Join the Discussion

One of the most important ways to engage in the United for Patient Safety campaign and Patient Safety Awareness week is to engage in discussion with other health care professionals about issues concerning patient safety. Through our discussion forum, you can join the conversation, share your own experiences and expertise, and learn about tips and resources from others. Your voice matters in helping to keep patients safe and free from harm. Join in the conversation, but you must accept and abide to the discussion forum rules

This discussion forum is for health care professionals and stakeholders only. Health care consumers or others are encouraged to participate in the Share Matters Most Important to You and the Share a Memorial and Honor Someone.

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FASTING

FASTING

I was recently diagnosed with DMII and has been asked to fast for 8-10 hours to get sugar levels. But results are higher that right after I eat. Is there someone getting the same?

 

EXERCISE

What is the best exercise for diabetic patients?


 

HIGH PLATELETS

I am waiting for my blood test result. I have high platelets. Does this mean something serious? Thanks all

 


INCREASED BP 200/110

Every once in a while in the past 3 weeks I have been getting a 200/110 BP without me doing anything. This happens when I watch tv, lying down, reading, and even sleeping. What is going on?


LUMPS 

I fell down the stairs last month. Nothing serious. Just some bruises. Now, I can feel lumps in my collarbone. Anybody with thoughts on this?

 


What is going on with me?

2 days ago, I felt discomfort on the upper part of my buttocks. I thought (again- as this has happened before) that it was an ingrown hair. When I went to the toilet for some "job", I saw a splat of blood on the tissue paper. The following day, as I was again doing a "job" (I thought), there was again blood but this time it, there was more and it was too on the bowl. There was no poop and now I'm wondering if there could be any situation that we bleed from down there at the back without pain? 

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No Place Like Home: Advancing the Safety of Care in the Home

Caring for patients in their homes holds many potential benefits, yet the safety of care provided in the home has not received as much attention as patient safety in hospitals and other clinical settings.

A new report from the Institute for Healthcare Improvement describes the findings of an expert panel and considers the physical and emotional safety of the care recipient, the family caregiver, and the home care worker, while recognizing the interconnected nature of the safety of all these individuals.

Read more or download the report.

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Improving Services for Children with Behavioral Health Needs

Nationally, there is a critical shortage of mental health practitioners, especially for children. Families come to the ED because they don’t know where else to go, or they’ve been put on a waiting list and just can’t wait. But the wait doesn’t end in the ED, because staff struggle to place patients in appropriate settings. Children with traumatic brain injuries, significant co-morbid medical illnesses, developmental delays, or autism can often board in the ED for days because the psychiatric hospitals cannot accept them due to these exclusionary criteria.

This is a very challenging situation for nurses, physicians, social workers, and technicians who have little training in treating mental health issues. Additionally, boarding children in the ED for days does not provide them with the most appropriate psychiatric care.

Read the rest of this blog post to learn what Children's Healthcare of Atlanta has done to improve services for their patients.

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No One Is Free from Harm

Modern Healthcare recently interviewed health professionals about their own experiences with adverse medical events and patient safety lapses. Read more at http://www.modernhealthcare.com/article/20180324/NEWS/303249989

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New Tools for Ambulatory Patient Safety

From the AHRQ Blog:

"Since 2015, AHRQ has funded over $26 million in grants and contracts to improve patient safety in ambulatory and long-term care settings. This work has paid off with several new ambulatory care patient safety tools and resources that AHRQ has published in recent months."

Read the full blog post with links to resources.

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More Than Just a Week: Five Key Issues Impacting Patient Safety

This post from the Indiana Patient Safety Center discusses the important issues the team focused on during Patient Safety Awareness Week 2018. Read more.

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You Can't Protect Patients Without Protecting Workers

In the health care industry’s drive to improve patient safety, leaders may not be paying enough attention to the safety of their workforce, according to David Michaels, PhD, MPH, former undersecretary for Occupational Safety and Health. Read his commentary.

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Healthcare Team Training Cuts Patient Mortality

New training for teams of physicians and clinicians who deliver healthcare services can lead to a significant reduction in patient mortality, according to new research from Rice University. Read the full article in Fierce Healthcare.

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Facilitator/Navigator of Healthcare Culture Transformation

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Nurses and Patient Safety

Nurses represent the largest segment of the health care workforce and, as such, they have a crucial and expansive role in advancing patient safety. Read this post in Minority Nurse with comments from Patricia McGaffigan, RN, MS, CPPS. 

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I took the ploedge

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Patient Safety: Distinct Roles, One Goal

By Jeffrey Brady, MD, MPH, and Tejal K. Gandhi, MD, MPH, CPPS

This week marks the start of Patient Safety Awareness Week, during which we call attention to the importance of patient safety and the myriad ways that health professionals, patients, and families can work together to ensure that every health care encounter is a safe one.

Our organizations — AHRQ, the Institute for Healthcare Improvement (IHI), and the National Patient Safety Foundation (which merged with IHI last year)—together have decades of experience in patient safety that we’ve gained from working with teams throughout health care. We’ve learned a great number of lessons over the years, perhaps most important that everyone has an essential role to play to improve patient safety and protect patients.

We’d like to talk for a moment about the role of patients and their families. As a result of our ongoing patient safety research, we’ve discovered that care is safer when patients and families are actively involved at all levels of the health system. At the most fundamental level, this means participating as an engaged member of their own health care team by asking questions and speaking up about concerns and values.

We realize this role isn’t always a natural one for patients, and we understand why. Barriers can discourage patients from speaking up. These obstacles range from cultural factors (including wrong assumptions or misperceptions about patients’ priorities) to time pressures in busy medical offices and hospitals that pose challenges to inviting questions. But speaking up is so important, and dedicated and determined teams of patients and health care professionals are finding innovative ways to make sure that it happens.

When patients speak up, what should they say? The complexity of modern health care can prompt a wide array of topics to be addressed, but some of the most important communications with patients fall into three broad categories. We know that successful organizations that are serious about shared decision-making and focused on safety encourage patients to:

  1. Ask questions to make sure they understand their diagnosis and treatment options and plans.
  2. Speak up about the risks and problems they see or may encounter.
  3. Express their values.

When patients speak up — and when health care professionals engage and empower them to do so, and then understand and act on what we hear— we strengthen the health care team. Everyone has a role. This includes health systems, enacting policies and establishing expectations and a culture with safety as a priority. This includes clinicians, practicing with respect, both to patients and to each other. And it includes patients and their loved ones, positioned at the center of this team as active participants. Each member of this team has an important contribution, aligned with a common goal—a safe health care encounter.

Over the coming week, we’ll be calling attention to patient safety through a wide variety of outreach. We urge you to participate in Patient Safety Awareness Week as much as possible—and to continue the valuable work that you do to keep patients at the center of care. Dr. Brady is director of AHRQ's Center for Quality Improvement and Patient Safety and an assistant surgeon general in the U.S. Public Health Service. Dr. Gandhi is chief clinical & safety officer of the Institute for Healthcare Improvement.


Dr. Brady is director of AHRQ's Center for Quality Improvement and Patient Safety and an assistant surgeon general in the U.S. Public Health Service. Dr. Gandhi is chief clinical & safety officer of the Institute for Healthcare Improvement.

This blog post originally appeared on the AHRQ blog.

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Three Ways to Pay Attention to Patients that Have Even More Impact than Empathy

In this commentary in Fierce Healthcare, patient engagement expert Tiffany Christensen says not all clinicians can master empathy. They may serve patients better by listening, acknowledging their humanity, and discussing care plans in an accessible way. Read the full commentary, https://www.fiercehealthcare.com/practices/industry-voices-3-behaviors-may-matter-more-than-empathy.

Tiffany Christensen is among the speakers lined up for the Patient Safety Awareness Week webcast, Engaging Patients and Providers: Speaking Up for Patient Safety, on March 12. Learn more.

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Surgery Near End-of-Life Is Common and Costly

According to this article from Kaiser Health News, "Nearly 1 in 3 Medicare patients undergo an operation in the year before they die, even though the evidence shows that many are more likely to be harmed than to benefit from it." Read the full article at https://khn.org/news/never-too-late-to-operate-surgery-near-end-of-life-is-common-costly/

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How Can We Remedy the Shortage of Health Care Providers?

"Many factors influence projections about the size of the health provider workforce, which have swung widely over past decades. How best to assess that workforce, from average wait times for appointments to number of physicians per population (both of which vary geographically and by specialty), is still an open question." Read the full commentary in the Boston Globe

https://www.bostonglobe.com/opinion/2018/02/26/how-can-remedy-shortage-health-providers/2qHhUHXOQcdgoNsdOIuzEO/story.html

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Are Hospitals becoming Obsolete?

The number of hospitals is also declining because more complex care can safely and effectively be provided elsewhere, and that’s good news. Read the full commentary in the New York Times. https://www.nytimes.com/2018/02/25/opinion/hospitals-becoming-obsolete.html

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What's a Medical Error? It Depends on Whom You Ask

From Pharmacy Today:

An overwhelming majority of respondents to a new survey report having positive experiences with the health care system, and for those who have experienced errors, medication was a less prominent issue than previous examinations of medical errors have indicated. And interestingly, the findings show that patients’ conception of what constitutes errors and harm differs from investigations focusing on providers’ perspectives.

Read the full article at http://www.pharmacytoday.org/article/S1042-0991(18)30152-X/fulltext

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Name Tags go Viral for Safety

This article from the Betsy Lehman Center highlights a simple way providers can help improve patient safety by making their names visible to others. How do you let your patients and colleagues know what your name is? Read on, https://www.betsylehmancenterma.gov/news/safety-snapshot.

Comment below and share your ideas.

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Helping Family Caregivers Provide Safer Care

Family caregivers take on the lion’s share of long-term care in the US — from managing medication to coordinating care — for their own family members. When patients and families aren’t supported with training, the day-to-day tasks can become an overwhelming burden.

Patient Safety in the Home: Assessment of Issues, Challenges, and Opportunities, a recent IHI/NPSF report, explores the challenges of patient safety in the home. Extensive research identified several programs providing assistance to those assuming the challenging role of caregiver. Read more about these programs on the IHI blog, http://www.ihi.org/communities/blogs/how-to-help-family-caregivers-provide-safer-care

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Electronic Health Record Usability and Patient Safety

This article from Health IT Analytics summarizes a report from Pew Charitable Trusts that details how faulty electronic health systems may introduce adverse patient safety events. Read more, https://healthitanalytics.com/news/pew-ehr-usability-concerns-may-still-impact-patient-safety.

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Discussion Forum

FASTING
FASTING I was recently diagnosed with DMII and has been asked to fast for 8-10 hours to get sugar levels. But results...
No Place Like Home: Advancing the Safety of Care in the Home
Caring for patients in their homes holds many potential benefits, yet the safety of care provided in the home has not...
Improving Services for Children with Behavioral Health Needs
Nationally, there is a critical shortage of mental health practitioners, especially for children. Families come to th...
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The Institute for Healthcare Improvement salutes Mallinckrodt Pharmaceuticals for their generous support of this year's Patient Safety Awareness Week.