Research indicates medical errors as the third leading cause of deaths, with national estimates suggesting that 14-56% of inpatient deaths are preventable. To address this issue, the mortality review process was designed to be the driving force in identifying opportunities...
We will discuss how a virtual nursing team can support an organization’s efforts to enhance patient safety and reduce risk in the face of patient surges, work stoppages, and staff turnover. Demonstrate how we used clinician engagement and measures of...
St. Louis Children’s Hospital is a member of Solutions for Patient Safety (SPS), a network of pediatric hospitals working together to eliminate serious harm. SPS identified that a safety coach program is a crucial component of the culture of safety....
Deployed system redesign lean principles and Change Management strategies to move key stakeholders from buy-in to ownership were used effectively to roll-out best practice management of C-diff in acute care and nursing home community living centers (NHCLC). Reduction in C-diff...
We developed a quality metric board, ‘Healthy Planet’, in the electronic health record system to observe HEDIS measure performance in the offices. Based on the data, we set yearly goals on our Balanced Score Card to strategically identify barriers and...
For prescribing teratogenic medications to women Veterans, although both the national pharmacy Teratogenic Medication warning and national guidance regarding teratogenic clinical reminders were implemented, process was not optimal as most medications were prescribed in the specialty setting and processes implemented...
Kaiser Permanente Northen California has been on a journey to build a robust succession and competency program over the last two years. Currently developing Role Profiles for each role in this structure which are mapped to the NAHQ competency framework...
In this session we will review the VHA VISN 15 annual network-level quality program assessment design. We will highlight the priority of review items to address directives, compliance, problem-prone and future-focused items. Finally, we will discuss using simulation to illuminate...
This session will explore the critical role of Interprofessional Education (IPE) in advancing healthcare quality and safety. Participants will gain insights into how collaborative learning across various healthcare disciplines fosters a team-based approach, leading to improved patient outcomes. The panel...
For hundreds of years, graphs have been used to help humans understand data. Graphs and charts will always be a key part of our skill set as a Quality Professional. We depend on them to help us make good decisions...