Organizational and Cultural Change

Seeking the Right Stuff for Teams: In the Hospital or Distant Space

Seeking the Right Stuff for Teams: In the Hospital or Distant Space

Posted by  | Designing Safer Systems, Measurement of Safety and Quality, Organizational and Cultural Change

Wanted: Talented, highly driven individuals to take on multiyear work assignment with potential for benefiting humankind. Requires the highest levels of technical skill, teamwork and adaptability. Must be able to tolerate social isolation, mental and physical fatigue, demanding and uneven work schedules, days and nights away from home. Risk of depression and burnout. Must be(...)

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Patient Safety at 15: How Much Have We Grown?

Patient Safety at 15: How Much Have We Grown?

Posted by  | Designing Safer Systems, Measurement of Safety and Quality, Organizational and Cultural Change, Preventing Patient Harm

Fifteen-year anniversaries often come and go without fuss, overlooked in favor of those we can mark in full decades. Yet recently, at Johns Hopkins and nationally, we've crossed that mark for a couple of events in patient safety that merit both celebration and reflection. In January 2001, a series of lapses at Johns Hopkins led(...)

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Learning from the Leaders in Patient Experience

Learning from the Leaders in Patient Experience

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

Hospitals across the country are searching for ways to create the "always positive" patient experience. For example, we want our patients to tell us that their pain was always addressed, that clinicians were always responsive to their needs and that our communications at discharge time always helped prepare them to take care of themselves once(...)

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Supporting ‘Second Victims’ with Emotional First Aid

Supporting ‘Second Victims’ with Emotional First Aid

Posted by  | Organizational and Cultural Change, Preventing Patient Harm

She was a newly minted Johns Hopkins Hospital pediatric nurse — let's call her Mary — but she was already unsure if she had chosen the right career path. She had inserted an intravenous line into a young patient's arm, and there had been an infiltrate, a pooling of IV fluid under the child's skin that indicated(...)

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Patient Safety and Quality Champions Grow into Leaders

Patient Safety and Quality Champions Grow into Leaders

Posted by  | Organizational and Cultural Change, Preventing Patient Harm

For years, physician assistant Stephanie Figueroa has worked with our Emergency Department and the sickle cell care team to improve the treatment of patients with this disease who arrive with acute pain crisis. When beds were unavailable in the busy adult ED, these patients might spend hours in excruciating pain before our staff were able(...)

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What’s Your Theory? Bringing Rigor to Local Quality Improvement Projects

What’s Your Theory? Bringing Rigor to Local Quality Improvement Projects

Posted by  | Measurement of Safety and Quality, Organizational and Cultural Change

For a moment, consider that you work at a primary care clinic, and your team needs to improve performance on annual foot exams on patients with diabetes — a critical step to prevent foot ulcers and amputations. At your monthly meeting, staff members enthusiastically suggest solutions, such as using robocalls to urge patients to schedule appointments(...)

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