Critical Care Medicine, Medicine and Pharmacy and Therapeutics. University of Pittsburgh ... Trouble shooting. Rapid sequence performance improvement efforts ...
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Healthcare Failure Mode and Effect AnalysisSM Edward J. Dunn, MD, MPH VA National Center for Patient Safety edward.dunn@med.va.gov www.patientsafety.gov
Patient Safety Interventions John Gosbee, MD, MS VA National Center for Patient Safety John.Gosbee@med.va.gov www.patientsafety.gov Adapted from John Gosbee, MD, MS
Healthcare Failure Mode and Effect AnalysisSM Edward J. Dunn, MD, MPH VA National Center for Patient Safety edward.dunn@med.va.gov www.patientsafety.gov
The Falls Toolkit Presentation Outline Background on Falls Impetus for Project Content of Toolkit Examples of website Prevalence and severity Falls are the leading ...
Red. Red. Red. Blue. Blue. Blue. Yellow. Yellow. Yellow. Green. Green ... 'Tell the nursing student to attach the oxygen mask and tubing to the green spigot' ...
Adapted from John Gosbee, MD, MS. VA National Center for Patient Safety ... tank and put it in the endoscopy cabinet & attach it to the insufflator valve' ...
Next Steps Betsy Jeppesen Vice President, Program Integrity Stratis Health Sue Ann Guildermann Director of Education Empira Diane Rydrych Assistant Director, Division ...
The ABCS of Fall Injury Prevention A new look at preventing harm from falls Key Resources * None indicates that the patient did not sustain an injury secondary to the ...
A The two are not in conflict but use of the WHO checklist does not ensure ... Q Who needs to be present at the sign in phase before induction of anesthesia? ...
Falls are the leading cause of death due to injury for ... Posters, fliers and brochures. Increase awareness. Patient & staff education. Included in Toolkit ...
Right to timely diagnosis emphasis on some conditions, other ' ... Anaesthesia. Legible/typed/videoed documentation of findings. Long term follow up. ...
Appropriateness. Hospital Accountability; Transparency. Quality-improvement. Patient Choice ... Hospitals present data and their interpretation on www ...
Using The MED Card to Improve Your Medication Safety. A Guide for Patients. from the ... Lisinopril 20 mg tablet once daily by mouth for blood pressure ...
'Blow-up' of One Line. Unwanted alarms on floor are reduced by 75% within 30 days of implementation ... Reduce unwanted alarms by: changing alarm parameter to ...
Getting Those Ideas. Risk Management. Incident Reports. Near misses. Joint Commission. Education expectations. Changes . IOM. Unit Managers. Individuals in the ...
... Percentage of post-operative patients having ... 9.3a Corrected post-operative vision ... Postoperative Pain. Average number of Ceasarian sectio's. The Future ...
Obtaining and Documenting a Complete Home Medication List. A Guide for ... 'Are you still on lisinopril, metoprolol, and aspirin?' ... Yes/No answers only ' ...
Healthcare Failure Mode and Effect AnalysisSM. Edward J. Dunn, MD, MPH ... parameter to fit patient physiological condition and replace electrodes with ...
Curso virtual de introducci n a la Investigaci n en Seguridad del Paciente Sesi n 1 Qu es Seguridad del Paciente? Carlos Aibar Rem n MD Departamento de ...
The MED Card: Obtaining and Documenting a Complete Home Medication List A Guide for Health Professionals from the Utah Hospitals and Health Systems Association (UHA)
To use failure modes and effects analysis (FMEA) to identify areas of risk. Describe how we used PDSA cycles in practice to test change ... Adrenaline injection ...
Quality & Safety Candace C. Cherrington, PhD, RN Associate Professor Definitions Quality meeting customers expectations in the delivery of clinically ...
Pressure Ulcer Prevention at North Memorial So what s the big deal ? Why We Practice Pressure Ulcer Prevention Maintenance of skin integrity and pressure ulcer ...
Aging population & polypharmacy. Lack of integration of clinical pharmacy services ... Reduces Inappropriate Use of Polypharmacy Better Medication Management ...
To provide some background to the 10 Key Characteristics of Good ... British Dietetic Association. Hospital Caterers Association. Royal College of Nursing ...
The Scorpio. Illusion. New York Times bestsellers. The Janson Directive ... When the nurse heard this news, she took it as a positive sign and said, 'Oh, good. ...
Blood Glucose Meters. Self Management of Blood Glucose. Patient Drug Assistant ... them know that this rise in the glucose or A1C could have progressed even if ...
NYC Subway Accidents 1996. NYC Subway accidents in 1996 ... Investigators: 'good fortune that no one was killed' 1963 collision sinking ferry Verrazano ...
Matching the patient's admission medications to their inpatient medication profile ... to occur and length of time from admission to reconciliation. Objectives ...
Human Factors Engineering and Patient Safety Michigan Health & Safety Coalition Annual Conference John Gosbee, MD, MS VA National Center for Patient Safety
JFK is a 454-acute care bed major medical center specializing in ... Tadpole labeler. 18. PacMed. 19. PacMed Benefits ... Tadpole labeler for multi-use items ...
Legible prescriptions; no handwriting required. Computerised medical record ... Legible prescriptions; no handwriting required. CPOE. CONS. PROS. IT application ...
Aging population - polypharmacy. ADEs leading cause of death and injury IOM Report ... Polypharmacy. 9. HIV/AIDS. 10. Multiple chronic conditions. 15 ...
It may not be used in medication orders or other medication-related documentation. ... poorly written. Write 'ml' or 'milliliters' g. Mistaken for mg (milligrams) ...