N.B. — This post is based on one of the continuously expanding roster of Actionable Patient Safety Solutions (APSS) a.k.a. “Challenges” as defined and described by the Patient Safety Movement Foundation (PSMF) and published at its web site (http://patientsafetymovement.org/challenges-solutions/actionable-patient-safety-solutions-apss/). Because the Foundation has set a goal of Zero Preventable Patient Deaths by 2020 (http://patientsafetymovement.org/), these […]
“Rather than attempting to invent or regulate solutions for all that ails healthcare, government should create the space for these innovators to create them. To kick-start … [healthcare innovation], the government must put forth what all innovators and entrepreneurs crave:… Read more
“Many delivery system leaders have looked to Lean improvement methods to guide care redesign. Also known as the Toyota Production System, Lean seeks to empower frontline staff and their managers to analyze work processes, identify sources of waste, and propose… Read more
“Widespread adoption of clinical best practices has been challenging for health systems domestically and abroad. In 2001, an Institute of Medicine report noted that new, evidence-based clinical practices (such as computed tomography screening for lung cancer) can take an average… Read more
“… Worse still, despite the United States accounting for nearly 40 percent of global healthcare IT spending, our outcomes underwhelm on a global scale. Bloomberg‘s latest healthcare efficiency index ranks the United States 50th out of the 55 countries evaluated…. Read more
“Why worry about sepsis? … Increasing incidence of sepsis Significant mortality and morbidity Failure to recognise and respond Failure to manage ongoing care appropriiately Failure to see sepsis as time critical ilness” (https://www.youtube.com/watch?v=m7-ZibO45hY&feature=youtu.be) The foregoing quote from the 1st World… Read more
“Many of the proposals for improving the quality and curbing the rising costs of health care call for radically changing either the players or the rules governing them. Those approaches won’t work. Regardless of what happens to reform efforts, the… Read more
Major Premise: Medical mistakes are the third leading cause of patient deaths (http://www.bmj.com/content/353/bmj.i2139). Minor Premise: Cognitive overload is the root cause of medical mistakes (inferred from RCA2: Improving Root Cause Analyses and Actions to Prevent Harm, a Report issued by… Read more
N.B. — This post is based on one of the continuously expanding roster of Actionable Patient Safety Solutions (APSS) a.k.a. “Challenges” as defined and described by the Patient Safety Movement Foundation (PSMF) and published at its web site (http://patientsafetymovement.org/challenges-solutions/actionable-patient-safety-solutions-apss/). Because… Read more
N.B. — This post is based on one of the continuously expanding roster of Actionable Patient Safety Solutions (APSS) a.k.a. “Challenges” as defined and described by the Patient Safety Movement Foundation (PSMF) and published at its web site (http://patientsafetymovement.org/challenges-solutions/actionable-patient-safety-solutions-apss/). Because… Read more