Boot camp in ses­sion

NPSF looks to in­spire or­ga­ni­za­tional change with demon­stra­tions

Modern Healthcare - - The Week In Healthcare - Mau­reen McKin­ney

While main­tain­ing its fo­cus on high-pri­or­ity qual­ity and safety is­sues such as read­mis­sions, care tran­si­tions and in­fec­tion pre­ven­tion, the Na­tional Pa­tient Safety Foun­da­tion also added some new el­e­ments to its 12th An­nual Pa­tient Safety Congress in Or­lando, Fla.

For in­stance, in re­sponse to re­quests from past at­ten­dees, or­ga­niz­ers of­fered a half-day­long, pre-con­fer­ence mea­sure­ment boot camp where par­tic­i­pants could learn more about how to as­sess per­for­mance with ex­ist­ing qual­ity mea­sures and how to use those re­sults to spur or­ga­ni­za­tional change. Diane Pi­nakiewicz, the foun­da­tion’s pres­i­dent, called the level of in­ter­est in the boot camp “tremen­dous,” and said the ses­sion, which in­cluded in­struc­tion from Helen Burstin, se­nior vice pres­i­dent for per­for­mance mea­sures at the Na­tional Qual­ity Fo­rum, was very well-re­ceived.

At­ten­dance at this year’s con­fer­ence hov­ered around 1,000, ac­cord­ing to a spokes­woman, up slightly from last year’s to­tal.

A newly added sim­u­la­tion cen­ter also fea­tured sev­eral staged, in­ter­ac­tive sit­u­a­tions us­ing man­nequins in­ter­spersed among ven­dor booths in the con­fer­ence’s ex­hibit hall. In one sim­u­la­tion, at­ten­dees could ex­am­ine a sur­gi­cal “pa­tient” and his chart to de­ter­mine the num­ber of safety vi­o­la­tions. The pre­sen­ters were from the UMJMH Cen­ter for Pa­tient Safety, a col­lab­o­ra­tive cen­ter founded jointly by the Uni­ver­sity of Mi­ami Miller School of Medicine and the Jack­son Health Sys­tem, Mi­ami.

“The train­ing is a re­ally ef­fec­tive way to show them the ben­e­fits of good com­mu­ni­ca­tion and work­ing as a team,” said David Birn­bach, pro­fes­sor and ex­ec­u­tive vice chair of the Uni­ver­sity of Mi­ami’s anes­the­si­ol­ogy, pe­ri­op­er­a­tive medicine and pain man­age­ment depart­ment, and the di­rec­tor of the cen­ter. Jack­son Me­mo­rial Hos­pi­tal re­quires that all of its in­terns take the course be­fore treat­ing pa­tients, he added.

At an­other demon­stra­tion, led by staff mem­bers from the Cen­ter for Med­i­cal Sim­u­la­tion, Cam­bridge, Mass., a “pa­tient” who had just given birth to a baby was los­ing blood fast and par­tic­i­pants were in­structed to ad­min­is­ter more blood us­ing an un­fa­mil­iar pump de­vice, all while be­ing timed and video­taped. The goal, ac­cord­ing to Jor­dan Halasz, the cen­ter’s tech­ni­cal di­rec­tor, is to use sim­u­la­tion as a tool to eval­u­ate new prod­ucts in real time while also train­ing clin­i­cians to use them prop­erly.

The con­fer­ence’s ses­sions also gar­nered en­thu­si­asm from at­ten­dees, par­tic­u­larly those that in­cor­po­rated con­crete strate­gies for tack­ling com­mon safety prob­lems.

In one ses­sion about pre­vent­ing deaths in the emer­gency depart­ment, San­dra Schneider pro­vided sev­eral tac­tics for re­duc­ing over­crowd­ing and threats to pa­tient safety, in­clud­ing get­ting dis­charges out of the hos­pi­tal ear­lier in the day and urg­ing sur­geons to spread surg­eries more evenly through­out the week to en­hance ef­fi­ciency. Schneider is the pres­i­dent-elect of the Amer­i­can Col­lege of Emer­gency Physi­cians and chair emer­i­tus of the emer­gency medicine depart­ment at the Uni­ver­sity of Rochester (N.Y).

In an­other ses­sion on im­prov­ing tran­si­tions of care, pan­elists spoke about their ef­forts to make tran­si­tions safer for pa­tients. Christo­pher Kim, a clin­i­cal as­sis­tant pro­fes­sor of in­ter­nal medicine at the Uni­ver­sity of Michi­gan sys­tem and one of the speak­ers, high­lighted the sys­tem’s par­tic­i­pa­tion in Project BOOST—short for Bet­ter Out­comes for Older adults through Safe Tran­si­tions—a care tran­si­tions im­prove­ment ini­tia­tive spon­sored by the So­ci­ety of Hos­pi­tal Medicine.

“We had a lot of open phone calls and took a lot of sug­ges­tions from peo­ple, and we re­ally tried to de­liver in the con­tent of the meet­ing,” Pi­nakiewicz said. “Ex­e­cut­ing our ideas for the learn­ing and sim­u­la­tion cen­ter was hard, but it was re­mark­able to see it un­fold and to hear so much pos­i­tive feed­back.”

Jor­dan Halasz, top photo, left, stands next to a “pa­tient” in a sim­u­la­tion at the Pa­tient Safety Congress. These demon­stra­tions were added to this year’s congress.

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