The Direct Dispatch
A Newsletter For Healthcare Providers

March 2019

March 10-16, 2019 is Patient Safety Awareness Week. Read below for important patient safety information in this month's Direct Dispatch.
About the Patient Safety Initiative
​​​​​Patient Safety Awareness Week is an annual recognition event intended to encourage everyone to learn more about health care safety. During this week, IHI seeks to advance important discussions locally and globally, and inspire action to improve the safety of the health care system – for patients and the workforce.

Preventing harm in health care settings is a public health concern. IHI believes patient safety needs to be addressed within a  public health framework . Everyone interacts with the health care system at some point in life. And everyone has a role to play in advancing safe health care.

Patient Safety Awareness Week serves as a dedicated time and platform for growing awareness about patient safety and recognizing the work already being done.

Why Patient Safety Is Important
Although there has been real progress made in patient safety over the past two decades, current estimates place harm as a leading cause of death worldwide .

Some  studies  suggest that medical error may cause as many as 400,000 deaths in the US each year, and not all errors result in death. In a  recent survey  of a representative sample of Americans, 41 percent said they had experienced a medical error in their own care or in the care of a close relative or friend. The harms resulting from these errors can have a long-term or permanent impact on the patient's physical health, emotional health, financial well-being, or their family relationships.

Errors and safety lapses can occur in any setting and take many forms:
  • According to a consensus report from the National Academy of Medicine, estimates suggest that 5 percent of US adults who seek care in outpatient settings experience a diagnostic error.
  • The Agency for Healthcare Research and Quality estimates that, at any time, 1 in 31 hospitalized patients has an infection acquired in the health setting.
  • Medication errors and adverse events are among the most common errors in both inpatient and outpatient settings.

Free From Harm
Accelerating Patient Safety Improvement Fifteen Years after To Err Is Human

Fifteen years after the Institute of Medicine published the report, To Err Is Human , which brought public attention to the issue of medical errors and adverse events, patient safety concerns remain a serious public health issue that must be tackled with a more pervasive response.

The National Patient Safety Foundation (NPSF) convened an expert panel in February 2015 to assess the state of the patient safety field and set the stage for the next 15 years of work.

The resulting report calls for the establishment of a total systems approach and a culture of safety, and calls for action by government, regulators, health professionals, and others to place higher priority on patient safety science and implementation.

The report makes eight recommendations:
  • Ensure that leaders establish and sustain a safety culture
  • Create centralized and coordinated oversight of patient safety
  • Create a common set of safety metrics that reflect meaningful outcomes
  • Increase funding for research in patient safety and implementation science
  • Address safety across the entire care continuum
  • Support the health care workforce
  • Partner with patients and families for the safest care
  • Ensure that technology is safe and optimized to improve patient safety​

How Else Can Direct Difference Inc Help You?
Measuring quality is necessary for improving healthcare. We understand that when providers are overly consumed with measuring and reporting quality metrics, it is difficult to actually apply results and focus on actions that lead to real improvements.

Why not smart source all of your data abstraction needs so that it is done better, faster, more consistently, and at lower cost with less risk?

Did you know we provide abstraction services for core measures, non-core measures, registry, OPPE-FPPE, NHSN, peer review, pharmaceutical studies and others? If you have any data abstraction needs please contact us for more information. All you have to do is respond to this email to get started.

You can also visit our website for more information!
ACC Quality Summit
The American College of Cardiology is gearing up for its inaugural   ACC Quality Summit: NCDR and Accreditation Annual Session & Expo , March 13 – 15 in New Orleans, LA, which will bring NCDR and Accreditation Services together for one great meeting focused on quality improvement.

It's not too late to register and take advantage of an exciting agenda that includes Zubin "ZDoggMD" Damania, MD, who is known for inspiring providers and patients to look at health care in new ways through his ZDoggMD platform.

Joy At Work
When Mount Auburn Hospital in Cambridge, Massachusetts, set out to learn what staff needed to feel joy at work, its leaders issued a 10-question culture survey. The comments were “intense and very eye-opening,” says Julie Mann, a QI leader at Mount Auburn. “We did not know what to do.”

Mann’s story is part of the virtual course  Finding & Creating Joy in Work , which begins March 5. In a video lecture from the course, Mann shares more about  her hospital’s journey toward joy .

Interoperability Survey
Researchers from Hyland Healthcare polled about 145 health care professionals and found that more than 75% of IT and technology leaders reported having excellent or good health care interoperability efforts, compared with less than 50% of clinicians. Respondents also highlighted several barriers to interoperability, including the integration of new IT products with legacy systems, resistance of employees to adopt new solutions, management of unstructured data and meeting patient expectations.

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