PSQH<br />
Patient Safety & Quality Healthcare<br />
November/December 2012 Volume 9, Issue 6<br />
PREVENTING<br />
WRONG-SITE SURGERY<br />
Meningitis Outbreak<br />
The Leadership Value Equation<br />
Peer Review and Safety Culture<br />
Quality in Five DimensionsMidasBettcher IndustriesCONTENTS<br />
November/December 2012 Volume 9, Issue 6<br />
Features<br />
Preventing Wrong-Site Surgery in Minnesota: A 5-Year Journey<br />
By Diane Rydrych, MA; Julie Apold, MA; and Kathleen Harder, PhD<br />
Better Care for Patients with Atrial Fibrillation: <br />
A Three-Part Approach<br />
By Doron Schneider, MD, FACP<br />
Quality in Healthcare: A Five-Dimensional View<br />
By Daniel L. Cohen, MD, FRCPCH, FAAP<br />
Rapid Change with Clinical Performance Groups: <br />
Define, Design, Implement<br />
By Barbara Labranche, RN, BSN, MBA; an<a title="Patient Safety & Quality Healthcare page 1" href="http://viewer.zmags.com/publication/946aaf6f?page=1">PSQH Patient Safety & Quality Healthcare Novembe</a>
<a title="Patient Safety & Quality Healthcare page 2" href="http://viewer.zmags.com/publication/946aaf6f?page=2">Midas</a>
<a title="Patient Safety & Quality Healthcare page 3" href="http://viewer.zmags.com/publication/946aaf6f?page=3">Bettcher Industries</a>
<a title="Patient Safety & Quality Healthcare page 4" href="http://viewer.zmags.com/publication/946aaf6f?page=4">CONTENTS November/December 2012 Volume 9, Issu</a>
<a title="Patient Safety & Quality Healthcare page 5" href="http://viewer.zmags.com/publication/946aaf6f?page=5">Diversey</a>
<a title="Patient Safety & Quality Healthcare page 6" href="http://viewer.zmags.com/publication/946aaf6f?page=6">LIONHEART PUBLISHING, INC. 506 Roswell St., Suite</a>
<a title="Patient Safety & Quality Healthcare page 7" href="http://viewer.zmags.com/publication/946aaf6f?page=7">rlsolutions</a>
<a title="Patient Safety & Quality Healthcare page 8" href="http://viewer.zmags.com/publication/946aaf6f?page=8">Editor's Notebook The ‘Big Universe’ of Diagnos</a>
<a title="Patient Safety & Quality Healthcare page 9" href="http://viewer.zmags.com/publication/946aaf6f?page=9">Sage Products</a>
<a title="Patient Safety & Quality Healthcare page 10" href="http://viewer.zmags.com/publication/946aaf6f?page=10">NEWS The American Society of Medication Safety </a>
<a title="Patient Safety & Quality Healthcare page 11" href="http://viewer.zmags.com/publication/946aaf6f?page=11">Meningitis Outbreak Prompts State and Federal Acti</a>
<a title="Patient Safety & Quality Healthcare page 12" href="http://viewer.zmags.com/publication/946aaf6f?page=12">LEAN TRANSFORMATION Key Characteristics of Succ</a>
<a title="Patient Safety & Quality Healthcare page 13" href="http://viewer.zmags.com/publication/946aaf6f?page=13">tion skills. They must be able to identify key mes</a>
<a title="Patient Safety & Quality Healthcare page 14" href="http://viewer.zmags.com/publication/946aaf6f?page=14">Holding employees accountable is not done with an </a>
<a title="Patient Safety & Quality Healthcare page 15" href="http://viewer.zmags.com/publication/946aaf6f?page=15">Northwestern University</a>
<a title="Patient Safety & Quality Healthcare page 16" href="http://viewer.zmags.com/publication/946aaf6f?page=16">ISMP Sterile Compounding Tragedy: Symptom of a </a>
<a title="Patient Safety & Quality Healthcare page 17" href="http://viewer.zmags.com/publication/946aaf6f?page=17">Table 1. Selected Pharmacy Sterile Compounding Mis</a>
<a title="Patient Safety & Quality Healthcare page 18" href="http://viewer.zmags.com/publication/946aaf6f?page=18">Prior Legislative Efforts In the wake of the rece</a>
<a title="Patient Safety & Quality Healthcare page 19" href="http://viewer.zmags.com/publication/946aaf6f?page=19">ISMP hopes to contribute to the national dialogue </a>
<a title="Patient Safety & Quality Healthcare page 20" href="http://viewer.zmags.com/publication/946aaf6f?page=20">RADIOLOGY Peer Review: Why Current Models Under</a>
<a title="Patient Safety & Quality Healthcare page 21" href="http://viewer.zmags.com/publication/946aaf6f?page=21">and accepted. They are necessary, and committees p</a>
<a title="Patient Safety & Quality Healthcare page 22" href="http://viewer.zmags.com/publication/946aaf6f?page=22">more than half a million staffers representing 1,1</a>
<a title="Patient Safety & Quality Healthcare page 23" href="http://viewer.zmags.com/publication/946aaf6f?page=23">GE Healthcare</a>
<a title="Patient Safety & Quality Healthcare page 24" href="http://viewer.zmags.com/publication/946aaf6f?page=24">ening the credentials of a physician without due p</a>
<a title="Patient Safety & Quality Healthcare page 25" href="http://viewer.zmags.com/publication/946aaf6f?page=25">DebMed</a>
<a title="Patient Safety & Quality Healthcare page 26" href="http://viewer.zmags.com/publication/946aaf6f?page=26">Preventing Wrong-Site Surgery in Minnesota: A 5-Ye</a>
<a title="Patient Safety & Quality Healthcare page 27" href="http://viewer.zmags.com/publication/946aaf6f?page=27">The Joint Commission, which developed the Universa</a>
<a title="Patient Safety & Quality Healthcare page 28" href="http://viewer.zmags.com/publication/946aaf6f?page=28">Wrong-Site Procedures in Minnesota In Minnesota, </a>
<a title="Patient Safety & Quality Healthcare page 29" href="http://viewer.zmags.com/publication/946aaf6f?page=29">at the University of Minnesota’s Center for Design</a>
<a title="Patient Safety & Quality Healthcare page 30" href="http://viewer.zmags.com/publication/946aaf6f?page=30">Precision Dynamics Corp.</a>
<a title="Patient Safety & Quality Healthcare page 31" href="http://viewer.zmags.com/publication/946aaf6f?page=31">Precision Dynamics Corp.</a>
<a title="Patient Safety & Quality Healthcare page 32" href="http://viewer.zmags.com/publication/946aaf6f?page=32">The steps in this process, and the rationale for e</a>
<a title="Patient Safety & Quality Healthcare page 33" href="http://viewer.zmags.com/publication/946aaf6f?page=33">procedures; the activities of the first year would</a>
<a title="Patient Safety & Quality Healthcare page 34" href="http://viewer.zmags.com/publication/946aaf6f?page=34">were doing an effective time out, but in reality t</a>
<a title="Patient Safety & Quality Healthcare page 35" href="http://viewer.zmags.com/publication/946aaf6f?page=35">AHI of Indiana</a>
<a title="Patient Safety & Quality Healthcare page 36" href="http://viewer.zmags.com/publication/946aaf6f?page=36">to facilities in determining their process based o</a>
<a title="Patient Safety & Quality Healthcare page 37" href="http://viewer.zmags.com/publication/946aaf6f?page=37">PDI</a>
<a title="Patient Safety & Quality Healthcare page 38" href="http://viewer.zmags.com/publication/946aaf6f?page=38">Better Care for Patients with Atrial Fibrillation:</a>
<a title="Patient Safety & Quality Healthcare page 39" href="http://viewer.zmags.com/publication/946aaf6f?page=39">tion would also allow patients to understand how t</a>
<a title="Patient Safety & Quality Healthcare page 40" href="http://viewer.zmags.com/publication/946aaf6f?page=40">tiatives. Materials drafted for system leaders wer</a>
<a title="Patient Safety & Quality Healthcare page 41" href="http://viewer.zmags.com/publication/946aaf6f?page=41">Figure 3. Organizations represented at the Nationa</a>
<a title="Patient Safety & Quality Healthcare page 42" href="http://viewer.zmags.com/publication/946aaf6f?page=42">ing appropriate techniques and language. A contrac</a>
<a title="Patient Safety & Quality Healthcare page 43" href="http://viewer.zmags.com/publication/946aaf6f?page=43">Minitab</a>
<a title="Patient Safety & Quality Healthcare page 44" href="http://viewer.zmags.com/publication/946aaf6f?page=44">in their ability to follow through on any addition</a>
<a title="Patient Safety & Quality Healthcare page 45" href="http://viewer.zmags.com/publication/946aaf6f?page=45">Standard Register</a>
<a title="Patient Safety & Quality Healthcare page 46" href="http://viewer.zmags.com/publication/946aaf6f?page=46">Quality in Healthcare: A Five-Dimensional View By</a>
<a title="Patient Safety & Quality Healthcare page 47" href="http://viewer.zmags.com/publication/946aaf6f?page=47">Readers may be familiar with John Godfrey Saxe’s p</a>
<a title="Patient Safety & Quality Healthcare page 48" href="http://viewer.zmags.com/publication/946aaf6f?page=48">For example, there are several important quality i</a>
<a title="Patient Safety & Quality Healthcare page 49" href="http://viewer.zmags.com/publication/946aaf6f?page=49">SaferHealthcare</a>
<a title="Patient Safety & Quality Healthcare page 50" href="http://viewer.zmags.com/publication/946aaf6f?page=50">including the use of evidence-based guidelines suc</a>
<a title="Patient Safety & Quality Healthcare page 51" href="http://viewer.zmags.com/publication/946aaf6f?page=51">UnSummit</a>
<a title="Patient Safety & Quality Healthcare page 52" href="http://viewer.zmags.com/publication/946aaf6f?page=52">Rapid Change with Clinical Performance Groups: Defi</a>
<a title="Patient Safety & Quality Healthcare page 53" href="http://viewer.zmags.com/publication/946aaf6f?page=53">It has been said to take 17 years for research to </a>
<a title="Patient Safety & Quality Healthcare page 54" href="http://viewer.zmags.com/publication/946aaf6f?page=54">tem used for scheduling these procedures did not h</a>
<a title="Patient Safety & Quality Healthcare page 55" href="http://viewer.zmags.com/publication/946aaf6f?page=55">NPSF</a>
<a title="Patient Safety & Quality Healthcare page 56" href="http://viewer.zmags.com/publication/946aaf6f?page=56">The Leadership Value Equation: Quality Care at Rea</a>
<a title="Patient Safety & Quality Healthcare page 57" href="http://viewer.zmags.com/publication/946aaf6f?page=57">formance and constantly improves, systematically a</a>
<a title="Patient Safety & Quality Healthcare page 58" href="http://viewer.zmags.com/publication/946aaf6f?page=58">• Identification of any gaps or redundancies in th</a>
<a title="Patient Safety & Quality Healthcare page 59" href="http://viewer.zmags.com/publication/946aaf6f?page=59">Conclusion While some of the QSA findings may ha</a>
<a title="Patient Safety & Quality Healthcare page 60" href="http://viewer.zmags.com/publication/946aaf6f?page=60">HEALTH IT & QUALITY ‘Show Me the Money’ Revisited</a>
<a title="Patient Safety & Quality Healthcare page 61" href="http://viewer.zmags.com/publication/946aaf6f?page=61">in patient medical records to assign and substanti</a>
<a title="Patient Safety & Quality Healthcare page 62" href="http://viewer.zmags.com/publication/946aaf6f?page=62">EMPSF Drug Shortages and Emergency Care: Your Act</a>
<a title="Patient Safety & Quality Healthcare page 63" href="http://viewer.zmags.com/publication/946aaf6f?page=63">are unavailable or in short supply. Not only are </a>
<a title="Patient Safety & Quality Healthcare page 64" href="http://viewer.zmags.com/publication/946aaf6f?page=64">ABQAURP NEWS Quality Conundrums Lynn Helmer, M</a>
<a title="Patient Safety & Quality Healthcare page 65" href="http://viewer.zmags.com/publication/946aaf6f?page=65">American Board of Quality Assurance and Utilizatio</a>
<a title="Patient Safety & Quality Healthcare page 66" href="http://viewer.zmags.com/publication/946aaf6f?page=66">February 3 – 8 & May 13–17 Leadership Strategies </a>
<a title="Patient Safety & Quality Healthcare page 67" href="http://viewer.zmags.com/publication/946aaf6f?page=67">ABQAURP</a>
<a title="Patient Safety & Quality Healthcare page 68" href="http://viewer.zmags.com/publication/946aaf6f?page=68">Masimo</a>