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When you talk to officials at The Joint Commission (TJC) about the annual sentinel event reports released in July, they are quick to tell you that the data represent just a portion of sentinel events in the country, because reporting them to the organization is voluntary.
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What do you do when something you desperately want to fix just won't be fixed?
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No one would argue that ventilators are lifesaving tools for many critically ill patients. But like so much in healthcare, too much of a good thing can be bad.
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By 2020, all accredited hospitals are supposed to achieve a 90% success rate for flu vaccinations among staff.
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Most organizations that are looking for what went wrong after an error are familiar with the Failure Mode and Effects Analysis (FMEA) method.
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It was a summer of crime in Washington, DC, and area police agencies collaborated to implement a crime prevention program called All Hands On Deck. Washington Hospital Center was having a problem with falls. Would a program based on the idea of putting everyone to work to prevent falls help keep patients safe?
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In its sixth year as a Lean organization, MemorialCare in Southern California refers to Lean as its management system, not a quality improvement method, says Diana Hendel, Pharm.D., CEO of Long Beach Memorial Medical Center, Miller Children's Hospital and Community Hospital both also of Long Beach.
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When the National Committee for Quality Assurance (NCQA) named Patricia Gabow, MD, CEO of the Denver Health and Hospital Authority, one of the winners of its National Quality Awards, it didn't shock the people she works with.
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Sometimes, you need someone to lead a project. Sometimes, it's easy. But what about those times when you just can't find someone to take the helm? Helen Macfie, Pharm.D., senior vice president of performance improvement at the six-hospital MemorialCare Health System in Southern California thinks she's got it figured out. She has a top 10 list that might help others, too.
