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.
A “near miss” in health care is when an error or adverse event is narrowly avoided. Though often underreported and underrecognized, near misses are significant indicators of potential patient safety hazards. While exact statistics vary due to reporting practices and definitions, studies suggest that near misses are relatively common occurrences. So, here’s the million-dollar question: Why do health care organizations underreport these near occurrences, which could result in learnings that prevent patient harm?
Patient safety is the focus of what we all do. It involves a never-ending process of learning, understanding, and improving. At HQI, our goal is to support the dedicated people who are on the front lines of patient safety with valuable information to help them do their jobs better and open the door to new ideas in the world of health care.
OBJECTIVES This virtual forum will examine the pros and cons of various methods used by hospital security officers when responding to escalating levels of threat within a hospital facility. The featured speaker will be Dennis Kaskovich, Director of Security, Sharp HealthCare REGISTER
Let’s be honest – we have a “love-hate” relationship with data, but connecting our stories with measurement drives understanding of our challenges and empowers an organization’s collective “why.”
This session will explore Gabby’s journey as she sought medical help for failure to thrive. Gabby’s mother will share their experiences with multiple doctor visits, a pediatric Gastroenterology (GI) specialist will discuss the failure to thrive workup, and an emergency department (ED) and trauma specialist will address the ultimate diagnosis and strategies for supporting patients like Gabby. Ultimately, Gabby was admitted to the hospital where her diagnosis was determined, marking the beginning of a new chapter in her life.
About HQI’s Sentinel Signal Detection System Report HQI’s sentinel signal detection system automatically detects abnormal changes (i.e., signals) in the incidence of diagnosis categories from hospital encounter records in the Hospital Quality Improvement Platform (HQIP). Every quarter, HQI aggregates these signals across reporting hospitals to provide a statewide perspective. In the Q4 2023 Signal Detection Report, […]
Scott and Tammy will describe the steps to qualification to the world’s first independently audited, high reliability standard ‒ Collaborative High Reliability® and it’s building block, Collaborative Just Culture®. The program offers a three-tiered approach. Each step builds on the tools and skills developed in the previous step. Collaborative Just Culture® Program Qualification– Foster a […]
Discover how to leverage your Patient Safety Evaluation System (PSES) to transform health care into a learning structure. This innovative summit will teach you how to break barriers and solve what keeps us up at night. It will provide information to help you communicate better (internally and with patients) and strengthen patient care delivery. Presenters will address how to improve patient care design, and discuss innovative programs that reduce costs, accelerate efficiency, and enhance reliability.
Discover the key to preventing hospital falls in our upcoming webinar, where we unveil the singularly proven intervention that effectively mitigates fall risks. Join us as we delve into current strategies and drawing from the latest research offer practical insights to address this critical patient safety concern. Learn how this evidence-based intervention can transform fall […]