Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management
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J Healthc Risk Manag · Jan 2012
Our journey to zero: reducing serious safety events by over 70% through high-reliability techniques and workforce engagement.
The techniques and best practices used to achieve a successful safety culture transformation and drive down the incidence of serious safety events are described. The Safety Transformation Initiative at Children's National resulted in national and local recognition, a financial savings of an imputed $35 million, and a greater than 70% decrease in the serious safety event rate over a 3-year period (July 1, 2008-June 30, 2011). ⋯ Our safety transformation was initiated in our fiscal year 2009 as part of a 3-year corporate goal. The work is continuing and we aspire to virtually eliminate serious safety events by 2016.
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J Healthc Risk Manag · Jan 2012
Perspectives on healthcare reform: High Court to decide constitutionality of individual mandate.
The U. S. ⋯ Also, this article identifies and discusses the pro and con arguments pertaining to each issue. Readers who wish to refresh their memories about all the events leading up to the Supreme Court review may refer to the December 2010 monograph of the American Society for Healthcare Risk Management (ASHRM).
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Pediatric risk is both unique and volatile. Children are more vulnerable when treated in any healthcare environment, but especially in the acute care setting. Children with chronic healthcare conditions are more challenging to treat and more susceptible to medical errors. ⋯ The unique factors of pediatric care that create increased risk are also reviewed. Low frequency/high severity claims involving children are discussed in detail as well as physician claims in the specialty of general pediatrics. Risk management solutions for pediatric issues are proposed.
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J Healthc Risk Manag · Jan 2011
Pennsylvania Patient Safety Authority blood specimen labeling collaborative.
This article shares a recent Pennsylvania Patient Safety Authority collaborative effort among nine hospitals in the northeastern part of the state whose mission was to decrease the potential for mislabeling events. This collaborative was a journey down "a road less traveled." Not many credible resources were out there to draw upon. But, those involved in this collaborative were persistent in their efforts. Through hard work and creativity they were able to identify and address areas for change and ultimately show a successful outcome.