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March/April 2018 eBulletin

Patient Safety Program March April 2018 eBulletin banner

The Department of Defense Patient Safety Program eBulletin delivers patient safety updates, news, useful tips and resources to help you deliver the highest quality of care to your patients. This month, preview the Patient Safety Awareness activities and events, learn about one military treatment facility’s leading practices to improve their culture of safety, and learn how the National Capital Region is contributing to the high reliability transformation.

Announcements and Reminders

  • In March, the Military Health System’s theme is National Brain Injury Awareness Month. Learn more about this theme
  • Patient Safety Awareness Week is almost here! Join us March 11-17, 2018. Please visit our PSAW web page for more information. 
  • National Doctor’s Day, National Healthcare Decisions Day and Medical Lab Professionals Week are among other awareness celebrations that are coming up. Follow the DoD PSP Facebook page for related content.
  • The Institute for Healthcare Improvement (IHI) and the National Patient Safety Foundation (NPSF) Patient Safety Congress is May 23-25 in Boston. Learn more.
  • The next eBulletin will publish in May 2018.
  • Do you have questions about the Continuing Education process? We can help! E-mail us.
  • Do you have an update from your facility? We’re always looking for good news stories and would love to hear from you! If you’d like to share an update please contact us via e-mail or Facebook and one of our team members will contact you.

Feature: Patient Safety Awareness Week 2018

Many events and activities happening are during 2018 Patient Safety Awareness Week for both health care professionals and patients to engage and learn more about patient safety. Feature: Patient Safety Awareness Week 2018.

Patient Safety In Action: Fort Belvoir Community Hospital Customizes Leading Practices to Advance Quality and Safety of Care

Fort Belvoir Community Hospital staff have customized leading practices for improving a culture of safety and made them their own. Patient Safety In Action: Fort Belvoir Community Hospital Customizes Leading Practices to Advance Quality and Safety of Care.

HRO Corner: A Tri-Service Market Approach to Advancing Quality and High Reliability

The National Capital Region military treatment facilities across all three services collaborate on quality improvement programs that help advance the Military Health System toward high reliability. HRO Corner: A Tri-Service Market Approach to Advancing Quality and High Reliability.

DoD PSP Treasure Chest: March/April Edition

DoD Patient Safety Program Treasure Chest

Welcome to the March/April edition of the DoD PSP Treasure Chest! Each issue, we share resources to help you execute your day-to-day patient safety activities easily and effectively. Please visit us often and get access to tools and information developed for our committed MHS patient safety champions!

DoD PSP Treasure Chest: March/April Edition.


MHS Patient Safety Data Snapshot

An image of a camera on a blue circle

The MHS Patient Safety Data Snapshot is a monthly compilation of two types of patient safety data:

1) Sentinel Event notifications submitted to the Patient Safety Analysis Center; and

2) Anonymous, voluntarily reported patient safety events via the web-based incident reporting system known as JPSR.

This publication provides an MHS enterprise-level snapshot of trends in SEs and JPSR events so that providers and health care administrators can help identify areas for patient safety improvement in their facility and throughout the MHS.

Visit the Patient Safety Learning Center* to access the latest MHS Patient Safety Data Snapshot, available on the 15th of every month.

*Please visit the Patient Safety Analysis Center page to access and download this publication.

MHS Patient Safety Spotlight

Patient Safety spotlightThe MHS Patient Safety Spotlight is a resource designed to highlight best practices and interesting initiatives that come from the field and are worthy of being shared across the enterprise. This resource features data-driven examples of improvement and case studies that tackle specific problems with specific solutions.

Visit the Patient Safety Learning Center* to access the latest MHS Patient Safety Spotlight, available on the 15th of every month.

*Please visit the Patient Safety Analysis Center page to access and download this publication.

Department of Defense Patient Safety Program March 2018 Learning Update cover

Upcoming Events

Click on the image on the right to view/print a list of all upcoming patient safety activities.

Patient Safety Learning Circles

In-person or web-based forums focused on a specific topic.

TeamSTEPPSTeam Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) is an evidence-based teamwork system designed to improve the quality, safety and efficiency of healthcare. TeamSTEPPS consists of a collection of instructions, materials and tools to help drive a successful teamwork initiative from the initial planning to implementation through to sustainment. The system is designed to improve patient safety using a three-phase approach: Phase I Assessment: Facility determines organizational readiness; Phase II Planning, Training & Implementation: Facility “decides what to do” and “makes it happen;” and Phase III Sustainment: Facility spreads the improvements in teamwork performance, clinical processes and outcomes resulting from the TeamSTEPPS initiative.TeamSTEPPS® Webinar – Agency for Healthcare Research and Quality (AHA)

Please check our Calendar of Events for updates on this webinar.

The Joint Commission

There are multiple opportunities to attend accreditation and certification webinars offered by The Joint Commission.

Learn more about these opportunities >>


Mindfulness and Patient Safety – Institute for Healthcare Improvement (IHI)

March 8, 2018 from 2-3 p.m. EST

As stress-reduction and other health benefits of mindfulness become better known, clinicians are discovering that they too, need new ways to deal with stress…often on the fly. Practicing mindfulness can be restorative in the middle of a hectic day, create mental space to be more tuned into patients, and reduce the likelihood of medical errors. What does “practicing mindfulness” look like, concretely? Join us to learn from two leading experts on mindfulness and the health care workforce.

Patient Safety Learning Opportunity
Speakers:
  • Kate FitzPatrick, DNP, RN, ACNP, NEA-BC, FAAN, chief nursing officer, University of Vermont Medical Center 
  • Teri Pipe, PhD, RN, dean, College of Nursing and Health Innovation and Chief Wellbeing Officer, Arizona State University

Learn more about this opportunity >>


Patient Safety Awareness Week 2018 Logo

PSAW Learning Opportunities


Engaging Patients and Providers: Speaking Up for Patient Safety – Institute for Healthcare Improvement (IHI)/National Patient Safety Foundation (NPSF)

March 12, 2018 from 1-2 p.m. EDT

A panel of nationally known speakers will discuss the importance of speaking up from the perspective of clinicians, staff, and patients and families.

Speakers:
  • Jeff Brady, MD, MPH, director, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality
  • Tiffany Christensen, vice president of Experience Innovation, Beryl Institute
  • Gerald Hickson, MD, senior vice president, Quality, Safety & Risk Prevention, Joseph C. Ross chair in Medical Education and Administration, Vanderbilt University Medical Center

Learn more about this webinar >>


Joint VA/DoD PSAW Webinar Series:

Army Session

March 13, 2018 from 10-11 a.m. EDT

“Root Cause Analysis Event Support and Engagement Team (RESET)”

Presenter:
  • Col. Stephen M. Yoest, MD, MHA, MC, director, Quality & Safety Center, U.S. Army Medical Command

Navy Session

March 13, 2018 from 11:30 a.m.-12:30 p.m. EDT

“CUSP Implementation”

Presenters:
  • Ms. Linda Coleman, MSN, patient safety/risk manager, Naval Medical Center San Diego 
  • Mr. Matthew Motley, ASQ CSSBB performance improvement, health systems engineer, Enterprise Solutions, Bureau of Medicine and Surgery
  • Ms. Julie Blas, BSN, RN, nurse consultant, CUSP coordinator, Patient Safety/Risk Management Department, Naval Medical Center San Diego

Air Force Session

March 13, 2018 from 1-2 p.m. EDT

“Incorporation of Human Factors into Safety Event Investigation”

Presenter:
  • Col. Jamison W. Elder, MC, deputy director of Medical Services, U.S. Air Force Medical Operations Agency

National Capital Region Session

March 13, 2018 from 2:30-3:30 p.m. EDT

“iPass at Walter Reed and Eisenberg Award for Patient Safety”

Presenter:
  • Mr. Victor Mosley, TeamSTEPPS champion, chief, Performance Improvement Quality Directorate, Walter Reed National Military Medical Center

“Leaders at Every Level”

Presenter:
  • Cmdr. Michelle Liu, MD, MPH, FAAOA, U.S. Navy, deputy director, Health Care Operations, chief of Quality Management, Fort Belvoir Community Hospital

To learn about the VA sessions and register for any VA or DoD session, please click here.


The Patient Safety Champion’s Toolbox – DoD Patient Safety Program

March 14, 2018 from 2-3 p.m. EDT

The DoD PSP has a variety of tools, resources and services designed to help Military Health System health care professionals and patient safety champions improve the safe delivery of care to DoD beneficiaries. Join this webinar to learn what is available, how to use these resources and where to find them. 

Learn more and register here


Social Media in Healthcare: Lessons for the Digital World #KnowRisks #FindOpportunities – ECRI Institute

March 22, 2018 from 1-2 p.m. EDT

ECRI Institute logo
Speaker:
  • Paul Anderson, Director, Risk Management Publications, ECRI Institute

For more information on registering for this webinar, please e-mail TQMC@ECRI.org or call (610) 825-6000, ext. 5800.


Mobility Matters for Age-Friendly Care – Institute for Healthcare Improvement (IHI)

March 22, 2018 from 2-3 p.m. EDT

Patient Safety Learning OpportunitySpeakers:
  • Mary Tinetti, MD, Gladys Phillips Crofoot Professor of Medicine (Geriatrics) and professor, Institution for Social and Policy Studies; section chief, Geriatrics (co-chair)
  • Marie Cleary-Fishman, BSN, MS, MBA, CPHQ, CPPS, CHCQM, vice president, Clinical Quality, Health Research & Educational Trust (AHA) 
  • J. Michelle Moccia, DNP, ANP-BC, CCRN, program director, Senior Emergency Center, St. Mary Mercy Hospital (Trinity Health)
  • Belinda Dokic, CPht, B.A., M.B.A., quality performance improvement leader, St. Mary Mercy Hospital (Trinity Health)

Learn more about this opportunity >>


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