This document appears to be a presentation on engaging patients and families for safe, compassionate care. It includes:
- An introduction and welcome from the presenter, Karen Curtiss.
- Stories from the presenter's personal experiences as a caregiver for her father, husband, and son who all suffered preventable complications and harms while in the hospital.
- Statistics about the alarming rates of preventable patient harm and death in hospitals, and the costs associated with these events.
- A discussion of the presenter's efforts to create checklists and guides to empower families to be more involved in preventing common harms like falls, infections, blood clots and others.
This document contains summaries of various health-related topics and events for the month of October, including recipes for healthy pumpkin dishes, tips on skin moles and lactose intolerance, guidelines for safe bonfires, the importance of hand washing, and information about services provided at various Adena health centers. It also promotes several health awareness weeks and months in October such as Mental Illness Awareness Week, Emergency Nurses Week, and National Breast Cancer Awareness Month.
The document discusses quality assurance in healthcare, including defining quality, measuring it through indicators, improving quality through approaches like total quality management and continual improvement, and ensuring quality through principles like transparency, evidence-based practice, and accountability. It also addresses important dimensions of quality like safety, effectiveness, efficiency, accessibility, and patient-centeredness.
This document summarizes an e-health platform called uCarenet that provides several tools to help manage home and palliative care. It describes a mobile app called uCareRELIEF that allows patients to self-report symptoms from home and clinicians to monitor them remotely. A pilot study found high rates of patient engagement and self-reporting through uCareRELIEF reduced emergency visits. The document outlines other uCarenet tools like a home care management platform, translation app called uCareLINGO, and their goals to improve care coordination and access through digital technologies.
Involving patients in their own treatment & research Aspergillosis Patients M...Graham Atherton
Fungal Research Trust trustee Derek Stewart talks about the benefits of involving patients in research and the potential benefits to their own health care
This document provides information about various services and events at LRGHealthcare facilities. The main pieces of information include:
- Convenience Care provides walk-in treatment for common injuries and illnesses at LRGH with convenient hours and no appointment needed.
- A new communication system called Voalté allows the healthcare team at LRGH to communicate instantly to coordinate patient care.
- Living Well workshops help people manage chronic health conditions through education on nutrition, stress management, and goal setting.
- Advanced Orthopaedic Specialists, formerly Orthopaedic Professional Association, provides joint pain treatment and holds seminars on joint health.
- Upcoming events include a hospice care discussion, golf classic
This document summarizes a presentation about exponential technologies and their potential to transform healthcare. It discusses how everyday technologies like phones and wearables could be used to make healthcare location-independent. It also mentions how professionals may subscribe to patient data in the future, and how predictive analytics could help identify illnesses earlier. The presentation argues that healthcare should embrace innovation like the pharmaceutical industry by rapidly testing new ideas.
This document contains summaries of various health-related topics and events for the month of October, including recipes for healthy pumpkin dishes, tips on skin moles and lactose intolerance, guidelines for safe bonfires, the importance of hand washing, and information about services provided at various Adena health centers. It also promotes several health awareness weeks and months in October such as Mental Illness Awareness Week, Emergency Nurses Week, and National Breast Cancer Awareness Month.
The document discusses quality assurance in healthcare, including defining quality, measuring it through indicators, improving quality through approaches like total quality management and continual improvement, and ensuring quality through principles like transparency, evidence-based practice, and accountability. It also addresses important dimensions of quality like safety, effectiveness, efficiency, accessibility, and patient-centeredness.
This document summarizes an e-health platform called uCarenet that provides several tools to help manage home and palliative care. It describes a mobile app called uCareRELIEF that allows patients to self-report symptoms from home and clinicians to monitor them remotely. A pilot study found high rates of patient engagement and self-reporting through uCareRELIEF reduced emergency visits. The document outlines other uCarenet tools like a home care management platform, translation app called uCareLINGO, and their goals to improve care coordination and access through digital technologies.
Involving patients in their own treatment & research Aspergillosis Patients M...Graham Atherton
Fungal Research Trust trustee Derek Stewart talks about the benefits of involving patients in research and the potential benefits to their own health care
This document provides information about various services and events at LRGHealthcare facilities. The main pieces of information include:
- Convenience Care provides walk-in treatment for common injuries and illnesses at LRGH with convenient hours and no appointment needed.
- A new communication system called Voalté allows the healthcare team at LRGH to communicate instantly to coordinate patient care.
- Living Well workshops help people manage chronic health conditions through education on nutrition, stress management, and goal setting.
- Advanced Orthopaedic Specialists, formerly Orthopaedic Professional Association, provides joint pain treatment and holds seminars on joint health.
- Upcoming events include a hospice care discussion, golf classic
This document summarizes a presentation about exponential technologies and their potential to transform healthcare. It discusses how everyday technologies like phones and wearables could be used to make healthcare location-independent. It also mentions how professionals may subscribe to patient data in the future, and how predictive analytics could help identify illnesses earlier. The presentation argues that healthcare should embrace innovation like the pharmaceutical industry by rapidly testing new ideas.
Leveraging Technology to Empower and Engage PatientsDaniel Sands
This document summarizes a presentation about leveraging technology to empower and engage patients. It discusses how patient portals can be used to provide services like prescription refills and appointment requests. It also notes that e-communication can help provide patients with education and allow them to securely communicate with their doctors. The presentation argues that patients want to be more engaged in their care through improved communication and access to information, but that current systems do not always meet these desires. It advocates for a model of participatory medicine where patients and doctors work as partners.
The document discusses how healthcare is still using outdated methods while technology has been widely adopted in other areas. It argues that healthcare will become decentralized and move from hospitals to homes and phones through technologies like remote monitoring, wireless devices, and predictive analytics. This delocalization of healthcare using everyday consumer technologies will transform healthcare delivery by making it more convenient, personalized, and globally accessible for more people at lower costs. However, barriers still remain like payment policies, lack of evidence, and professionals and patients not yet demanding more digital options.
This document discusses trends in healthcare in 2016 related to clinical trials and research participation. It notes that new technologies are dramatically increasing the size and scope of clinical trials by making it easier for more people to participate remotely through mobile apps and sensors. Traditional trials typically took a year to recruit 10,000 people across 50 medical centers, while new methods can recruit that number from 30,000 people in just one month.
Digital Health Revolution and the Opportunity for Dietitians to Lead Viable Synergy LLC
This is a presentation that was given at the 96th Annual Conference of the Ohio Academy of Nutrition and Dietetics conference on May 18, 2017. During the session we discussed the rise of digital health and its impact and role in health and healthcare delivery. Innovative software, hardware, and communication solutions were described and use cases discussed. Innovative programs and services being provided by dietitians in our region and around the world were highlighted.
This document discusses medical errors and their impact. It provides examples of medical errors that resulted in patient harm or death, such as medication errors, misdiagnoses, and surgical mistakes. The document notes that between 44,000 to 98,000 people in the US die from preventable medical errors each year. It advocates learning from errors to improve healthcare systems and prevent future harm rather than focusing solely on individual blame. Patients are encouraged to be engaged in their own care to help reduce errors.
Antibiotics back as alternative for appendicitisOther Mother
Scientists are challenging the traditional view that appendicitis always requires immediate surgery. Some studies show that antibiotics may cure around 70% of appendicitis cases and avoid the need for surgery. Doctors are planning a large clinical trial to further compare outcomes of antibiotics versus surgery for appendicitis. There is interest in determining if antibiotics could provide an effective alternative treatment at a lower cost than surgery. However, some surgeons remain cautious about replacing the standard 30-minute appendectomy that permanently cures patients.
The document discusses selecting a name for a clinical decision support system that provides evidence-based information to healthcare professionals. Four potential names are presented: CareSpectrum, Evidicare, KnowTo, and ClinicalLink. Feedback is sought on what comes to mind for each name, what is liked most and least about each, and how memorable each name is on a scale of 1 to 5. The goal is to select a distinct, unique and memorable name.
Muir Gray at the First National Conference on Health Care Quality RegistersTHL
The document discusses increasing value in healthcare systems through a "Triple Value Healthcare" approach. It proposes focusing on personal value for individuals, population value for given populations, and technical value through optimizing outcomes and resource use. Key strategies include providing full information to patients, shifting resources from overused to underused areas, developing population-based systems and networks, and creating a culture of stewardship. The goal is to improve outcomes while making the best use of limited resources.
Rethinking and Retooling Brain Health and Mental HealthSharpBrains
8–8.45. Rethinking and Retooling Brain Health and Mental Health
Dr. Tom Insel, Co-founder and President of Mindstrong Health and former Director of the National Institute of Mental Health (NIMH)
9–10.30. How to detect problems early: Examples in Alzheimer’s Disease, Parkinson’s, anxiety and PTSD
Dr. Srijan Sen, Professor of Depression and Neurosciences at University of Michigan
Jan Samzelius, Co-Founder and Chief Scientist of NeuraMetrix
Dr. Tony Chang, Associate at Merck Ventures
Chaired by: Dr. Deanna Belsky, Associate at Dolby Family Ventures
Slidedeck supporting presentation and discussion during the 2019 SharpBrains Virtual Summit: The Future of Brain Health (March 7-9th). Learn more at:
https://sharpbrains.com/summit-2019/
The document discusses the experience of a nurse working in an emergency department for eight years. It describes "frequent flyers" as patients who come in multiple times a month for various complaints. The nurse realizes she had developed an unfair bias against these patients for using emergency resources for non-medical reasons. After reading a book on crucial conversations, the nurse is determined to change attitudes towards frequent flyers and advocate more effectively for all patients.
The document discusses how patients can help improve healthcare through the use of technology and participation. It notes that patients are an underutilized resource in healthcare information systems and that giving patients access to their health records and engaging them can lead to improved health outcomes. The document advocates that patients should help define what high quality care means.
How are advances in social science being used to improve HCAHPS scores? Join Carol Packard, PhD, for key actions you can take to improve patient satisfaction scores, while improving clinical outcomes and reducing costs.
Unsafe medication is a leading cause of harm, most of it preventable, in health care systems across the world. Medication incidents occur when weak medication systems and/or human factors such as fatigue, poor environmental conditions or staff shortages affect prescribing, transcribing, dispensing, administration and monitoring practices, which can then result in severe harm, disability and even death.
Full Details: https://goo.gl/gCQ64V
The document discusses various options for pregnancy planning for individuals living with HIV, including timed intercourse, home or clinical insemination with partner's sperm, use of donor sperm, and assisted reproductive technologies like sperm washing and IVF. It provides guidelines from organizations like ACOG and ASRM on eligibility and treatment for fertility services. The options aim to balance reproductive desires with minimizing risks of HIV transmission to partners or children.
Solution manual for managerial accounting 18th edition by ray garrison eric n...rightmanforbloodline
Solution manual for managerial accounting 18th edition by ray garrison eric noreen and peter brewer_compressed
Solution manual for managerial accounting 18th edition by ray garrison eric noreen and peter brewer_compressed
Digital Health in India_Health Informatics Trained Manpower _DrDevTaneja_15.0...DrDevTaneja1
Digital India will need a big trained army of Health Informatics educated & trained manpower in India.
Presently, generalist IT manpower does most of the work in the healthcare industry in India. Academic Health Informatics education is not readily available at school & health university level or IT education institutions in India.
We look into the evolution of health informatics and its applications in the healthcare industry.
HIMMS TIGER resources are available to assist Health Informatics education.
Indian Health universities, IT Education institutions, and the healthcare industry must proactively collaborate to start health informatics courses on a big scale. An advocacy push from various stakeholders is also needed for this goal.
Health informatics has huge employment potential and provides a big business opportunity for the healthcare industry. A big pool of trained health informatics manpower can lead to product & service innovations on a global scale in India.
Dr. Sherman Lai, MD — Guelph's Dedicated Medical ProfessionalSherman Lai Guelph
Guelph native Dr. Sherman Lai, MD, is a committed medical practitioner renowned for his thorough medical knowledge and caring patient care. Dr. Lai guarantees that every patient receives the best possible medical care and assistance that is customized to meet their specific needs. She has years of experience and is dedicated to providing individualized health solutions.
Test bank clinical nursing skills a concept based approach 4e pearson educati...rightmanforbloodline
Test bank clinical nursing skills a concept based approach 4e pearson education
Test bank clinical nursing skills a concept based approach 4e pearson education
Test bank clinical nursing skills a concept based approach 4e pearson education
More Related Content
Similar to Peace health Safe and Sound Leader workshop of May 16, 2014, Ketchikan
Leveraging Technology to Empower and Engage PatientsDaniel Sands
This document summarizes a presentation about leveraging technology to empower and engage patients. It discusses how patient portals can be used to provide services like prescription refills and appointment requests. It also notes that e-communication can help provide patients with education and allow them to securely communicate with their doctors. The presentation argues that patients want to be more engaged in their care through improved communication and access to information, but that current systems do not always meet these desires. It advocates for a model of participatory medicine where patients and doctors work as partners.
The document discusses how healthcare is still using outdated methods while technology has been widely adopted in other areas. It argues that healthcare will become decentralized and move from hospitals to homes and phones through technologies like remote monitoring, wireless devices, and predictive analytics. This delocalization of healthcare using everyday consumer technologies will transform healthcare delivery by making it more convenient, personalized, and globally accessible for more people at lower costs. However, barriers still remain like payment policies, lack of evidence, and professionals and patients not yet demanding more digital options.
This document discusses trends in healthcare in 2016 related to clinical trials and research participation. It notes that new technologies are dramatically increasing the size and scope of clinical trials by making it easier for more people to participate remotely through mobile apps and sensors. Traditional trials typically took a year to recruit 10,000 people across 50 medical centers, while new methods can recruit that number from 30,000 people in just one month.
Digital Health Revolution and the Opportunity for Dietitians to Lead Viable Synergy LLC
This is a presentation that was given at the 96th Annual Conference of the Ohio Academy of Nutrition and Dietetics conference on May 18, 2017. During the session we discussed the rise of digital health and its impact and role in health and healthcare delivery. Innovative software, hardware, and communication solutions were described and use cases discussed. Innovative programs and services being provided by dietitians in our region and around the world were highlighted.
This document discusses medical errors and their impact. It provides examples of medical errors that resulted in patient harm or death, such as medication errors, misdiagnoses, and surgical mistakes. The document notes that between 44,000 to 98,000 people in the US die from preventable medical errors each year. It advocates learning from errors to improve healthcare systems and prevent future harm rather than focusing solely on individual blame. Patients are encouraged to be engaged in their own care to help reduce errors.
Antibiotics back as alternative for appendicitisOther Mother
Scientists are challenging the traditional view that appendicitis always requires immediate surgery. Some studies show that antibiotics may cure around 70% of appendicitis cases and avoid the need for surgery. Doctors are planning a large clinical trial to further compare outcomes of antibiotics versus surgery for appendicitis. There is interest in determining if antibiotics could provide an effective alternative treatment at a lower cost than surgery. However, some surgeons remain cautious about replacing the standard 30-minute appendectomy that permanently cures patients.
The document discusses selecting a name for a clinical decision support system that provides evidence-based information to healthcare professionals. Four potential names are presented: CareSpectrum, Evidicare, KnowTo, and ClinicalLink. Feedback is sought on what comes to mind for each name, what is liked most and least about each, and how memorable each name is on a scale of 1 to 5. The goal is to select a distinct, unique and memorable name.
Muir Gray at the First National Conference on Health Care Quality RegistersTHL
The document discusses increasing value in healthcare systems through a "Triple Value Healthcare" approach. It proposes focusing on personal value for individuals, population value for given populations, and technical value through optimizing outcomes and resource use. Key strategies include providing full information to patients, shifting resources from overused to underused areas, developing population-based systems and networks, and creating a culture of stewardship. The goal is to improve outcomes while making the best use of limited resources.
Rethinking and Retooling Brain Health and Mental HealthSharpBrains
8–8.45. Rethinking and Retooling Brain Health and Mental Health
Dr. Tom Insel, Co-founder and President of Mindstrong Health and former Director of the National Institute of Mental Health (NIMH)
9–10.30. How to detect problems early: Examples in Alzheimer’s Disease, Parkinson’s, anxiety and PTSD
Dr. Srijan Sen, Professor of Depression and Neurosciences at University of Michigan
Jan Samzelius, Co-Founder and Chief Scientist of NeuraMetrix
Dr. Tony Chang, Associate at Merck Ventures
Chaired by: Dr. Deanna Belsky, Associate at Dolby Family Ventures
Slidedeck supporting presentation and discussion during the 2019 SharpBrains Virtual Summit: The Future of Brain Health (March 7-9th). Learn more at:
https://sharpbrains.com/summit-2019/
The document discusses the experience of a nurse working in an emergency department for eight years. It describes "frequent flyers" as patients who come in multiple times a month for various complaints. The nurse realizes she had developed an unfair bias against these patients for using emergency resources for non-medical reasons. After reading a book on crucial conversations, the nurse is determined to change attitudes towards frequent flyers and advocate more effectively for all patients.
The document discusses how patients can help improve healthcare through the use of technology and participation. It notes that patients are an underutilized resource in healthcare information systems and that giving patients access to their health records and engaging them can lead to improved health outcomes. The document advocates that patients should help define what high quality care means.
How are advances in social science being used to improve HCAHPS scores? Join Carol Packard, PhD, for key actions you can take to improve patient satisfaction scores, while improving clinical outcomes and reducing costs.
Unsafe medication is a leading cause of harm, most of it preventable, in health care systems across the world. Medication incidents occur when weak medication systems and/or human factors such as fatigue, poor environmental conditions or staff shortages affect prescribing, transcribing, dispensing, administration and monitoring practices, which can then result in severe harm, disability and even death.
Full Details: https://goo.gl/gCQ64V
The document discusses various options for pregnancy planning for individuals living with HIV, including timed intercourse, home or clinical insemination with partner's sperm, use of donor sperm, and assisted reproductive technologies like sperm washing and IVF. It provides guidelines from organizations like ACOG and ASRM on eligibility and treatment for fertility services. The options aim to balance reproductive desires with minimizing risks of HIV transmission to partners or children.
Similar to Peace health Safe and Sound Leader workshop of May 16, 2014, Ketchikan (14)
Solution manual for managerial accounting 18th edition by ray garrison eric n...rightmanforbloodline
Solution manual for managerial accounting 18th edition by ray garrison eric noreen and peter brewer_compressed
Solution manual for managerial accounting 18th edition by ray garrison eric noreen and peter brewer_compressed
Digital Health in India_Health Informatics Trained Manpower _DrDevTaneja_15.0...DrDevTaneja1
Digital India will need a big trained army of Health Informatics educated & trained manpower in India.
Presently, generalist IT manpower does most of the work in the healthcare industry in India. Academic Health Informatics education is not readily available at school & health university level or IT education institutions in India.
We look into the evolution of health informatics and its applications in the healthcare industry.
HIMMS TIGER resources are available to assist Health Informatics education.
Indian Health universities, IT Education institutions, and the healthcare industry must proactively collaborate to start health informatics courses on a big scale. An advocacy push from various stakeholders is also needed for this goal.
Health informatics has huge employment potential and provides a big business opportunity for the healthcare industry. A big pool of trained health informatics manpower can lead to product & service innovations on a global scale in India.
Dr. Sherman Lai, MD — Guelph's Dedicated Medical ProfessionalSherman Lai Guelph
Guelph native Dr. Sherman Lai, MD, is a committed medical practitioner renowned for his thorough medical knowledge and caring patient care. Dr. Lai guarantees that every patient receives the best possible medical care and assistance that is customized to meet their specific needs. She has years of experience and is dedicated to providing individualized health solutions.
Test bank clinical nursing skills a concept based approach 4e pearson educati...rightmanforbloodline
Test bank clinical nursing skills a concept based approach 4e pearson education
Test bank clinical nursing skills a concept based approach 4e pearson education
Test bank clinical nursing skills a concept based approach 4e pearson education
The Importance of Black Women Understanding the Chemicals in Their Personal C...bkling
Certain chemicals, such as phthalates and parabens, can disrupt the body's hormones and have significant effects on health. According to data, hormone-related health issues such as uterine fibroids, infertility, early puberty and more aggressive forms of breast and endometrial cancers disproportionately affect Black women. Our guest speaker, Jasmine A. McDonald, PhD, an Assistant Professor in the Department of Epidemiology at Columbia University in New York City, discusses the scientific reasons why Black women should pay attention to specific chemicals in their personal care products, like hair care, and ways to minimize their exposure.
Research, Monitoring and Evaluation, in Public Healthaghedogodday
This is a presentation on the overview of the role of monitoring and evaluation in public health. It describes the various components and how a robust M&E system can possitively impact the results or effectiveness of a public health intervention.
At Malayali Kerala Spa Ajman, Full Service includes individualized care for every client. We specifically design each massage session for the individual needs of the client. Our therapists are always willing to adjust the treatments based on the client's instruction and feedback. This guarantees that every client receives the treatment they expect.
By offering a variety of massage services, our Ajman Spa Massage Center can tackle physical, mental, and emotional illnesses. In addition, efficient identification of specific health conditions and designing treatment plans accordingly can significantly enhance the quality of massaging.
At Malayali Kerala Spa Ajman, we firmly believe that everyone should have the option to experience top-quality massage services regularly. To achieve that goal we offer cheap massage services in Ajman.
If you are interested in experiencing transformative massage treatment at Malayali Kerala Spa Ajman, you can use our Ajman Massage Center WhatsApp Number to schedule your next massage session.
Contact @ +971 529818279
Visit @ https://malayalikeralaspaajman.com/
Cyclothymia Test: Diagnosing, Symptoms, Treatment, and Impact | The Lifescien...The Lifesciences Magazine
The cyclothymia test is a pivotal tool in the diagnostic process. It helps clinicians assess the presence and severity of symptoms associated with cyclothymia.
2024 Media Preferences of Older Adults: Consumer Survey and Marketing Implica...Media Logic
When it comes to creating marketing strategies that target older adults, it is crucial to have insight into their media habits and preferences. Understanding how older adults consume and use media is key to creating acquisition and retention strategies. We recently conducted our seventh annual survey to gain insight into the media preferences of older adults in 2024. Here are the survey responses and marketing implications that stood out to us.
As Mumbai's premier kidney transplant and donation center, L H Hiranandani Hospital Powai is not just a medical facility; it's a beacon of hope where cutting-edge science meets compassionate care, transforming lives and redefining the standards of kidney health in India.
Cancer treatment has advanced significantly over the years, offering patients various options tailored to their specific type of cancer and stage of disease. Understanding the different types of cancer treatments can help patients make informed decisions about their care. In this ppt, we have listed most common forms of cancer treatment available today.
Types of Cancer Treatments | Forms of cancer treatment
Peace health Safe and Sound Leader workshop of May 16, 2014, Ketchikan
1. 1
W E L C O M E !
K a r e n C u r t i s s
M a r c h 1 6 , 2 0 1 4
Engaging with Patients and Families
for Safe, Compassionate Care
Presented by: Karen Curtiss and Mary Foley RN PhD
Hosted by: PeaceHealth, Ketchikan, May 16, 2014
2. 2
For You, Your Family, and Your Patients
Tragedy
Transformed
To Tools
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
3. 3
Today… We’re All About the Power of 3’s
Patient Safety Crew
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
4. 4
My Story is Your Story Too
Patient Safety Crew
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
5. 5
The Power of 3 in Head Heart Hands
For your family
For your patients
For your peace of mind
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
6. 6
Leading with my heart..
I Was a Care Partner for My Dad
IPF:
Devastating Diagnosis
Bill
Aydt,
married
to
Margaret,
51
years
6
children,
9
grandchildren
(Lily,
age
3,
shown)
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
7. 7
I Was a Care Partner for My Dad
Successful lung
transplant at Super Star!
IPF cured!
Bill
Aydt,
married
to
Margaret,
51
years
6
children,
9
grandchildren
(Lily,
age
3,
shown)
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
8. 8
I Was a Care Partner for My Dad
Successful lung
transplant at Super Star!
IPF cured!
Fall
Bill
Aydt,
married
to
Margaret,
51
years
6
children,
9
grandchildren
(Lily,
age
3,
shown)
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
9. 9
I Was a Care Partner for My Dad
Successful lung
transplant at Super Star
IPF cured!
Fall
VAP
Bill
Aydt,
married
to
Margaret,
51
years
6
children,
9
grandchildren
(Lily,
age
3,
shown)
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
10. 10
I Was a Care Partner for My Dad
Successful lung
transplant at Super Star!
IPF cured!
Fall
VAP
MRSA
Bill
Aydt,
married
to
Margaret,
51
years
6
children,
9
grandchildren
(Lily,
age
3,
shown)
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
11. 11
I Was a Care Partner for My Dad
Successful lung
transplant at Super Star!
IPF cured!
Fall
VAP
MRSA
C diff
Bill
Aydt,
married
to
Margaret,
51
years
6
children,
9
grandchildren
(Lily,
age
3,
shown)
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
12. 12
I Was a Care Partner for My Dad
Successful lung
transplant
IPF cured!
Fall
VAP
MRSA
C diff
DVT
Bill
Aydt,
married
to
Margaret,
51
years
6
children,
9
grandchildren
(Lily,
age
3,
shown)
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
13. 13
I Was a Care Partner for My Dad
Successful lung
transplant at Super Star!
IPF cured!
Fall
VAP
MRSA
C diff
DVT
PE
Bill
Aydt,
married
to
Margaret,
51
years
6
children,
9
grandchildren
(Lily,
age
3,
shown)
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
14. 14
I Was a Care Partner for My Dad
Successful lung
transplant at Super Star!
IPF cured!
Fall
VAP
MRSA
C diff
DVT
PE
MRSA… again
Bill
Aydt,
married
to
Margaret,
51
years
6
children,
9
grandchildren
(Lily,
age
3,
shown)
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
15. 15
I Was a Care Partner for My Dad
Successful lung
transplant
IPF cured!
Fall
VAP
MRSA
C diff
DVT
PE
MRSA… again
C diff… againBill
Aydt,
married
to
Margaret,
51
years
6
children,
9
grandchildren
(Lily,
age
3,
shown)
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
16. 16
I Was a Care Partner for My Dad
Successful lung
transplant at Super Star!
IPF cured!
Fall
VAP
MRSA
C diff
DVT
PE
MRSA… again
C diff… again
Stage 4 Bed Sore all the while
Bill
Aydt,
married
to
Margaret,
51
years
6
children,
9
grandchildren
(Lily,
age
3,
shown)
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
18. 18
Next, I was a Care Partner for my husband, Sandy
“Routine” Bowel Resection
Sepsis
Emergency Surgery to remove dead tissue
VRE
Follow up surgery to repair bowel system
Then, for our
son, Alex
Misdiagnosis:
Appendicitis
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
19. 19
Who are Your Nearest and Dearest?
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
21. 21
Peeling Onions for Answers
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
22. 22
1 in 3 Patients Needlessly
Suffer or Die from Preventable “Adverse Events”*
* ‘Global Trigger Tool’ Shows That Adverse Events In Hospitals May Be Ten Times Greater Than Previously Measured, David Classen, et al, April 2011.
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
23. 23
And the Death Toll?
400,000 lives every single year
Equal to 3 Boeing 747’s
crashing every single day with
no survivors2
3rd Leading Cause of Death
Cost? $60 billion+
Imagine the number of nurses
who could be recruited,
educated and paid
1. A New Evidence Based Estimate of Patient Harms
Associated with Hospital Care, John James, Journal of
Patient Safety, Septembeer 2013
2. Almost 1000 planes, about 400 passengers in each.
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
24. 24
What’s More –
These Tolls are Likely Under-Reported
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
25. 25
Air Travel is 3,000 Times Safer Than Hospital Care
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
26. 26
“The house is on fire…
and no one smells the smoke.”
Of the 19 industrialized
countries, the U.S. has the
highest rate of preventable
death from medical errors.
(World Health Organization)
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
27. 27
So… What’s the Harm in Hospital Care?
Around 2008, the term Never Events was coined to describe common
and preventable harm and death to patients, like….
*MDRO Infections *Falls Blood Clots
*Medication Mix-ups Bed Sores *CLABSI
*Sepsis UTI/CAUTI VAP
*
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
28. 28
What Does This Mean in Human Terms?
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
29. 29
What Does This Mean in Human Terms?
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
Pick 2
30. 30
What Does This Mean in Human Terms?
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
OR
Choose
ZERO
33. 33
Patients Need Informed & Engaged
Care Partners
Patients families are the Quarterbacks for care
Keep a daily care journal (track medications, tests, results, questions, answers, goals,
trends in vitals)
Coordinate with other family members and friends if necessary
Trust your gut
Speak up
- Politely, but firmly
- Repeat as necessary
Accept personal discomfort
(Expect not to be popular)
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
35. 35
So I Wrote this Guide Book for
My Family & Yours
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
If we’d had Safe &
Sound in the
Hospital for my
father’s hospital stay,
he would be alive
today.
36. 36
So I Wrote this Guide Book for
My Family & Yours
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
Checklists to Prevent…
Falls
Hospital Infections
Blood Clots
VAP
Bed Sores
Readmissions
MORE
37. 37
So I Wrote this Guide Book for
My Family & Yours
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
What to Look For
What to Say
What to Do
When to get a nurse!
38. 38
Checklists Work!
P L E A S E
Wash Hands!
About
Bloodstream
Infections:
Germs can invade the
body through cuts or
breaks in the skin,
resulting in serious
infection that’s
carried through the
body in the
bloodstream.
Risk Factors:
Use of a tube and
bag system called
an “IV” or a “central
line” to deliver
fluids because the
skin has to be
broken for these
lines to be inserted.
24
Use this Checklist to
Help Prevent Bloodstream Infection
P When a central line is inserted, ask: “Are you using a
central line bundle?"
P Watch to make sure that nurses and doctors always:
I Wash their hands thoroughly before touching your
loved one
I Use sterile instruments and supplies
I Sterilize the skin
I Choose the safest spot
Ask, “Why?” if groin is chosen
I Use a clean sheet to drape your loved one's body
I Wear a mask
I Cover the area with a sterile pad
P Make sure any openings in the skin are kept covered at
all times.
xxx
xxx
x
x
x
Central line
IV lines often go here
(but not always)
Central line can go in
the groin, but it’s not
the safest place
xxx shows example surgery sites
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
Quick information
6th grade literacy level
Icons and pictures
39. 39 Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
Use this Checklist to
Help Prevent a Urinary Tract Infection (UTI)*
P Every day, ask if the Foley catheter can be removed.
P When no longer needed, ask the doctor for a written
order to take it out.
I If not taken out as ordered, politely remind at every
shift change until the tube and bag are removed from
your loved one’s body.
P Ask about the cleaning plan (daily is ideal).
P To prevent urine from going back into your loved one’s
body, keep an eye on the tube for kinks and tangles, and
straighten them.
I Make sure the bag hangs below your loved one’s
stomach area so urine can’t back up the tube.
P Make sure the bag is replaced when full.
P L E A S E
Wash Hands!
About Urinary
Tract Infections
A urinary tract
infection (UTI) can
develop when germs
enter the body
through a plastic tube
used to drain urine.
The bladder, kidneys
and urethra can all be
infected. (*This
infection is also called
a CAUTI for Catheter
Associated Urinary
Tract Infection.)
Risk Factors::
Use of plastic tube
and bag system for
urine collection
(called a “Foley”
catheter)
GetaNurseif:
Youseesignsof(oryourlovedonetellsyouabout):
I Chills,shivering,bodyaches,headaches,confusion
I Painoraburningfeelinginthelowerstomacharea
I Lowerbackpain
I Bloodinurinebag(Youmayseeaslightlypinkcolor.)
Notes:
31
Remember,
It’s OK to
Speak Up
41. 41
Follow Checklists, Take Notes, and Share
36 s
Daily Care Notes Day 1 Date:
Today’s Nurses:
Today’s Care Partners:
When doctors and nurses “hand off” their notes about your loved one to the next shift,
ask them to do so in front of both of you. Speak up about any incorrect or incomplete
information. Make sure corrections are made to your loved one’s chart.
Questions and Concerns to Share with the Medical Staff:
Their Answers, New Information:
Be Sure to Cover Goals for the Day:
What to Expect for the Day:
If you need more Daily Care Notes pages, just go to www.SafeAndSoundBooks.com to download and print.36 s
Care Partner To-Do List for the Day
Ask for a copy of your loved one’s medication chart every morning.
Note date and time of review on chart.
Ask attending doctor to review it.
Follow the checklists on pages 20 to 33 that apply to your loved one.
Keep germs away from your loved one! If needed, remind to wash hands
— even doctors and nurses!
Help double check every time your loved one gets a medicine.
Take good care of yourself too! See page 12 for some ideas.
Get a nurse for any alarms that ring in your loved one’s room.
Spend time planning for your loved one’s care at home (pages 47 – 52).
Vital Signs Ask nurses for this information when they check vital signs.
Ask for attending doctor if vital signs worsen
Time: (am/pm)
Temperature:
Pulse:
Blood Pressure:
Oxygen Saturation:
Trend is: II Better II Same II Worse
Time: (am/pm)
Temperature:
Pulse:
Blood Pressure:
Oxygen Saturation:
Trend is: II Better II Same II Worse
Time: (am/pm)
Temperature:
Pulse:
Blood Pressure:
Oxygen Saturation:
Trend is: II Better II Same II Worse
Time: (am/pm)
Temperature:
Pulse:
Blood Pressure:
Oxygen Saturation:
Trend is: II Better II Same II Worse
37
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
42. 42
Connect the Mind-Body-Spirit – Healing for All
Howto
GetStarrted
— Hubert H. Humphrey
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
Howto
GetStarrted
The greatest healing therapy is friendship and love.
— Hubert H. Humphrey
43. 43
Remember,
It’s OK to
Speak Up
Remember to
Wash Hands!
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
44. 44
Reactions: “Peace of Mind” is Common
100% of users surveyed say they would recommend Safe & Sound checklists to friends and family.
“Since my husband and I are both in our
middle 80's, probably one of us will be in the
hospital sometime.
I carefully went through the checklists…
realizing that these records would be very
helpful!!
It will bring comfort and peace.”
– Joanne L. Cerling
Review posted on Amazon*
4
4
*See more at: http://www.amazon.com/Safe-Sound-Hospital-Must-Have-Checklists/
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
45. 4545
Deity Docs Stressed Out Nurses
“
But… Will They Throw Them Under the Bus?
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
46. 46
So We’re Partnering for Patients and Families
….for Safe & Sound Care
Copyright@2014, PartnerHealth
Karen Curtiss Ma Mary Foley RN PhD
Safe & Sound Tools for Nurse Leaders
Co-Authors
Safe & Sound
Nursing Tools for
Patient and
Family
Engagement
47. 47
“It may seem a strange principle to enunciate as the very first
requirement in a hospital that it should do the sick no harm.”
Florence Nightingale
British Nurse and Humanitarian
1820-1910
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
48. 48
Good News/Bad News:
Sometimes Hard to Tell Which is Which
Circa 2000
Circa 1900
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
49. 49
Swiss Cheese Health Care
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
50. 50
The U.S. Holds the Worst Record Among
Industrialized Nations for Medical Errors
Plus…
Our rate of improvement is much slower than the other 18 industrialized
countries. (WHO)
And…
We spend more on healthcare per capita
than any other industrialized nation. (Rand data)
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
51. 51
Why?
What would we have if we built a car from the very best car parts:
Ferrari engine + Porsche brakes + BMW chassis -- wrapped in a Volvo body?
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
52. 52
A Very Expensive Pile of Junk
that Doesn’t Go Anywhere!
Our Fractured, Expensive, Unsafe Health Care System
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
53. 53
Why?
“We have trained, hired and rewarded
people to be cowboys, but it is pit crews
that we need – pit crews for patients.”
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
54. 54
Nursing’s Glass Ceiling
(Voting Rights Act Needed!)
CNOs are often part of the senior leadership team, but a 2011study of 8
hospitals by the National Center for Healthcare Leadership revealed they
were not voting members of any of the boards (although they had active
board agenda presence) and
The CNO as a senior team member was apparent in driving clinical projects,
but leadership in setting quality and patient safety goals was not as clear
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
55. 55
Another Kind of Glass Ceiling
Journal of Nursing Care Quality, Djukic and Kovner, RN Work Project report
Nurses licensed before
2007- 2008 are usually
not included in
performance
improvement efforts in
their hospitals.
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
58. 58
“I am a patient and I need to be heard.”
Morgan Gleason
- Aged 15
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
59. 59
Decrease HACs by 40% by 2014
Improve Care Transitions & Drive Down Readmissions
Engage Patients and Families in Patient-Centered Care
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
60. 60
3-out-of-4 patients, age 64+, leave the hospital
with an incorrect prescription or no understanding
of at least one medication regimen. (Yale New Haven study,
December 2012)
Yale New Haven study by Dr. Leora Horwitz of patients aged 64+ with heart failure, acute
coronary syndrome or pneumonia, December 2012.
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
61. 61
Patients Forget 80% of What You Tell Them*
Remembered
Forgotten
* Numerous studies in the U.S and U.K.
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
62. 62
20% of Patients are Back Within 30 days
Can’t get to follow-up doctor appointments
Can’t get prescriptions filled
Take medications incorrectly
Leave the hospital with infection and don’t know signs, don’t get treatment
early
Don’t know, or ignore/minimize, early warning signs of common post-stay
complications (i.e. blood clots)
Don’t know, or ignore/minimize, early warning signs for complications related
to their condition, especially congestive heart failure
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
63. 63
Checklists Activate Clinicians –
Why Not Patients & Families?
AHRQ Keystone ICU Checklist Project results:
Virtually eliminated CLABSIs in ICU’s in U of Michigan Hospitals
Reduced mortality rate overall by 10%
SAFETY CHECKLIST USE YIELDS 10 PERCENT DROP IN HOSPITAL DEATHS, John Hopkins, Release Date of
01/31/2011
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
64. 64
Simple Solution to a Complex Problem
Don’t you just love this?
When patients receive recorded discharge
Instructions to take home, the results
are astounding…
15% reduction in readmissions
63% increase in HCAHPS scores
100% of patients who used the recordings are “glad to have them”
100% say they “improve my understanding” of discharge instructions
Study at Cullman Regional Medical Center, Cullman, Alabama, Good-to-Go Discharge Program,
http://www.crmchospital.com/for_patients_guests/good-to-go_discharge_instructions.aspx
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
65. 65
Patient & Family Engagement:
Key to Meeting the Triple Aim of Health Care
Wherever engagement takes place, the emerging evidence is that patients who
are actively involved in their health and health care achieve better health
outcomes, and have lower health costs, than those who aren’t.”
Patients With Lower Activation Associated With Higher Costs; Delivery Systems Should Know Their Patients’
‘Scores’ Judith H. Hibbard, Jessica Greene, and Valerie Overton, Health Affairs February 2013
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
66. 66
What’s an Activated Patient?
Less likely to choose surgical interventions
More likely to have better functional status
Reports higher satisfaction, and
Has higher medication adherence rates
* Health Affairs study, Feb. 2013
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
67. 67
An average of 17 years is required to
translate new research into practice.
IOM, Crossing the Quality Chasm, 2001
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
68. 68
We Don’t Have 17 Years
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
69. 6969
We cannot
solve our
problems with
the same
thinking we
used when we
created them.
- Albert Einstein
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
70. 70
Informed & Engaged Families: Untapped Resource
to Support Safety AND Accelerate Change
No one is
more
patient-
centered.
No one knows
your patient
better.
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
74. 74
Together, We Accelerate Quality
Improvements with New Thinking
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
75. 75
First and foremost, evidence-based:
Quality & Safety Education for Nurses
methodology as the main platform (see more at www.QSEN.org)
Content and evidence from the
National Quality Foundation report (most recent edition)
Incorporates additional content and evidence from the
Partnership for Patients, Joint Commission, CDC, AHRQ
and others
Aligned with goals of the goals of the Affordable Care Act
Endorsed by clinical leaders in patient safety
Aligned with the majority of HCAHPs metrics
Safe & Sound Nursing Tools for Patient & Family
Engagement – for Patient Safety
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
76. 76
Patients’ Families:
Your Extra Pair of Eyes, Ears and Hands
No one Is better able to interpret patients’ slightest gestures or words for signs of
recovery – or problems.
Safe & Sound Checklists for Care Partners…
Teach new information quickly
Shift attitudes (anxiety to confidence)
Change behaviors (helpless to helpful)
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
77. 77
Your Good Communication is Critical
It is well documented that communication between care givers, patients, and
family members can improve outcomes
Patients and families learn
better, faster coming from
YOU!
Teamwork requires
effective communication
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
78. 78
Your Leadership and Coaching are Critical!
Every Patient Looks up to Nurses as Partners
No one spends
more time with
patients and their
families.
The best
communicators are
the best listeners.
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
79. 79
The Power of Empathy
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
80. 80
Safe & Sound Collaborations for Patients --
“QSEN Style”
Safe & Sound Tools for Nurse Leaders
Connect with the heart:
“We’re in this together”
Every patient could be me, or my loved one
Share Facts with Patients:
Simple checklists
Evidence based
6th grade literacy level
Friendly, matter-of-fact delivery
Provide Tools:
Antibacterial wipes
30-degree angle tool
Hand washing reminder tent signs
Canes, non-skid socks... More
Copyright@2014, PartnerHealth
82. 82
Take the Hard Hat Challenge Today!
Copyright@2013, PartnerHealthwww.PartnerHealth.com
Who wants to prevent falls?
Who wants to prevent infections?
Right here, right now!
83. 83
The Safe & Sound Rubric
for Creating Care Collaborations
Head Written 6th Grade Literacy
Heart Aural Active Voice
Hands Tactile Positive “Can Do”
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
84. 84
Quick Tips!
Use the active voice
6th grade literacy level: 1 and 2-syllable words
Simple declarative sentences: avoid compound sentences
Use common terms
“Bed sores”
not “pressure ulcers” OR “debicutus”
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
85. 86
Safe & Sound Collaborations for Patients --
“QSEN Style”
Safe & Sound Tools for Nurse Leaders
Connect with the heart:
“We’re in this together”
Every patient could be me, or my loved one
Share Facts with Patients:
Simple checklists
Evidence based
6th grade literacy level
Friendly, matter-of-fact delivery
Provide Tools:
Antibacterial wipes
30-degree angle tool
Hand washing reminder tent signs
Canes, non-skid socks... More
Copyright@2014, PartnerHealth
86. 87
It’s Your Turn! What’s Your Plan to…?
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
87. 88
Be the Change You Want to See
For your family
For your patients
For your peace of mind
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders
88. 89
To all the world
you are just
one person
But to one person
you could mean
the world.
Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders