MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'institute for healthcare improvement'. Sat, 03 Sep 2011 02:54:32 +0100 http://www.medworm.com/index.php?rid=4696712&cid=t_212096_113_f&fid=34625&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FNeilVerselsHealthcareItBlog%2F%7E3%2FnZFN64nSeww%2F It’s been a full decade since the Institute of Medicine published the second volume in its landmark series on patient safety and quality of care, Crossing the Quality Chasm. We appear to be not much closer to achieving a high-quality health system as we were 10 years ago. Last week, as you may have already heard, a paper in Health Affairs from researchers at the University of Utah concluded that adverse events may be 10 times more prevalent than previously believed and that errors may occur in an astounding one-third of all hospital admissions. The research team, which included such luminaries as Dr. David Classen, Dr. Brent James and the Institute for Healthcare Improvement‘s Frank Federico, also said that there estimates probably were on the conservative side. Patient-safety ... Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=4696712 Sun, 10 Apr 2011 21:07:53 +0100 4696712 http://www.medworm.com/index.php?rid=4592493&cid=t_212096_113_f&fid=34625&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FNeilVerselsHealthcareItBlog%2F%7E3%2FopWr_wehgR8%2F President Barack Obama has made plenty of mistakes in his first two-plus years in office, but none may be more serious for the future of America than his decision to install Donald M. Berwick, M.D., as a recess appointment to head the Centers for Medicare and Medicaid Services in July 2010. Berwick really is a great choice to head CMS, but the underhanded nature of the recess appointment has provided fodder for all kinds of uninformed ideologues and assorted nut jobs to attack Obama’s healthcare reform efforts. Just as CMS is gearing up to release widely anticipated proposed regulations for Accountable Care Organizations, we get the sad news that that Berwick’s days are numbered. After refusing to allow Berwick to testify before the Senate last year, Obama renominated Berwick on Jan. 2... Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=4592493 Mon, 14 Mar 2011 18:21:58 +0100 4592493 http://www.medworm.com/index.php?rid=4575051&cid=t_212096_87_f&fid=38368&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FDisruptiveWomenInHealthCare%2F%7E3%2FcvuqgcTkCAQ%2F The following is a guest post by Elizabeth Madigan, PhD, RN, FAAN who is a professor of nursing at the Frances Payne Bolton School of Nursing, Case Western Reserve University in Cleveland, Ohio. She has been an RN for more than 30 years and has spent the last 14 years as a researcher focused on quality and safety in health care, primarily home health care. By Elizabeth Madigan. There really is no low hanging fruit in safe health care. The “hurray for checklists in health care” mantra that has been recently promoted in the popular media, misses a couple key points—it’s not the checklist that improves the outcomes—it’s the change in the organizational culture and where that cultural change happens. Anyone who has worked in quality improvement or performance improvement long enou... Disruptive Women in Health Care blogs http://www.medworm.com/rss/comments.php?id=4575051 Fri, 11 Mar 2011 14:22:16 +0100 4575051 http://www.medworm.com/index.php?rid=4352762&cid=t_212096_118_f&fid=34702&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fmspblog%2F%7E3%2FTMkAIk-xjBY%2F You just heard at this morning’s CEO leadership meeting that a 40-year-old father of five children died in the Surgical ICU last night, hours after receiving medication intended for another patient. Everyone is upset. Questions are flying around the hospital: What does the family know? Who did it? What happened? What can we say? Would the patient have died anyway? (He was very sick.) Has anyone gone to the press? Every day, clinical adverse events occur within our health care system, causing physical and psychological harm to one or more patients, their families, staff (including medical staff ), the community, and the organization. In the crisis that often emerges, what differentiates organizations, positively or negatively, is their culture of safety; the role of the board of trustees ... MSSPNexus Blog blogs http://www.medworm.com/rss/comments.php?id=4352762 Sat, 15 Jan 2011 22:49:03 +0100 4352762 http://www.medworm.com/index.php?rid=3957915&cid=t_212096_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fdealing-with-medical-error-together%2F2010.09.10 The “Running A Hospital” blog has another discussion of dealing with medical error. This time, the hospital has opened up an error of its own (a “wrong side” surgery) for examination by the Open School of the Institute for Healthcare Improvement (IHI). Sample comments: – From IHI’s Jim Conway: “Our systems are too complex to expect merely extraordinary people to perform perfectly 100 percent of the time. We as leaders must put in place systems that support great practice by people who suffer from being human and will make mistakes.” – From a patient who had two surgical errors in ten months: “After years of suffering through our incredibly brutal tort(ure) system I finally had the chance to talk to the surgeon. The most meaningful words he spoke ... Better Health blogs http://www.medworm.com/rss/comments.php?id=3957915 Fri, 10 Sep 2010 16:00:01 +0100 3957915 http://www.medworm.com/index.php?rid=3729811&cid=t_212096_83_f&fid=34856&url=http%3A%2F%2Finsidesurgery.com%2F2010%2F07%2Fobama-recess-appointment-install-dr-donald-berwick-medicare-chief%2F President Barack Obama reportedly will use a recess appointment to place highly-regarded patient safety expert Dr. Donald Berwick at the head of the Centers for Medicare and Medicaid Services, the branch of the Department of Health and Human Services that oversees the federal Medicare Program. Dr. Berwick is a pediatrician by training and heads the Institute of Healthcare Improvement in Cambridge, Massachusetts. (Source: Inside Surgery) Inside Surgery blogs http://www.medworm.com/rss/comments.php?id=3729811 Wed, 07 Jul 2010 05:13:14 +0100 3729811 http://www.medworm.com/index.php?rid=1960479&cid=t_212096_113_f&fid=34625&url=http%3A%2F%2Fclinicalit.blogspot.com%2F2008%2F11%2Fmodest-proposal.html Medical informatics needs a rock star. Not a David Brailer-esque figure who could excite people in the technology sphere, but perhaps a Don Berwick type who can reach every level and constituency of healthcare, and even capture the imagination of the general public.I had this thought yesterday during a highly engaging session at the American Medical Informatics Association's annual symposium in Washington, a session with the mouthful of a title, "Harnessing Mass Collaboration to Synthesize and Disseminate Successful CDS Implementation Practices." In English, that means panelists were discussing the forthcoming "Improving Outcomes with Clinical Decision Support: An Implementer’s Guide" and related feedback mechanisms, including a wiki.During the session, panelists discussed the difficulti... Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=1960479 Fri, 14 Nov 2008 00:47:00 +0100 1960479