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Quality Improvement & Patient Safety

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Section Officers & Staff

Shashank Ravi, MD, MBA
Alexis Lawrence, MD
Newsletter Editor
Rohit Sangal, MD
Website Editor
Ramana Feeser, MD
Immediate Past Chair
Venkatesh Bellamkonda, MD, FACEP
Bobby Redwood, MD, MPH
Alternate Councillor
William Dalsey, MD, FACEP
Board Liaison
Aisha Terry, MD, FACEP
Staff Liaison
Joseph Kennedy

Updates and News

Recent Research in Patient Safety

Electronic prescribing reduces adverse drug events:

Electronic prescribing is meant to reduce errors in prescribing by ensuring that prescriptions are clear, legible and send directly to pharmacies. A recent study shows that e-prescribing is tied to lower risks of adverse drug events among diabetic patients who required emergency department visits. 

In an AHRQ-supported study, researchers examined data for 3.1 million Medicare beneficiaries and found that rates of adverse drug events were lower (21 in 1000) in patients had 75% or more of their medications e-prescribed (compared to 44 in 1000 for patients with 25% or less of their medications e-prescribed).


Educational Content for Providers

Leading the way to a culture of safety
Jamie Santistevan, MD 

The Joint Commission recently published a sentinel event alert to highlight the importance of leadership in promoting a culture of safety. Safety culture is defined as what an organization is and does in pursuit of safety. Leaders in healthcare can model behaviors that establish a strong culture of safety in their organizations. On the opposite end of the spectrum, lack of strong leadership in promoting and developing a culture of safety can be responsible for systems flaws that lead to errors and patient harm. Leaders actions that promote this safety culture include:

  1. Demonstrate commitment to safety in their decisions and behaviors
  2. Ensure that decisions that support safety are rigorous
  3. Allow trust and respect to permeate an organization
  4. Create opportunities to learn about how to improve safety
  5. Promptly identify and evaluate issues that have a potential impact on safety
  6. Allow personnel to freely raise concerns about safety without fear of discrimination or retaliation
  7. Actively participate, along with care team members, in initiatives designed to develop safety

For more information about developing a robust culture of safety through effective leadership read the entire report here (PDF): https://www.jointcommission.org/assets/1/18/SEA_57_Safety_Culture_Leadership_0317.pdf



QIPS TIPS #33: Falling for You!
Shari Welch , MD, FACHE, FACEP 

As you now know, in 2008 CMS identified ten categories of conditions that will no longer be reimbursed. The implementation of this rule is now being felt by hospitals and providers. On a gut level the change does not seem unreasonable. The new rule basically says that if something bad happens to a patient in the hospital, the hospital does not get paid to treat that condition. These so-called Hospital Acquired Conditions include one entity particularly relevant for the emergency department: Falls and Trauma.

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