Door-to-Doc Patient Safety Toolkit
The Quality tool I chose this week is “Door-to-Doc Patient Safety Toolkit”. This article focused on improving the Emergency Department’s patient flow process while focusing on improving patient safety.
Anyone who has gone to the Emergency Department knows what to expect. It will most probably be very crowded and you can expect a long wait. Depending on the hospital, it can be an hour or so, or it can be many hours.
Banner Mesa Hospital decided to change this. They recognized the need for strong technological solutions. The two important aspects involved were—“Process: analyzing the process for adaption to unique patient acuities and volumes,” and “People: facilitating acceptance of the changes among the individuals affected.” Just by separating the “less sick” from the “sicker”, they were able to reduce wait time.
What I learned is that a facility can make small changes that will increase their workflow without reducing the quality of care given.
http://www.bannerhealthinnovations.org/DoortoDoc/About+D2D.htm
Effective Hospital Governance: Compliance Risk Areas
This week the article I read is about the areas of compliance risk.
According to JCAHO, each hospital should have “governance with ultimate responsibility and legal authority for the safety and quality of care, treatment, and services. Governance establishes policy, promotes performance improvement, and provides for organization management and planning.” While this sounds good in principle and I would hope that all hospitals would comply fully, in reality it is a challenge.
Because the board is ultimately responsible for ensuring the hospital takes responsibility for its safety, reports should be sent to them periodically. Some key risk areas listed are: The Antikickback/Stark Law, Billing/Reimbursement, and Other Risk Areas.
I really think that if hospitals would take responsibility for the mistakes made by their clinicians and use those incidents to find safer practices, it would make a tremendous difference.
http://www.trusteemag.com/trusteemag_app/jsp/articledisplay.jsp?dcrpath=TRUSTEEMAG/PubsNewsArticleGen/data/2005/0503TRU_DEPT_Governance&domain=TRUSTEEMAG
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1 comment:
Both topics were really interesting. You started out with good information. Try to pull out one or two things that you learned or really interested you and then expound on them. Let us know what really spoke to you from the article. For example in the ER Wait Times Tool, you mentioned that they seperated the patients but did not give us enough detail to understand how that made a difference.
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