Far too many people have been harmed as a result of errors made in our health care system. Medication errors, wrong site surgery, and procedural errors can result in unintended harm to patients. In 2001, a six year old boy was struck on the head and killed during an MRI procedure when an oxygen tank was pulled into the magnet. Staff members are taught that metal objects are not allowed in the same room with an MRI machine, yet someone brought one into the room. In 2007, a 3-year old boy died during a routine test because of a medication error. In 2007, a Rhode Island hospital was fined $50,000 by the state department of health after the 4th patient in six years had surgery on the wrong side of the brain. These are only a few of the tragic stories out of thousands that resulted in unnecessary patient harm or death because of a mistake.
Barriers that are in place to protect patients from harm can fail and human error can turn the safest procedures into deadly procedures. All staff members must be included in the organization's efforts to reduce errors and create safer processes and a safer environment for it's patients.
A culture of safety involves more than protecting patients from overt harm. While it may not be as obvious, avoidable readmissions back to a hospital can be the outcome of errors in the processes of care or the discharge process. Readmissions may be harmful because they place patients at greater risk for infections or other hospital acquired conditions. Preventing avoidable readmissions improves patient safety and saves lives.
A Culture of safety doesn't just happen. It takes commitment on the part of everyone in the organization.
Quality Improvement Group can help you create and maintain a culture of safety in your organization. Contact us today to learn more.
Whether your hospital needs help reducing readmission rates, responding to sentinel events, developing your medical staff, improving workflow, establishing a robust infection control program, or just assessing your facility to determine your specific needs, QIG can help.
Our on-site training programs meet all the requirements for CEU approval by various licensure boards. Our goal is to provide on-line CEU credits to make getting your CEUs easier. Stay tuned as new CEU opportunities are made available.
Our scenario-based on-site training program provides a solid foundation for performance improvement. We teach your staff why errors occur and how to mitigate the risk of future errors using various scenarios for practice.
Coming soon! Download free White Papers covering a variety of topics. Check regularly for new additions to the list.
We have selected books and articles that will help you build your performance improvement resource library. Follow the links provided to access these publications. Check this site regularly as we continue to add new resources that will help you in your ongoing quest for quality, safety and performance excellence.
Access to tools and forms to assist with RCAs and quality improvement initiatives.
If you have purchased Cultivating a Culture of Safety in Healthcare: A Systematic Approach to Root Cause Analysis, or if you are interested in the book, the documents here will assist you with RCAs and quality improvement initiatives.
Buy the book that has been selected by major universities to teach advance degree nursing students about patient safety, medical errors and root cause analysis. Guide your hospital through quality improvement initiatives and respond to adverse events using the tools and techniques that have been proven to increase patient safety and reduce the risk of harm to your patients.
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