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March 2008

Leapfrog's "Never Events" Policy

The Leapfrog Group has identified the following requirements for hospitals wishing to adhere to it's "Never Events" Policy:

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The Leapfrog Group asks hospitals to agree to all of the following if a never event occurs within their facility:

  • We will apologize to the patient and/or family affected by the never event
  • We will report the event to at least one of the following agencies within 10 days of becoming aware that the never event has occurred:
    • Joint Commission, as part of its Sentinel Events policy*
    • State reporting program for medical errors
    • Patient Safety Organization (e.g. Maryland Patient Safety Center)
  • We agree to perform a root cause analysis, consistent with instructions from the chosen reporting agency
  • We will waive all costs directly related to a serious reportable adverse event Leapfrog

*Reporting of Sentinel Events to the Joint Commission is voluntary for its accredited hospitals.

How well does your hospital rank on this and other Leapfrog measures?  Find out here.

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Hospital Acquired Events that will impact Medicare reimbursement as of October 1, 2008:

Unintended retention of object during surgery
Air embolism
Blood incompatibility
Catheter-associated urinary tract infections
Pressure ulcers (decubitus ulcers)
Vascular catheter–associated infection
Surgical site infection—mediastinitis after coronary artery bypass graft surgery
Hospital-acquired injuries—fractures, dislocations, intracranial injury, crushing injury, burn, and other unspecified effects of external causes

http://jama.ama-assn.org/cgi/content/full/298/23/2782

Ohio's Winter Wonderland

The weather here lately has been beautiful but challenging, especially when it comes to getting around.  (Kudos to all our hard-working snow-plow drivers!)

While inching forward in expressway traffic a few days ago, I decided to try to capture a couple of images of the beautiful landscape.  I rolled down my window and stuck my little digital camera out.  Not only did I get these beautiful scenes, but the drivers in the left lane kindly stopped and waited so as not to drive into the frame.

Ohio can be a pretty cool place.

Winter2008a_3

Click for larger images.

Winter2008b

Added March 5th

March_ice02

   

National Patient Safety Week - March 2-8, 2008

When we board a plane we put our lives in the hands of others.

We fly based on the belief that airline employees are well-trained, conscientious, and careful. We understand that it’s not just the knowledge and skill of the pilot and co-pilot that matter. Our lives also depend on the work of flight attendants, ground crew, air-traffic controllers and a host of others. In particular, our lives depend on all of those people communicating well.

When patients enter our hospitals they put their lives in our hands.

They enter based on the belief that hospital employees are well-trained, conscientious and careful. They understand that it’s not just the knowledge and skill of the physicians and surgeons that matter. Their lives also depend on the work of nurses, pharmacists, technicians, and a host of others. In particular, their lives depend on all of those people communicating well.

That analogy was the basis of Cleveland Clinic’s Chief of Staff, Dr. Joseph Hahn’s introduction of Peter Pronovost, M.D., Medical Director, Center of Innovations in Quality Patient Care at Johns Hopkins Hospital, the key-note speaker at our 2008 National Patient Safety Week Forum.

Npsw2008_3   

Dr. Pronovost opened with the statement that quality initiatives often fail because we do not view (or fund) the delivery of healthcare as a science.

He shared the sobering observation that around the nation all of our investigation, tracking and trending is not making an appreciable, measurable, difference in patient safety. Despite thorough investigation and root cause analysis, Sentinel Events continue to happen.

So what steps can we take to treat the delivery of healthcare as a quantifiable science?

A few of Dr. Pronovost’s recommendations:

  • Take a lesson from industry: identify and learn from defects.
  • Translate evidence to practice.
  • Ask the front-line staff: Based on the action we’ve taken, do you think the risk of this happening again has been reduced? Why, or why not?
  • Base change initiatives on credible, scientifically sound data, while not ignoring local wisdom. (A difficult balance.)
  • Connect technical resources with culture change to continuously move toward improved patient safety.
  • Develop central data management, but local ownership. (In other words, don’t assign your front-line staff data collection duties, but allow them ownership of the results.)
  • Develop bi-directional communication between front-line staff and leadership.

He reminded us that without valid measurement tools we believe that we are safer than we are, and advised that we regularly ask, "How is the next patient going to be harmed?"

Could these ideas from Johns Hopkins work in your hospital?

  • New physicians are assigned to round with a nurse for two hours, with the expectation that they will report back on issues they observe regarding safety and communication.
  • At the beginning of a new OR case everyone in the room introduces themselves by first name and role. It was noted that initially some physicians needed reassurance that being called by their first names does not diminish their authority. All team members are encouraged to value open communication and work to overcome barriers to that goal.

Evidence shows that one of the strongest predictors for clinical excellence is whether caregivers feel comfortable speaking up if they perceive a problem with patient care.

Toward the end of his presentation Dr. Pronovost reminded us that healthcare organizations must not compete on issues of safety. Healthcare organizations must partner and collaborate with one another to develop better tools for safe patient care.

Additional patient safety information is available from the Johns Hopkins Bloomburg School of Health: http://www.jhsph.edu/ctlt/training/patient_safety.html

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