The Challenge of Sepsis: Avoiding Overthinking the Signs, Symptoms and Delaying Identification – CHPSO Safe Table Forum

In this enlightening session, speaker will delve into the complexities surrounding the timely detection of sepsis, emphasizing the importance of not overanalyzing its signs and symptoms. Sepsis, a global issue, often presents itself in a way that mimics other causes, leading to misdiagnosis or delayed intervention. By addressing this challenge head-on, we aim to equip […]

Medication Reconciliation Process: Cultivating a Gold Standard – CHPSO Safe Table Forum

Medication reconciliation is an essential process in healthcare that plays a crucial role in ensuring patient safety and positive health outcomes. It involves reviewing and verifying a patient’s medication history to ensure accurate and comprehensive medication lists. This process is particularly crucial during care transitions, such as hospital admission or discharge, to avoid medication-related adverse […]

Management of Alcohol Withdrawal in the Acute Care Setting – a Multi-disciplinary Root Cause Analysis – CHPSO Safe Table Forum

Managing a patient who is withdrawing from alcohol is a complex balance of accurate assessments, consistent and aggressive medication management, and clear communication between the multi-disciplinary team. The case being presented follows a comprehensive Root Cause Analysis that was performed following the death of a patient withdrawing from alcohol. The case highlights the many challenges […]

Hospitals Advancing Equity in Perinatal Care – CHPSO Safe Table Forum

Despite California’s recent improvements in perinatal care and outcomes, Black mothers / birthing people are still multiple times more likely to die from pregnancy/birth-related causes and twice as likely to suffer a maternal morbidity (such as hemorrhage and infection) than those in other racial/ethnic groups. Hospitals are naturally called upon to help address these disparities, and […]

Combating the Rise in Syphilis: A Novel Screening Program Implemented in the Emergency Department

The incidence of syphilis is growing in California and in the United States (U.S.). The U.S. Preventive Services Task Force and Centers for Disease Control and Prevention recommend targeted syphilis screening of all persons at increased risk of infection. Emergency departments (EDs) represent an important setting to test and treat patients who are not seen in outpatient clinical settings. On November 27, 2018 the UC Davis emergency department developed and implemented an ED-based syphilis screening program that employed an electronic health record best practice alert (BPA). Over a period of 11 months post BPA, there was a 135% increase in syphilis diagnosis following BPA implementation. The screening program demonstrated that the use of a targeted BPA-driven screening protocol can increase the number of new syphilis diagnoses, without an increase in inappropriate testing. Furthermore, this screening strategy may also help capture patients in demographic groups who may otherwise not be offered testing in settings where screening is clinician-initiated.

Recent CDC Studies about COVID in California: An Epidemiological Review and Critique

New studies about various aspects of the COVID pandemic are released daily and the sheer volume makes it impossible to keep up. These studies vary in their designs and methodological rigor and therefore in their level of research validity. In this webinar, HQI’s epidemiologist will provide a historical perspective of the COVID epidemic in California and review the findings, point out strengths, and critique the methodologies used in several recent COVID studies based on California data. The following CDC studies are currently potential candidates for review during the webinar, though the actual studies reviewed will differ if particularly interesting ones are published in the interim:

Addressing Racial Inequity in Healthcare Outcomes with a Focus on Cherished Futures for Black Moms and Babies

Addressing racial inequity in healthcare requires focused attention and concerted action. A new initiative in Los Angeles County (now in its third year) is doing just that. Cherished Futures for Black Moms and Babies helps participating hospitals evaluate their data, collaborate with community partners, and implement institutional changes to improve care for Black women, birthing people, and families.

Patient Safety Culture Change

How can a health plan incentivize hospitals to develop reliable, sustainable and transparent cultures of safety? Learn about a groundbreaking new partnership of Inland Empire Health Plan (IEHP), BETA Healthcare Group (BETA) and Hospital Quality Institute (HQI) that rewards hospitals for participating in HQI Cares: Implementing BETA HEART® (HQI Cares), a comprehensive, multi-year program aimed at transforming patient safety and caregiver well-being. HQI Cares is now a part of IEHP’s Hospital Pay for Performance Program providing financial rewards to hospitals that meet quality improvement targets.

Transgender Healthcare: Safety Considerations for Both Patient and Institution

In this presentation we will discuss who transgender patients are, and review relevant epidemiologic information about this diverse patient population. We will then discuss the treatments and care plans that many patients undergo in the course of care. This discussion will include a brief overview of surgeries, and what these surgeries require from both patients and the institutions who provide care. We will then reflect on how transcare actually contributes to – and improves, care quality for all (i.e. cis-gender) adult and pediatric patients at an institution. Lastly, we will spend time focusing on how culturally sensitive care is, in fact, a safety issue for trans patients that come to our institutions, and, how not delivering culturally competent care should be a concern for institutions