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Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management

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https://www.readbyqxmd.com/read/30212606/impact-of-teamwork-improvement-training-on-communication-and-teamwork-climate-in-ambulatory-reproductive-health-care
#1
Laura E Dodge, Siripanth Nippita, Michele R Hacker, Evelyn M Intondi, Guzey Ozcelik, Maureen E Paul
BACKGROUND: While team training is associated with improved hospital-based team climate, less is known about effects in the ambulatory setting. STUDY DESIGN: In 2014 and 2015, we enrolled 20 organizations, each operating various health centers, into this ongoing study. Evaluation tools include a communication behaviors assessment (CBA) and Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS® ) Teamwork Perceptions Questionnaire (T-TPQ), which staff completes at baseline, 6 months, and 1 year, and the Patients' Insights and Views of Teamwork (PIVOT) survey, which patients complete at baseline and 1 year...
September 13, 2018: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
https://www.readbyqxmd.com/read/30212604/teamstepps-%C3%A2-an-evidence-based-approach-to-reduce-clinical-errors-threatening-safety-in-outpatient-settings-an-integrative-review
#2
Antay L Parker, Lydia L Forsythe, Ingrid K Kohlmorgen
OBJECTIVE: The objective of this integrative review of literature was to investigate and evaluate feasibility and potential for success of TeamSTEPPS® implementation, the influence of TeamSTEPPS for Office-Based Care on the clinical error rate in a private outpatient clinic, and influence of TeamSTEPPS for Office-Based Care on patient satisfaction. BACKGROUND: Patient safety remains a top priority for all health care providers in all clinical settings. Despite multiple varied efforts, clinical errors directly attributed to communication are consistently at the top of the list of root causes, although improvement strategies such as Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) have been implemented, there is insufficient data reported measuring the influence of this intervention on patient safety, clinical errors related to communication, and patient satisfaction...
September 13, 2018: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
https://www.readbyqxmd.com/read/30199129/artificial-intelligence-implications-for-the-health-care-risk-manager
#3
EDITORIAL
Faye Sheppard
No abstract text is available yet for this article.
September 10, 2018: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
https://www.readbyqxmd.com/read/30184300/implementing-safety-hotlines-stamford-health-s-experience-and-future-opportunities
#4
Ruth Cardiello, Sally Johnston, Sharon Kiely
Improving safety event reporting has been a focus of increased study. Improved opportunities for patient and family safety event reporting have been described in the literature. Consistent with the organization's patient-centered care philosophy, we launched a safety hotline at Stamford Health. This article describes the process of implementation, vendor selection, understanding initial results, and areas for further study.
September 5, 2018: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
https://www.readbyqxmd.com/read/30156353/hospitals-should-replace-emergency-codes-with-plain-language
#5
Benjamin W Dauksewicz
The common and frequent use of emergency codes by hospitals to communicate during life-threatening emergencies routinely segregates hospital staff from patients, visitors, and first-responders during emergencies by providing each group with a different level of information regarding the threat. By relying on codes instead of plain language to communicate during an emergency, a hospital may introduce ambiguity into a potentially life-threatening situation. Consequently, this means that coded alerts may endanger staff, patients, and visitors rather than protecting them from threats...
August 29, 2018: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
https://www.readbyqxmd.com/read/30144222/the-evolving-role-of-analytics-to-determine-hospital-risk-management-staffing
#6
Kenneth W Felton, Chrystina M Howard, Elizabeth Osgood
This article presents the evolution of an independently developed research project to gather time data from hospital and health care system risk managers to establish an objective, justifiable means of determining necessary staffing levels to support risk management activities and department functions. The authors relied on the data submitted by study participants and did not independently audit the numbers provided.
August 24, 2018: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
https://www.readbyqxmd.com/read/30144213/sustaining-and-spreading-quality-improvement-decreasing-intrapartum-malpractice-risk
#7
Palmira Santos, Anju Joglekar, Kristen Faughnan, Jennifer Darden, Lisa Masters, Ann Hendrich, Christine Kocot McCoy
BACKGROUND: Malpractice liability is an ongoing problem in obstetrics. However, developing, sustaining, and spreading effective interventions is challenging. The aim of this study is to examine the spread and sustainability of a multilevel integrated practice and coordinated communication model 66 months after its original implementation. METHODS: Data on labor and delivery patients from 37 hospitals (5 beta sites and 32 expansion sites) were analyzed for the 81-month time period from January 2010 through September 2016...
August 24, 2018: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
https://www.readbyqxmd.com/read/30136752/health-care-risk-managers-consensus-on-the-management-of-inappropriate-behaviors-among-hospital-staff
#8
Sahar Ebrahim Zadeh, Robert Haussmann, Craig D Barton
Medical errors are the third-leading cause of death in the United States. One of the problems is timely recognition and management of inappropriate health care worker behaviors that lead to intimidation and loss of staff focus, eventually leading to errors. The purpose of this qualitative modified Delphi study was to seek consensus among a panel of experts in hospital risk management practices on the practical methods for early detection of inappropriate behaviors among hospital staff, which may be used by hospital managers to considerably mitigate the risk of medical mishaps...
August 23, 2018: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
https://www.readbyqxmd.com/read/30074677/using-medicolegal-data-to-support-safe-medical-care-a-contributing-factor-coding-framework
#9
Adele McCleery, Kirsten Devenny, Catherine Ogilby, Cynthia Dunn, Anne Steen, Eileen Whyte, Renee Darling, Robin VanderHoek, Anna MacIntyre, Stephanie Carpenter, Gordon Wallace, Lisa Calder
OBJECTIVE: Traditional medicolegal data analysis focuses on physician care, without a full acknowledgment of the effects of team, organizational, and system factors. We developed a patient safety-informed contributing factor framework to strengthen the coding and analysis of medicolegal data. MATERIALS AND METHODS: We incorporated patient safety theory and human factors science into our medicolegal case coding practices to improve our understanding of the many factors that contribute to medicolegal events...
August 3, 2018: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
https://www.readbyqxmd.com/read/30033650/a-novel-anesthesiologist-led-multidisciplinary-model-for-evaluating-high-risk-surgical-patients-at-a-comprehensive-cancer-center
#10
Raymond Sroka, Emmanuel M Gabriel, Danna Al-Hadidi, Steven J Nurkin, Richard D Urman, Timothy D Quinn
The objective of this retrospective analysis was to describe the development and implementation of an anesthesiologist-led multidisciplinary committee to evaluate high-risk surgical patients in order to improve surgical appropriateness. The study was conducted in an anesthesia preoperative evaluation clinic at an academic comprehensive cancer center. One hundred sixty-seven high-risk surgical patients with cancer-related diagnoses were evaluated and discussed at a High-Risk Committee (HRC) meeting to determine surgical appropriateness and optimize perioperative care...
July 23, 2018: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
https://www.readbyqxmd.com/read/30011116/case-law-update
#11
John C West
No abstract text is available yet for this article.
July 16, 2018: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
https://www.readbyqxmd.com/read/29964311/the-dilemma-of-patient-safety-work-perceptions-of-hospital-middle-managers
#12
Margareta Sanner, Christina Halford, Sofie Vengberg, Marta Röing
Patient safety continues to be a challenge for health care. Medical errors are not decreasing but continue to show roughly the same patterns in Sweden and other Western countries. This interview study aims to explore how 27 hospital middle managers responsible for patient safety work in a Swedish university hospital perceive this task. A qualitative analysis was performed. A code template was created, and each code was explored in depth and summarized into six categories. We conclude that patient safety work appears to have low priority; hospital top management does not seem to have any real interest in patient safety; incidents are underreported; and the organization of patient safety work seems to be insufficient and carried out insofar as resources are available...
July 2, 2018: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
https://www.readbyqxmd.com/read/30001478/protection-from-fentanyl-exposure-new-resources-from-niosh
#13
EDITORIAL
Johnnye L Dennis
No abstract text is available yet for this article.
July 2018: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
https://www.readbyqxmd.com/read/29902350/the-health-care-risk-of-workplace-violence
#14
EDITORIAL
Faye Sheppard
No abstract text is available yet for this article.
July 2018: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
https://www.readbyqxmd.com/read/29752833/understanding-diagnostic-safety-in-emergency-medicine-a-case-by-case-review-of-closed-ed-malpractice-claims
#15
Nancy Lemoine, Antonio Dajer, Joseph Konwinski, Dianne Cavanaugh, Catherine Besthoff, Hardeep Singh
The report Improving Diagnosis in Health Care calls for collaboration between professional liability insurance carriers and health care providers to identify opportunities to improve diagnostic performance. We used this collaborative approach and involved risk management/patient safety professionals and emergency medicine physician reviewers to analyze diagnosis-related emergency medicine closed claims from a large malpractice insurer. Our aim was to identify opportunities for risk reduction and to develop an approach for improving at-risk processes...
July 2018: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
https://www.readbyqxmd.com/read/29733480/case-law-update
#16
John C West
No abstract text is available yet for this article.
July 2018: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
https://www.readbyqxmd.com/read/29633476/a-framework-for-operationalizing-risk-a-practical-approach-to-patient-safety
#17
Simon C Mathews, Kathleen M Sutcliffe, Margaret R Garrett, Peter J Pronovost, Lori Paine
The importance of patient safety has grown tremendously; however, there are insufficient resources dedicated to its practical application. We provide an overview of the framework for addressing patient safety within the Johns Hopkins Health System, which approaches patient safety in the context of risk at the patient, provider, unit, and system levels. We present practical examples of how this approach is applied and highlight the resources needed as well as describe how it fits within the broader quality management infrastructure in the health system on its journey toward high reliability...
July 2018: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
https://www.readbyqxmd.com/read/29608223/the-effect-of-an-active-shooter-response-intervention-on-hospital-employees-response-knowledge-perceived-program-usefulness-and-perceived-organizational-preparedness
#18
Gail Landry, Kathie S Zimbro, Merri K Morgan, Ralitsa S Maduro, Tim Snyder, Nancy L Sweeney
Active shooter events occur frequently across the United States in a variety of locations, including health care facilities. Hospital health care worker response to an active shooter event may mean the difference in life or death for self or others. There is little research on how hospitals prepare nonmanagers to respond to active shooter events. We conducted a study to explore differences in knowledge, perceived organizational preparedness, and program utility following participation in an active shooter response program...
July 2018: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
https://www.readbyqxmd.com/read/29120515/the-effects-of-crew-resource-management-on-teamwork-and-safety-climate-at-veterans-health-administration-facilities
#19
Miriam E Schwartz, Deborah E Welsh, Douglas E Paull, Regina S Knowles, Lori D DeLeeuw, Robin R Hemphill, Keith E Essen, Gary L Sculli
Communication failure is a significant source of adverse events in health care and a leading root cause of sentinel events reported to the Joint Commission. The Veterans Health Administration National Center for Patient Safety established Clinical Team Training (CTT) as a comprehensive program to enhance patient safety and to improve communication and teamwork among health care professionals. CTT is based on techniques used in aviation's Crew Resource Management (CRM) training. The aviation industry has reached a significant safety record in large part related to the culture change generated by CRM and sustained by its recurrent implementation...
July 2018: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
https://www.readbyqxmd.com/read/29902353/incident-command-structure-using-a-daily-management-system-and-the-centers-for-disease-control-and-prevention-s-patient-notification-toolkit-drives-effective-response-to-an-infection-control-breach
#20
Heather Schoonover, Kristin Haydon
When breaches in infection control occur, it is imperative that organizations respond in a manner that is effective, efficient, and rebuilds trust with patients. Readers will learn how the incident command structure, daily management system, and the Centers for Disease Control and Prevention's Patient Notification Toolkit were used to drive an effective response to an infection control breach-resulting in 92% of affected patients completing the recommended testing for hepatitis B, hepatitis C, and human immunodeficiency virus...
June 14, 2018: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
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