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Patient Safety Improvement Hot Topics

You are now at the Patient Safety Improvement HOT TOPICS exchange. Since 2001 when the formal principles and focus of "patient safety" came into fuller view, there have been evolving topics of emphasis. For example, in 2001, due to numerous tragic headlines in the newspapers and journals, the most significant emphasis was being placed on eliminating on "wrong - site" surgery. Then there was an emerging emphasis on safer IV equipment, and additional focus points surfaced over time. All the while, the nation's patients were tuning in the latest hospital hot topic, as were the JCAHO, insurance carriers and attorneys throughout the land.

In the table below, we offer you the latest hot topics in terms of JCAHO survey focal points and the results of our work, produced on your behalf -- so that you will be well equipped to address the latest spectrum key patient safety indicators of compliance.

JCAHO
HOT TOPIC QUESTIONS
HOSPITAL POLICY NET, INC.
COOL SOLUTIONS

Is your PS Plan written in accordance with the-suggested JCAHO topic-specific format?

Our PSI Plan follows the JCAHO format to the letter. Each PSI Plan section heading announces your strategy to demonstrate that the intent of the following topics is being met in your hospital: PS Program Goals, Scope, Structure, Integration Mechanisms, Communication with Patients, Staff Education, PS Assessment and Improvement Strategies. Our PSI Plan follows the JCAHO format to the letter. Each PSI Plan section heading announces your strategy to demonstrate that the intent of the following topics is being met in your hospital: PS Program Goals, Scope, Structure, Integration Mechanisms, Communication with Patients, Staff Education, PS Assessment and Improvement Strategies.

Our PS Plan is 24 pages, including a Table of Contents referencing over 60 PS Plan supporting exhibits. And it's ready for you to tailor to your hospital's scope of services.

Do you have an integrated Performance Improvement (PI) system for your Patient Safety Program that measures your performance with your plan and policies-or is patient safety performance information scattered in many departments and reports?

One of the many unifying features of our PSI Pack is that we offer a sampling of over 130 PI indicators, which we call Critical Success Measures (CSM).

There are 28 CSMs for the National Patient Safety Goals (and Universal Protocol) and about 100 for the remainder of high risk PS activities. All 130 CSMs are consolidated into one, easy to manage / easy to report PS dashboard in Excel.

We also include-conversion programs & step-by-step instructions to convert the PS Dashboard seamlessly into an ACCESS database. All plug and play. Very cool. Lastly, our PSI Dashboard directly responds to the results published in many academic Patient Safety studies recommending centralized databases for performance measurement and reporting. Management efficiencies are gained, isolated meetings and reports are reduced, and the platform is set to broadcast a universal patient safety-readiness message throughout the hospital.

How is your PSI Program designed to confront the fact that 60-70% of the current National Patient Safety Goals relate to-medication safety to one degree or another?

First off, that 60-70% estimate of the NPSG's is correct.

By reviewing the Complete Patient Safety Solution Packages, you will see that 19 our PSI Support Exhibits are directly related to medication safety. Additionally, there are straight-line correlations to support-medication safety improvement In a host of additional Exhibits, such as preventing patient falls, patient brochures, staff training, etc.

Our Pharm.D. labored for months to identify and develop medication safety solutions as his contributions to our PSI Pack. The PSI Dashboard contains all medication-related PI measurement indicators.

How does your PSI Program address the new Infection Control patient safety requirements And does your IC plan reflect the current patient safety initiatives?
[A Hot Topic since 2005]

By reviewing the Complete Patient Safety Solution Packages, you will see that at least 5 our PSI Support Exhibits directly relate to patient safety infection control support activities.

Our Infection Control practitioner invested many hours in creating a 2006 Infection Control Plan to reflect all IC activities, including those directly related to patient safety. Naturally the PSI Dashboard contains all related infection prevention and control PI measurement indicators.

How does your PSI Program address the new performance measurement and improvement requirements related to patient falls?
[A Hot Topic since 2005]

Our newly refined Falls Prevention Assessment Policy delineates safety levels, assessment criteria / scores and interventions critical to a successful fall prevention program. It is a simple and direct practical solution that can be easily tailored for immediate use on all nursing care units.

This 11-page policy (it's actually a plan) is supplemented by additional PSI Support Exhibits, as well as our step-by-step Six Sigma Fall Preventions Analysis Power Point Presentation. Click and see the Complete Patient Safety Solution Packages.

Your Fall Prevention Plan is a complete solution to reduce injury, decrease length of stay - and reduce exposure to costly litigation. Our clients report that the JCAHO Tracers (falls prevention assessment) performed throughout the survey always drill down to the medication regimens and their influence on falls.

The names of the select medications that may pre-dispose patient falls are embedded in your falls prevention policy. Also the strategy to properly document falls' assessments and re-assessments. And the tools to document your PI measurements and outcomes.

Implementing your latest PSI programs and fall prevention policy will have your nurses prepped and ready for the JCAHO Tracer Survey.

How well will your-critical values policy and documentation hold-up during a JCAHO Tracer of this interdisciplinary patient safety care process?

Our latest Critical Test Results policy was designed not only for Laboratory-critical values, but extends into other diagnostics test results as well. It defines your approach and documentation specifications for Inpatient, Outpatient and Emergency Department procedures.

The NPSG requirement for-read back is seamlessly interwoven into this policy that seems to be-traced quite a bit during JCAHO surveys.

Easy to use, easy to train and easy to comply.

With so much emphasis on-patient safety since the JCAHO introduced the National Patient safety Goals in 2001, how have your staff orientation, education and training programs kept pace with the changes from year to year? And are they current today?

HPNI has been publishing Human Resources and Education resources for many years now, so keeping pace with JCAH0 changes is nothing new to us. We have always considered patient safety staff training to be the unspoken National Patient Safety Goal (NPSG). For without staff training, there simply is no way to comply with the remainder of the NPSG's.

By reviewing the Complete Patient Safety Solution Packages, you will see that at least 5 PSI Support Exhibits are squarely targeted on staff orientation, training and education materials. They are designed to be JCAHO compliant and have been successful during recent surveys.

There are additional staff training activities incorporated into other PSI Exhibits, such as the staff training opportunities that occur during the Environment of Care Surveillance Rounds department inspections.

REQUIRED PROGRAM SUPPORT ACTIVITIES

Our PSI 2 CD-ROM set contains well over 40MB of pre-formatted document tools, consisting of 600 pages and a total of 60 Patient Safety plans, policies, forms and staff training tools.

Please examine our Complete Patient Safety Solution Packages to get a personal sense of the additional support activities that our unparalleled PSI program solutions can offer you in a matter of hours. Practical solutions.

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Hospital PolicyNet, Inc. is not affiliated with the Joint Commission on Accreditation of Healthcare Organizations, which owns the JCAHO trademark.