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The Josie King Foundation has been in the news as we continue to pursue the efforts of quality and safety.

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Condition H, Solutions Innovations in Health Care as Simple as Picking Up the Phone

From http://tinyurl.com/lwn73f
(Accessed on September 15, 2009)

In this modern age, we have become used to thinking about innovation as the domain of the iterative tinkerer, the weapon of choice for wizards who stay up late to make smaller, faster, cooler circuits and systems. But for Tami Minnier, chief quality officer for the University of Pittsburgh Medical Center, life-saving innovation was as easy as picking up the phone. "It was so simple, it's almost embarrassing to say it out loud," she told me. "But I knew it could save lives."

She is talking about Condition Help, a program she helped create that allows a patient or their family to summon a "rapid-response team" of medical personnel, at any time throughout their hospital stay.
7/24/2009
Medical Errors, Patients Stricken at birth

http://www.latimes.com/la-na-caitlin-ss,0,3269409.htmlstory
(Accessed on August 5, 2009)

Compelling audio slide show from the L.A. Times that tells a young family's experience with a medical error that has changed the course of their lives.
7/22/2009
Medical Errors, Solutions Seeking a Safer Surgery

http://tinyurl.com/mm7lhw
(Accessed on September 2, 2009)

A 42-year-old woman dies shortly after undergoing five cosmetic procedures in a New York plastic surgeon’s office. A 53-year-old Tucson patient having liposuction and surgery to tighten her jaw line stops breathing. A 21-year-old man has a fatal reaction to anesthesia while undergoing minor genital surgery.


7/20/2009
Medical Errors Hospitals Tally Their Avoidable Mistakes

http://www.washingtonpost.com/wp-dyn/content/article/2009/07/20/AR2009072002336.html
(Accessed on August 5, 2009)

Surgery on a patient with a debilitating spinal-cord disease went terribly wrong in a District hospital last year: The patient was discharged only to be readmitted a few days later complaining of severe leg pain. The surgeon, it turned out, had operated on the wrong part of the spine.

7/20/2009
Health Reform, Patient Safety, Solutions Health Care’s Infectious Losses
Health care reform seems to be on the way, whether we want it or not. So I have been asking questions about the various proposals. Here is a sampling.

Which of the reform proposals will eliminate the millions of infections acquired at hospitals every year?

Which of the proposals will eliminate the annual toll of 300 million medication errors?

Which of the proposals will eliminate pneumonia caused by ventilators?

Which of the proposals will eliminate falls that injure hospital patients?

Which of the proposals will capture even a fraction of the roughly $1 trillion of annual “waste” that is associated with the kinds of process failures that these questions imply?

So far, the answer to each question is “none.”
7/5/2009

 

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