PPT-Lean Hospitals Ch.8-Preventing Errors and Harm

By David May ETM 528 Spring 2018 David May Lean Hospitals Ch 8 1 A Serious Problem A study in 1999 by the Institute of Medicine said medical mistakes cause as many as 98000 deaths a year in the United States. Common Barriers to Generating Improvements on . ADEs. Partnership for Patients . Pacing Event. Tuesday, . July 22, . 2014. 3:00–4:15 pm . (. ET). Welcome. Monica Barrington. Premier HEN and MSAG Co-lead. There’s a bug in our code. There’s a bug in our code. [Probably] The first software bug. Harvard Mark II. Electromechanical machine. Moth found in relay. Found by . Grace Hopper. Type of Errors. 3 that we’ll mention today. Introducing . Truven Health Center for Innovation: Performance Improvement, Care Delivery and . Innovation. Presented . by:. Enrique Baquero Navarro, MHSA, FACHE, Vice President, PRHA. Yanira Valle, RN, MSN, Project Manager, . Kallol. Datta. Lean Manufacturing Defined. Lean manufacturing system is a management technique that embraces all aspect of production method for reduction of waste from the value stream to remain competitive.. Introducing . Truven Health Center for Innovation: Performance Improvement, Care Delivery and . Innovation. Presented . by:. Enrique Baquero Navarro, MHSA, FACHE, Vice President, PRHA. Yanira Valle, RN, MSN, Project Manager, . Michael Drabkin MD . Margaret Steiner, Isael Perez, Steven Lev MD. Nassau University Medical Center. eEdE-106. Purpose. To review and classify causes of errors in diagnostic neuroradiology, via a case-based approach, with a focus on strategies for error prevention for the on-call resident. at WWL . Linda Smyth. Head of Quality Improvement. Wrightington, Wigan & Leigh. Population >300,000. 16% age>65. Little ethnic diversity (4% BME). Life expectancy < England average. Inequalities within the borough. Are Key to . Keeping Kidney Patients Safe. On average, dialysis patients take 6 to 10 different medications each day.. Most dialysis patients report that they only “sometimes” discuss all of their medications with their doctor.. Is Key to . Keeping Kidney Patients Safe. Incorrect Dialysate or Dialyzer. Setting up the wrong dialyzer or dialysate for a patient can be a dangerous event that can result in harm to patients. . Prevention of these errors requires patient and professional education and procedural safeguards. . 11/29/2017. 1. Introduction. Medication errors responsible for numerous adverse outcomes, including death. This results in high cost (emotional and financial). General framework for handling dispensing errors. Kallol. Datta. Lean Manufacturing Defined. Lean manufacturing system is a management technique that embraces all aspect of production method for reduction of waste from the value stream to remain competitive.. \n # \n     \n  \n ! \n"\n It’s no secret that this world we live in can be pretty stressful sometimes. If you find yourself feeling out-of-sorts, pick up a book.According to a recent study, reading can significantly reduce stress levels. In as little as six minutes, you can reduce your stress levels by 68%. Barbara DeBaun, MSN, RN, CIC . Improvement Advisor. Cynosure Health. Session 3. Kim Werkmeister, MS, RN, CPHQ, CPPS. Improvement Advisor. Cynosure Health. Goals for the Program. Develop a foundational understanding of core concepts related to health care quality and patient safety.