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, read words of wisdom from a retiring MHS patient safety champion, learn how the services are bringing innovation to TeamSTEPPS, and learn more about the recent JPSR upgrades and how it impacts you!
Retiring Army colonel leaves behind legacy advocacy and shares advice for other health care and patient safety professionals to continue to advance military health. Feature: Parting Words of Wisdom from Patient Safety Advocate Col. Napolitano.
Welcome to the September 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 you – our committed MHS patient safety champions – in mind!
MHS Patient Safety Data Snapshot
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
The 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.
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 >>
Leading a Culture of Safety: A Blueprint for Healthcare Leadership – National Patient Safety Foundation (NPSF)** and Institute for Healthcare Improvement (IHI)*
Sep. 6, 2017 from 3-4 p.m. EDT
This webcast will highlight how The American College of Healthcare Executives (ACHE) and the IHI/NPSF Lucian Leape Institute are partnering to develop best practices in how senior leaders build and sustain a culture of safety.
IHI/NPSF is authorized to award one (1) hour of pre-approved ACHE Qualified Education credit for this program toward advancement, or recertification, in the American College of Healthcare Executives.
Speakers:
- Deborah Bowen, FACHE, CAE, president and CEO, American College of Healthcare Executives
- Gary S. Kaplan, MD, FACP, FACMPE, FACPE, chair, NPSF Lucian Leape Institute; chairman and CEO, Virginia Mason Health System
- Charles (Chuck) D. Stokes, RN, BSN, FACHE, president and CEO, EVP and chief operating officer, Memorial Hermann Health System
Learn more about this webinar >>
Replacing Old Practices with New Paradigms: Adopting Safe Practices for IV Push Medications – Institute for Safe Medication Practices (ISMP)
Sep. 12, 2017 from 1:30-3 p.m. EDT
This webinar will describe the latest changes in procedural and practice expectations and will educate participants about ISMP guidelines for adult IV push medications, which were developed as a result of a national summit. Expert speakers will discuss strategies for identifying and managing the risks associated with IV push injection, including those associated with unsafe unit-based preparation, unsafe injection practices, and limited training and guidance.
Speakers:
- Michelle Mandrack, MSN, RN, director of consulting services, ISMP
- Susan Paparella, MSN, RN, vice president, ISMP
Learn more about this opportunity >>
Tuning Up Health System Boards for Patient Safety – Institute for Healthcare Improvement (IHI)
Sep. 15, 2017 from 2-3 p.m. EDT
What do we need and expect from trustees of health systems when it comes to their oversight of quality and safety? It’s a question that’s getting increased attention because board members aren’t typically sought out or sufficiently trained for this type of expertise. We’re going to discuss some of the latest thinking on more effectively engaging boards in quality and safety.
Speakers:
- Tejal K. Gandhi, MD, MPH, CPPS, chief clinical and safety officer, IHI
- James B. Conway, MS, current board chair of Quality of Care Committee, Lahey Health System and Trustee, Winchester Hospital; former senior vice president, IHI; former COO and EVP, Dana-Farber Cancer Institute
- Stephen E. Muething, MD, co-director, James M. Anderson Center; professor of pediatrics and Michael and Suzette Fisher Family chair for safety, Cincinnati Children’s Hospital Medical Center
Learn more about this webinar>>
Using the Agency for Healthcare Research and Quality’s Indicators for Quality Monitoring: Part 1 – ECRI Institute
Sep. 28, 2017 from 1-2 p.m. EDT
Speakers:
- Margaret Class, RN, Clinical Quality Support, Healthcare Operations, Defense Health Agency
- Carol Stocks, Ph.D., RN, Agency for Healthcare Research and Quality, Rockville, Md.
- Zahid Butt, MD, FACG, CEO, Medisolv, Columbia, Md.
For more information on registering for this webinar, please e-mail TQMC@ECRI.org or call (610) 825-6000, ext. 5800.
How to Beat Burnout and Create Joy in Work – Institute for Healthcare Improvement (IHI)
Sep. 28, 2017 from 2-3 p.m. EDT
Speakers:
- Derek Feeley, president and CEO, IHI
- Jessica Perlo, MPH, director, IHI
- Barbara M. Balik, EdD, MS, RN, principal, Common Fire Healthcare Consulting; senior faculty, IHI
- Julie Mann, CNM, MSN, assistant director of midwifery, project manager of Quality Improvement on Labor and Delivery, Mount Auburn Hospital
Learn more about this opportunity >>
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.