2018 Patient Safety Awareness Week Twitter Chat

Did you miss our chat on March 16? Scan the discussion below.

Patient Safety Awareness Week

2018 Twitter Chat #PSAW18

  1. Reminder: Building a #Culture of Safety Twitter chat starts at noon ET on Fri (3/16) https://t.co/tXmIeRBmcZ. Join us to share your #patientsafety insights and questions. Tag and follow #PSAW18. https://t.co/tQd1MRimfW
    Reminder: Building a #Culture of Safety Twitter chat starts at noon ET on Fri (3/16)  http://bit.ly/2s0gsaD . Join us to share your #patientsafety insights and questions. Tag and follow #PSAW18. pic.twitter.com/tQd1MRimfW
  2. Join @TheIHI and others for Twitter Chat on Building a Culture of Safety  http://bit.ly/2s0gsaD  3/16 at Noon ET #PSAW18 #PatientSafety
  3. Join @TheIHI and others for Twitter Chat on Building a Culture of Safety  http://bit.ly/2s0gsaD  3/16 at Noon ET #PSAW18 #PatientSafety
  4. @CDC_NCEZID will be participating in @TheIHI’s patient safety twitter chat TODAY at noon ET. Please join us and use #PSAW18 to follow the conversation. #ptsafety
  5. This week marks Patient Safety Awareness Week. Join @TheIHI for a Twitter chat today at noon ET. Follow along with #PSAW18  http://bit.ly/2tS1zIx 
  6. .@CDC_NCEZID will be participating in @TheIHI’s patient safety Twitter Chat today at noon ET. Please join us and use #PSAW18 to follow the conversation. #ptsafety
  7. Twitter Chat TODAY at 1:00 p.m. ET: “Building a Culture of Safety in Healthcare.” Use #PSAW18 to follow along and join the conversation with @AHRQNews and @TheIHI. Also, check out our tools to improve your organization's patient safety culture: https://t.co/4zaNDfzJqo https://t.co/BAxo80qw9X
    Twitter Chat TODAY at 1:00 p.m. ET: “Building a Culture of Safety in Healthcare.” Use #PSAW18 to follow along and join the conversation with @AHRQNews and @TheIHI. Also, check out our tools to improve your organization's patient safety culture:  http://bit.ly/2oP0Y5u  pic.twitter.com/BAxo80qw9X
  8. "Building a Culture of Safety in Health Care"  @TheIHI Twitter Chat TODAY - Friday, March 16 at noon Eastern Time. Use #PSAW18 to participate. https://t.co/AJRp7AIMyM  #ptsafety #patientsafety #safetyculture #adversevents #medicalerrors https://t.co/eY46Jy1vZY
    "Building a Culture of Safety in Health Care" @TheIHI Twitter Chat TODAY - Friday, March 16 at noon Eastern Time. Use #PSAW18 to participate.  http://www.unitedforpatientsafety.org/join_a_twitter_chat  #ptsafety #patientsafety #safetyculture #adversevents #medicalerrors pic.twitter.com/eY46Jy1vZY
  9. @NursingDean and @sarah_szanton are joining @TheIHI 's twitter chat today at 12 p.m. ET. Follow the conversation #PSAW18 https://t.co/fSUWnRFOca
    @nursingdean and @sarah_szanton are joining @TheIHI 's twitter chat today at 12 p.m. ET. Follow the conversation #PSAW18 pic.twitter.com/fSUWnRFOca
  10. Today's the day! Join us from, 12-1pm ET, in @TheIHI Twitter Chat about Building a Culture of Safety in Health Care by using #PSAW18 https://t.co/SOauQ6n6ZV https://t.co/R4hkV96xAR
    Today's the day! Join us from, 12-1pm ET, in @TheIHI Twitter Chat about Building a Culture of Safety in Health Care by using #PSAW18  http://bit.ly/2GyvkQ0  pic.twitter.com/R4hkV96xAR
  11. Looking forward to joining the #PSAW18 Twitter chat in 30 mins on building a culture of safety in health care. Join in using the hashtag!  http://ow.ly/1Qql30iZnPl  #PSAW #PSAW2018
  12. We're excited to join @TheIHI at 12pm ET for a Twitter chat on building a culture of #patientsafety. Will we see you there?! #PSAW18
  13. https://t.co/8Jgd5i0wgC : Looking forward to joining the #PSAW18 Twitter chat in 30 mins on building a culture of safety in health care. Join in using the hashtag! #PSAW #PSAW2018 https://t.co/n7vGtlqX8V https://t.co/u0LECblikg
     http://SupplyChainSN.com  : Looking forward to joining the #PSAW18 Twitter chat in 30 mins on building a culture of safety in health care. Join in using the hashtag! #PSAW #PSAW2018  http://dlvr.it/QLH4Fs  pic.twitter.com/u0LECblikg
  14. https://t.co/2Uy1Vy092m : https://t.co/krtP8HOFOf : Looking forward to joining the #PSAW18 Twitter chat in 30 mins on building a culture of safety in health care. Join in… https://t.co/7vC0wYhMaQ https://t.co/BXmiYWARom
     http://www.PinCush.in  :  http://SupplyChainSN.com  : Looking forward to joining the #PSAW18 Twitter chat in 30 mins on building a culture of safety in health care. Join in…  http://dlvr.it/QLH5Tk  pic.twitter.com/BXmiYWARom
  15. Happening now: @sarah_szanton and @JHUNursing  are joining @TheIHI 's twitter chat, "Building a Culture of Safety in Healthcare." Follow along #PSAW18 https://t.co/jnQduXGDX0
    Happening now: @sarah_szanton and @JHUNursing are joining @TheIHI 's twitter chat, "Building a Culture of Safety in Healthcare." Follow along #PSAW18 pic.twitter.com/jnQduXGDX0
  16. Please label your tweets relative to the topic (in response to T1, label your tweet A1) #PSAW18
  17. T1: What actions and initiatives foster trust, respect, and inclusion in health care? What gets in the way? #PSAW18
  18. T1: What actions and initiatives foster trust, respect, and inclusion in health care? What gets in the way? #PSAW18
  19. Cool resource: RT @tina_hilmas: RT @TheIHI: A1: Communicate, whether a problem can be fixed or not  http://bit.ly/2pa0BCv  #PSAW18
  20. A1 (2 of 2): The biggest hurtles to building respect can come from disruptive behavior that is tolerated, failure to back up staff who bring an issue forward, jumping to conclusions … and NOT LISTENING! #PSAW18 @TheIHI  https://giphy.com/gifs/3o7aD7zcD9fgXRnc0o/html5   https://twitter.com/TheIHI/status/974677377824501760 
  21. A1 (1 of 2): The best way to foster trust is to LISTEN! Keep lines of communication open by asking questions, follow up, close the loop, and acknowledging all team members’ contributions. #PSAW18 @TheIHI  https://giphy.com/gifs/TNwRJDrAry7qU/html5   https://twitter.com/TheIHI/status/974677377824501760 
  22. A1: Infection Prevention is Everyone’s Responsibility Each of us—patients, families, and healthcare personnel—has an important role to play in keeping patients safe from infection. Know the basics of infection prevention. Learn more:  http://professionals.site.apic.org/  #PSAW18
  23. A1 Having authentic relationships, asking questions, being seen and accessible #PSAW18
  24. A1 Establish a just culture that focuses on improving systems, not blaming people #PSAW18
  25. A1 Conduct, evaluate, and develop action plans tied to surveys of patient safety culture #psaw18
  26. A1: The Safety Huddle is a perfect opportunity to demonstrate trust, respect, and inclusion. Make sure that's happening in your organization. #PSAW18
  27. A1: Maintaining a partnership with patients & families helps create a culture of safety & quality. And, every member of the care team is engaged in efforts to further improve patient safety & satisfaction. #PSAW18 #patientsafety
  28. A1) “Trust, respect and inclusion are the foundation of a culture of safety.” #PSAW18
  29. A1) “Healthcare leaders develop trust within their organizations by having authentic relationships and conversations.” #PSAW18
  30. A1) “Trust, respect, and inclusion are non-negotiable standards that must encompass the Board room, the C-Suite, clinical departments and the entire workforce.” #PSAW18
  31. A1: A "safety culture" that rewards best practices, has accountability at all staffing levels, and addresses missteps with honesty and transparency. #psaw18
  32. A1: Communicate, whether a problem can be fixed or not  http://bit.ly/2pa0BCv  #PSAW18
  33. A1: Healthcare-associated infections (HAIs) and #AntibioticResistance are patient safety threats. CDC works with public and private partners to eliminate HAIs. #PSAW18
  34. A1) Our clients often share that closing the loop on reporting, peer reviews and more can help promote a culture of trust and safety by connecting actions with outcomes. #PSAW18
  35. A1: When patients are recognized as the experts of their own experience and the institutional culture supports that, everyone is safer. #psaw18
  36. #PSAW18 A1 Leaders need to be consistent in their actions across all levels and disciplines to build trust #PSAW18
  37. A1) Creating active, engaged and diverse Patient and Family Engagement Councils.  http://www.njha.com/pfp/njtools/pfe/  #ToHealth #PSAW18
  38. A1: Facilities and health departments can include the patient perspective by inviting patients and their families to join committees and advisory boards. #PSAW18
  39. A1: If patients and families are encouraged to speak up, providers and staff have to be ready to listen. That's not always the case! #PSAW18
  40. A1: Questions patients can ask: How are providers and the facility protecting patients from infections? Do I really need antibiotics for my illness? What are potential antibiotic side effects? Am I at risk for C. difficile? #PSAW18 #cdiff #antibiotics
  41. A1: Health care providers must engage patients and family caregivers in every aspect of the healthcare journey. They really are the experts and can partner with docs and nurses to promote safe care. #PSAW18
  42. A1: APIC wants to help patients and care providers talk to each other about #infectionprevention. We have created some simple slogans and materials on this topic to help get the dialog started. Download and share these free posters:  http://professionals.site.apic.org/infographic/clean-hands-stop-germs/  #PSAW18  https://twitter.com/CDC_NCEZID/status/974677517251567617 
  43. A1) Hospitals should tailor communications strategies to health literacy levels. #healthliteracy #psaw18
  44. A1: Here are some ways to be more involved in your care  http://ow.ly/Vu9030iZrH1  #PSAW18
  45. A1: Promoting open and honest communication without repercussions can foster a culture of trust, respect, and inclusion in healthcare. Letting people know their voices are heard + taking action with the information provided is key. #PSAW18  https://twitter.com/TheIHI/status/974677377824501760 
  46. A1: Good communication between all parties is essential, and being open to the input of others. #PSAW18  https://twitter.com/CDC_NCEZID/status/974677517251567617 
  47. •A1 Transparency in all regards: with employees, within and across organizations, and with the public ( http://www.npsf.org/?shiningalight ) #PSAW18
  48. A1: Encouraging patients & families to get involved in their care & care decisions help foster trust, respect & inclusion. #psaw18
  49. A1: Encourage staff to ask questions and make sure they feel comfortable doing so. Use teach-back method to ensure everyone understands and is on the same page. If mistakes happen, use as a learning opportunity. #PSAW18
  50. A1: To build and sustain a culture of safety, it’s important that staff at all levels feel comfortable speaking up if they see a potential patient safety issue. #PSAW18 @TheIHI
  51. A1: CDC encourages patients and their families to become part of the healthcare team. Patients can ask providers to clean their hands and if devices, such as catheters, and medicines, such as antibiotics, are still needed. #PSAW18
  52. A1) Patient safety and health equity are critical topics for members of America's Essential Hospitals. #essentialhospitals #psaw18
  53. Please label your tweets relative to the topic (in response to T1, label your tweet A1) #PSAW18
  54. A1: Have you taken the Pathways training? What makes it different from other trainings you've taken? #P2SaferOpioidUse #PSAW18
  55. A1: The format of the training is what makes it unique. Users experience learning through an interactive, video-based platform - you can even choose different roles based on your profession! #P2SaferOpioidUse #PSAW18
  56. A1: Pathways is an online training for health professionals that promotes the appropriate, safe, and effective use of #opioids to manage #ChronicPain. #P2SaferOpioidUse #PSAW18
  57. We are moving on to Topic 2 (T2) on leadership in just 1 minute #PSAW18
  58. T2: CEOs are powerful drivers of culture, but leaders exist at every level of an organization  http://bit.ly/2l2H6ea  #PSAW18
  59. T2: What innovative leadership strategies have you seen at the executive, unit, or department level to drive safety culture? #PSAW18
  60. T2 #PSAW18 Begin EVERY MTG w/Pt story Invite us2 tell our actual experience of #WhenHarmHappened to us, our ♥️ ones. Partner w/us: bring us to Board, planning mtgs. Place us on all Cmtes. Don’t mute or parse our truth. You Can Do It! Learn courage from Our example #hcldr @S4PM  https://twitter.com/theihi/status/974680495303819264 
  61. A2 (3 of 3): Teams often work on the safety issues specific to their department/function, so bringing these teams together to work on safety issues they can improve how they work together. #PSAW18 @TheIHI  https://twitter.com/TheIHI/status/974680495303819264 
  62. A2 (2 of 3): Celebrate near misses to encourage reporting/leaning. Share data as real-time as possible and encourage mini-RCAs to facilitate learning from events. This can be as simple as a huddle after a fall with all staff on the unit at the time of the fall. #PSAW18 @TheIHI  https://twitter.com/TheIHI/status/974680495303819264 
  63. A2 (1 of 3): Members of our Association have found a number of ways to drive safety culture at their facilities including designating a Safety Champions at the unit level and Safety Goals on strategic scorecards #PSAW18 @TheIHI  https://twitter.com/TheIHI/status/974680495303819264 
  64. A2: Nurse practitioners can play a role in improving #patientsafety by ensuring antibiotics are only used when they’re needed:  http://pew.org/1WD3yFX  #PSAW18
  65. https://t.co/8Jgd5i0wgC : A2: America's hospitals are leaders in advancing patient safety. Hear from AHA Board Chair Nancy Agee, President and CEO of @CarilionClinic, on how patient safety is a priority every day for health care leaders. #PSAW18 #PSAW2018 https://t.co/eBCJkYw8Y4 https://t.co/DMkWDbLoqT
     http://SupplyChainSN.com  : A2: America's hospitals are leaders in advancing patient safety. Hear from AHA Board Chair Nancy Agee, President and CEO of @CarilionClinic, on how patient safety is a priority every day for health care leaders. #PSAW18 #PSAW2018  http://dlvr.it/QLHPDw  pic.twitter.com/DMkWDbLoqT
  66. A2) Bringing technology to the bedside as a way to connect patients, families and care teams can make discharge safer. #PSAW18
  67. A2: Leaders at all levels at #MiHospitals are continually working to improve the delivery of care — particularly regarding collaboration among patients, families and providers. Here's a few examples we featured this week for #psaw18  https://www.mha.org/Newsroom/ID/1325/categoryId/52/Michigan-Hospitals-Tackle-Patient-Engagement-Safety-Culture   https://twitter.com/TheIHI/status/974680495303819264 
  68. A2: We highlight innovative ideas and their execution in the Bright Ideas feature of each issue of BI&T. Some ideas seem small but can have a big impact. Others are major organizational changes that come from the top.  http://www.aami.org/BIT . #PSAW18
  69. Examples of a patient safety culture. Thanks to @TheIHI for their patient safety chat today. #RT @PMcGaffigan_IHI: A2 Having authentic relationships, asking questions, being seen and accessible #PSAW18
  70. #PSAW18 A2: Creating a culture of safety is important to protect patients. This “Days Since Infection” poster can help to track the time between BSIs in dialysis facilities  https://go.usa.gov/xnSY5  #DialysisPatientsFirst #ptsafety
  71. A2: When things get quiet and you're not receiving many incident reports, find out what's going on! #PSAW18
  72. A2: Unit-based safety teams led by a physician, nurse, and administrative leader help promote engagement across the entire healthcare team. #PSAW18
  73. A2 Organizations with patient and workforce safety dashboards at every board meeting #PSAW18
  74. @TheIHI A2: When leaders are truly known to direct care staff, in a trusting relationship. #PSAW18
  75. A2: Leaders setting a vision of zero harm to the patient and the workforce #PSAW18
  76. A2: Anyone in the chat have a “credo” or compact in your organization to communicate behavior expectations and get buy-in? #PSAW18
  77. A2: America's hospitals are leaders in advancing patient safety. Hear from AHA Board Chair Nancy Agee, President and CEO of @CarilionClinic, on how patient safety is a priority every day for health care leaders.  https://www.aha.org/news/chairpersons-file/2018-03-12-chair-file-patient-safety-priority-every-day  #PSAW18 #PSAW2018
  78. #PSAW18 A2: CDC has infection control guidelines, recommendations, and tools to help protect #providers & #patients from infections in healthcare settings.  https://www.cdc.gov/infectioncontrol/ 
  79. A2) “By embedding a vision for total patient and workforce safety within the organization, healthcare leaders demonstrate that safety is a core value.” #PSAW18  http://bit.ly/2oZ3WEA 
  80. A2 Execs who set zero tolerance expectations for disruptive behavior, for everyone in their organization #PSAW18
  81. A2) When healthcare leadership of all levels do patient rounding, everyone has a better understanding of what is happening on the floors. #PSAW18  https://twitter.com/TheIHI/status/974680495303819264 
  82. A2) “The CEO is responsible for launching the critical first step of establishing safety as the most important part of what everyone does, every day.” #PSAW18
  83. A2: Leadership involvement on the floor or at the frontlines is always inspiring. Participating in daily safety huddles is one great example we've seen. Learn more  http://ow.ly/AZeY30iZsF1  #psaw18
  84. A2) “Leaders at every level need to be visible in their commitment to patients and workforce safety and vocal about supporting actions that align with the organizational vision.” #PSAW18  https://twitter.com/TheIHI/status/974680495303819264 
  85. #PSAW18 A2: Antibiotic stewardship protects patients, and leadership support is critical. The Core Elements of Antibiotic Stewardship provide a framework to help improve antibiotic prescribing and use.  https://go.usa.gov/xnSZm  #cdiff #antibiotics
  86. A2 Leadership WalkRounds are useful- but need actions and feedback loop to be most useful [link to:  http://qualitysafety.bmj.com/content/early/2017/10/09/bmjqs-2016-006399 } #PSAW18
  87. A2: Check out the @AHRQNews podcast on why senior leadership engagement matters #PSAW18  https://t.co/sVHnhcITV4 https://t.co/CMdgXU7jgj
    A2: Check out the @AHRQNews podcast on why senior leadership engagement matters #PSAW18  http://ow.ly/Biep30iZsFQ  pic.twitter.com/CMdgXU7jgj
  88. A2 Having authentic relationships, asking questions, being seen and accessible #PSAW18
  89. #PSAW18 A2: Healthcare leaders can use CDC’s Targeted Assessment for Prevention (TAP) Strategy and data from National Healthcare Safety Network (NHSN) to determine progress, prevent infections, and protect patients.  https://go.usa.gov/xnSYq 
  90. A2: We’ve seen that hospital leaders who hold regular “safety huddles” with staff where they discuss errors that occurred, as well as near misses, have stronger cultures of safety.  http://s.hbr.org/1221sXE  @HarvardBiz #PSAW18 @TheIHI
  91. A2: Pathways was developed with an emphasis on #HealthLiteracy, which helps improve communication and understanding between health professionals and patients. #P2SaferOpioidUse #PSAW18
  92. A2: We also did an environmental scan in 2014 and identified a need for trainings that focus on shared decision-making and use a multidisciplinary approach to pain management. #P2SaferOpioidUse #PSAW18
  93. A2: The Pathways training helps us put recommendations from the plan into practice - so health professionals have the tools they need to reduce adverse drug events. #P2SaferOpioidUse #PSAW18
  94. A2: The training is based on opioid-related recommendations from the National Action Plan for Adverse Drug Event Prevention:  https://health.gov/hcq/ade-action-plan.asp  #P2SaferOpioidUse #PSAW18
  95. We will be moving to Topic 3 (T3) in just 1 minute #PSAW18
  96. T3: Patient/family engagement is at the heart of safety culture, and patients know when the culture is dysfunctional. #PSAW18
  97. T3: What does a culture of safety look like to the patient and family? #PSAW18
  98. A3: Patients & families are encouraged/welcomed to speak up if they see something that doesn’t seem right or if they have questions. Patients and families are included in the conversation (report, hand-offs, care planning) with the healthcare team. #PSAW18 @TheIHI  https://twitter.com/TheIHI/status/974683600548519936 
  99. A3: When clinicians use #Teachback with patients, it improves #patientengagment and #patientsafety. This AHRQ intervention reveals how. #PSAW18  http://bit.ly/2phFcHS 
  100. @TheIHI A3: A culture of safety looks like a place we want to recommend to our patients and friends, where we are proud to work and where we make a profound impact on the reduction of harm. #PSAW18 #patientsafety
  101. A3: One way we try to understand what patients are experiencing is through a patient satisfaction survey. #PSAW18
  102. A3: Patient & family engagement tool for #nursinghomes. Educate residents about proper use of #antibiotics. #PSAW18  http://bit.ly/2phZWiJ 
  103. A3: There’s an #AHRQ survey on patient safety culture for every clinical setting. Check out what’s available. #PSAW18  http://bit.ly/2phEnPi 
  104. A3: Check out the Guide to Patient and Family Engagement in Hospital Quality and Safety for tips on involving patients and families in care. #PSAW18  http://bit.ly/2tdxty6 
  105. A3: When a strong #safetyculture is present, patients and families know they’re an active part of the care team #PSAW18 #WhyImHIIN  http://ow.ly/sDKE30iZv9c 
  106. A3: We encourage providers to engage with patients & educate them about asking questions #PSAW18  http://bit.ly/2pgwoC0 
  107. #PSAW18 A3: Talk to your patients and their families about possible harms from #antibiotics, such as allergic reactions, C. difficile, and antibiotic resistant infections. CDC’s new #BeAntibioticsAware materials can help. #ptsafety https://t.co/B83Xp6TFvM https://t.co/ossC96K0dS
    #PSAW18 A3: Talk to your patients and their families about possible harms from #antibiotics, such as allergic reactions, C. difficile, and antibiotic resistant infections. CDC’s new #BeAntibioticsAware materials can help. #ptsafety  https://go.usa.gov/xQqmc  pic.twitter.com/ossC96K0dS
  108. #PSAW18 A3: Patients and families are keen observers of how doctors and nurses and staff interact with one another. They're looking for cooperative, respectful behavior. Do they see this in your organization?
  109. A3 Organizations use communication and resolution programs #psaw18
  110. #PSAW18 A3: Educate and empower dialysis #patients to help prevent infections. This conversation starter is a great first step.  https://go.usa.gov/xnSYD  #DialysisPatientsFirst
  111. A3: The new @AHRQNews toolkit fosters safe care transitions by engaging patients and families  #PSAW18  https://t.co/XglV5093mW https://t.co/4Gd6HVa8DD
    A3: The new @AHRQNews toolkit fosters safe care transitions by engaging patients and families #PSAW18  http://ow.ly/shlG30iZud2  pic.twitter.com/4Gd6HVa8DD
  112. A3: In part, it involves ensuring that the voice of the patient is heard - and translating their feedback into action. Patient and Family Advisory Forums are one effective approach to gathering information to inform change.  http://ow.ly/x7zm30iZtON  #psaw18
  113. @TheIHI A3: #Patients & families are most comfortable when all team members can answer their questions and when they understand reason behind any tests and procedures. Anything to reduce anxiety! #PSAW18
  114. #PSAW18 A3: Giving injections? Remember to never administer medications from the same syringe to more than one patient, even if the needle is changed  http://bit.ly/2oTS4mk 
  115. #PSAW18 A3 Patients observing disrespectful behavior by surgeons is linked to higher risk of complications  https://jamanetwork.com/journals/jamasurgery/article-abstract/2601320 ? #PSAW18
  116. A3: Check out the HRET HIIN virtual event recording, Creating a Culture of Safety, with Frank Federico of @TheIHI - #WhyImHIIN #PSAW18  http://ow.ly/RUHb30iZu8I 
  117. A3: The entire healthcare team (not just the front-line providers) putting safety first. The room being properly cleaned each day can be as important as the correct medication being administered. #PSAW18  https://twitter.com/TheIHI/status/974683600548519936 
  118. A3: As you wrote in your question, patients know when a culture is dysfunctional. That's why it's important to "think like a patient" and understand the experience from their perspective.  https://aamiblog.org/2017/12/14/mark-heston-want-to-help-patients-start-thinking-like-one/  #PSAW18 #patientsafety #healthcare #medicine
  119. A3 Build transparency/trust by sharing data about improvement work #PSAW18
  120. A3: Our Beneficiary & Family Advisory Council helps guide & co-design programs & communication to support healthcare quality improvement & patient engagement efforts  http://ow.ly/VHXa30iZtY1  #PSAW18
  121. A3: Including the family members and the patient on all matters related to the patient, potential risks, and when an error has occurred. This helps gain trust and shows a culture of safety. #PSAW18  https://twitter.com/TheIHI/status/974683600548519936 
  122. A3 Patients/families, like staff, need psychological safety to communicate transparently with clinicians #PSAW18
  123. @TheIHI A3: Transparency, communication, and collaboration at all levels are key. The patients and those closest to them (staff and families) must be at the center of decision making. #PSAW18
  124. #PSAW18 A3: #HCPs: Early recognition and treatment of sepsis saves lives. Be alert to the signs. Educate your patients using CDC’s #GetAheadofSepsis educational materials.  http://bit.ly/2oRNcPJ 
  125. A3: Humans make mistakes and when medical errors happen, it is critical to be transparent to patients and families. And on top of that, learn from these errors, then make changes to ensure they don't occur again. #PSAW18 @TheIHI
  126. #PSAW18 A3: #Leadership support, individual commitment, transparency, accountability, and patient engagement are critical components of a culture of safety.
  127. A3: AND medical professionals and pharmacists who take the training can earn free #CMEcredit and #CPEcredit! #P2SaferOpioidUse #PSAW18
  128. A3: This training models a team-based approach for #ChronicPain treatment - and demonstrates how to use principles from the Health Literate Care Model and the biopsychosocial model of chronic pain management. #P2SaferOpioidUse #PSAW18
  129. A3: Users can learn important #HealthLiteracy strategies to aid patient understanding, as well as ways to identify risk factors for opioid misuse. #P2SaferOpioidUse #PSAW18
  130. A3: The training is intended for physicians, nurses, pharmacists, public health professionals, and students in health-related fields - but anyone with an interest in #opioid safety can take it! #P2SaferOpioidUse #PSAW18
  131. We will be moving on to T4 in just 1 minute #PSAW18
  132. T4: A safety culture is a just culture, with a nonpunitive response to error #PSAW18
  133. T4: How does your organization promote reporting of errors and learning from them? #PSAW18
  134. T4: Collaboration is a fundamental requirement for a culture of safety, we work hand in hand with our partners to ensure safe, and effective care is being delivered at all times #PSAW18
  135. A4 #PSAW18 YOUR Org? #HowMightYourOrgIncludePtsFamilies Facilitate Pt/Family problem reporting. After an unexpected bad event, we weren’t even debriefed. No acknowledgement or root cause analysis 9yrs later, he lives with the consequences every single day Do better #hcldr @S4PM  https://twitter.com/theihi/status/974685728285384711 
  136. A4: PSOs collect, analyze, and aggregate clinical data to help providers learn the causes of #patientsafety events. #PSAW18  http://bit.ly/2pggKX4  pic.twitter.com/VmiTHjd8mm
  137.  http://SupplyChainSN.com  : A4: HRET HIIN hospitals are promoting a learning environment by empowering all members of the care team to speak up #WhyImHIIN #PSAW18  http://dlvr.it/QLHWz1 
  138. A4: We've also found it's important to give staff feedback to encourage event reporting, and we work to give feedback through our event reporting system, direct emails and open meetings. #PSAW18
  139. A4: Working with a PSO allows organizations to learn from medical errors to improve #patientsafety. #PSAW18 https://t.co/MGO2FJtjz0 https://t.co/GgSi0YAqeF
    A4: Working with a PSO allows organizations to learn from medical errors to improve #patientsafety. #PSAW18  http://bit.ly/2pggKX4  pic.twitter.com/GgSi0YAqeF
  140. A4: We've had a “good catch” program for many years to recognize staff who prevent an error from reaching a patient and enter into event reporting system. #PSAW18
  141. A4: Share #AHRQ guide w/ patients and families to avoid medication errors and #hospital readmissions. #PSAW18  http://bit.ly/2pfRd0m 
  142. A4: @OchsnerHealth re-designed their #RCA process to use the RCA2 framework to put the focus on action.  http://ow.ly/mhgf30iZvgY  #psaw18
  143. A4: as #medicaldevices become more complex, the probability that clinicians will lack some vital knowledge of them grows. The #AAMIFoundation's newest #patientsafety coalition is working to address these challenges to help prevent medical errors.  http://www.aami.org/PatientSafety/content.aspx?ItemNumber=4598&navItemNumber=4615  #PSAW18
  144. A4: Should gaps in culture be treated as adverse events? #PSAW18
  145. A4: Make it possible for staff to take part in Twitter Chats like this one! #PSAW18
  146. A4: HRET HIIN hospitals are promoting a learning environment by empowering all members of the care team to speak up #WhyImHIIN #PSAW18  http://ow.ly/DZ3l30iZvca 
  147. #PSAW18 A4: Adverse drug events (ADEs) cause more than 1.3M ED visits each year. CDC’s medication safety program tracks ADEs to identify at-risk patients, meds which most commonly cause harms to patients, and how to prevent these harms.  https://go.usa.gov/xnhff 
  148. https://t.co/8Jgd5i0wgC : A4: Hospitals and health systems are constantly working to improve quality and patient safety. Check out this recent report highlighting hospital quality improvement gains: #PSAW18 #PSAW2018 https://t.co/cbTuBE3Mox https://t.co/7h9anh01VD
     http://SupplyChainSN.com  : A4: Hospitals and health systems are constantly working to improve quality and patient safety. Check out this recent report highlighting hospital quality improvement gains: #PSAW18 #PSAW2018  http://dlvr.it/QLHV3z  pic.twitter.com/7h9anh01VD
  149. A4 Consistent briefings/debriefings allow for reflecting on flaws/progress #PSAW18
  150. A4: We also provide RCA² training to help facilities who report serious safety events work to learn from them and change elements to prevent them from happening again. #PSAW18
  151. A4: The MHA Keystone Center promotes the #MHASpeakUp Award that recognizes individuals who prevented an error from occurring by speaking up. Here are videos highlighting past winners:  https://www.youtube.com/playlist?list=PLPnaRv-Uq-ri0NYK19yaNDkGDY-C60SZ2  #PSAW18  https://twitter.com/TheIHI/status/974685728285384711 
  152. A4: Make sure the safety huddle is working as advertised. Applaud those who bring up issues and anticipate risks. #PSAW18
  153. A4: Focusing on the learnings and action that coms out of events, near misses or good catches can help put the emphasis on growth instead of blame. #psaw18
  154. A4 Use a Just Culture framework, clearly define it, and apply it for all #PSAW18
  155. @TheIHI A4: Learn from errors by conducing root cause analysis, examine processes, and complete incident report so everyone can learn from the mistake. #PSAW18
  156. A4 Zero harm is only possible with both a robust safety culture and an organizational learning system #PSAW18
  157. #PSAW18 A4: CDC collects info about HAIs & #AntibioticResistance & provides facilities, states, regions, & the nation w/data needed to measure progress of infection prevention efforts, identify areas that need support, & ultimately eliminate HAIs  https://www.cdc.gov/nhsn/ 
  158. @TheIHI A4: Our #hospitals make sure team members feel SAFE in reporting all errors. Goal is to avoid situations where errors happen but are not reported. #PSAW18
  159. A4 Culture and learning are interdependent; need reports to learn from events, need culture to encourage reporting #PSAW18
  160. A4: Hospitals and health systems are constantly working to improve quality and patient safety. Check out this recent report highlighting hospital quality improvement gains:  https://www.aha.org/news/headline/2018-03-15-report-highlights-hospital-quality-improvement-gains  #PSAW18 #PSAW2018
  161. A4: Organizations need to have robust follow up and feedback systems to make sure safety reports lead to improvement #PSAW18
  162. A4 Staff should be thanked/recognized/rewarded for speaking up about risk/error #PSAW18
  163. A4: Transparency is a critical part of having a culture of safety. We applaud the almost 2,000 hospitals across the U.S. that participate in our annual Leapfrog Hospital Survey. #PSAW18
  164. A4: Participating in the evaluation is completely voluntary. Participants complete 2 15-minute surveys and a 30-minute interview. #P2SaferOpioidUse #PSAW18
  165. A4: Our goal is to identify ways we can improve Pathways - and to highlight the parts that are already working well. Read more on our blog:  https://health.gov/news/blog/2018/01/evaluating-pathways-safer-opioid-use-online-training  #P2SaferOpioidUse #PSAW18
  166. A4: This evaluation will also help us gather information about the obstacles health professionals face when working with patients dealing with #ChronicPain. #P2SaferOpioidUse #PSAW18
  167. A4: Evaluation helps us identify behaviors that health professionals are already applying in daily practice so we can better tailor the training. #P2SaferOpioidUse #PSAW18
  168. A4: We're working with @PublicHealth to do an evaluation of the Pathways training so we can better meet the needs of health professionals like you. #P2SaferOpioidUse #PSAW18
  169. We’ll be moving on to T5 in 1 minute #PSAW18
  170. T5: What tools and tactics does your organization use to promote the physical and psychological safety of clinicians and staff? #PSAW18
  171. A5) Nurses in some of our facilities are working on environmental committees to improve their own working conditions! #PSAW18  http://ow.ly/R2fX30iZDcZ   https://twitter.com/TheIHI/status/974688530659201025 
  172. A5 (2 of 2): GEMBA walk-abouts by leaders can help them understand the daily work of front-line employees and engage them in problem-solving. And organization leaders can use words that demonstrate fallibility and model curiosity to promote safety with staff. #PSAW18 @TheIHI  https://twitter.com/TheIHI/status/974688530659201025 
  173. A5 (1 of 2): Of course always seek first to understand, but it’s important during patient safety rounds we all keep in mind the key question “What is the next safety event waiting to happen?” #PSAW18 @TheIHI  https://twitter.com/TheIHI/status/974688530659201025 
  174.  http://SupplyChainSN.com  : A5: @AHAPhysAlliance @bhangrajay compiled 6 actions everyone can take to address burnout in their organization while helping themselves and colleagues on the road to resilience. #PSAW18 #PSAW2018  http://dlvr.it/QLHbhD 
  175. A5: This AHRQ Views blog post talks about the dangers of clinician burnout. "Burnout can damage morale and lead once-enthusiastic, dedicated doctors to quit practicing medicine completely." https://t.co/udS2i9I91p #PSAW18 https://t.co/8vhfIyYL8y
    A5: This AHRQ Views blog post talks about the dangers of clinician burnout. "Burnout can damage morale and lead once-enthusiastic, dedicated doctors to quit practicing medicine completely."  http://bit.ly/2petVYP  #PSAW18 pic.twitter.com/8vhfIyYL8y
  176. A5: Creating a workplace violence prevention strategy by empowering staff to report, debriefing assaults and promoting a culture of zero-tolerance. One of our clients shared their journey:  http://ow.ly/Y6Ae30iZwAK  #psaw18
  177. A5 When you improve staff / clinician physical & psychological safety, don’t forget that Pts & Families also experience feeling / being unsafe in hospitals We also need tools tips strategies and support. #HowMightHospitalsIncludePatientsInSafetyPlanning #PSAW18 #hcldr @S4PM  https://twitter.com/theihi/status/974688530659201025 
  178. A5: @AHAPhysAlliance @bhangrajay compiled 6 actions everyone can take to address burnout in their organization while helping themselves and colleagues on the road to resilience.  https://www.aha.org/news/insights-and-analysis/2018-02-22-ahas-jay-bhatt-six-things-you-can-do-now-end-burnout  #PSAW18 #PSAW2018
  179. A5: We've heard great feedback on using mobile rounding as a tool to monitor physician burnout and wellness. #psaw18
  180. #PSAW18 A5: CDC’s Tune in to Safe Healthcare webinar series serves as a tool to educate healthcare providers on best practices to improve #patientsafety.  https://go.usa.gov/xnhdU 
  181. A5: There is increasing recognition of burnout and many healthcare organizations have created wellness programs, but this is not enough. Workflow, systems, etc. need to be addressed. #PSAW18  https://twitter.com/TheIHI/status/974688530659201025 
  182. A5: Learn from organizations with robust programs to reduce violence against health care staff. BIDMC is one such organization. #PSAW18
  183. #PSAW18 A5. Protecting #healthcare personnel has never been so vital. Our #WorkplaceViolence prevention portal has some helpful templates. Stay safe #nurses#doctors, #lab, everyone! https://www.jointcommission.org/workplace_violence.aspx 
  184. A5: #TeamSTEPPS fosters an environment of mutual support and psychological safety of clinicians and staff #PSAW18  #AHATeamTraining @ahahospitals   https://t.co/EeEMg7w1SQ https://t.co/TzuWFnffhT
    A5: #TeamSTEPPS fosters an environment of mutual support and psychological safety of clinicians and staff #PSAW18 #AHATeamTraining @ahahospitals  https://www.aha.org/teamtraining  pic.twitter.com/TzuWFnffhT
  185. A5: → Executive WalkRounds ( http://bit.ly/2HDP3hM ) to create a listening and feedback loop with staff about quality and safety issues. #psaw18
  186. A5: → Using dashboards to inform board members about safety issues and how they are being addressed within the hospital. #psaw18
  187. A5: → Daily check-ins to for all the organization leaders to hear of safety issues for patients and staff. #psaw18  https://twitter.com/TheIHI/status/974688530659201025 
  188. A5: Learn more about Caring for the Caregiver in this module from AHRQ’s CANDOR toolkit: https://t.co/jJDaK44tre #PSAW18 https://t.co/VTEu1bMWfX
    A5: Learn more about Caring for the Caregiver in this module from AHRQ’s CANDOR toolkit:  http://bit.ly/2phL5Vw  #PSAW18 pic.twitter.com/VTEu1bMWfX
  189. A5: Results from the @AHRQNews patient safety culture survey was one of the reasons St. Jude is working to improve handoffs with @IPASSHANDOFF #PSAW18
  190. A5: Addressing disruptive behavior is critical to promoting psychological safety – Catch the #WhyImHIIN virtual event  http://ow.ly/ytY330iZw1e  #PSAW18
  191. #PSAW18 A5: CDC’s Infection Control Assessment Tools were developed to prevent the spread of infection in healthcare settings to reduce the risk of infection among patients and healthcare personnel.  https://go.usa.gov/xnSYR 
  192. A5: We learn about our safety culture each year through conducting the @AHRQNews patient safety culture survey #PSAW18
  193. A5: Does anyone on the chat do RCAs to investigate staff harm events or near misses? #PSAW18
  194. A5 Errors/harm viewed as “a catalyst for investigating and addressing systemic failures”  https://npsf.site-ym.com/?page=throughtheeyes  #PSAW18
  195. #PSAW18 A5: CDC has infection control guidelines and resources to protect healthcare personnel:  https://go.usa.gov/xnSYQ 
  196. A5 Report workforce safety as well as patient safety stats to the board #PSAW18
  197. A5: Our goal is to give health professionals the tools they need to protect patients from #opioid-related adverse drug events. #P2SaferOpioidUse #PSAW18
  198. A5: Prescription opioids are highly addictive - and 116 people die each day in the U.S. from opioid-related overdoses. #P2SaferOpioidUse #PSAW18
  199. A5: #Opioid misuse has been increasing over the last 2 decades and was declared a #PublicHealth emergency in 2017. #P2SaferOpioidUse #PSAW18
  200. Thanks @TheIHI for a great #psaw18 Twitter chat. If anyone has follow up questions for AHRQ, direct your emails to patientsafety@ahrq.hhs.gov. https://t.co/LERegQLt3x
    Thanks @TheIHI for a great #psaw18 Twitter chat. If anyone has follow up questions for AHRQ, direct your emails to patientsafety@ahrq.hhs.gov. pic.twitter.com/LERegQLt3x
  201. "There is no single medical intervention that will ever save as many lives as #patientsafety improvement." Thank you @ihi for hosting the #PSAW18 Twitter chat today on such an important topic!  http://bit.ly/1CD1tzN  #ptsafety


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