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<br /> S EPTEMBER/OCTOBER 2010<br /> Patient Safety<br /> VISIT US AT<br /> ASHRM<br /> Booth # 533<br /> & QUALITY HEALTHCARE<br /> QUALITY HEALTHCARE<br /> NEWS · SCIENCE · RESEARCH · OPINION<br /> PREVENTING WRONG-SITE<br /> SURGERY<br /> PROSPECTIVE RISK<br /> PROSPECTIVE RISK<br /> MANAGEMENT<br /> MANAGEMENT<br /> PATIENT SAFETY &<br /> LIABILITY REFORM<br /> MALPRACTICE REFORM<br /> THE BARCODE EVANGELIST<br /> THE BARCODE EVANGELIST<br /> BEYOND SBAR<br /> BEYOND SBAR<br /> <br /> <br /> Contents<br /> SEPTEMBER/OCTOBER 2010 · VOLUME 7 ISSUE 5<br /> Features<br /> 20 HOSPITALS COLLABORATE TO PREVENT<br /> WRONG-SITE SURGERY<br /> Kathryn M. Pelczarski, BS; Pamela A. Braun, RN, MSN;<br /> Eileen Young, MSN, RN<br /> <a title="PSQH September/October 2010 page 1" href="http://viewer.zmags.com/publication/85fcbe6e?page=1"> S EPTEMBER/OCTOBER 2010 Patient Safety VISIT US</a> <a title="PSQH September/October 2010 page 2" href="http://viewer.zmags.com/publication/85fcbe6e?page=2"> </a> <a title="PSQH September/October 2010 page 3" href="http://viewer.zmags.com/publication/85fcbe6e?page=3"> </a> <a title="PSQH September/October 2010 page 4" href="http://viewer.zmags.com/publication/85fcbe6e?page=4"> Contents SEPTEMBER/OCTOBER 2010 · VOLUME 7 IS</a> <a title="PSQH September/October 2010 page 5" href="http://viewer.zmags.com/publication/85fcbe6e?page=5"> </a> <a title="PSQH September/October 2010 page 6" href="http://viewer.zmags.com/publication/85fcbe6e?page=6"> </a> <a title="PSQH September/October 2010 page 7" href="http://viewer.zmags.com/publication/85fcbe6e?page=7"> Patient Safety EDITORIAL ADVISORY BOARD & </a> <a title="PSQH September/October 2010 page 8" href="http://viewer.zmags.com/publication/85fcbe6e?page=8"> By Carolyn M. Clancy, MD AHRQ Patient Safety a</a> <a title="PSQH September/October 2010 page 9" href="http://viewer.zmags.com/publication/85fcbe6e?page=9"> connect medical liability to patient safe- ty and</a> <a title="PSQH September/October 2010 page 10" href="http://viewer.zmags.com/publication/85fcbe6e?page=10"> By Barry P. Chaiken, MD, FHIMSS HEALTH IT & Q</a> <a title="PSQH September/October 2010 page 11" href="http://viewer.zmags.com/publication/85fcbe6e?page=11"> The information technology revolution is changing</a> <a title="PSQH September/October 2010 page 12" href="http://viewer.zmags.com/publication/85fcbe6e?page=12"> By Louis F. Provenzano VIEWPOINT For the Sake</a> <a title="PSQH September/October 2010 page 13" href="http://viewer.zmags.com/publication/85fcbe6e?page=13"> In July, the first two medical interpreters recei</a> <a title="PSQH September/October 2010 page 14" href="http://viewer.zmags.com/publication/85fcbe6e?page=14"> </a> <a title="PSQH September/October 2010 page 15" href="http://viewer.zmags.com/publication/85fcbe6e?page=15"> </a> <a title="PSQH September/October 2010 page 16" href="http://viewer.zmags.com/publication/85fcbe6e?page=16"> Q&A Barcoding and Ministry—from Preacher to B</a> <a title="PSQH September/October 2010 page 17" href="http://viewer.zmags.com/publication/85fcbe6e?page=17"> When systems play well together, rework and redun</a> <a title="PSQH September/October 2010 page 18" href="http://viewer.zmags.com/publication/85fcbe6e?page=18"> Let's not forget that we typically use bar</a> <a title="PSQH September/October 2010 page 19" href="http://viewer.zmags.com/publication/85fcbe6e?page=19"> </a> <a title="PSQH September/October 2010 page 20" href="http://viewer.zmags.com/publication/85fcbe6e?page=20"> I see all meaningful work as ministry. “highl</a> <a title="PSQH September/October 2010 page 21" href="http://viewer.zmags.com/publication/85fcbe6e?page=21"> Those Who Put Safety First In Selecting Patient </a> <a title="PSQH September/October 2010 page 22" href="http://viewer.zmags.com/publication/85fcbe6e?page=22"> Hospitals Collaborate to Prevent Wrong-Site Surg</a> <a title="PSQH September/October 2010 page 23" href="http://viewer.zmags.com/publication/85fcbe6e?page=23"> ed an approach in which participat- ing organiza</a> <a title="PSQH September/October 2010 page 24" href="http://viewer.zmags.com/publication/85fcbe6e?page=24"> WRONG-SITE SURGERY administration of a se</a> <a title="PSQH September/October 2010 page 25" href="http://viewer.zmags.com/publication/85fcbe6e?page=25"> </a> <a title="PSQH September/October 2010 page 26" href="http://viewer.zmags.com/publication/85fcbe6e?page=26"> WRONG-SITE SURGERY Concerned by the</a> <a title="PSQH September/October 2010 page 27" href="http://viewer.zmags.com/publication/85fcbe6e?page=27"> ments in the patient's medical record indicate a </a> <a title="PSQH September/October 2010 page 28" href="http://viewer.zmags.com/publication/85fcbe6e?page=28"> WRONG-SITE SURGERY · When multiple proce</a> <a title="PSQH September/October 2010 page 29" href="http://viewer.zmags.com/publication/85fcbe6e?page=29"> </a> <a title="PSQH September/October 2010 page 30" href="http://viewer.zmags.com/publication/85fcbe6e?page=30"> Raising SBAR to a Higher Level P.U.R.E. Conversa</a> <a title="PSQH September/October 2010 page 31" href="http://viewer.zmags.com/publication/85fcbe6e?page=31"> (Northwest Community Hospital, Arlington Heights,</a> <a title="PSQH September/October 2010 page 32" href="http://viewer.zmags.com/publication/85fcbe6e?page=32"> P.U.R.E. CONVERSATIONS required actio</a> <a title="PSQH September/October 2010 page 33" href="http://viewer.zmags.com/publication/85fcbe6e?page=33"> unit? Given that it takes many years to change cu</a> <a title="PSQH September/October 2010 page 34" href="http://viewer.zmags.com/publication/85fcbe6e?page=34"> </a> <a title="PSQH September/October 2010 page 35" href="http://viewer.zmags.com/publication/85fcbe6e?page=35"> </a> <a title="PSQH September/October 2010 page 36" href="http://viewer.zmags.com/publication/85fcbe6e?page=36"> PROSPECTIVE RISK MANAGEMENT Analysis, Evaluatio</a> <a title="PSQH September/October 2010 page 37" href="http://viewer.zmags.com/publication/85fcbe6e?page=37"> normal and fault conditions. A normal condition i</a> <a title="PSQH September/October 2010 page 38" href="http://viewer.zmags.com/publication/85fcbe6e?page=38"> RISK MANAGEMENT means to control work in pro</a> <a title="PSQH September/October 2010 page 39" href="http://viewer.zmags.com/publication/85fcbe6e?page=39"> </a> <a title="PSQH September/October 2010 page 40" href="http://viewer.zmags.com/publication/85fcbe6e?page=40"> AUTOMATED INFORMED CONSENT Patients and Institu</a> <a title="PSQH September/October 2010 page 41" href="http://viewer.zmags.com/publication/85fcbe6e?page=41"> LAC+USC Medical Center clinical staff utilize an </a> <a title="PSQH September/October 2010 page 42" href="http://viewer.zmags.com/publication/85fcbe6e?page=42"> AUTOMATED INFORMED CONSENT be emulated by al</a> <a title="PSQH September/October 2010 page 43" href="http://viewer.zmags.com/publication/85fcbe6e?page=43"> </a> <a title="PSQH September/October 2010 page 44" href="http://viewer.zmags.com/publication/85fcbe6e?page=44"> AUTOMATED INFORMED CONSENT These ap</a> <a title="PSQH September/October 2010 page 45" href="http://viewer.zmags.com/publication/85fcbe6e?page=45"> </a> <a title="PSQH September/October 2010 page 46" href="http://viewer.zmags.com/publication/85fcbe6e?page=46"> AUTOMATED INFORMED CONSENT Nurses engaged in </a> <a title="PSQH September/October 2010 page 47" href="http://viewer.zmags.com/publication/85fcbe6e?page=47"> </a> <a title="PSQH September/October 2010 page 48" href="http://viewer.zmags.com/publication/85fcbe6e?page=48"> INSIDE THE AHA'S Product Endorsement Process W</a> <a title="PSQH September/October 2010 page 49" href="http://viewer.zmags.com/publication/85fcbe6e?page=49"> human resources, patient flow, and others. Whi</a> <a title="PSQH September/October 2010 page 50" href="http://viewer.zmags.com/publication/85fcbe6e?page=50"> PRODUCT ENDORSEMENT included questions per</a> <a title="PSQH September/October 2010 page 51" href="http://viewer.zmags.com/publication/85fcbe6e?page=51"> reinvested into AHA's policy and advocacy efforts</a> <a title="PSQH September/October 2010 page 52" href="http://viewer.zmags.com/publication/85fcbe6e?page=52"> USING TELEHEALTH TO Improve Continuity of Care </a> <a title="PSQH September/October 2010 page 53" href="http://viewer.zmags.com/publication/85fcbe6e?page=53"> As the role of RHM expands in post-dis- char</a> <a title="PSQH September/October 2010 page 54" href="http://viewer.zmags.com/publication/85fcbe6e?page=54"> CONTINUITY OF CARE health reform will “refl</a> <a title="PSQH September/October 2010 page 55" href="http://viewer.zmags.com/publication/85fcbe6e?page=55"> </a> <a title="PSQH September/October 2010 page 56" href="http://viewer.zmags.com/publication/85fcbe6e?page=56"> By Dennis Tribble, PharmD, FASHP AUTO ID TECHN</a> <a title="PSQH September/October 2010 page 57" href="http://viewer.zmags.com/publication/85fcbe6e?page=57"> In the active presentation, a bat- tery po</a> <a title="PSQH September/October 2010 page 58" href="http://viewer.zmags.com/publication/85fcbe6e?page=58"> difficult to aim the scanner at a single item to </a> <a title="PSQH September/October 2010 page 59" href="http://viewer.zmags.com/publication/85fcbe6e?page=59"> </a> <a title="PSQH September/October 2010 page 60" href="http://viewer.zmags.com/publication/85fcbe6e?page=60"> PULSE Cleveland Clinic Receives $10M Gift to Es</a> <a title="PSQH September/October 2010 page 61" href="http://viewer.zmags.com/publication/85fcbe6e?page=61"> mentation in clinical practice, said Co-President</a> <a title="PSQH September/October 2010 page 62" href="http://viewer.zmags.com/publication/85fcbe6e?page=62"> ABQAURP QUALITY CONUNDRUMS Lynn Helmer, MD, MBA</a> <a title="PSQH September/October 2010 page 63" href="http://viewer.zmags.com/publication/85fcbe6e?page=63"> NEWS </a> <a title="PSQH September/October 2010 page 64" href="http://viewer.zmags.com/publication/85fcbe6e?page=64"> Here's a brief update on what's going on in the H</a> <a title="PSQH September/October 2010 page 65" href="http://viewer.zmags.com/publication/85fcbe6e?page=65"> Is Your Organization in Good Health? </a> <a title="PSQH September/October 2010 page 66" href="http://viewer.zmags.com/publication/85fcbe6e?page=66"> Patient Safety and Quality Healthcare (PSQH) welc</a> <a title="PSQH September/October 2010 page 67" href="http://viewer.zmags.com/publication/85fcbe6e?page=67"> </a> <a title="PSQH September/October 2010 page 68" href="http://viewer.zmags.com/publication/85fcbe6e?page=68"> Healthcare Team Training, the leading provider o</a>