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MAY/JUNE 2011<br /> Patient Safety & Quality Healthcare<br /> Hand Hygiene<br /> Measurement & Education<br /> Corporate Compliance<br /> Care Transitions and patient Safety<br /> Revisiting the<br /> ADVERSE OUTCOME INDEX<br /> Infection Control<br /> Subscribe to the PSQH eNews Alert at www.psqh.comOhio Medical CorporationrL SolutionsContents<br /> MAY/JUNE 2011 · VOLUME 8 ISSUE 3<br /> Features<br /> 14 Hand Hygiene Measurement and Education <br /> John Govednik, MS; Maryanne McGuckin, ScEd, MT(ASCP)<br /> 18 Central Line Infections: Targeting Zero on an Oncology Unit <br /> Dawn Garcia, BSN/MS, CMQ-O/E<br /> 22 Revisiting the Perinatal Adverse Outcome Index <br /> Emily Hamilton, MD; Samuel Smith, MD; <br /> Dorothy Berry, RN, DFASHRM; Omer Ben-Yoseph, MD; <br /> Dan O’Keeffe, MD; Eric Knox, MD<br /> 28 Understanding Care Transitions as a Patient Safety Issue<br /> Sara Butterfield RN, BSN, CPHQ, CCM; <br /> Christine Stegel, RN, MS, CP<a title="PSQH May/June 2011 page 1" href="http://viewer.zmags.com/publication/8d7ec0f9?page=1">MAY/JUNE 2011 Patient Safety & Quality Healthcar</a> <a title="PSQH May/June 2011 page 2" href="http://viewer.zmags.com/publication/8d7ec0f9?page=2">Ohio Medical Corporation</a> <a title="PSQH May/June 2011 page 3" href="http://viewer.zmags.com/publication/8d7ec0f9?page=3">rL Solutions</a> <a title="PSQH May/June 2011 page 4" href="http://viewer.zmags.com/publication/8d7ec0f9?page=4">Contents MAY/JUNE 2011 · VOLUME 8 ISSUE 3 </a> <a title="PSQH May/June 2011 page 5" href="http://viewer.zmags.com/publication/8d7ec0f9?page=5">AHI of Indiana</a> <a title="PSQH May/June 2011 page 6" href="http://viewer.zmags.com/publication/8d7ec0f9?page=6">EDITOR'S NOTEBOOK May/June 2011 Volume 8 Issue 3</a> <a title="PSQH May/June 2011 page 7" href="http://viewer.zmags.com/publication/8d7ec0f9?page=7">Patient Safety & Quality Healthcare Lionheart P</a> <a title="PSQH May/June 2011 page 8" href="http://viewer.zmags.com/publication/8d7ec0f9?page=8">Corporate Compliance Federal Initiatives to Drive</a> <a title="PSQH May/June 2011 page 9" href="http://viewer.zmags.com/publication/8d7ec0f9?page=9">Patient Protection and Affordable Care Act PPACA </a> <a title="PSQH May/June 2011 page 10" href="http://viewer.zmags.com/publication/8d7ec0f9?page=10">ISMP Measuring Up to Medication Safety By the In</a> <a title="PSQH May/June 2011 page 11" href="http://viewer.zmags.com/publication/8d7ec0f9?page=11">http://www.ismp.org/newsletters/acutecare/articles</a> <a title="PSQH May/June 2011 page 12" href="http://viewer.zmags.com/publication/8d7ec0f9?page=12">Health & IT Quality Watson, come here. I need you</a> <a title="PSQH May/June 2011 page 13" href="http://viewer.zmags.com/publication/8d7ec0f9?page=13">best healthcare outcome—can be delivered to each p</a> <a title="PSQH May/June 2011 page 14" href="http://viewer.zmags.com/publication/8d7ec0f9?page=14">Viewpoint A Supplier’s Pledge By Brad Cates A</a> <a title="PSQH May/June 2011 page 15" href="http://viewer.zmags.com/publication/8d7ec0f9?page=15">Standard Register</a> <a title="PSQH May/June 2011 page 16" href="http://viewer.zmags.com/publication/8d7ec0f9?page=16">Hand Hygiene Measurement and Education Compliance</a> <a title="PSQH May/June 2011 page 17" href="http://viewer.zmags.com/publication/8d7ec0f9?page=17">Hand hygiene (HH) is one of the most effective pra</a> <a title="PSQH May/June 2011 page 18" href="http://viewer.zmags.com/publication/8d7ec0f9?page=18">Hand Hygiene observation, because data gather</a> <a title="PSQH May/June 2011 page 19" href="http://viewer.zmags.com/publication/8d7ec0f9?page=19">is the recommended method for hand hygiene if your</a> <a title="PSQH May/June 2011 page 20" href="http://viewer.zmags.com/publication/8d7ec0f9?page=20">CENTRAL LINE INFECTIONS: Targeting Zero on an Onc</a> <a title="PSQH May/June 2011 page 21" href="http://viewer.zmags.com/publication/8d7ec0f9?page=21">have contributed to these patients experiencing ce</a> <a title="PSQH May/June 2011 page 22" href="http://viewer.zmags.com/publication/8d7ec0f9?page=22">CENTRAL LINE INFECTIONS there, the team evalu</a> <a title="PSQH May/June 2011 page 23" href="http://viewer.zmags.com/publication/8d7ec0f9?page=23">Keys to Success Ensuring patient safety and follo</a> <a title="PSQH May/June 2011 page 24" href="http://viewer.zmags.com/publication/8d7ec0f9?page=24">Revisiting the Perinatal Adverse Outcome Index Em</a> <a title="PSQH May/June 2011 page 25" href="http://viewer.zmags.com/publication/8d7ec0f9?page=25">notable publications promoting this tool were like</a> <a title="PSQH May/June 2011 page 26" href="http://viewer.zmags.com/publication/8d7ec0f9?page=26">Quality Colloquium</a> <a title="PSQH May/June 2011 page 27" href="http://viewer.zmags.com/publication/8d7ec0f9?page=27">Quality Colloquium</a> <a title="PSQH May/June 2011 page 28" href="http://viewer.zmags.com/publication/8d7ec0f9?page=28">REVISITING PERINATAL AOI healthcare received </a> <a title="PSQH May/June 2011 page 29" href="http://viewer.zmags.com/publication/8d7ec0f9?page=29">exists for obstetrics, although efforts to tackle </a> <a title="PSQH May/June 2011 page 30" href="http://viewer.zmags.com/publication/8d7ec0f9?page=30">Understanding Care Transitions as a Patient Safety</a> <a title="PSQH May/June 2011 page 31" href="http://viewer.zmags.com/publication/8d7ec0f9?page=31"> The goals of this project include: • developmen</a> <a title="PSQH May/June 2011 page 32" href="http://viewer.zmags.com/publication/8d7ec0f9?page=32">CARE TRANSITIONS instructions, the importance</a> <a title="PSQH May/June 2011 page 33" href="http://viewer.zmags.com/publication/8d7ec0f9?page=33">shift their schedules to accommodate physician app</a> <a title="PSQH May/June 2011 page 34" href="http://viewer.zmags.com/publication/8d7ec0f9?page=34">CARE TRANSITIONS gical cardiac telemetry unit</a> <a title="PSQH May/June 2011 page 35" href="http://viewer.zmags.com/publication/8d7ec0f9?page=35">presented with similar, unmet needs,” says Chris F</a> <a title="PSQH May/June 2011 page 36" href="http://viewer.zmags.com/publication/8d7ec0f9?page=36">Quest 2011: A Rallying Point for Patient Safety Ad</a> <a title="PSQH May/June 2011 page 37" href="http://viewer.zmags.com/publication/8d7ec0f9?page=37">people really want to do the right thing. If they </a> <a title="PSQH May/June 2011 page 38" href="http://viewer.zmags.com/publication/8d7ec0f9?page=38">QUEST 2011 disturbing picture of the current </a> <a title="PSQH May/June 2011 page 39" href="http://viewer.zmags.com/publication/8d7ec0f9?page=39">National Patient Safety Foundation</a> <a title="PSQH May/June 2011 page 40" href="http://viewer.zmags.com/publication/8d7ec0f9?page=40">The State of Compassionate Healthcare Experts dis</a> <a title="PSQH May/June 2011 page 41" href="http://viewer.zmags.com/publication/8d7ec0f9?page=41">“This is a ‘no brainer’ for much of the American p</a> <a title="PSQH May/June 2011 page 42" href="http://viewer.zmags.com/publication/8d7ec0f9?page=42">COMPASSIONATE HEALTHCARE Bisognano pointed to</a> <a title="PSQH May/June 2011 page 43" href="http://viewer.zmags.com/publication/8d7ec0f9?page=43">University of Michigan</a> <a title="PSQH May/June 2011 page 44" href="http://viewer.zmags.com/publication/8d7ec0f9?page=44">Medication Safety The “Other” Healthcare Reform M</a> <a title="PSQH May/June 2011 page 45" href="http://viewer.zmags.com/publication/8d7ec0f9?page=45">Safer Healthcare</a> <a title="PSQH May/June 2011 page 46" href="http://viewer.zmags.com/publication/8d7ec0f9?page=46">Infection Control Showcase Battling the Bugs By </a> <a title="PSQH May/June 2011 page 47" href="http://viewer.zmags.com/publication/8d7ec0f9?page=47">Bemis Healthcare The Patient Safety Group rl Sol</a> <a title="PSQH May/June 2011 page 48" href="http://viewer.zmags.com/publication/8d7ec0f9?page=48">ABQAURP News QUALITY CONUNDRUMS Lynn Helme</a> <a title="PSQH May/June 2011 page 49" href="http://viewer.zmags.com/publication/8d7ec0f9?page=49"> </a> <a title="PSQH May/June 2011 page 50" href="http://viewer.zmags.com/publication/8d7ec0f9?page=50">Author Guidelines Patient Safety and Quality He</a> <a title="PSQH May/June 2011 page 51" href="http://viewer.zmags.com/publication/8d7ec0f9?page=51">ABQAURP</a> <a title="PSQH May/June 2011 page 52" href="http://viewer.zmags.com/publication/8d7ec0f9?page=52">Sage Products, Inc.</a> <a title="PSQH May/June 2011 page 53" href="http://viewer.zmags.com/publication/8d7ec0f9?page=53"> Patient Safety & Quality HealtHcare Education & T</a> <a title="PSQH May/June 2011 page 54" href="http://viewer.zmags.com/publication/8d7ec0f9?page=54"> coMPaNy/EdUcaTIoNa INSTITUTIoN INdEx ASHRM ASQ C</a> <a title="PSQH May/June 2011 page 55" href="http://viewer.zmags.com/publication/8d7ec0f9?page=55"> The University of Florida The University of Flor</a> <a title="PSQH May/June 2011 page 56" href="http://viewer.zmags.com/publication/8d7ec0f9?page=56"> Safer Healthcare The proposed programs, detailed</a> <a title="PSQH May/June 2011 page 57" href="http://viewer.zmags.com/publication/8d7ec0f9?page=57"> </a> <a title="PSQH May/June 2011 page 58" href="http://viewer.zmags.com/publication/8d7ec0f9?page=58"> aSQ Guide to Process Improvement and Change Real</a> <a title="PSQH May/June 2011 page 59" href="http://viewer.zmags.com/publication/8d7ec0f9?page=59"> </a> <a title="PSQH May/June 2011 page 60" href="http://viewer.zmags.com/publication/8d7ec0f9?page=60"> coUrSE LISTINGS aSHrM Address: 155 North Wacker</a> <a title="PSQH May/June 2011 page 61" href="http://viewer.zmags.com/publication/8d7ec0f9?page=61"> coUrSE LISTINGS This course on EHR is designed</a> <a title="PSQH May/June 2011 page 62" href="http://viewer.zmags.com/publication/8d7ec0f9?page=62"> coUrSE LISTINGS Culture” techniques; and use h</a> <a title="PSQH May/June 2011 page 63" href="http://viewer.zmags.com/publication/8d7ec0f9?page=63"> </a> <a title="PSQH May/June 2011 page 64" href="http://viewer.zmags.com/publication/8d7ec0f9?page=64"> coUrSE LISTINGS Loyola University chicago Schoo</a> <a title="PSQH May/June 2011 page 65" href="http://viewer.zmags.com/publication/8d7ec0f9?page=65"> coUrSE LISTINGS Medical Simula</a> <a title="PSQH May/June 2011 page 66" href="http://viewer.zmags.com/publication/8d7ec0f9?page=66"> coUrSE LISTINGS Admission Deadline: October 1,</a> <a title="PSQH May/June 2011 page 67" href="http://viewer.zmags.com/publication/8d7ec0f9?page=67"> coUrSE LISTINGS This course focuses on the rol</a> <a title="PSQH May/June 2011 page 68" href="http://viewer.zmags.com/publication/8d7ec0f9?page=68"> </a>