lzipperer
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Everything posted by lzipperer
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Content ArticleThis interview in the Journal of Quality and Patient Safety highlights the career and motivations of Dr. Gordon Schiff, a leader in patient safety whose has focused his efforts on improving medication safety, diagnostic safety and the role of information technology in enhancing care.
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Content ArticleThis month’s Letter from America looks at actions and strategies core to leading an organisation during unexpected enterprise-affecting crises. Letter from America is the latest in a Patient Safety Learning blog series highlighting new accomplishments in patient safety from the United States.
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Content ArticleThis article from Perlin et al. discusses how a 173-hospital system used technology as a strategy to reduce sepsis-related mortality system-wide by real-time dissemination of basic laboratory and clinical data to alert teams to patients exhibiting signs of sepsis risk.
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Content ArticleThis commentary from Michael Fraser shares recommendations for leaders to meet COVID-19 stressors successfully. The article suggests leaders communicate well, be decisive, lead without hierarchy, remain proactive and take care of themselves to protect others.
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Content ArticleLeadership must nurture a robust safety culture to manage crisis. This article from Foy and Mallory highlights the importance of formal and informal communication mechanisms, management empowerment and responsibility, and dialogue across silos to enhance the safety of teams and patients.
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Community PostI suggest the US-based Institute for Safe Medication Practices (ISMP) newsletters: https://www.ismp.org/newsletters The flagship publication for the acute care environment makes its featured articles available for free.
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Content ArticleAccess to wide range of perspectives can bring creativity to solutions and the actions that implement them. This website presents materials that cover topics such as leading in critical times, building and supporting resilience, Leading to Innovate, change and adapt, teaming and working remotely, coaching peers and developing as a leader.
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Content ArticleThis regularly updated resource collection links to webinars, articles, and conversations that explore the role of leadership in crisis response. Topics covered include workforce, telehealth, operations and safety.
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Content ArticleThis month’s Letter from America looks at perspectives examining collective responses to the COVID-19 pandemic through a systems analysis lens. Letter from America is the latest in a Patient Safety Learning blog series highlighting new accomplishments in patient safety from the United States.
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Content ArticleChallenges to the status quo present leaders with the opportunity and responsibility to not only respond but to learn and transform the system. This article from Slotkin et al. shares the experience of leaders at a large health system to design an emerging COVID response to effectively innovate to sustain improvement.
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Content ArticleClinician well-being is known to play a role in error prevention. This perspective from Dzau et al., published in the New England Journal of Medicine, presents a five-part strategy comprised of organisational and national elements to ensure clinicians are situated to provide safe high-quality care during crisis, such as the coronavirus pandemic, and throughout the course of their careers.
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Content ArticleThis essay in The New Yorker summarises known weaknesses in US healthcare visible long before COVID-19—and discusses others more specific to the pandemic. The author suggests that efforts to change the system be informed by the COVID-19 experience. The work should not seek to return to the pre-pandemic state but instead aim to making changes based on what was revealed to improve health care delivery overall.
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Content ArticleCommunity-based workforce initiatives support vulnerable populations during uncertain times. This blog from Manchanda highlights the role community health workers, volunteers and nonprofit organisations play in COVID-19 testing and contact tracing strategy implementation, psychological support provision, and establishment of the infrastructure communities need to address challenges specific to their local challenges.
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Content ArticleThis perspective published in the The New England Journal of Medicine examines the problem of racial disparities and the COVID-19 pandemic. The Chowkwanyun and Reed highlight the importance of viewing the data emerging from the crisis in the appropriate socioeconomic and deprivation contexts to protect against ineffective compartmentalisation of the populations being affected.
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Content ArticleSystem thinking encourages the consideration of the interacting forces contributing to problems to enable the design and implementation of strategies to address the underlying conditions that perpetuate those problems. This article from Bradley et al. in eClinical Medicine provides an illustration of the various forces to be resolved to effectively respond to COVID-19. Bradley DT, Mansouri MA, Kee F, Garcia LMT. A systems approach to preventing and responding to COVID-19.
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Content ArticleThis data snapshot from Santoli et al. highlights the results of an examination of two data sets (Jan to April 2019 and Jan to April 2020) to assess the impact of the pandemic on pediatric vaccination in the United States. The authors found significant vaccination declines and highlight the importance of childhood vaccination to prevent future disease outbreaks.
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Content ArticleThis month’s Letter from America shares perspectives on innovation at a personal, team and organisational level in light of the COVID-19 pandemic. Letter from America is the latest in a Patient Safety Learning blog series highlighting new accomplishments in patient safety from the United States.
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Content ArticleThis article from Zarzaur et al., in JAMA Surgery, shares an administrative restructuring approach building on military and emergency management experiences to make adjustments in surgery workforce and expertise availability to address complex shifts in care processes in response to the COVID-19 pandemic.
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Content ArticleThis commentary from Wu et al., in the Annals of Internal Medicine, summarises a triad of strategies used at one organisation to support healthcare workers in times of great stress. The authors suggest leadership focus on resilience, communication that informs and empowers staff, and a multi-component peer-support structure to provide a foundation for institutional wellness.
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Content ArticleMarch’s Letter from America highlights insights from the field shared during Patient Safety Awareness Week earlier this month and touches on improving transitions, managing implicit bias and using evidence. Letter from America is the latest in a Patient Safety Learning blog series highlighting new accomplishments in patient safety from the United States. *Please note, this letter was written before WHO announced that COVID-19 was a pandemic, just a few short weeks ago. We acknowledge that the world has changed since then but we feel this content is still relevant to safer patient care, maybe even more so now.
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Content ArticleSince To Err is Human was published in 1999, the patient safety evidence-base has expanded exponentially in alignment with continued maturity of the field. This publication is the 4th in a series of reports from the Agency for Healthcare Research and Quality (US-based), that reviews research supporting established patient safety practices to reduce patient harms. The current report is being published as updates are finalised to provide recommendation and share strategies highlighted in the literature to drive implementation of the practices discussed in areas such as: opioid stewardship patient and family engagement telehealth implicit bias failure to rescue computerised decision support deprescribing.
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Content ArticleMiscommunications are a leading cause of serious medical errors. Communications are particularly vulnerable during handoffs. This study, published by The New England Journal of Medicine, examined the power of standardisation of processes to improve the reliability of the handoff. Testing a method called I-PASS, it engaged residents in a bundled set of activities that resulted in substantial error reductions without negative impact on their workflow.
