Posts by: foundation
March 24, 2014
Safety is Personal
The National Patient Safety Foundation’s Lucian Leape Institute recently released a report of its Roundtable on Consumer Engagement in Patient Safety: “Safety is Personal – Partnering with Patients and Families for the Safest Care.”
This excellent paper is available on the Institute’s website: http://www.npsf.org/.
March 19, 2014
Coalition Program Director Presenting at 2014 National Patient Safety Foundation Congress
Jan. 20, 2014 Miriam Marcus-Smith (WPSC Program Director) and Jackie Valentine (Director, Patient Safety at Seattle Children’s) will present at the May 2014 National Patient Safety Foundation Congress on “Building Second Victim Support Programs: What we’ve learned.” Miriam and Jackie will share how the Coalition’s Second Victim work developed, including the results of a needs-assessment…
March 16, 2014
Jan. 20, 2014 – Coalition Program Director Presenting at 2014 National Patient Safety Foundation Congress
Miriam Marcus-Smith (WPSC Program Director) and Jackie Valentine (Director, Patient Safety at Seattle Children’s) will present at the May 2014 National Patient Safety Foundation Congress on “Building Second Victim Support Programs: What we’ve learned.” Read More.
October 7, 2013
Boating safety, patient safety
When I think of boating safety I think of things like wearing a personal flotation device (PFD), avoiding getting hit by the boom, and knowing how to call for help.
June 26, 2013
The Dresser Drawer Episode: A Poster Child for Medicine Lists
[two_third] I opened my father’s dresser drawer and was stunned to see a multitude of pill bottles, all with their caps off, some empty, and a handful of various pills lying in the drawer. “Pop, what are all these pills?” I asked. He looked at the drawer and said, “The doctor gives them to me.”…
April 24, 2013
A post-operative tale: the story of a bandage and a boat
[two_third]It’s been a long time since I helped care for someone post-op, and I learned many lessons recently. A friend of mine – let’s call him XY– had outpatient shoulder surgery on a Monday afternoon to remove bone spurs from his left shoulder; he had had similar surgery on the right shoulder about ten years…
October 11, 2012
Surprise! Patient safety can learn from the trades as well as from aviation!
[two_third] Over the last few months I’ve had the privilege of getting to know one of the Coalition’s new individual members, Gary Fasso, and have been learning from what may seem an unlikely source of wisdom about patient safety: the trades. Gary is with the Pacific Northwest Council of Carpenters and trains the members in…
August 17, 2012
A “Just Culture” environment is critical to safety and quality improvement and deserves the board’s full attention.
[two_third] Patient safety and quality is ultimately the responsibility of our governance boards. In the past, it was thought to be a clinical issue for the clinicians to figure out. Today, with the increased recognition that preventable harm causes 200,000 patient deaths a year, it is clear that the ‘buck stops’ at the highest level…
June 8, 2012
My own near-miss
[two_third] On May 15, 2012 the Washington Patient Safety Coalition sponsored its tenth regional conference, and among the outstanding speakers and presentations was a unique session. Chris Jerry and Eric Cropp spoke together about a terrible event that occurred several years ago: Chris’ young daughter died as the result of a medication error for which…
March 26, 2012
Is there an App for that?
[two_third] Safe patient hand-offs are a critical moment in time for everyone involved in the care of patients. The call to action inspired by the IOM White Paper, “To Err is Human,” emphasized the need to develop standardized methodologies that promote consistent communication amongst health care providers across the care continuum. As I reflect on…
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