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July 2017 eBulletin

July 2017 Patient Safety eBulletin

The Department of Defense Patient Safety Program 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 how to submit for the Advancement toward High Reliability in Healthcare Awards, and read more about the surgical quality learning partnerships!

Announcements and Reminders

  • In July, the Military Health System’s theme is Health Innovation
  • Thank you to everyone who joined us for the DoD-only session at the TeamSTEPPSTeam Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) is an evidence-based teamwork system designed to improve the quality, safety and efficiency of healthcare. TeamSTEPPS consists of a collection of instructions, materials and tools to help drive a successful teamwork initiative from the initial planning to implementation through to sustainment. The system is designed to improve patient safety using a three-phase approach: Phase I Assessment: Facility determines organizational readiness; Phase II Planning, Training & Implementation: Facility “decides what to do” and “makes it happen;” and Phase III Sustainment: Facility spreads the improvements in teamwork performance, clinical processes and outcomes resulting from the TeamSTEPPS initiative.TeamSTEPPS Conference in Cleveland. Looking forward to seeing you next year!
  • Don’t forget to submit a nomination for the Advancement toward High Reliability in Healthcare Awards Program by 4 p.m. EDT on Aug. 1. Learn more about the awards>>
  • The Agency for Healthcare Research and Quality is hosting a 3-part webinar series beginning in July about one organization’s TeamSTEPPS journey from the fundamentals through sustainment. Learn more about this webinar series>>
  • For the latest information on upcoming patient safety learning opportunities, subscribe to the receive the PSP Learning Update that is now a monthly publication and releases the last Wednesday of every month. Also, check out the Calendar of Events on our website and the PSLC. Subscribe and check out the web site calendar of events>>
  • The next eBulletin will publish in September 2017.
  • Do you have questions about the Continuing Education process? We can help! E-mail us.
  • Do you have an update from your facility? We’re always looking for good news stories and would love to hear from you! Let us know via e-mail or Facebook.

Feature: Deadline for High Reliability Awards Fast Approaching

Submissions for the Advancement toward High Reliability in Healthcare Awards are being accepted in three disciplines. Feature: Deadline for High Reliability Awards Fast Approaching.

Patient Safety In Action: Cutting through Challenges to Improve Surgical Quality Outcomes in the MHS

Select MTFs are participating in a surgical quality learning partnership with the Institute for Healthcare Improvement to identify processes to improve surgical outcomes that can be standardized across the MHS. Patient Safety In Action: Cutting through Challenges to Improve Surgical Quality Outcomes in the MHS.

DoD PSP Treasure Chest: July Edition

DoD Patient Safety Program Treasure ChestWelcome to the July edition of the DoD PSP Treasure Chest! 

Each issue, we share resources to help you execute your day-to-day patient safety activities easily and effectively. Please visit us often and get access to tools and information developed with… DoD PSP Treasure Chest: July Edition.


MHS Patient Safety Data Snapshot

An image of a camera on a blue circle

The MHS Patient Safety Data Snapshot is a monthly compilation of two types of patient safety data:

1) Sentinel Event notifications submitted to the Patient Safety Analysis Center

2) Anonymous, voluntarily reported patient safety events via the web-based incident reporting system known as JPSR

This publication provides an MHS enterprise-level snapshot of trends in SEs and JPSR 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* to access the latest MHS Patient Safety Data Snapshot, available on the 15th of every month.

*Please visit the Patient Safety Analysis Center page to access and download this publication.

MHS Patient Safety Spotlight

Patient Safety spotlightThe 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* to access the latest MHS Patient Safety Spotlight, available on the 15th of every month.

*Please visit the Patient Safety Analysis Center page to access and download this publication.

Department of Defense Patient Safety Program Learning Update: May 2017

Upcoming Events

Click on the image on the right to view/print a list of all upcoming patient safety activities.

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.

The Joint Commission

There are multiple opportunities to attend accreditation and certification webinars offered by The Joint Commission.

Learn more about these opportunities >>


Opioids in the Acute Care Setting: Safety is Within Our Reach – Institute for Safe Medication Practices (ISMP)

July 11, 2017 from 1:30-3 p.m. EDT

This free webinar will explore the latest trends in opioid therapy, barriers to optimal therapy and safety, and preventable errors that involve opioids. 

Expert speakers will discuss the latest safety considerations for these commonly-used agents, including a surprising discussion regarding the safe use of HYDROmorphone. 

Nurses, pharmacists, clinical educators, pain teams, pharmacy and nursing managers and administrators, medication safety and patient safety officers, risk and quality managers, and hospital and health system leadership are encouraged to attend.

Patient Safety Learning Opportunity
Speakers:
  • Michael R. Cohen, RPh, MS, ScD (hon.), DPS (hon.), FASHP, president, ISMP
  • Matthew Grissinger, RPh, FISMP, FASCP, director of error reporting programs, ISMP
  • Maria Foy, PharmD, BCPS, CPE patient care coordinator, Palliative Care, Abington Memorial Hospital, Abington, Pa.

Learn more about this webinar >>


Greater Satisfaction, Outcomes, and Savings with Self-Administered Care – Institute for Healthcare Improvement (IHI)

July 13, 2017 from 2-3 p.m. EDT

Patient Safety Learning Opportunity
Speakers:
  • Kedar Mate, MD, chief innovation and education officer, IHI
  • Kavita Bhavan, MD, MHS, director of infectious diseases/OPAT ambulatory clinics and director, Antimicrobial Stewardship, Parkland Health & Hospital System
  • Alex Anderson, research associate, IHI

Learn more about this opportunity >>


The Business Case for Patient Safety – National Patient Safety Foundation (NPSF)** and Institute for Healthcare Improvement (IHI)*

July 25, 2017 from 1-2 p.m. EDT

Patient Safety Learning Opportunity

The Institute for Healthcare Improvement/National Patient Safety Foundation (IHI/NPSF) called upon the IHI/NPSF Patient Safety Coalition, a diverse group of stakeholders from across the continuum of care, to develop the toolkit, “Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance,” for helping patient safety leaders optimize a business case for safe care. This toolkit specifically emphasizes the need for collaboration among safety and financial leaders to demonstrate the value and return on investment for safer, quality care. 

The project co-chairs, Mr. Doug Beighle and Dr. Jane Englebright, will provide an overview of the toolkit components, including a close look at the recommendations and resources for preparing and presenting successful business cases. The toolkit will be available June 26, 2017, on www.ihi.org.

Speakers:
  • Jane Englebright, PhD, RN, CENP, FAAN, chief nurse executive and senior vice president, Hospital Corporation of America 
  • Doug Beighle, president and COO, Simulab Corporation

Learn more about this opportunity>>


Leveraging Best Practices to Prevent WSS Events in Ambulatory and Outpatient Procedures and Procedural Areas – DoD Patient Safety Program

Department of Defense Patient Safety Program logo

July 27, 2017 from 1-2 p.m. EDT

Join our discussion about reducing surgical and procedural harm with specific emphasis on outpatient, ambulatory and office based procedures. Gain insight from service subject matter experts and representatives on their successes and lessons learned from current efforts to eliminate WSS events in ambulatory settings across the MHS.

Learn more about this webinar>>



Patient Safety and Quality Tools for Outpatient Settings – ECRI Institute

July 27, 2017 from 1-2 p.m. EDT

ECRI Institute logo
Speakers:
  • Deborah E. Ballantyne, NHA, JD, CPASRM, risk management analyst, ECRI Institute

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.

On-Demand eLearning: Patient Safety Reporting System v1.01 eLearning Course

This course introduces basic navigation and functionality features of the JPSR system and the roles of system users, such as event reporters, event handlers and investigators. The course can be accessed through MHS Learn.

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, 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 credit. All CE credits are managed by the Postgraduate Institute for Medicine.

**Did you know? As an NPSF Stand Up for Patient Safety member, DoD PSP receives complimentary access to webinars as a benefit of program membership. Check with your facility POC to obtain the member coupon code.

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