Leader  Behavior and Conflict Management: 

• SE Alert: Issue 40 - July 9, 2008: Behaviors that undermine a culture of safety  [SE Alert]  [JCR Resources]  [8-Min Podcast]  [**REF**] JCSC, LDR, HR, StEd, RNx and MDx be sure to pick up on the Alert's 11 recommendations.

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  Accreditation Essentials: Your Organization's Code of Conduct Policy  The Source Vol 6#8 [**REF**] Sample Code of Ethics/Conduct, courtesy of API.  LDR should be sure that the following recommended  6 basic considerations for writing a code of conduct are addressed in their hospital's code:

  
  

• An environment that fosters honesty

• Expectations that empower staff to do the right thing

• No threatening or intimidation of staff

• No jeopardy of Pt safety or care quality

• No retaliation against  victims or witnesses in code complaints

• Compliance with applicable laws, rules, and regulations. 

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  Accreditation Essentials: Effective Conflict Management for Leaders, Physicians, and Staff  The Source Vol 6#8 [**REF**]  This article provides a useful list of examples of 'disruptive behavior' (e.g., rudeness, criticizing, undermining, withholding information,  humiliating, intimidating, and bullying) to consider incorporating  into your relevant policy.  

  
  

  2009 Requirements: 

• Perspectives for August is a special edition dedicated to overviewing the 2009 changes.  All accredited organizations should already have it.  Non-accredited programs can download a free copy. Improving the Accreditation Process: Countdown to 2009

• Patient Safety for August contains a special report summarizing the changes in the 2009 NPSG. 

Minor Changes:

     • NPSG numbering approach has been changed

     • “Implementation Expectations” are now “Elements of Performance”

     • “phase-in” period over for NPSG.03.05.01 and NPSG.16.01.01

     • Editorial changes: Goals 1, 2, 3, 8, 13, 15, 16 and the Universal Protocol

     • Renumbered EP:  NPSG.01.01.01, NPSG.03.05.01, and NPSG.16.01.01

Major Changes:

     • New requirements:  Goals 1, 7, and 8

     • New EP added: NPSG.01.01.01, NPSG.13.01.01, NPSG.16.01.01, and UP.01.02.01 and UP.01.03.01.

     • Retired NPSG: Goal 12

     • Applicability changes: Goals 1, 2, 3, 7, 8, 9 and 10

 Emergency Management

• Emergency Management Tips: The Emergency Management Tracer: How to Help Your Organization Follow the Roadmap EOC News Vol 11 #8 [**REF**]  The 2-part emergency management (EM) tracer is now applicable to all hospitals regardless of size.   Surveyors have been trained to conduct these tracers using  scenarios (including at least one with nuclear elements). The New York City Department of Health and Mental Hygiene has  a listing of 17 "possible mass casualty simulations" [HTML]  {PDF} that JCSC, LDR, E&M, SFT and EOC should see.
  
  

 Nursing Education

• Suicide Risk Assessment/Prevention/Treatment  - {Info} :  Assessing Suicide - Nursing Made Incredibly Easy: May/June 2008  Page 46-53  {Full Text PDF}  Nursing CE available with this article until June 30, 2010