Informatics improves quality...
http://www.med.uni-heidelberg.de/mi/yearbook/2003/yearbook_2003.htm
Morbidity & Mortality Rounds on the Web from AHRQ
http://webmm.ahrq.gov
JCAHOnline
June 2003
A monthly news brief from the
Joint Commission on Accreditation of Healthcare Organizations
For the complete text:
http://www.jcaho.org/About+Us/News+Letters/JCAHOnline/jo_06_03.htm
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2004 Standards Now Online
The newly revised 2004 Joint Commission pre-publication standards are now
posted on the JCAHO website, allowing individuals the opportunity to
familiarize themselves with the standards before the accreditation manuals
are published in September. A crosswalk is also available to help users
navigate between current and new requirements. The standards become
effective January 1, 2004, for the ambulatory care, behavioral health
care, home care, hospital, laboratory and long term accreditation
programs.
See the standards:
http://www.jcaho.org/accredited+organizations/2004+standards.htm
Complete story:
http://www.jcaho.org/About+Us/News+Letters/JCAHOnline/jo_06_03.htm#2004
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JCAHO Seeks Comments on Proposed Universal Protocol for Eliminating Wrong
Site, Wrong Procedure, Wrong Patient Surgery
Deadline: Wednesday, July 9
JCAHO is now seeking comments from health care experts and patient safety
advocates on a new 'universal protocol' for eliminating wrong site, wrong
procedure and wrong patient surgery. The proposed protocol for
eliminating wrong site, wrong procedure and wrong patient surgery is the
result of consensus among key heath care leaders and a May summit focused
on preventing these devastating errors.
See the protocol, survey and background information:
http://www.jcaho.org/accredited+organizations/patient+safety/wss_universal+pro
tocol.htm
Complete story:
http://www.jcaho.org/About+Us/News+Letters/JCAHOnline/jo_06_03.htm#wrongsite
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Shared Visions-New Pathways Video Series
In order to enhance communication about the changes relating to Shared
Visions-New Pathways, JCAHO is creating a series of videos that will be
made available free of charge on the JCAHO website. This series of
five-to-seven minute videos will highlight the key components of the new
accreditation process. The first two videos, one an overview and the
other on the Standards Review Project, are now available at:
http://www.jcaho.org/accredited+organizations/svnp/svnp_video.htm.
See the news release:
http://www.jcaho.org/news+room/news+release+archives/svnp_videos.htm
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PHRP Approves Final Accreditation Standards
The Partnership for Human Research Protection, Inc. (PHRP) announced the
approval of final standards for a new accreditation program to safeguard
the interests of human subjects participating in important research
efforts. The final standards address organization responsibilities,
institutional review board (IRB) structure and operations, consideration
of risks and benefits, and informed consent. The PHRP standards, which
will be available June 12, may be purchased in an online format or as a
printed manual at http://www.phrp.org.
See the news release:
http://www.jcaho.org/news+room/news+release+archives/phrp_0520.htm
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JCAHO, NCQA Establish Privacy Certification for Business Associates
Program
JCAHO and the National Committee for Quality Assurance (NCQA) launched
their new Privacy Certification Program for Business Associates (PCBA) in
June. Eight organizations have now committed to seek certification.
The new program is designed to assess whether organizations referred to as
business associates under the federal Health Insurance Portability and
Accountability Act (HIPAA) of 1996 are meeting essential requirements for
safeguarding personally identifiable health information.
See the news release:
http://www.jcaho.org/news+room/news+release+archives/bap_6_16.htm
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2004 Aggregation Decision Rules
JCAHO's Accreditation Committee approved the 2004 aggregation and decision
rules that are used to score and determine accreditation decisions. These
rules provide the framework for the new accreditation decision process for
Shared Visions-New Pathways.
Complete story:
http://www.jcaho.org/About+Us/News+Letters/JCAHOnline/jo_06_03.htm#aggrules
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Examples of Acceptable Alternatives to NPSGs
Examples of acceptable alternative approaches to the 2003 National Patient
Safety Goals are available on the JCAHO website at
http://www.jcaho.org/accredited+organizations/patient+safety/npsg/sample+alter
natives.htm.
As more Requests For Review of Alternatives are completed, more examples
will be added to the list.
For more information, contact Rick Croteau, rcroteau@jcaho.org or
630-792-5776.
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Standards Review Project Update
In its review of the Medical Staff (hospital only) standards chapter from
the Standards Review Project, the Board of Commissioners determined that
two proposed new Elements of Performance (EP) relating to two separate
standards require field review. These proposed EPs had not been included
in previous field reviews.
Complete story:
http://www.jcaho.org/About+Us/News+Letters/JCAHOnline/jo_06_03.htm#standrev
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Infection Control Expert Panel Meets
The Infection Control Expert Panel met in late April and approved draft
infection control principles that emphasize the need for organization-wide
collaboration among infection control practitioners, physicians, other
clinical staff, and administrative managers, among others; and the need
for integration of infection control programs with safety programs and
periodic reporting of results to the governing body of organizations.
Complete story:
http://www.jcaho.org/About+Us/News+Letters/JCAHOnline/jo_06_03.htm#icpanel
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JCAHO President Testifies Before U.S. Senate On Reducing Medical Errors
Testifying before the U.S. Senate Committee on Governmental Affairs, Joint
Commission President Dennis S. O'Leary, M.D., outlined six crucial
strategies for the creation of a true culture of safety within health care
institutions.
See the news release:
http://www.jcaho.org/news+room/news+release+archives/0611_testimony.htm
Complete testimony:
http://www.jcaho.org/news+room/on+capitol+hill/061103_testimony.htm
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Third quarter CEO opinion survey results
JCAHO's third quarter CEO opinion survey of all accredited organizations
and programs revealed the following ratings as excellent, very good or
good:
� Overall satisfaction with the recent on-site survey-95.9 percent
(compared to 95 percent last quarter).
� Likelihood of re-applying for accreditation-95.3 percent (compared to
95 percent last quarter).
� Likelihood of recommending JCAHO accreditation to colleague-91.3
percent (compared to 89 percent last quarter).
� Overall value of accreditation to their organization-90.2 percent
(compared to 89 percent last quarter).
For more information, contact Chuck Mowll, cmowll@jcaho.org or
630-792-5250.
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Business Advisory Group Meets
The Business Advisory Group (BAG) met in early April to discuss a number
of issues, including plans for Shared Visions-New Pathways, which were
well received by the Group.
Complete story:
http://www.jcaho.org/About+Us/News+Letters/JCAHOnline/jo_06_03.htm#bag
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New Online Resources
� Sentinel Event Alert, Issue 29, Preventing Surgical Fires,
http://www.jcaho.org/about+us/news+letters/sentinel+event+alert/sea_29.htm
� New and updated Frequently Asked Questions (FAQs) on National Patient
Safety Goals 5 and 6,
http://www.jcaho.org/accredited+organizations/patient+safety/npsg/faqs+about+n
ational+patient+safety+goals.htm.
These FAQs cover requirements for infusion pumps--including ambulatory,
Abbott Omni-Flow 4000 and 4000-Plus, and Patient Controlled Analgesia
(PCA) pumps--and clinical alarms.
� A new brochure, "Setting the Standard: The Joint Commission & Health
Care Safety and Quality,"
http://www.jcaho.org/accredited+organizations/patient+safety/setting+the+stand
ard.htm
� Ambulatory Care Advisor, Issue 1, 2003,
http://www.jcaho.org/accredited+organizations/ambulatory+care/advisor/2003issu
e1/obs_100_accred.htm
� BHC Accreditation News, Issue 1, 2003,
http://www.jcaho.org/accredited+organizations/behavioral+health+care/bhc+news/
2003issue1/gold+seal.htm
� LTC Update, Issue 1, 2003,
http://www.jcaho.org/accredited+organizations/assisted+living/ltc+update/2003i
ssue1/gold+seal.htm
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To subscribe
http://www.jcaho.org/about+us/news+letters/newsletter+signup.htm
http://www.jcaho.org/About+Us/News+Letters/JCAHOnline/jo_06_03.htm#2004
Medication errors in hospitalized cardiovascular patients
http://archinte.ama-assn.org/cgi/content/abstract/163/12/1461
Institute for Healthcare Improvement - Dr. Donald Berwick - Critical Care,
Flow Through Acute Care Settings, Workforce Excellence, Patient Safety
http://www.ihi.org/
CQI for students at Medical University of South Carolina
http://www.musc.edu/deansclerkship/rc_cqi.htm
Scurvy and Quality Improvement:
The 18th century Scottish physician James Lind is best known for establishing
that lemons and oranges were remedies for scurvy (?Champlain), then a major
killer of sailors and landlubbers alike. But his systematic analysis of
previous writings about preventing and treating the malady was also a
landmark in the history of "fair tests" - studies that weigh all pertinenet
evidence and account for chance and bias. This site, the James Lind Library,
hosted by the Toyal College of Physicians traces the evolution of "fair
tests", which are becoming more and more important in medicine. It also has
links to the Cochrane Collection.
http://www.jameslindlibrary.org/
Cochrane Collection: systematic reviews of the effects of healthcare
interventions
http://www.cochrane.org
Dr. Leape, "The godfather of patient safety sees proggress". His 1994
article "Error in medicine" was also a co-author of the Institute of Medicine
1994 report "To err is human". Focus on the process....
http://www.memag.com/be_core/MVC?mag=m&action=viewArticle&y=2003&m=08&d=08&article=leape.html&path=/be_core/content/journals/m/data/2003/0808&template=past_issues_show_article.jsp&navtype=m&title=The+godfather+of+patient+safety+sees+progress
Uh-oh
http://news.independent.co.uk/uk/health/story.jsp?story=439109
Six Sigma and Six Sigma Black Belts
http://www.isixsigma.com/library/content/c020815a.asp
Donald Berwick
http://www.hsph.harvard.edu/faculty/DonaldBerwick.html
Using the PDSA cycle to improve diabetes care
http://www.betterdiabetescare.org/HOWpdsa.htm
PDSA for kids
http://homepage.risd41.org/koalatykid/
PDSA in action
http://www.southwestyorkshire.nhs.uk/Collaborative/default.htm
Deming Cycle - also known as PDSA cycle
http://www.hkbu.edu.hk/~samho/tqm/tqmex/deming.htm
PDSA for teachers
http://edservices.aea7.k12.ia.us/lltc/mm/model/pdsa.html
AAFP - PDSA - First Steps
http://www.aafp.org/x3843.xml
http://www.aafp.org/fpm/990300fm/23.html
AAFP - PDSA 2 Assembling a Team
http://www.aafp.org/fpm/990400fm/25.html
AAFP - PDSA 3 Holding the Gains
http://www.aafp.org/fpm/990500fm/29.html
AAFP - Practice Based Learning Improvement
http://www.aafp.org/x16578.xml
October 2003 - MSNBC - hospitals can kill you
http://www.msnbc.com/news/977139.asp
Staples
http://www.boston.com/yourlife/health/diseases/articles/2003/11/08/112_deaths_linked_to_surgical_staplers/
ACP Observer: NCQA for Physicians
http://www.acponline.org/journals/news/dec03/ncqa.htm