June 19, 2012
Background: Mitigating or reducing the risk of harm associated with the delivery of healthcare is a policy priority. While the risk of harm can be reduced in some instances (i.e. preventable), what constitutes preventable harm remains unclear. A standardized and clear definition of preventable harm is the first step towards safer and more efficient healthcare delivery system. We aimed to summarize the definitions of preventable harm and its conceptualization in healthcare.
Posted in Journal Articles, READ Portal | Tagged with Prevention and control, Quality improvement, Risk management, Safety | No Comments
October 1, 2011
“The American Hospital Association (AHA) has established “strategic performance commitments” that identify specific targets for hospital efforts to improve patient care:
reduce central line-associated bloodstream infections (CLABSIs), eliminate preventable readmissions, and eliminate preventable mortality… Through its Hospitals in Pursuit of Excellence initiative, the AHA will provide advocacy, resources and research to America’s
hospitals to help them improve quality and patient safety and achieve these commitments. The Health Care Leaders Action Guide: Hospital Strategies for Reducing Preventable Mortality provides a broad overview of key steps that hospital and health system leaders should take in developing a strategy for reducing preventable mortality. Additional resources, covering all three commitments, can be found at www.hpoe.org.”
“Hospital leaders work hard every day to provide high quality care to the patients that they treat. They do this with the goal of providing care that is free of injury and harm. Nonetheless, much has been written about the numbers of patients that die unnecessarily in our nation’s hospitals. The publication of the 1999 landmark Institute of Medicine report, To Err is Human: Building a Safer Health System, brought attention to this problem with the estimation that between 48,000 and 98,000 deaths from medical errors occur each year in U.S. hospitals (IOM, 1999). Since then, much attention has been focused on ways to improve quality and patient safety. While most hospital deaths are not due to failures in care delivery, many deaths are preventable and this presents an important opportunity for hospital leaders to address. By collectively pursuing improvement strategies in a visible and measurable way, hospitals will be joining forces to advance a health care system that delivers the right care, to the right patient, in the right place. Hospital mortality is also an issue that easily resonates with the public.”
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Posted in READ Portal, Reports & Papers | Tagged with Prevention and control, Quality improvement, Risk management, Safety | No Comments
September 21, 2011
The Guide to Reducing Unintended Consequences of Electronic Health Records from the Agency for Healthcare Research and Quality aims to teach healthcare providers how to avoid the risks and pitfalls of electronic health care records.
“EHRs can offer many benefits to health care providers and their patients, including better quality of medical care, greater efficiencies, and improved patient safety. However, even if these benefits are achieved, you will almost certainly face some unanticipated and undesirable consequences from implementing an EHR. Such consequences are often referred to as unintended consequences.
Unintended consequences can undermine provider acceptance, increase costs, sometimes lead to failed implementation, and even result in harm to patients. However, if you learn to anticipate and identify unintended consequences, you will be in a better position to make effective decisions, clarify tradeoffs, and address problems as they arise.”
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Posted in Multimedia, READ Portal | Tagged with e-health, Health technology, Information technology, Risk assessment, Risk management | No Comments
August 5, 2011
“The North Wales Cancer Treatment Centre (NWCTC) has to deal with an increasing demand in the number of patients who require chemotherapy, with the escalating use of second line, third line, and additional treatment for many cancers. As a result, there is growing pressure on the chemotherapy unit to deliver treatment quickly, efficiently, and safely. Following guidelines from the Department of Health’s Manual for Cancer Services, we are constantly looking for ways to improve and develop the level of care provided at our center, and the process of receiving chemotherapy has been identified as an area of high risk. Therefore, a team was established to review and explore current practices at the NWCTC with the goal of implementing an improved process to minimize the risks of chemotherapy treatment.”
Posted in Journal Articles, READ Portal | Tagged with Cancer, Patient-centered care, Quality improvement, Risk assessment, Risk management | No Comments
January 26, 2011
Serious clinical crises happen to all organizations. Organizations that have a plan that they test and simulate are in a much stronger position when a crisis strikes. This article presents key elements of clinical crisis management and practical guidance to help organizational leaders develop effective plans for managing such events.
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