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Ligature Risk and Suicide Prevention in the Emergency Department

Emergency departments (EDs) across the nation are seeing a significant increase in the volume and length of stay of behavioral health patients. This means EDs are caring more for those at the highest risk for suicide attempts. A toolbox with materials to recognize and mitigate ligature risk has been designed for this presentation. Documents will also be shared that demonstrate how to create a safe space for the patient waiting for clearance, how a strong partnership with the county behavioral health team impacts the suicide risk, and how having a solid monitoring and education plan for the staff affects patient safety.   

Designing, Implementing, and Reporting on Interventions to Address Disparities

HQI is offering a two-part webinar series, Health Equity Basics for Hospitals. The aim is to provide hospitals with the latest information on how to operationalize and execute actionable strategies to identify and address racial and ethnic disparities.   

Achieving equity in quality of care requires that we measure performance. When disparities are identified, improvement interventions must be developed to address them. Multiple equity and quality improvement strategies have proven outcomes. Understanding disparities and choosing the right intervention are critical to achieving equity in quality of care. 

Leveraging Data to Promote Equity of Care

HQI is offering a two-part webinar series, Health Equity Basics for Hospitals. The aim is to provide hospitals with the latest information on how to operationalize and execute actionable strategies to identify and address racial and ethnic disparities.   

To achieve equity in quality of care, collecting patient demographics and then measuring performance across a series of measures is fundamental. It is impossible to claim that an organization is delivering equitable care without building systems that can demonstrate this in an evidence-based way. Not unlike patient safety, we understand we cannot manage what we don’t measure — and achieving equity in quality requires data collection and performance measurement as a foundation for action.

What Can We Learn from Ambulatory Patient Safety Reports?

While much of patient safety efforts focus on inpatient care, the majority of medical care occurs in the outpatient, or ambulatory, setting. Join UCSF physician researcher Dr. Anjana Sharma, in a presentation of a series of analyses of CHPSO event reports from the ambulatory setting. Her mixed methods work has identified attributes of CHPSO events most correlated with patient harm. Her qualitative work has explored the role of patients and caregivers in ambulatory reports, as well as ambulatory medication adverse reports. Her work is conducted in partnership with a stakeholder advisory council including patients, caregivers, and primary care clinicians, and staff.

Participants will gain an expanded understanding of the landscape of ambulatory safety reporting and will discuss how research in this domain can be expanded and improved.

2022 Safe Table Meeting Schedule

CHPSO will host safe table meetings via teleconference. If you are interested in a specific topic or sharing a case, please let us know at Schedule is as follows: Date Time Topic 01/12/2022 10:00-11:00 a.m. Pacific The Pressure of Preventing Skin Injuries – An Evidence-Based Approach 01/27/2022 10:00-11:00 a.m. Pacific Searches by Private Citizens in […]

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.

The Shocking Truth Regarding Job-Related Problems Prior to Nurse Suicide

We have known for several years that nurses are at higher risk of suicide than the general population and that nurses have more job-related problems recorded prior to death by suicide. What we have now learned about those job-related problems is troublesome at best with implications for risk managers, hospital executives, and all leaders in healthcare. This panel will describe the issues and implications for advocacy and policy change necessary to right the wrongs leading to death by suicide amongst nurses through personal testimony and review of recent research findings.

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: