Transcript Slide 1

Safe Practice Overview
Charles Denham, MD
Chairman, TMIT
Co-chairman, NQF Safe Practices Consensus Committee
Chairman, Leapfrog Safe Practices Program
Safe Practices Webinar
March 18, 2010
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Harmonization – The Quality Choir
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The Patient – Our Conductor
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2010 NQF Safe Practices for Better
Healthcare: A Consensus Report
34 Safe Practices
• Criteria for Inclusion
• Specificity
• Benefit
• Evidence of Effectiveness
• Generalization
• Readiness
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History of NQF Safe Practices for Better Healthcare
2009 Final Report:
2010 Final Report:
• From 30 to 34 practices
• Culture Practice Elements
Broken Up into 4 Practices
• 2 Practices Discontinued
• 4 Medication Management
Practices Combined into 1
• 2 Communication Practices
Combined into 1
• 8 New Practices Added
• CMS Care Settings Defined
• Patient and Family
Involvement Section Added
© 2010 TMIT
• Format Structure Preserved
• Problem Statement and Implementation
Guide Thoroughly Updated
• Minor Specification Changes
• Updated References
• Corrections and Clarifications
• Care Setting Clarification Using CMS
Classification
• Measures Section Updated Thoroughly
with NQF-Endorsed and Other Practical
Measures for Consideration
• Soft Copy Document Hyperlinks
• Crosswalk Tables
• Glossary
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2003, 2006, and 2009 Update Versions
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Culture
2010 NQF Report
Consent & Disclosure
Consent and Disclosure
Workforce
Information Management and
Continuity of Care
Medication Management
Healthcare-Associated
Infections
Condition- &
Site-Specific Practices
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Culture
Structures
and Systems
Culture Meas.,
FB., and Interv.
Team Training
and Team Interv.
ID and Mitigation
Risk and Hazards
CHAPTER 2: Creating and Sustaining a Culture of
Patient Safety (Separated into Practices]
 Leadership Structures and Systems
 Culture Measurement, Feedback, and Interventions
 Teamwork Training and Team Interventions
 Identification and Mitigation of Risks and Hazards
Consent
& Disclosure
Consent
and
Informed
Consent
Life-Sustaining
Treatment
Care of
Caregiver
Disclosure
Workforce
2010
NQF Report
Nursing
Workforce
Direct
Caregivers
CHAPTER 4: Workforce
• Nursing Workforce
• Direct Caregivers
• ICU Care
ICU Care
Information Management and Continuity of Care
Patient
Care Info.
Read-Back
& Abbrev.
Labeling
Studies
Discharge
System
CHAPTER 3: Informed Consent and Disclosure
• Informed Consent
• Life-Sustaining Treatment
• Disclosure
• Care of the Caregiver
CPOE
Medication Management
CHAPTER 5: Information Management and Continuity
of Care
 Patient Care Information
 Order Read-Back and Abbreviations
 Labeling Studies
 Discharge Systems
 Safe Adoption of Integrated Clinical Systems
including CPOE
CHAPTER 6: Medication Management
 Medication Reconciliation
 Pharmacist Leadership Role Including: High-Alert
Med. and Unit-Dose Standardized Medication
Labeling and Packaging
Med. Recon.
Pharmacist Systems Leadership:
High-Alert, Std. Labeling/Pkg., and Unit-Dose
Healthcare-Associated Infections
Influenza
Prevention
Hand Hygiene
Sx-Site Inf.
Prevention
VAP
Prevention
Central V. Cath.
BSI Prevention
MDRO
Prevention
UTI
Prevention
Condition-, Site-, and Risk-Specific Practices
Wrong-site
Sx Prevention
Contrast
Media Use
Organ
Donation
Press. Ulcer
Prevention
Glycemic
Control
DVT/VTE
Prevention
Falls
Prevention
Anticoag.
Therapy
Pediatric
Imaging
CHAPTER 7: Hospital-Associated Infections
• Hand Hygiene
• Influenza Prevention
• Central Venous Catheter-Related Blood Stream
Infection Prevention
• Surgical-Site Infection Prevention
• Care of the Ventilated Patient and VAP
• MDRO Prevention
• UTI Prevention
CHAPTER 8:
• Wrong-Site, Wrong-Procedure, Wrong-Person
Surgery Prevention
• Pressure Ulcer Prevention
• DVT/VTE Prevention
• Anticoagulation Therapy
• Contrast Media-Induced Renal Failure Prevention
• Organ Donation
• Glycemic Control
• Falls Prevention
• Pediatric Imaging
LEADERSHIP STRUCTURES and SYSTEMS
Patients and
Community
Leadership Structures
and Systems
Values
Culture Measurement,
Feedback, and Intervention
Systems
Structures
Teamwork Training and
Skill Building
Behaviors
Identification and Mitigation
of Risks and Hazards
Outcomes
NQF 34 Safe
Practices
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HAI Guidelines
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