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Quality Improvement & Patient Safety

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Section Officers & Staff

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

COVID-19 Resources

 

ACEP COVID-19 Field Guide

The ACEP COVID-19 Field Guide provides a table of contents with information on Home Safety, Work Safety including ACEP statements on PPE, EMS, Triage, Patient Presentation, Assessment, Diagnosis, Risk Stratification, Treatment, Special Populations, Business, Regulations & Liability, Personal Well-Being and Resilience, and Impact on Education, Licensure and Credentialing 

https://www.acep.org/corona/covid-19-field-guide/cover-page/

 

EMCrit Resource

The EMCrit resource was prepared by Josh Farcas and provides a COVID-19 Internet Book on Critical Care (IBCC) overview for EMCrit that covers Basic Biology, Infection Control, Diagnosis, Treatment, Prognosis, Disposition and PItfalls

https://emcrit.org/ibcc/COVID19/

 

Surviving Sepsis Campaign Guidelines on Critically Ill Adults with COVID-19

Surviving Sepsis Campaign Guidelines on the Critically Ill Adults with COVID-19 created by the Surviving Sepsis Campaign COVID-19 panel which included 36 experts from 12 countries and in this document issued 54 statements, 4 of which are best practice statements and 9 are strong recommendations and covered topics of infection control, laboratory diagnosis and specimens, hemodynamic support, ventilator support and COVID-19 therapy.

https://link.springer.com/content/pdf/10.1007/s00134-020-06022-5.pdf

 

Disclaimer
This is a high-priority list of COVID-19 resources that ACEP QIPS is compiling to provide easy access to our section members. Recommendations and guidelines referenced here are the sole responsibility of the authors, may not be evidence based and do not serve as standards of medical care. Variations in treatment may be required, based on individual circumstances, and the information here may need to be adapted based on clinical judgment and availability of resources.

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).

https://www.ncbi.nlm.nih.gov/pubmed/28060051

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

 

Tips

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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