A safety checklist for patients

Posted by  | Preventing Patient Harm

Far too many patients are harmed rather than helped from their interactions with the health care system. While reducing this harm has proven to be devilishly difficult, we have found that checklists help. Checklists help to reduce ambiguity about what to do, to prioritize what is most important, and to clarify the behaviors that are(...)

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Health care needs greater accountability, not excuses

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

I recently spoke to an executive in the energy industry who had a joint replacement at a hospital in New York. His wound developed an infection, which required four additional hospital admissions and several operations. He asked me about hand hygiene in hospitals. Proudly, I told him that, at Johns Hopkins Hospital, we are at 80(...)

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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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Part II: ISO clinician leaders in patient safety and quality

Posted by  | Designing Safer Systems, Organizational and Cultural Change, Preventing Patient Harm

I recently gave a talk to the American Medical Student Association. The energy in the room was palpable. The students were excited, passionate and hopeful. We spoke about the urgent need to reduce preventable harm and to enhance value, and we discussed that they will need to be the ones to lead these efforts. Yet,(...)

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Translating safety in Spain

Posted by  | Preventing Patient Harm

Caregivers’ potential to reduce preventable harm and improve patient outcomes is profound. Consider the news that came out of Spain last week from a collaborative of nearly 200 intensive care units. This nationwide effort, with support from the Armstrong Institute at Johns Hopkins, the World Health Organization, the Spanish Health Minister and clinicians across the country,(...)

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ISO clinician leaders in patient safety and quality

Posted by  | Organizational and Cultural Change, Preventing Patient Harm

WANTED: Clinicians for long-term relationship to lead unit and department safety efforts. Must be passionate about improving patient outcomes and value, have skills needed to lead these efforts, and enjoy working as part of a team. Dr. Martin Luther King, Jr., in pushing the civil rights agenda, spoke of the "fierce urgency of now." Recent(...)

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Live the values

Posted by  | Preventing Patient Harm

In creating the Armstrong Institute, we reviewed the Johns Hopkins Medicine values, trying to see if these were sufficient for our new endeavor and considering if we might need some new ones.  Much to my surprise, no one among the 50 people in the room - myself included - could state the values off top(...)

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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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