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Just as it standardized clinician-to-clinician hand-offs, Kaiser Permanente recognized the importance of the hand-off for the patient from hospital to home.
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The recent report from the Office of the Inspector "Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries" recommends that the Centers for Medicare & Medicaid Services (CMS) focus on the Quality Assurance and Performance Improvement (QAPI) Condition of Participations in its survey and certification processes.
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About 80% of serious medical errors involve problems in hand-off communication, says Klaus Nether, project leader with The Joint Commission Center for Transforming Health Care, who has a black belt in Six Sigma.
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You probably remember the days when nurse-to-nurse shift reports involved a nurse and a voice recorder. "There would be a lot of people coming in and people going and a lot of chaos.
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The perspective of Laura Avakian's book "Helping physicians become great managers and leaders: Strategies that work" is from a human resources professional. And that is because Avakian worked as vice president of human resources in health care for about 25 years at Beth Israel Deaconess and MIT.
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If hospitals don't get it by now, then they're not reading the writing on the wall. Quality will increasingly affect hospitals' financial welfare.
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Researchers often criticize IRBs and see them as barriers to research.
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IRBs at academic research centers often review international infectious diseases research that can raise red flags regarding privacy, confidentiality, and vulnerability.
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IRBs dealing with international or high-risk research can find some guidance on how to handle all stakeholders in studies in the recently-revised Good Participatory Practice Guidelines for Biomedical HIV Prevention Trials (GPP).
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An IRB looking to recruit a good non-scientist to the board may have to look no further than its own institution's medical library.
