MHS Patient Safety Spotlight
Related Topics: Patient Safety | eBulletin | Partnership for Patients | Patient Safety Awareness Week | Products & Services | Patient Safety Event Reporting | Patient Safety & Quality Academic Collaborative | Quality and Patient Safety Awards | Patient Safety Culture Survey
THe MHS Patient Safety Spotlight is a new 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 (PSLC)* to access the latest MHS Patient Safety Spotlight, available on the 15th of every month.
*Please visit the Patient Safety Products page of the PSLC to access and download this publication.
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DoD PSP Treasure Chest: June Edition
Article
6/1/2016
Welcome to the June edition of the DoD PSP Treasure Chest! Each and every month, we will be sharing 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!
Related Topics: Patient Safety | eBulletin | Partnership for Patients | Patient Safety Awareness Week | Products & Services | Patient Safety Event Reporting | Patient Safety & Quality Academic Collaborative | Quality and Patient Safety Awards | Patient Safety Culture SurveyHRO Corner: The Oro™ 2.0 High Reliability Organizational Maturity Pilot Program and the Military Health System
Article
6/1/2016
Achieving a cultural transformation across the Military Health System (MHS) toward high reliability requires a mindset that aligns our individual and organizational actions with our vision for the future. A future that embraces quality and a culture of safety thoroughly, completely and across all levels of the enterprise.
Related Topics: Patient Safety | eBulletin | Partnership for Patients | Patient Safety Awareness Week | Products & Services | Patient Safety Event Reporting | Patient Safety & Quality Academic Collaborative | Quality and Patient Safety Awards | Patient Safety Culture SurveyMHS Patient Safety Data Snapshot
Article
6/1/2016
The new MHS Patient Safety Data Snapshot is a monthly compilation of two types of patient safety data 1) Sentinel Event (SE) notifications submitted to the Patient Safety Analysis Center (PSAC); 2) Anonymous, voluntarily reported patient safety events via the web-based incident reporting system known as PSR.
Related Topics: Patient Safety | eBulletin | Partnership for Patients | Patient Safety Awareness Week | Products & Services | Patient Safety Event Reporting | Patient Safety & Quality Academic Collaborative | Quality and Patient Safety Awards | Patient Safety Culture SurveyPatient Safety in Action: U.S. Naval Hospital Guam is Selected as a 2016 Stand Up for Patient Safety Program Management Award Winner
Article
6/1/2016
The DoD Patient Safety Program congratulates U.S. Naval Hospital, Guam, for its National Patient Safety Foundation (NPSF)’s 2016 Stand Up for Patient Safety Management Award! Proudly representing the Military Health System (MHS), U.S. Naval Hospital, Guam, received this prestigious accolade for the implementation of a program which significantly improved medication reconciliation in its Family Medicine Clinic.
Related Topics: Patient Safety | eBulletin | Partnership for Patients | Patient Safety Awareness Week | Products & Services | Patient Safety Event Reporting | Quality and Patient Safety Awards | Patient Safety Culture SurveyFeature The MHS as a Learning Organization
Article
6/1/2016
As the MHS continues its path toward high reliability, the term “learning organization” will become part of our collective lexicon as well as an integral part of our mindset as an enterprise. To fully understand and embrace what this means, let’s take an in-depth look at the learning organization concept and what it means to us as MHS patient safety champions.
Related Topics: Patient Safety | eBulletin | Partnership for Patients | Patient Safety Awareness Week | Products & Services | Quality and Patient Safety Awards | Patient Safety Culture SurveyFeature: Root Cause Analysis (RCA) and Sentinel Event (SE) Reporting at the Heart of High Reliability
Article
4/1/2016
An important aspect of high reliability is maintaining a sense of collective mindfulness within the organization. Mindfulness to stay alert and deal with risk as it occurs and mindfulness to prevent errors and harm before they happen. When Military Health System (MHS) patient safety champions consistently report SEs and effectively conduct RCAs, they are directly contributing to the MHS’ journey towards high reliability.
Related Topics: Patient Safety | eBulletin | Patient Safety Awareness Week | Products & Services | Patient Safety Culture Survey | Quality and Patient Safety AwardsPatient Safety in Action: An Interview with Dr. Ashok Ramalingam, Chief of the Patient Safety Analysis Center (PSAC) – A Leadership Perspective
Article
4/1/2016
We recently interviewed Dr. Ashok Ramalingam, Ph.D., M.S, B.Pharm, D.Pharm, R.Ph, CPPS, and new Chief of the PSAC, to learn about his experience, background, perspectives on patient safety and how these factors set a standard for his leadership style and the goals he has for the PSAC.
Related Topics: Patient Safety | eBulletin | Products & Services | Patient Safety Event Reporting | Patient Safety Culture SurveyHRO Corner: Delving into the Reluctance to Simplify High Reliability Organization Guiding Principle
Article
4/1/2016
In April, we are delving into the Reluctance to Simplify High Reliability Organization (HRO) principle and how it applies to what you do to keep your patients safe on a daily basis.
Related Topics: Patient Safety | eBulletin | Patient Safety Awareness Week | Products & Services | Patient Safety Culture SurveyAnnouncing a New TeamSTEPPS® Course: TeamSTEPPS for Office-Based Care
Article
4/1/2016
TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety) has been tailored for office-based health care providers and team members, and is now available online, through the Agency for Healthcare Research and Quality (AHRQ). TeamSTEPPS for Office-Based Care, is an evidence-based program to produce efficient and effective health care teams that optimize the use of evidence, information, people, and resources in ambulatory settings to achieve the best outcomes for patients. TeamSTEPPS for Office-Based Care offers techniques, tools, and strategies to assist health care professionals in developing and optimizing communication, team knowledge, and team performance. The training toolkit is available online and includes scripts, presentations, and videos that can be used to train staff.
Related Topics: Patient Safety | eBulletin | Products & ServicesPatient Safety Awareness Week 2016 – United for Patient Safety
Article
3/14/2016
Each year, the DoD Patient Safety Program partners with the National Patient Safety Foundation to promote Patient Safety Awareness Week
Related Topics: Access, Cost, Quality, and Safety | Patient SafetyContinuing Education Update I: TeamSTEPPS® Continuing Education Credit Planning Checklist
Article
3/1/2016
When planning TeamSTEPPS Train the Trainer and Train the Staff activities, there are several continuing education (CE) accreditation requirements that must be met in order for the course and the attendees to be eligible for formal CE credit. Please use this checklist as a compliment to the TeamSTEPPS Course Coordinator Guidance to help ensure those mandatory requirements are met.
Related Topics: Patient Safety | eBulletin | Products & Services | Partnership for Patients | Patient Safety Awareness Week | Patient Safety Event Reporting | Quality and Patient Safety AwardsFeature: Patient Safety Awareness Week (PSAW) 2016: United for Patient Safety
Article
3/1/2016
In 2016, Patient Safety Awareness Week (PSAW) will take place 13 March through March19. PSAW is a campaign of great importance to the DoD Patient Safety Program; this is because it is through this type of effort that patient safety champions across the Military Health System (MHS) are able demonstrate their commitment to delivering the highest quality of care and ensuring that our patients’ needs are always addressed.
Related Topics: Patient Safety | eBulletin | Partnership for Patients | Patient Safety Awareness Week | Products & Services | Patient Safety Event Reporting | Quality and Patient Safety AwardsHRO Corner: Understanding the "Deference to Expertise" High Reliability Organization Guiding Principle
Article
3/1/2016
In March, we are taking an in-depth look at the Deference to Expertise High Reliability Organization (HRO) principle and how it applies to what you do to keep your patients safe on a daily basis. This principle reminds us that HROs are set up so that organizational hierarchy is not what determines who has the authority to make decisions to deal with an issue but rather skill level and expertise with that issue. Leaders listen to and value the input of those subject matter experts regardless of their title or position. Indeed, it is knowledge and skill level that determine who (or what team) is the subject matter expert – not rank or seniority.
Related Topics: Patient Safety | eBulletin | Partnership for Patients | Patient Safety Awareness Week | Products & Services | Patient Safety Event Reporting | Quality and Patient Safety AwardsPatient Safety Spotlight: Patient Safety and Patient-Centered Care
Article
3/1/2016
March is an important month for patient safety as it is the month that we acknowledge Patient Safety Awareness Week (PSAW) – a campaign that highlights the role patient safety champions play in ensuring that patients are not only safe but also respected every time they receive care. In other words, PSAW is about patient engagement; it is a call to step into the role of our patients, see things from their perspective and recognize how we, as patient safety champions, can make a difference in our patients’ lives.
Related Topics: Patient Safety | eBulletin | Partnership for Patients | Patient Safety Awareness Week | Products & Services | Patient Safety Event Reporting | Quality and Patient Safety AwardsContinuing Education Update II: Types of TeamSTEPPS Train the Trainer CEs Available via the DoD Patient Safety Program Online Registration Center
Article
3/1/2016
The DoD PSP team is now able to offer eight types of CE credit for TeamSTEPPS Train the Trainer and Train the Staff activities based on attendee eligibility and provision of necessary requirements by the attendee.
Related Topics: Patient Safety | eBulletin | Partnership for Patients | Patient Safety Awareness Week | Products & Services | Patient Safety Event Reporting | Quality and Patient Safety Awards
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