTS
March/April 2013 Volume 10, Issue 2
Features
18 Medical Simulation: A Holistic Approach to
Highly Reliable Healthcare
By Ruth M. Fanning, Mb, MRCPI, FFARCSI
24 Intravenous Infusion Medication Safety:
The Vision Becomes Reality
By Tim Vanderveen, PharmD, MS
32 Patients and F
March/April 2013
32 46 COVER Cover photo courtesy of the Center
SPONSORING ORGANIZATIONS Amer
NEWS EMPSF Launches Nationwide Campaign for a ‘
Lucian Leape Institute Report Urges Emphasis on J
ISMP Red Flags that Represent Credible Threats
should lead a person with a concern to pursue it
HEALTH IT & QUALITY The Eyes Have It By Ba
encourage behavior change, such as clinical d
HUMAN FACTORS Design Principles for Manual Safe
the proper use of safety measures, asso- ciated o
MEDICAL SIMULATION: A Holistic Appr
I n the next three decades, significant demands wi
MEDICAL SIMULATION Novice and experienced pract
MEDICAL SIMULATION A few healthcare systems are
Medical Simulation REFERENCES ACGME (Accredita
INTRAVENOUS INFUSION MEDICATION SAFETY: The V
In this article, I review technology adoption a
IV INFUSION MEDICATION SAFETY Table 1. Medicat
IV Infusion Medication Safety IV MEDICATION AD
IV INFUSION MEDICATION SAFETY Table 3. PCA/Ep
IV INFUSION MEDICATION SAFETY crease our unders
PATIENTS AND FAMILIES: Key Partners in Im
Institute’s soon-to-be-released paper, Voices of
PATIENT EXPERIENCE Organizations need to push p
and family voice outside of “formal” processes su
PATIENT EXPERIENCE The ability to listen in th
Integrated Solution Helps Improve Ped
reduced Children’s medication errors—a decline of
INTEGRATED SOLUTION Table 1. Barcode Medicatio
• CareFusion continues to work with other hospit
MENTORING PROGRAMS: Essential for Sustain
Figure 1. Sample Self-Appraisal Worksheet Learnin
MENTORING PROGRAMS help create healthy boundari
ment and reten- tion figures, qual- ity measures
A Team Approach to Fall Prevention By Cather
cording to a survey of 140 nurse managers, the mo
FALL PREVENTION
falls, but there was a shift in the type of falls
Enhancing Clinical Education and Training, Improv
of medical conditions, and the appropriate applic
ENHANCING CLINICAL EDUCATION cal simulation in
SPECIAL ADVERTISING SECTION Fall Prevention No
SPECIAL ADVERTISING SECTION ‘There is always
SPECIAL ADVERTISING SECTION are definitely no
NEWS Quality Conundrums Lynn Helmer, MD, MBA, CH
American Board of Quality Assurance and Utilizati
Patient Safety and Quality Healthcare (PSQH) welc
PATIENT SAFETY & QUALITY HEALTHCARE Education & T
COMPANY/EDUCATIONAL INSTITUTION INDEX ABQAURP Ad
COURSE LISTINGS ABQAURP- American Board of Qual
ABQAURP Focus on Quality: Patient Safety in the
COURSE LISTINGS Certification Board for Professi
COURSE LISTINGS The ISMP Medication Safety Int
8
COURSE LISTINGS National Patient Safety Foundat
COURSE LISTINGS University of Michigan, Inte
COURSE LISTINGS UW-Madison Center for Quality a