MARCH 1, 2012

Welcome to the Patient Safety Update eNewsletter
This issue sponsored by The Pay for Performance Summit

Nurses Propose New Legislation to Protect Patient Safety
Armed with new and disturbing evidence gathered from the front lines of hospitals across the state, Minnesota nurses introduced legislation aimed at addressing patient safety through adequate staffing levels. The 2012 Staffing For Patient Safety Act includes setting a maximum patient assignment for Registered Nurses based on factors including nursing intensity and patient acuity, and would require hospital administrators to work directly with nurses to ensure that adequate resources are provided to keep patients safe. It would also increase transparency surrounding the staffing process. (Workday Minnesota - February 29, 2012)

Patient Safety Tool: How to Create an Accurate Medication List Toolkit
Consumers Advancing Patient Safety offers a free, downloadable toolkit, designed to guide healthcare providers through improving medical reconciliation in outpatient settings. The toolkit also includes additional resources and example tools for users. The 28-page toolkit includes five steps to creating an accurate medication list and improving medication safety through a patient-centered approach. (Becker's Clinical Quality & Infection Control ENewsletter - February 29, 2012)

World Leaders in Patient Safety Urge Global Solution to Prevent Devastating Errors
Worldwide changes in catheter system design are urgently needed to prevent serious complications caused by accidental injection of drugs into the wrong location, according to a special editoral in the March issue of Anesthesia & Analgesia, official journal of the International Anesthesia Research Society (IARS). (Newswise - February 29, 2012)

"Patient safety at risk", Academic Warns
A senior University of Exeter academic has warned that the Health and Social Care Bill may worsen patient safety. Dr Mike D. Williams, a former NHS hospital Chief Executive, has researched the issues relating to the care delivered in NHS hospitals. He was part of a recent inquiry into the Mid Staffordshire NHS Foundation Trust. (XMedia Online - March 1, 2012)

Corbett's Budget Will Set Back Pa.'s Patient Safety Efforts
Earlier this month, Gov. Corbett submitted Pennsylvania's 2012-2013 proposed budget. As expected, reductions in spending were suggested due to our slow economic recovery along with a worthy desire to maintain a balanced budget in our state. However, Michael Cohen believes that the governor's proposed budget clearly misses the mark when it comes to public safety and welfare by proposing to merge the Pennsylvania Patient Safety Authority (PSA) with the Pennsylvania Department of Health (DOH). (Philadelphia Inquirer - February 28, 2012)

Emergency Medicine and Patient Safety Communities to Convene at 2nd Annual Patient Safety Summit
The Emergency Medicine Patient Safety Foundation (EMPSF) announced today the speakers for the 2nd Annual Emergency Care Patient Safety Summit to be held in San Antonio, Texas on March 22-23, 2012. The annual conference is devoted to advancing patient safety knowledge associated with providing emergency care in the pre-hospital and emergency department settings. (The Sacramento Bee - February 22, 2012)

Medicare Patient Safety Program Bets on HEN
The Medicare program is betting on a new course of action to curb what one medical journal has dubbed an "epidemic" of uncontrolled patient harm. The effort is pegged to the success of a little-known entity called a "hospital engagement network" (HEN). In December, the government selected 26 HENs and charged them with preventing more than 60,000 deaths and 1.8 million injuries from so-called "hospital-acquired conditions" over the next three years. (MedPage Today - February 24, 2012)

Looking Beyond the Hospital for Patient
The past decade has seen a surge of interest in patient safety issues affecting hospital inpatients, spurred in large part by a landmark Institute of Medicine report in 1999 that reported the widespread occurrence of preventable medical errors each year in U.S. hospitals. Since that IOM study, public policymakers, patient advocacy groups and others have been clamoring for more attention to be paid to the all-too-often deadly problem of inpatient medical errors. Increased research funds in this area have followed. Safety (American Medical News - February 20, 2012)

National Patient Safety Foundations

The National Patient Safety Foundation has been pursuing one mission since its founding in 1997--to improve the safety of care provided to patients. As a central voice for patient safety, NPSF is committed to a collaborative, inclusive, multi-stakeholder approach in all that it does.

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Using Patient-Centered Outcomes Research to Improve Care

Jed Weissberg, MD
Kaiser Permanente, Oakland, CA