<br />
M ARCH/APRIL 2010<br />
<br />
Patient Safety<br />
& QUALITY HEALTHCARE<br />
QUALITY HEALTHCARE<br />
<br />
DIGITAL VERSION<br />
AVAILABLE!<br />
Visit: www.psqh.com/digital<br />
<br />
NEWS · SCIENCE · RESEARCH · OPINION<br />
DISTRACTIONS AND INTERRUPTIONS:<br />
IMPACT ON NURSING<br />
<br />
<br />
HOSPITAL READMISSIONS<br />
PATIENT ENGAGEMENT<br />
WORKPLACE SAFETY<br />
WORKPLACE SAFETY& QUALITY HEALTHCARE<br />
SCIENCE ??? RESEARCH ??? OPINION<br />
v,^<br />
<br />
w<br />
V<br />
_HSTRACTIOi<br />
IMPACT ON NURSING<br />
HOSPITAL READMISSIONS<br />
PATIENT ENGAGEMENT<br />
WORKPLACE SAFETY<br />
GE Healthcare<br />
The path to reduce<br />
medical error starts with<b<a title="Patient Safety and Quality Healthcare page 1" href="http://viewer.zmags.com/publication/8441c6ae?page=1">M ARCH/APRIL 2010Patient Safety& QUALITY HE</a> M ARCH/APRIL 2010Patient Safety& QUALITY HE<a title="Patient Safety and Quality Healthcare page 2" href="http://viewer.zmags.com/publication/8441c6ae?page=2">GE HealthcareThe path to reducemedical error </a> GE HealthcareThe path to reducemedical error <a title="Patient Safety and Quality Healthcare page 3" href="http://viewer.zmags.com/publication/8441c6ae?page=3">We all know endotrachealtubes leak.The question</a> We all know endotrachealtubes leak.The question<a title="Patient Safety and Quality Healthcare page 4" href="http://viewer.zmags.com/publication/8441c6ae?page=4">ContentsMARCH/APRIL 2010 · VOLUME 7 ISSUE 2</a> ContentsMARCH/APRIL 2010 · VOLUME 7 ISSUE 2<a title="Patient Safety and Quality Healthcare page 5" href="http://viewer.zmags.com/publication/8441c6ae?page=5">ALLERGConsolidate yourAdmit & Alert Wristband</a> ALLERGConsolidate yourAdmit & Alert Wristband<a title="Patient Safety and Quality Healthcare page 6" href="http://viewer.zmags.com/publication/8441c6ae?page=6"> </a> <a title="Patient Safety and Quality Healthcare page 7" href="http://viewer.zmags.com/publication/8441c6ae?page=7">Patient Safety EDITORIAL ADVISORY BOARD& </a> Patient Safety EDITORIAL ADVISORY BOARD& <a title="Patient Safety and Quality Healthcare page 8" href="http://viewer.zmags.com/publication/8441c6ae?page=8">By Carolyn M. Clancy, MDAHRQPreventing Healt</a> By Carolyn M. Clancy, MDAHRQPreventing Healt<a title="Patient Safety and Quality Healthcare page 9" href="http://viewer.zmags.com/publication/8441c6ae?page=9">An organization's culturewill quickly determine</a> An organization's culturewill quickly determine<a title="Patient Safety and Quality Healthcare page 10" href="http://viewer.zmags.com/publication/8441c6ae?page=10"> Under an AHRQ grant, Hopkinsresearcher Pet</a> Under an AHRQ grant, Hopkinsresearcher Pet<a title="Patient Safety and Quality Healthcare page 11" href="http://viewer.zmags.com/publication/8441c6ae?page=11">Falriskmaybeapartof life…but</a> Falriskmaybeapartof life…but<a title="Patient Safety and Quality Healthcare page 12" href="http://viewer.zmags.com/publication/8441c6ae?page=12">By Barry P. Chaiken, MD, FHIMSSHEALTH IT & Q</a> By Barry P. Chaiken, MD, FHIMSSHEALTH IT & Q<a title="Patient Safety and Quality Healthcare page 13" href="http://viewer.zmags.com/publication/8441c6ae?page=13">REFERENCESAsh, J. S., Sittig, D. F., Poon, E.</a> REFERENCESAsh, J. S., Sittig, D. F., Poon, E.<a title="Patient Safety and Quality Healthcare page 14" href="http://viewer.zmags.com/publication/8441c6ae?page=14">By Ken BukowskiWORKPLACE SAFETYHospital Se</a> By Ken BukowskiWORKPLACE SAFETYHospital Se<a title="Patient Safety and Quality Healthcare page 15" href="http://viewer.zmags.com/publication/8441c6ae?page=15">REFERENCESGacki-Smith, J., Juarez, A. Am., Bo</a> REFERENCESGacki-Smith, J., Juarez, A. Am., Bo<a title="Patient Safety and Quality Healthcare page 16" href="http://viewer.zmags.com/publication/8441c6ae?page=16">Brian H. Fillipo, MD, MMM, FACPSherri Barnhill, </a> Brian H. Fillipo, MD, MMM, FACPSherri Barnhill, <a title="Patient Safety and Quality Healthcare page 17" href="http://viewer.zmags.com/publication/8441c6ae?page=17">Humans have anincredible ability to makesense o</a> Humans have anincredible ability to makesense o<a title="Patient Safety and Quality Healthcare page 18" href="http://viewer.zmags.com/publication/8441c6ae?page=18">Those Who Put Safety First In Selecting Patient </a> Those Who Put Safety First In Selecting Patient <a title="Patient Safety and Quality Healthcare page 19" href="http://viewer.zmags.com/publication/8441c6ae?page=19">encounter circumstances matchingthese mental mod</a> encounter circumstances matchingthese mental mod<a title="Patient Safety and Quality Healthcare page 20" href="http://viewer.zmags.com/publication/8441c6ae?page=20">Paul L.Weygandt, MD, JD, MPH, MBA, CPE;Melinda T</a> Paul L.Weygandt, MD, JD, MPH, MBA, CPE;Melinda T<a title="Patient Safety and Quality Healthcare page 21" href="http://viewer.zmags.com/publication/8441c6ae?page=21">The CIS is responsiblefor assuring accuratecomm</a> The CIS is responsiblefor assuring accuratecomm<a title="Patient Safety and Quality Healthcare page 22" href="http://viewer.zmags.com/publication/8441c6ae?page=22">should focus on actual safety andquality; our pa</a> should focus on actual safety andquality; our pa<a title="Patient Safety and Quality Healthcare page 23" href="http://viewer.zmags.com/publication/8441c6ae?page=23">NPSFNational Patient Safety Foundation"www.np</a> NPSFNational Patient Safety Foundation"www.np<a title="Patient Safety and Quality Healthcare page 24" href="http://viewer.zmags.com/publication/8441c6ae?page=24">SUPPLEMENT TO PATIENT SAFETY & QUALITY HEALTHCARE</a> SUPPLEMENT TO PATIENT SAFETY & QUALITY HEALTHCARE<a title="Patient Safety and Quality Healthcare page 25" href="http://viewer.zmags.com/publication/8441c6ae?page=25">FULL PAGE AD ???SUPPLEMENT TO PATI</a> FULL PAGE AD ???SUPPLEMENT TO PATI<a title="Patient Safety and Quality Healthcare page 26" href="http://viewer.zmags.com/publication/8441c6ae?page=26">DISTRACTIONS AND INTERRUPTIONS:Impacton Nursi</a> DISTRACTIONS AND INTERRUPTIONS:Impacton Nursi<a title="Patient Safety and Quality Healthcare page 27" href="http://viewer.zmags.com/publication/8441c6ae?page=27"> ByJu</a> ByJu<a title="Patient Safety and Quality Healthcare page 28" href="http://viewer.zmags.com/publication/8441c6ae?page=28">IMPACT ON NURSING </a> IMPACT ON NURSING <a title="Patient Safety and Quality Healthcare page 29" href="http://viewer.zmags.com/publication/8441c6ae?page=29"> </a> <a title="Patient Safety and Quality Healthcare page 30" href="http://viewer.zmags.com/publication/8441c6ae?page=30">IMPACT ON NURSINGtions or distractions occurrin</a> IMPACT ON NURSINGtions or distractions occurrin<a title="Patient Safety and Quality Healthcare page 31" href="http://viewer.zmags.com/publication/8441c6ae?page=31">In the OR, every minute counts.Pyxis® Periopera</a> In the OR, every minute counts.Pyxis® Periopera<a title="Patient Safety and Quality Healthcare page 32" href="http://viewer.zmags.com/publication/8441c6ae?page=32"> IMPACT ON NURSINGa “zone within a zone.” Cost</a> IMPACT ON NURSINGa “zone within a zone.” Cost<a title="Patient Safety and Quality Healthcare page 33" href="http://viewer.zmags.com/publication/8441c6ae?page=33">AN OPEN MESSAGE TO CHIEF NURSING OFFICERS:WE SH</a> AN OPEN MESSAGE TO CHIEF NURSING OFFICERS:WE SH<a title="Patient Safety and Quality Healthcare page 34" href="http://viewer.zmags.com/publication/8441c6ae?page=34"> One DVT can cause a lot ofDAM</a> One DVT can cause a lot ofDAM<a title="Patient Safety and Quality Healthcare page 35" href="http://viewer.zmags.com/publication/8441c6ae?page=35"> </a> <a title="Patient Safety and Quality Healthcare page 36" href="http://viewer.zmags.com/publication/8441c6ae?page=36">DISCLOSURE AND APOLOGY:What's Missing?Advanc</a> DISCLOSURE AND APOLOGY:What's Missing?Advanc<a title="Patient Safety and Quality Healthcare page 37" href="http://viewer.zmags.com/publication/8441c6ae?page=37">Health System (MUHS) in Columbia, Missouri. MITSS</a> Health System (MUHS) in Columbia, Missouri. MITSS<a title="Patient Safety and Quality Healthcare page 38" href="http://viewer.zmags.com/publication/8441c6ae?page=38"> CLINICIAN SUPPORT </a> CLINICIAN SUPPORT <a title="Patient Safety and Quality Healthcare page 39" href="http://viewer.zmags.com/publication/8441c6ae?page=39"> Th</a> Th<a title="Patient Safety and Quality Healthcare page 40" href="http://viewer.zmags.com/publication/8441c6ae?page=40">Florida Collaborative Tackles HospitalRead</a> Florida Collaborative Tackles HospitalRead<a title="Patient Safety and Quality Healthcare page 41" href="http://viewer.zmags.com/publication/8441c6ae?page=41">W hether </a> W hether <a title="Patient Safety and Quality Healthcare page 42" href="http://viewer.zmags.com/publication/8441c6ae?page=42"> HOSPITAL READMISSIONSbeginning of the Col</a> HOSPITAL READMISSIONSbeginning of the Col<a title="Patient Safety and Quality Healthcare page 43" href="http://viewer.zmags.com/publication/8441c6ae?page=43"> tial issues and opportunities for improv</a> tial issues and opportunities for improv<a title="Patient Safety and Quality Healthcare page 44" href="http://viewer.zmags.com/publication/8441c6ae?page=44">PATIENT ENGAGEMENT INPATIENT SAFETY:Barriers </a> PATIENT ENGAGEMENT INPATIENT SAFETY:Barriers <a title="Patient Safety and Quality Healthcare page 45" href="http://viewer.zmags.com/publication/8441c6ae?page=45">Woods, 2000; Nolan, 2000; Burke, 2003). Fur-ther</a> Woods, 2000; Nolan, 2000; Burke, 2003). Fur-ther<a title="Patient Safety and Quality Healthcare page 46" href="http://viewer.zmags.com/publication/8441c6ae?page=46">PATIENT ENGAGEMENT </a> PATIENT ENGAGEMENT <a title="Patient Safety and Quality Healthcare page 47" href="http://viewer.zmags.com/publication/8441c6ae?page=47"> Healthcare Setting and IllnessThe healthcar</a> Healthcare Setting and IllnessThe healthcar<a title="Patient Safety and Quality Healthcare page 48" href="http://viewer.zmags.com/publication/8441c6ae?page=48">PATIENT ENGAGEMENT </a> PATIENT ENGAGEMENT <a title="Patient Safety and Quality Healthcare page 49" href="http://viewer.zmags.com/publication/8441c6ae?page=49">safety and error prevention is the creation of an</a> safety and error prevention is the creation of an<a title="Patient Safety and Quality Healthcare page 50" href="http://viewer.zmags.com/publication/8441c6ae?page=50">BE PREPARED:Anticipating PediatricEmergencies </a> BE PREPARED:Anticipating PediatricEmergencies <a title="Patient Safety and Quality Healthcare page 51" href="http://viewer.zmags.com/publication/8441c6ae?page=51"> At a Pediatric Advanced Life Support(PALS</a> At a Pediatric Advanced Life Support(PALS<a title="Patient Safety and Quality Healthcare page 52" href="http://viewer.zmags.com/publication/8441c6ae?page=52"> PEDIATRIC EMERGENCIESFigure </a> PEDIATRIC EMERGENCIESFigure <a title="Patient Safety and Quality Healthcare page 53" href="http://viewer.zmags.com/publication/8441c6ae?page=53">Mastering the Art of Barcoding</a> Mastering the Art of Barcoding<a title="Patient Safety and Quality Healthcare page 54" href="http://viewer.zmags.com/publication/8441c6ae?page=54"> QUALITY The NinthNational</a> QUALITY The NinthNational<a title="Patient Safety and Quality Healthcare page 55" href="http://viewer.zmags.com/publication/8441c6ae?page=55">COLLOQUIUMThe Leading Forum on PatientSafety, Q</a> COLLOQUIUMThe Leading Forum on PatientSafety, Q<a title="Patient Safety and Quality Healthcare page 56" href="http://viewer.zmags.com/publication/8441c6ae?page=56">By Dirk Stanley, MD, MPHEMR IMPLEMENTATION</a> By Dirk Stanley, MD, MPHEMR IMPLEMENTATION<a title="Patient Safety and Quality Healthcare page 57" href="http://viewer.zmags.com/publication/8441c6ae?page=57">These embeddedinformaticists makeexcellent proj</a> These embeddedinformaticists makeexcellent proj<a title="Patient Safety and Quality Healthcare page 58" href="http://viewer.zmags.com/publication/8441c6ae?page=58">By Raphael L.Aquino, MSTRENDSSentara Supp</a> By Raphael L.Aquino, MSTRENDSSentara Supp<a title="Patient Safety and Quality Healthcare page 59" href="http://viewer.zmags.com/publication/8441c6ae?page=59">members to focus more of their time onpatient ca</a> members to focus more of their time onpatient ca<a title="Patient Safety and Quality Healthcare page 60" href="http://viewer.zmags.com/publication/8441c6ae?page=60">PULSELucian Leape Institute Finds Medical Scho</a> PULSELucian Leape Institute Finds Medical Scho<a title="Patient Safety and Quality Healthcare page 61" href="http://viewer.zmags.com/publication/8441c6ae?page=61">Lucian Leape Institute,” said Diane C.Pinakiewic</a> Lucian Leape Institute,” said Diane C.Pinakiewic<a title="Patient Safety and Quality Healthcare page 62" href="http://viewer.zmags.com/publication/8441c6ae?page=62">ABQAURPQUALITY CONUNDRUMSLynn Helmer, MD, MBA</a> ABQAURPQUALITY CONUNDRUMSLynn Helmer, MD, MBA<a title="Patient Safety and Quality Healthcare page 63" href="http://viewer.zmags.com/publication/8441c6ae?page=63">ABQAURPNEWS </a> ABQAURPNEWS <a title="Patient Safety and Quality Healthcare page 64" href="http://viewer.zmags.com/publication/8441c6ae?page=64">There is a significant body of knowl-edge, taken</a> There is a significant body of knowl-edge, taken<a title="Patient Safety and Quality Healthcare page 65" href="http://viewer.zmags.com/publication/8441c6ae?page=65"> </a> <a title="Patient Safety and Quality Healthcare page 66" href="http://viewer.zmags.com/publication/8441c6ae?page=66">Patient Safety and Quality Healthcare (PSQH)welc</a> Patient Safety and Quality Healthcare (PSQH)welc<a title="Patient Safety and Quality Healthcare page 67" href="http://viewer.zmags.com/publication/8441c6ae?page=67">CERTIFICATIONBecome certified in Health Care Qu</a> CERTIFICATIONBecome certified in Health Care Qu<a title="Patient Safety and Quality Healthcare page 68" href="http://viewer.zmags.com/publication/8441c6ae?page=68">Give your staff the tools to standardize communic</a> Give your staff the tools to standardize communic