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September 2017 eBulletin

DoD Patient Safety Program eBulletin September 2017 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, read words of wisdom from a retiring MHS patient safety champion, learn how the services are bringing innovation to 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, and learn more about the recent JPSR upgrades and how it impacts you!

Announcements and Reminders

  • In September, the Military Health System’s theme is Suicide Prevention
  • Thank you to everyone who submitted a nomination for the Advancement toward High Reliability in Healthcare Awards Program. Announcements on winners and honorable mentions will be made in October.
  • Joint Patient Safety Reporting was updated in mid-August. If you didn’t join our Aug. 9 webinar about these changes, please log into the Patient Safety Learning Center to watch a recording. More information and resources available on the DoD Patient Safety Program webpage
  • Deadline for Institute for Safe Medication Practice’s Annual Cheers Award is Sep. 9. Nominate individuals or groups based on a demonstrated commitment to medication safety. Learn more about the award >>
  • The next eBulletin will publish in November 2017.
  • 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! Let us know via e-mail or Facebook.

Feature: Parting Words of Wisdom from Patient Safety Advocate Col. Napolitano

Retiring Army colonel leaves behind legacy advocacy and shares advice for other health care and patient safety professionals to continue to advance military health. Feature: Parting Words of Wisdom from Patient Safety Advocate Col. Napolitano.

Patient Safety In Action: TeamSTEPPS® Now and a Look into the Future

TeamSTEPPS tools and resources are having a positive impact in both clinical and non-clinical settings in the Military Health System. Patient Safety In Action: TeamSTEPPS® Now and a Look into the Future.

JPSR Upgrades Reduce Reporting Time, Improve User Experience

Joint Patient Safety Reporting improvements enhance the overall user experience, network communication and minimize the burden on reporters submitting patient safety events. JPSR Upgrades Reduce Reporting Time, Improve User Experience.

DoD PSP Treasure Chest: September Edition

DoD Patient Safety Program Treasure Chest

Welcome to the September 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 with you – our committed MHS patient safety champions – in mind! 

DoD PSP Treasure Chest: September 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

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 Learning Update: May 2017

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.

TeamSTEPPS® Webinar – Agency for Healthcare Research and Quality (AHRQ)

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 >>


Leading a Culture of Safety: A Blueprint for Healthcare Leadership – National Patient Safety Foundation (NPSF)** and Institute for Healthcare Improvement (IHI)*

Sep. 6, 2017 from 3-4 p.m. EDT

Patient Safety Learning OpportunityThis webcast will highlight how The American College of Healthcare Executives (ACHE) and the IHI/NPSF Lucian Leape Institute are partnering to develop best practices in how senior leaders build and sustain a culture of safety.

IHI/NPSF is authorized to award one (1) hour of pre-approved ACHE Qualified Education credit for this program toward advancement, or recertification, in the American College of Healthcare Executives.
Speakers:
  • Deborah Bowen, FACHE, CAE, president and CEO, American College of Healthcare Executives
  • Gary S. Kaplan, MD, FACP, FACMPE, FACPE, chair, NPSF Lucian Leape Institute; chairman and CEO, Virginia Mason Health System
  • Charles (Chuck) D. Stokes, RN, BSN, FACHE, president and CEO, EVP and chief operating officer, Memorial Hermann Health System

Learn more about this webinar >>


Replacing Old Practices with New Paradigms: Adopting Safe Practices for IV Push Medications – Institute for Safe Medication Practices (ISMP)

Sep. 12, 2017 from 1:30-3 p.m. EDT

Patient Safety Learning Opportunity

This webinar will describe the latest changes in procedural and practice expectations and will educate participants about ISMP guidelines for adult IV push medications, which were developed as a result of a national summit. Expert speakers will discuss strategies for identifying and managing the risks associated with IV push injection, including those associated with unsafe unit-based preparation, unsafe injection practices, and limited training and guidance.

Speakers:
  • Michelle Mandrack, MSN, RN, director of consulting services, ISMP
  • Susan Paparella, MSN, RN, vice president, ISMP

Learn more about this opportunity >>


Tuning Up Health System Boards for Patient Safety – Institute for Healthcare Improvement (IHI)

Sep. 15, 2017 from 2-3 p.m. EDT

Patient Safety Learning OpportunityWhat do we need and expect from trustees of health systems when it comes to their oversight of quality and safety? It’s a question that’s getting increased attention because board members aren’t typically sought out or sufficiently trained for this type of expertise. We’re going to discuss some of the latest thinking on more effectively engaging boards in quality and safety.

Speakers:
  • Tejal K. Gandhi, MD, MPH, CPPS, chief clinical and safety officer, IHI
  • James B. Conway, MS, current board chair of Quality of Care Committee, Lahey Health System and Trustee, Winchester Hospital; former senior vice president, IHI; former COO and EVP, Dana-Farber Cancer Institute
  • Stephen E. Muething, MD, co-director, James M. Anderson Center; professor of pediatrics and Michael and Suzette Fisher Family chair for safety, Cincinnati Children’s Hospital Medical Center 

Learn more about this webinar>>


Using the Agency for Healthcare Research and Quality’s Indicators for Quality Monitoring: Part 1 – ECRI Institute

Sep. 28, 2017 from 1-2 p.m. EDT

ECRI Institute logo
Speakers:
  • Margaret Class, RN, Clinical Quality Support, Healthcare Operations, Defense Health Agency 
  • Carol Stocks, Ph.D., RN, Agency for Healthcare Research and Quality, Rockville, Md.
  • Zahid Butt, MD, FACG, CEO, Medisolv, Columbia, Md.

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


How to Beat Burnout and Create Joy in Work – Institute for Healthcare Improvement (IHI)

Sep. 28, 2017 from 2-3 p.m. EDT

Patient Safety Learning Opportunity
Speakers:
  • Derek Feeley, president and CEO, IHI
  • Jessica Perlo, MPH, director, IHI
  • Barbara M. Balik, EdD, MS, RN, principal, Common Fire Healthcare Consulting; senior faculty, IHI
  • Julie Mann, CNM, MSN, assistant director of midwifery, project manager of Quality Improvement on Labor and Delivery, Mount Auburn Hospital

Learn more about this opportunity >>


Patient Safety Workshops

Instructor-led or self-paced online learning sessions focused on a specific product.

On-Demand eLearning: Patient Safety Reporting System v1.01 eLearning Course

This course introduces basic navigation and functionality features of the JPSR system and the roles of system users, such as event reporters, event handlers and investigators. The course can be accessed through MHS Learn.

Register now

On-Demand eLearning: Root Cause Analysis*

This self-paced module outlines the DoD Patient Safety Program’s suggested practices for conducting a root cause analysis, from the initial reporting of a patient safety event through the formation of the RCA Team to the identification of contributing factors and root causes and the recommendation of corrective actions.

Register now

*Denotes that activity is eligible for Continuing Education credit. All CE credits are managed by the Postgraduate Institute for Medicine.

**Did you know? As an NPSF Stand Up for Patient Safety member, DoD PSP receives complimentary access to webinars as a benefit of program membership. Check with your facility POC to obtain the member coupon code.

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

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