The latest news and analysis about patient safety and quality.
Trouble viewing? See it online! Wednesday, March 13, 2019
 

Featured Story
Diagnostic Errors, Managing Patient Data Top ECRI's Patient Safety List Again
ECRI Institute’s 2019 list of concerns addresses systemic issues facing health systems, such as behavioral health concerns, clinician burnout, and skills development. Mobile health technology, number four on the list, opens up a world of opportunities by transporting healthcare to the home, but also presents potential risks.
 

News & Analysis
The Number of Nurse Practitioners is on the Rise
According to the survey, the 2018 State of the Nurse Practitioner Profession, almost 70% of respondents hold a certification in family care, 12% hold a certification in adult care, and six percent hold a certification in adult-gerontology care. Only four percent of respondents have a certification in pediatrics.
Mix-Ups Between Epidural Analgesia and IV Antibiotics in L&D Units Continue to Cause Harm
These mix-ups mimic previously published events and have similar contributing factors, including look-alike infusion bags, overlooked warning labels, and a point-of-care barcode medication administration system that was not fully engaged. However, unlike the prior events, drug shortages also played a role in the most recent errors.
Fluoroscopy-Associated Skin Reactions: Lessons From the VHA Root Cause Analysis Database
These complex procedures, while beneficial to the patient, are often lengthy and can lead to prolonged fluoroscopic cumulative exposures even when efforts are made to protect the patient from radiation. Affected patients can develop skin reactions ranging from mild erythema to extensive soft tissue injury necessitating major plastic surgery.
PSMJ member content

Talk Down: Joint Commission on De-escalation
The Joint Commission (TJC) released a new report on January 28: Quick Safety 47: De-escalation in Healthcare. This report discusses better training to mitigate such situations. The accreditor writes that as violence against nurses, doctors, and healthcare staff becomes more prevalent, the need for mitigation is greater than ever. Violence and assault are perpetual risks for anyone working in healthcare, particularly nurses and nursing assistants.
 

Industry Events

Thursday, 3/14 - Workplace Violence Prevention Symposium 2019

Thursday, 4/11 - IHI Summit on Improving Patient Care

Thursday, 4/25 - ABQAURP's 42nd Annual Health Care Quality and Patient Safety Conference

Saturday, 5/4 - Health Care Quality Conference: Tools and Takeaways for Your Journey

Wednesday, 5/15 - 2019 IHI Patient Safety Congress
 

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Product Spotlight

The Survey Coordinator's Handbook, 20th Edition

This updated book is the ultimate resource in survey prep for all accreditation professionals no matter their experience level. This handbook walks through every step of preparation, explaining key problem areas and highlighting major areas of focus for surveyors.

The latest edition’s updates include the 2012 Life Safety Code® guidance, CMS requirements related to emergency management and Legionella risk assessment, and Sentinel Event Alerts related to handoff communication and the role of leadership in developing a safety culture.

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