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<br /> M ARCH/APRIL 2010<br /> Patient Safety<br /> & QUALITY HEALTHCARE<br /> QUALITY HEALTHCARE<br /> DIGITAL VERSION<br /> AVAILABLE!<br /> Visit: www.psqh.com/digital<br /> NEWS · SCIENCE · RESEARCH · OPINION<br /> DISTRACTIONS AND INTERRUPTIONS:<br /> IMPACT ON NURSING<br /> HOSPITAL READMISSIONS<br /> PATIENT ENGAGEMENT<br /> WORKPLACE SAFETY<br /> WORKPLACE SAFETY& QUALITY HEALTHCARE<br /> SCIENCE ??? RESEARCH ??? OPINION<br /> v,^<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<br /> understanding near misses.<br /> Patient safety solutions from GE Healthcare. You've seen the numbers<br /> medical error causes up to 98,000 hospital deaths costing more than<br /> $29 billion each year.1 But even one incident costs too much for your<br /> comm<a title="Patient Safety and Quality Healthcare page 1" href="http://viewer.zmags.com/publication/8441c6ae?page=1"> M ARCH/APRIL 2010 Patient Safety & QUALITY HE</a> <a title="Patient Safety and Quality Healthcare page 2" href="http://viewer.zmags.com/publication/8441c6ae?page=2"> GE Healthcare The path to reduce medical error </a> <a title="Patient Safety and Quality Healthcare page 3" href="http://viewer.zmags.com/publication/8441c6ae?page=3"> We all know endotracheal tubes leak. The question</a> <a title="Patient Safety and Quality Healthcare page 4" href="http://viewer.zmags.com/publication/8441c6ae?page=4"> Contents MARCH/APRIL 2010 · VOLUME 7 ISSUE 2 </a> <a title="Patient Safety and Quality Healthcare page 5" href="http://viewer.zmags.com/publication/8441c6ae?page=5"> ALLERG Consolidate your Admit & Alert Wristband</a> <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> <a title="Patient Safety and Quality Healthcare page 8" href="http://viewer.zmags.com/publication/8441c6ae?page=8"> By Carolyn M. Clancy, MD AHRQ Preventing Healt</a> <a title="Patient Safety and Quality Healthcare page 9" href="http://viewer.zmags.com/publication/8441c6ae?page=9"> An organization's culture will quickly determine </a> <a title="Patient Safety and Quality Healthcare page 10" href="http://viewer.zmags.com/publication/8441c6ae?page=10"> Under an AHRQ grant, Hopkins researcher Pet</a> <a title="Patient Safety and Quality Healthcare page 11" href="http://viewer.zmags.com/publication/8441c6ae?page=11"> Falriskmaybeapart of life… but</a> <a title="Patient Safety and Quality Healthcare page 12" href="http://viewer.zmags.com/publication/8441c6ae?page=12"> By Barry P. Chaiken, MD, FHIMSS HEALTH IT & Q</a> <a title="Patient Safety and Quality Healthcare page 13" href="http://viewer.zmags.com/publication/8441c6ae?page=13"> R EFERENCES Ash, J. S., Sittig, D. F., Poon, E.</a> <a title="Patient Safety and Quality Healthcare page 14" href="http://viewer.zmags.com/publication/8441c6ae?page=14"> By Ken Bukowski WORKPLACE SAFETY Hospital Se</a> <a title="Patient Safety and Quality Healthcare page 15" href="http://viewer.zmags.com/publication/8441c6ae?page=15"> R EFERENCES Gacki-Smith, J., Juarez, A. Am., Bo</a> <a title="Patient Safety and Quality Healthcare page 16" href="http://viewer.zmags.com/publication/8441c6ae?page=16"> Brian H. Fillipo, MD, MMM, FACP Sherri Barnhill, </a> <a title="Patient Safety and Quality Healthcare page 17" href="http://viewer.zmags.com/publication/8441c6ae?page=17"> Humans have an incredible ability to make sense o</a> <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> <a title="Patient Safety and Quality Healthcare page 19" href="http://viewer.zmags.com/publication/8441c6ae?page=19"> encounter circumstances matching these mental mod</a> <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> <a title="Patient Safety and Quality Healthcare page 21" href="http://viewer.zmags.com/publication/8441c6ae?page=21"> The CIS is responsible for assuring accurate comm</a> <a title="Patient Safety and Quality Healthcare page 22" href="http://viewer.zmags.com/publication/8441c6ae?page=22"> should focus on actual safety and quality; our pa</a> <a title="Patient Safety and Quality Healthcare page 23" href="http://viewer.zmags.com/publication/8441c6ae?page=23"> NPSF National Patient Safety Foundation" www.np</a> <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> <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> <a title="Patient Safety and Quality Healthcare page 26" href="http://viewer.zmags.com/publication/8441c6ae?page=26"> DISTRACTIONS AND INTERRUPTIONS: Impact on Nursi</a> <a title="Patient Safety and Quality Healthcare page 27" href="http://viewer.zmags.com/publication/8441c6ae?page=27"> By Ju</a> <a title="Patient Safety and Quality Healthcare page 28" href="http://viewer.zmags.com/publication/8441c6ae?page=28"> IMPACT ON NURSING </a> <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 NURSING tions or distractions occurrin</a> <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> <a title="Patient Safety and Quality Healthcare page 32" href="http://viewer.zmags.com/publication/8441c6ae?page=32"> IMPACT ON NURSING a “zone within a zone.” Cost</a> <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> <a title="Patient Safety and Quality Healthcare page 34" href="http://viewer.zmags.com/publication/8441c6ae?page=34"> One DVT can cause a lot of DAM</a> <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> <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> <a title="Patient Safety and Quality Healthcare page 38" href="http://viewer.zmags.com/publication/8441c6ae?page=38"> CLINICIAN SUPPORT </a> <a title="Patient Safety and Quality Healthcare page 39" href="http://viewer.zmags.com/publication/8441c6ae?page=39"> Th</a> <a title="Patient Safety and Quality Healthcare page 40" href="http://viewer.zmags.com/publication/8441c6ae?page=40"> Florida Collaborative Tackles Hospital Read</a> <a title="Patient Safety and Quality Healthcare page 41" href="http://viewer.zmags.com/publication/8441c6ae?page=41"> W hether </a> <a title="Patient Safety and Quality Healthcare page 42" href="http://viewer.zmags.com/publication/8441c6ae?page=42"> HOSPITAL READMISSIONS beginning of the Col</a> <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> <a title="Patient Safety and Quality Healthcare page 44" href="http://viewer.zmags.com/publication/8441c6ae?page=44"> PATIENT ENGAGEMENT IN PATIENT SAFETY: Barriers </a> <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> <a title="Patient Safety and Quality Healthcare page 46" href="http://viewer.zmags.com/publication/8441c6ae?page=46"> PATIENT ENGAGEMENT </a> <a title="Patient Safety and Quality Healthcare page 47" href="http://viewer.zmags.com/publication/8441c6ae?page=47"> Healthcare Setting and Illness The healthcar</a> <a title="Patient Safety and Quality Healthcare page 48" href="http://viewer.zmags.com/publication/8441c6ae?page=48"> PATIENT ENGAGEMENT </a> <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> <a title="Patient Safety and Quality Healthcare page 50" href="http://viewer.zmags.com/publication/8441c6ae?page=50"> BE PREPARED: Anticipating Pediatric Emergencies </a> <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> <a title="Patient Safety and Quality Healthcare page 52" href="http://viewer.zmags.com/publication/8441c6ae?page=52"> PEDIATRIC EMERGENCIES Figure </a> <a title="Patient Safety and Quality Healthcare page 53" href="http://viewer.zmags.com/publication/8441c6ae?page=53"> Mastering the Art of Barcoding </a> <a title="Patient Safety and Quality Healthcare page 54" href="http://viewer.zmags.com/publication/8441c6ae?page=54"> QUALITY The Ninth National </a> <a title="Patient Safety and Quality Healthcare page 55" href="http://viewer.zmags.com/publication/8441c6ae?page=55"> COLLOQUIUM The Leading Forum on Patient Safety, Q</a> <a title="Patient Safety and Quality Healthcare page 56" href="http://viewer.zmags.com/publication/8441c6ae?page=56"> By Dirk Stanley, MD, MPH EMR IMPLEMENTATION </a> <a title="Patient Safety and Quality Healthcare page 57" href="http://viewer.zmags.com/publication/8441c6ae?page=57"> These embedded informaticists make excellent proj</a> <a title="Patient Safety and Quality Healthcare page 58" href="http://viewer.zmags.com/publication/8441c6ae?page=58"> By Raphael L.Aquino, MS TRENDS Sentara Supp</a> <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 on patient ca</a> <a title="Patient Safety and Quality Healthcare page 60" href="http://viewer.zmags.com/publication/8441c6ae?page=60"> PULSE Lucian Leape Institute Finds Medical Scho</a> <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> <a title="Patient Safety and Quality Healthcare page 62" href="http://viewer.zmags.com/publication/8441c6ae?page=62"> ABQAURP QUALITY CONUNDRUMS Lynn Helmer, MD, MBA</a> <a title="Patient Safety and Quality Healthcare page 63" href="http://viewer.zmags.com/publication/8441c6ae?page=63"> ABQAURP NEWS </a> <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> <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> <a title="Patient Safety and Quality Healthcare page 67" href="http://viewer.zmags.com/publication/8441c6ae?page=67"> CERTIFICATION Become certified in Health Care Qu</a> <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>