Quality Quarterly

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Patient safety in health care involves many interacting factors. Some solutions for patient safety that initially appear straightforward may not achieve the desired outcomes. For instance, using soft mats to prevent falls in hospitals can inadvertently increase fall rates by creating tripping hazards, and the material used may harbor bacteria that lead to infections.  

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Doing all we can to ensure patient safety is not just the right thing to do, it is also increasingly an expectation of hospital regulators.  

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HQI’s Community of Practice for Eliminating Workplace Violence provides monthly educational programming and a collaborative peer network for individuals addressing hospital workplace violence. 

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We are thrilled to announce the return of Carlix Lung to HQI, this time as a full-time member of our dynamic team. Carlix, who previously interned with us as a student data assistant, has come back to contribute his expertise and passion for problem-solving in a full-time role of programmer analyst. 

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In response to strong member demand for learning and exchange, HQI is continuing its focus on workplace violence.   

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As participation in the Hospital Quality Improvement Platform (HQIP) grows, HQI continues to improve the platform’s capabilities. Recent updates include new reports highlighting the top five quality of care measures that have degraded since COVID-19 (also detailed in a recent HQI analysis) and severe maternal morbidity and mortality, as well as updated 2023 data from the Centers for Medicare & Medicaid Services.

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Despite hospitals’ commitment to patient-centered care, navigating the complexities of health literacy, cultural diversity, and language barriers presents a formidable hurdle, exemplified by the rising incidence of tuberculosis (TB) in California. The increasing prevalence of latent tuberculosis infection (LTBI) poses a unique concern, as individuals with LTBI are often asymptomatic and unaware, making early intervention crucial.

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This year marks a quarter century since the 1999 landmark report, To Err is Human — a reminder of just how long the nation has been on this journey to patient safety. Many believe the pace of improvement has been too slow. In some instances, hospitals are falling short of a true culture of safety; staff are leaving the profession and patients are still being harmed. But, for hospitals willing to renew their “constancy of purpose” for improving patient safety, there are solutions.