The Department of Defense (DoD) Patient Safety Program (PSP) eBulletin delivers patient safety updates, news, useful tips and resources to help you deliver the highest quality of care to your patients. This month, learn why resolving conflict and professional conduct are vital to improving quality care and patient safety, and how the DHA's partnership with IHI and the Open School can help you meet your professional health care New Year's resolutions.
Contents
Announcements/Reminders
Feature: Resolving Conflict and Professional Conduct
Patient Safety in Action: The Value of Partnership, Continued Learning
Feature: Resolving Conflict and Professional Conduct
Patient Safety in Action: The Value of Partnership, Continued Learning
- In January, the Military Health System's theme is New Year, New You. Learn more.
- The DoD PSP eBulletin will now be published on a bimonthly basis. The next edition will release on March 1.
- ICYMI: the Patient Safety Reporting (PSR) System is now called the Joint PSR. Learn more about the login changes that began mid-December.
- Applications for AHRQ's TeamSTEPPS Advanced Courses in 2017 are being accepted Feb. 17 through March 21. These courses are available at no cost at regional training centers. Learn more.
- National Nurse Anesthetists Week and National Patient Recognition Week among other awareness celebrations are coming up. Follow the PSP Facebook page for related content.
- Stay tuned for more information about Patient Safety Awareness Week happening March 12-18, 2017! Our webinar series dates and times will be released soon!
- The 19th Annual National Patient Safety Foundation Patient Safety Congress is May 17-29, 2017. Learn more.
- Do you have questions about the Continuing Education process? We can help! E-mail us.
- Do you have an update from your facility? Let us know via e-mail or Facebook.
Feature: Resolving Conflict and Professional Conduct
High performing health care team members are a key characteristic of high reliability organizations (HROs). These team members are high-performers who are able to self-correct. A professional conduct toolkit and pocket guide are available through the... Read more
Patient Safety in Action: The Value of Partnership, Continued Learning
On the journey to becoming a highly reliable organization, the Military Health System (MHS) is partnering with other national organizations to learn best practices and share proven processes to improve care and patient safety. Partnerships are... Read more
DoD PSP Treasure Chest: January Edition
Welcome to the January edition of the DoD PSP Treasure Chest! Every month, we will be sharing resources to help you execute your day-to-day patient safety activities easily and effectively. Please visit us often and...Read moreMHS Patient Safety Data Snapshot
The MHS Patient Safety Data Snapshot is a monthly compilation of two types of patient safety data: 1) Sentinel Event (SE) notifications submitted to the Patient Safety Analysis Center (PSAC) 2) Anonymous, voluntarily reported patient safety events via the web-based incident reporting system known as PSR.
This publication provides an MHS enterprise-level snapshot of trends in SEs and PSR events so that providers and health care administrators can help identify areas for patient safety improvement in their facility and throughout the MHS.
Visit the Patient Safety Learning Center (PSLC)* to access the latest MHS Patient Safety Data Snapshot, available on the 15th of every month.
*Please visit the PSAC page of the PSLC to access and download this publication.
MHS Patient Safety Spotlight
The MHS Patient Safety Spotlight is a resource designed to highlight best practices and interesting initiatives that come from the field and are worthy of being shared across the enterprise. This resource features data-driven examples of improvement and case studies that tackle specific problems with specific solutions.
Visit the Patient Safety Learning Center (PSLC)* to access the latest MHS Patient Safety Spotlight, available on the 15th of every month.
*Please visit the PSAC page of the PSLC to access and download this publication.
Patient Safety Learning Circles:
In-person or web-based forums focused on a specific topic
TeamSTEPPS Webinar – Agency for Healthcare Research and Quality (AHRQ)
Please check our Calendar of Events for updates on this webinar.
Ways to Improve the Effectiveness and Impact of Health Information Technology on Patient Safety and Quality and the Value of Health IT – Part 2: Organizational Best Practices for Optimizing Health IT Safety – National Patient Safety Foundation (NPSF)Jan. 10, 2017 from 2:00 PM to 3:00 PM (ET)
Note: This is a two-part complimentary webinar series jointly sponsored by the Health Information Management Systems Society and the National Patient Safety Foundation.
In the spring of 2015, The Joint Commission released Sentinel Alert #54, focused on the safe implementation and use of health IT. An organizational-wide culture of safety, high reliability and effective change management needs to be established in order to safely implement and use health IT.
This webinar will explore how thought-leading health care providers are establishing a proactive, methodical approach to health IT process improvement that includes assessing patient safety risks, the importance of information governance, utilizing multi- disciplinary integrating quality, safety, and IT departments in addressing potential risks, vendor selection and involvement, change management, and the monitoring of system effectiveness.
Speaker:
- Amy Feaster, vice president of information technology, Centura Health
Improving the Rate of Recommended Care: Looking Back and Looking Ahead – Institute for Healthcare Improvement (IHI)Jan. 12, 2017 from 2:00 to 3:00 PM (ET)
Adults in the U.S. receive only about half the care that’s recommended to prevent, treat and manage some 30 leading causes of illness and deaths. This session’s two speakers have devoted their careers to the uptake of evidence-based care and are eager to look into new findings, based on outpatient care from 2002–2013. Key among the results: best practice rates to prevent stroke and heart attacks have risen, along with colon cancer screenings, while screening rates for breast and cervical cancer have declined; there's more smoking cessation counseling taking place, but rates of testing for diabetes and deploying recommended care to manage the condition have remained unchanged.
Speakers:
- Donald Berwick, MD, MPP, FRCP, president emeritus and senior fellow, Institute for Healthcare Improvement
- Elizabeth A. McGlynn, PhD, director, Kaiser Permanente Center for Effectiveness and Safety Research
Starting at the Top: Strategies to Enhance the Safety of Prescribing Practices – Institute for Safe Medication Practices (ISMP)*
Jan. 25, 2017 from 1:30 to 3:00 PM (ET)
Jan. 25, 2017 from 1:30 to 3:00 PM (ET)
Studies have found that a large number of medication errors originate in the prescribing phase of the medication use process.
During this webinar, participants will learn about frequent errors involving breakdowns in the prescribing process that lead to patient harm, as reported to a state reporting program. The speakers will outline key safety strategies for establishing a standardized approach for prescribing medications that should be part of a medication safety plan for all types of organizations.
Speakers:
- Matthew Grissinger, RPh, FISMP, FASCP, director, Error Reporting Programs, Institute for Safe Medication Practices, Horsham, PA
- Russell Jenkin, MD, medication director ISMP emeritus, Institute for Safety Medication Practices, Horsham, PA
Note: This webinar is approved for 1.5 hours of Pharmacy Continuing Education and 1.0 hours of Nursing Continuing Education.
Riding Waves of Reform and a New Wave for Patient Safety – Institute for Healthcare Improvement (IHI)
Jan. 26, 2017 from 2:00 PM to 3:00 PM (ET)
Jan. 26, 2017 from 2:00 PM to 3:00 PM (ET)
Speakers:- Derek Feeley, president and CEO, Institute for Healthcare Improvement
- Donald Berwick, MD, MPP, FRCP, president emeritus and senior fellow, IHI
Data-Driven Quality Improvement: Part 1 – ECRI Institute
Jan. 26, 2017
Jan. 26, 2017
This session will be led by Pat Stahura, RN, MSN, patient safety analyst/consultant at the ECRI Institute. No other details were available at the time of this publication.
For more information on registering for this webinar, please e-mail TQMC@ECRI.org or call (610) 825-6000, ext. 5800.
Practicing Respect and Preventing Harm – Institute for Healthcare Improvement (IHI) Feb. 9, 2017 from 2:00 PM to 3:00 PM (ET)
Speakers:
- Patricia E. Folcarelli, RN, MA, PhD, senior director patient safety, Silverman Institute, Beth Israel Deaconess Medical Center (BIDMC)
- Lauge Sokol-Hessner, MD, attending physician; associate director, Inpatient Quality, Silverman Institute, BIDMC
Medication Safety Success Stories: Implementation of ISMP's Targeted Medication Safety Best Practices – Institute for Safe Medication Practices (ISMP)*
Feb. 23, 2017 from 1:30 PM to 3:00 PM (ET)
Feb. 23, 2017 from 1:30 PM to 3:00 PM (ET)
For several decades, ISMP has been regularly reporting on preventable medication events associated with high-alert medications and error-prone processes that have resulted in patient harm. Since 2014, ISMP has made a national call for organizations to adopt a number of consensus-based safety strategies called the Targeted Medication Safety Best Practices (TMSBPs) as a means to reduce and even eliminate the processes and conditions that lead to serious patient outcomes.
Join ISMP as we explore the adoption rates for the 2016-2017 TMSBPs and understand what types of barriers exist for hospitals and health systems that impede their full implementation of these safety strategies.
Speakers:
- Karen Smethers, BS, PharmD, BCOP, national clinical pharmacy integration leader, The Resource Group, Ascension, St. Louis, MO
- Steve Meisel, PharmD, CPPS, director of patient safety, Fairview Health Services, Minneapolis, MN
Note: This webinar is approved for 1.5 hours of Pharmacy Continuing Education and 1.0 hours of Nursing Continuing Education.
Claiming the Edge with QI in Communities – Institute for Healthcare Improvement (IHI)
Feb. 23, 2017 from 2:00 PM to 3:00 PM (ET)
Feb. 23, 2017 from 2:00 PM to 3:00 PM (ET)
Speakers:
- Ninon Lewis, MS, executive director, IHI
- Soma Stout, MD, MS, executive external lead for health improvement, IHI
- Greg Vandenberg, director of giving and community engagement, USVenture, Inc.
- Susan Hannah, head of improvement programmes - Early Years Collaborative & Raising Attainment for All, Scottish Government
- Renee Boynton Jarrett, MD, ScD, founding director, Vital Village Community Engagement Network
Data-Driven Quality Improvement: Part 2 – ECRI Institute
Feb. 23, 2017
Feb. 23, 2017
No other details were available at the time of this publication.
For more information on registering for this webinar, please e-mail TQMC@ECRI.org or call (610) 825-6000, ext. 5800.
Patient Safety Workshops:
Instructor-led or self-paced online learning sessions focused on a specific product
Instructor-led or self-paced online learning sessions focused on a specific product
On-Demand eLearning: Patient Safety Reporting System v1.01 eLearning Course
This course introduces basic navigation and functionality features of the PSR system and the roles of system users, such as event reporters, event handlers and investigators. Access the course through MHS Learn.
Register now
Register now
On-Demand eLearning: Patient Safety Reporting: Intermediate Course*
Targeted to Patient Safety Managers and other Military Treatment Facility (MTF) staff already familiar with basic functionalities of the Patient Safety Reporting System, this course will help learners hone the decision-making skills needed to effectively manage patient safety event data in PSR, as part of the ongoing effort to eliminate preventable harm at MTFs.
Register now
Register now
On-Demand eLearning: Root Cause Analysis*
This self-paced module outlines the DoD Patient Safety Program's suggested practices for conducting a root cause analysis (RCA), from the initial reporting of a patient safety event through the formation of the RCA Team to the identification of contributing factors and root causes and the recommendation of corrective actions.
Register now
This self-paced module outlines the DoD Patient Safety Program's suggested practices for conducting a root cause analysis (RCA), from the initial reporting of a patient safety event through the formation of the RCA Team to the identification of contributing factors and root causes and the recommendation of corrective actions.
Register now
*Denotes that activity is eligible for Continuing Education (CE) credit. All CE credits are managed by the Postgraduate Institute for Medicine (PIM).
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