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Online Version is available on the SHCC website. Click on "Current Pearls" in sidebar or goto: www.shccPearls.com
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Alerts
Perspectives v29 #11, Pg10- ORYX Requirements for Three Programs Rescinded for 2010 FYI: JCSC. [ALERT: BHC, JCSC, PI] With the most recent revisions, APR.04.01.01 and its EP will no longer apply to BHC thereby eliminating ORYX requirements for BHC programs. Performance measurement and improvement would be addressed via relevant PI standards.
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Reference Articles
Perspectives v29 #11, Pg04- Top Standards Compliance Issues for First Half of 2009 [••REF••] 6 of TJC's top 10 are also among the most frequent citations found in our 09 PSQ analysis for the same period. However, the rankings and percentages are quite different. Click here to compare: Top Deficiencies (Jan-Jun 09): SHCC vs. TJC. As usual, tear out cards are available in the print edition.
The Source v7 #101 Pg08- Medication Management System Tracer: [••REF••] The article provides a list of 11 sample tracer questions for staff and another 5 for patients. JCSC and staff conducting medication management tracers should consider incorporating these questions into their practice tracers and PI processes.
Pt Safety v9 #11, Pg01- Special Report! 2010 National Patient Safety Goals: The Official, Approved Goals and Helpful Solutions for Meeting Them [••REF••] Although there are no new NPSG for 2010 there have been a significant number of refinements. JCSC and PPR may want to pay particular attention to the numerous changes in EP criticality and scoring. Remember, no matter when your survey occurs, scoring is based on continuous compliance from the first of the year. The article also provides a brief review of NPSG scoring and confirms the 'on hold' status of NPSG 8 while it's re-evaluation continues. Surveyor findings related to NPSG 8 will not affect accreditation decisions or generate RFI.
EOC News v12 #11, Pg05- Surveys [••REF••] This is the fifth in a series of articles on the six critical functions of emergency management, EM.02.02.09. The compliance suggestions for 6 of this standard's EP are worth reviewing by EM and LDR.
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Pearls
Pt Safety v9 #11, Pg10- Making Health Care a High-Reliability Industry: The Joint Commission Launches Center for Transforming Healthcare FYI: JCSC, PI, IC, RN. TJC's new Center for Transforming Healthcare began in September of 2009. TJC says "The center brings together the leading hospitals and health systems in the United States to identify specific underlying causes to patient safety problems and develop targeted solutions to solve those problems, and then share those solutions with health care organizations nationwide." Essentially, its mission is to reduce the occurrence of key preventable errors in healthcare. [PEARL] To that end they will be employing a process utilizing tools and methods from Lean Six Sigma called Robust Process Improvement. LDR and PI should increase awareness of these approaches as TJC announced last year its intent to adopt this new change strategy. These approaches are thought to be more effective than PI/QI in producing and maintaining excellence, particularly in challenging, improvement-resistant work processes. The Center's first project addressing hand hygiene and HAIs has already begun to identify important causal factors and recommended solutions. One of its next projects will target patient handoffs with a report expected in December 2010. A word to the wise. The article says you may expect to hear and see more about the findings/recommendations from the centers projects on TJC's intranet and even as a part of surveyor process. For more on RPI and TJC see: Sustaining the Improvement We Need by Mark R. Chassin, MD (11/6/08) [especially slides 16-21] [HTML] (PDF) For more info on Lean, Six Sigma and Lean Six Sigma goto our SL1 library page on PI & Data Management Tools
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Downloads
EOC News v12 #11, Pg01- Surveys FYI: LDR, GB, EOC, SFT, PtAd The idea of evidence based art and its potential contribution to patient care outcomes as well as staff morale are reviewed and worth noting. Despite a primary focus on the integration of artwork during construction and discussion of rules of thumb for a line item artwork budget, there are relevant references to the impact of art on psychiatric populations as well. Consider this article useful encouragement to go beyond the color of wall paint when considering ways to improve the environmental contribution to safe, quality care. Useful advice is also provided for those who might be able to afford art consultants and art committees. See also A Guide To Evidence Based Art and the Pyschiatric Patient section of Therapeutic Art Programs For Special Patient Populations.
SL3: Dr. Chassin Podcast on Center for Transforming Care - 4-min announcement and overview
SL5: Top Deficiencies (Jan-Jun 09): SHCC vs. TJC.
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