Patient-Centered Care

Tuck someone in today

Posted by  | Patient-Centered Care

One of my colleagues, Nancy, recently shared a surprising experience that she had with her son—one of four children—as she was getting ready to send him off to college. The night before he left, this strapping, six-foot-tall man, who plays football and lacrosse, made an unusual request: He asked his mom to tuck him in to bed. When he(...)

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Big news today from the Armstrong Institute

Posted by  | Designing Safer Systems, Patient-Centered Care, Preventing Patient Harm

We’re pleased to announce that the Gordon and Betty Moore Foundation has awarded Johns Hopkins’ Armstrong Institute a grant of $8.9 million to design safer care in ICUs. This project will have two overriding aims: to better engage patients—and their family members—as integral parts of the care team; and to use systems engineering methods to(...)

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Putting a little Ritz in health care

Posted by  | Organizational and Cultural Change, Patient-Centered Care

Recently, I had an enlightening encounter with Horst Schulze, who led Ritz-Carlton Hotels to national awards and has since opened his own hotel chain, Capella. Hortz gave an informal presentation to members of a program that I’m taking part in, the Baldrige Executive Fellowship, and we continued to talk afterwards. Capella has five ultraluxury hotels(...)

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Company churns out burritos, French toast — and inspiration for health care

Posted by  | Patient-Centered Care, Preventing Patient Harm

This year I am participating in an executive fellowship that is designed to expose leaders in various industries to the Baldrige Framework, a model for organizational excellence. As part of the program, the fellows visit companies that received the coveted Malcolm Baldrige National Quality Award, administered by the U.S. Department of Commerce. Recently, we toured(...)

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Memorable patients, unforgettable lessons

Posted by  | Patient-Centered Care, Preventing Patient Harm

Every clinician has encountered patients whose memories stay with them for years. The patients who stick usually are not the ones for whom the clinician made a brilliant diagnosis or provided evidence-based therapies. They are the patients who touched clinicians' hearts, the ones they formed a relationship with, the ones in whom  they saw themselves or a loved one—ultimately, the(...)

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Patient-centered care means treating the individual

Posted by  | Patient-Centered Care, Preventing Patient Harm

I hope you’ll take the time to check out our podcast project, The Heart of Caring, which highlights stories that deepen our understanding of patient- and family-centered care. A recently added story comes from physician Dan Munoz, who recalls a decision about whether to place a 99-year-old patient on a ventilator. It’s often considered humane to withhold(...)

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Tell your story: Excellence in patient- and family-centered care

Posted by  | Patient-Centered Care

Last year, Sarah Andryauskas, then a new nurse in our emergency department, was caring for a patient with diabetes who had trouble maintaining healthy blood glucose levels. His disease had contributed to several hospital visits over the preceding months and years. As health care providers, it’s tempting to attribute such repeat visits to patient noncompliance.(...)

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Giving patients the big picture

Posted by  | Patient-Centered Care

"I have a complicated medical situation that involves neurologists, surgeons, obstetricians, specialized ophthalmologists and others. I was at Johns Hopkins and very lucky to be because I had some of the best doctors in the country. What really struck me, though, was that each specialist was really very narrowly focused and really ne'er the twain(...)

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