Innovative Solutions for Keeping Patients Safe
Patient Safety Initiatives in Maryland
Healthcare providers are engaged in numerous activities to continually improve quality of care and enhance patient safety. Each year, MPSC collects and publishes information about quality and patient safety initiatives taking place in Maryland and across the region.
The 2009 edition of the Directory of Solutions was distributed in April at the Fifth Annual MPSC Patient Safety Conference, attended by more than 1,500 healthcare professionals. It showcases 102 patient safety initiatives taking place at 33 healthcare facilities in Maryland and Delaware. Healthcare providers submitted solutions to MPSC as a way to share best practices with their colleagues. This represents a remarkable willingness to break down the barriers between facilities and engage in collaborative improvement with the goal of providing safety to all patients.
Initiatives included in the 2009 MPSC Directory of Solutions are provided below, organized by topic area. Click here for an overview of solutions.
Directory of Solutions by Topic Area:
Communication- Care Rounding Keeps Patients Safe
- Enhancing the Culture of Safety
- Nights is About Rounding: A Pragmatic Approach
- Cultural Competence in Health Care: Overcoming Language Barriers as a Strategy to Improve Safety and Quality
- Interdepartmental Interdisciplinary Debriefing as a Performance Improvement Tool
- Weinberg 4C CUSP: Cohorting, Multidisciplinary Rounds and Daily Goals
- Embedding Teamwork and Communication Improvement Strategies in the Work Environment: The JHM Teamwork and Communication Program
- Building Safety into the Health Care System: Patients and Providers in Partnership—Accurate Communication Guidelines for Success
- Human Factors/TeamSTEPPS™Training for Community Hospital Clinicians
- An Interdisciplinary Approach to Better Patient Safety, Falls Huddles
- Discharge Handoff Safety: Empowering Cardiac Patients with a Personalized Warfarin Discharge Letter
- A Medical Intensive Care Unit’s Uses of Innovation to Improve Patient Safety
Culture- Enhancing the Culture of Safety
- Improve Clinician Perception of Teamwork and Communication During the Care of Trauma Patients
- Point of Care “Quantumized”: Building a Culture of Patient Safety ‘Byte by Byte’
- Creativity in Addressing Some of the Biggest Factors Impacting Patient Safety on an Inpatient Comprehensive Rehabilitation Unit (Halsted 3)
- Measuring and Creating a Culture of Safety
- Achieving Patient Safety: Engaging Staff Through Teaching Technology
- Embracing a Non-Punitive Culture for Patient Safety
Education- Cultural Competence in Health Care: Overcoming Language Barriers as a Strategy to Improve Safety and Quality
- Patient Safety Staff Education Increases Awareness, Knowledge and Empowerment
- Production of an Online Patient Safety Lecture Series
- Preparing Medical Students for their Patient Safety Role on the Hospital Wards: Development and Evaluation of a Two-Day Safety and Teamwork Course
- Achieving Patient Safety: Engaging Staff Through Teaching Technology
- Why Not PICC Us
- Human Factors/TeamSTEPPS™Training for Community Hospital Clinicians
- Jack’s Crown and Jill’s Hip: Advancing Fall Prevention Beyond Kindergarten
Emergency DepartmentEvent ReportingFalls- Care Rounding Keeps Patients Safe
- Thinking Green Keeps You in Bed – Not on Your Head!
- Creativity in Addressing Some of the Biggest Factors Impacting Patient Safety on an Inpatient Comprehensive Rehabilitation Unit (Halsted 3)
- Improving Balance, Reach and Time Up & Go (TUG) Through Exercise as a Way to Decrease Falls Among Geriatric Patients on an Inpatient Psychiatry Unit
- Weinberg 4C CUSP: Cohorting, Multidisciplinary Rounds and Daily Goals
- An Interdisciplinary Approach to Better Patient Safety, Falls Huddles
- Jack’s Crown and Jill’s Hip: Advancing Fall Prevention Beyond Kindergarten
Infection Prevention- Reduction of Ventilator-Associated Pneumonia Using Standardized Oral Care Shows Incidental Decrease in Blood Stream Infection
- Meeting National Patient Safety Goal #7: Eliminate Central Line Associated Bloodstream Infections Development of a Self-learning Module for Radiologic Technologists
- Promoting Patient Safety Through Employee Influenza Vaccination
- SICU Pride: Zero BSI
- Applying Lean Thinking to Inpatient Vaccination Process
- Creativity in Addressing Some of the Biggest Factors Impacting Patient Safety on an Inpatient Comprehensive Rehabilitation Unit (Halsted 3)
- Involving Patients in Hand Hygiene Observation
- Achieving Sustainable Improvements in Hand Hygiene Compliance via a Multi-component Infection Prevention Program
- Implementing the Surviving Sepsis Campaign: Lessons Learned and Data Shared
- Action Requires Management Support (A.R.M.S.) to Prevent Harm
- BioPatch Usage in the Surgical Intensive Care Unit
- Local Nursing Homes Assist in Improving Vaccination Rates
- A Medical Intensive Care Unit’s Uses of Innovation to Improve Patient Safety
- Rapid Rescuers and Sepsis Survivors
Information Technology- Implementing Bedside Medication Verification Barcode Technology to Improve Patient Safety
- Point of Care “Quantumized”: Building a Culture of Patient Safety ‘Byte by Byte’
- A Powerful Interface (Whose Blood is This Anyway?)
- Production of an Online Patient Safety Lecture Series
- Barcodes, Bedside Medication Verification and Beyond...Using Barcode Foundation and the Clinical Pharmaceutical Data Mining Concept for Patient Safety
- Action Requires Management Support (A.R.M.S.) to Prevent Harm
Laboratory- Best Practice: Moving to a Culture of Patient Safety in Labor and Delivery
- Point of Care “Quantumized”: Building a Culture of Patient Safety ‘Byte by Byte’
- A Powerful Interface (Whose Blood is This Anyway?)
- Restructuring Laboratory Quality Assurance at Maryland General Hospital
- How Sweet It Is: Solutions and Strategies to Reduce Adverse Outcomes Related to Neonatal Hypoglycemia
- Keeping Patients Safe: Reducing Mislabeled and Unlabeled Laboratory Specimens
Labor & DeliveryMedication Safety- Raising the Bar: Improving Medication Administration Safety Among CMAs in Hospital-Owned Physician Practices
- Collaborating to Improve Medication Safety for Older Adults-Senior Polypharmacy Communication in Seniors Emergency Center
- Implementing Bedside Medication Verification Barcode Technology to Improve Patient Safety
- Weinberg 4C CUSP: Cohorting, Multidisciplinary Rounds and Daily Goals
- Barcodes, Bedside Medication Verification and Beyond...Using Barcode Foundation and the Clinical Pharmaceutical Data Mining Concept for Patient Safety
- Conducting Face-to-Face Handoff Review of IV Infusions
- Multidisciplinary Approach to Evaluation, Development and Implementation of a Standardized Infusion Drug Library
- Improvements in Medication Safety Through Standardized Medication Bin Labeling
- Improvements in Patient Safety Through Implementation of IntellFlow Rx®
- Improving Medication Safety with Opioids: A Team Approach
- Permanent Location of Medication Carts
- Medication Reconciliation in the Cardiac Cath Lab
Operating RoomPatient InvolvementPressure UlcerProcess Redesign- Surgical Workflow Improvement Process to Excel
- We Put the Urgency Back into Emergency
- Improving the Quality of Primary PCI at JHBMC
- Using Lean Sigma to Improve the Labor and Delivery Triage Process
- Product Standardization: A Collaborative Process for Improved Patient Outcomes and Patient Safety Across the Johns Hopkins Health System
- Applying Lean Thinking to Inpatient Vaccination Process
- Creativity in Addressing Some of the Biggest Factors Impacting Patient Safety on an Inpatient Comprehensive Rehabilitation Unit (Halsted 3)
- Constant Observation for Suicidal Patients
- Cultural Competence in Health Care: Overcoming Language Barriers as a Strategy to Improve Safety and Quality
- A Practical Framework for Patient Care Teams to Identify and Mitigate Clinical Hazards
- A System Dynamics Approach to Strategic Inpatient Flow
- Why Not PICC Us
- How Sweet It Is: Solutions and Strategies to Reduce Adverse Outcomes Related to Neonatal Hypoglycemia
- Applying Lean Principles to Improve Patient Safety and Satisfaction in the ED
- Improvements in Medication Safety Through Standardized Medication Bin Labeling
- Permanent Location of Medication Carts
- Early Identification Using Risk Assessments to Minimize Complications for Sleep Apnea Patients
- Keeping Each Patient Safe (From Unrecognized Sleep Apnea)
- Code Critical Airway: A Bridge to Safety
Teamwork- Improve Clinician Perception of Teamwork and Communication During the Care of Trauma Patients
- Best Practice: Moving to a Culture of Patient Safety in Labor and Delivery
- OB Rapid Response Team
- Improving the Quality of Primary PCI at JHBMC
- A Practical Framework for Patient Care Teams to Identify and Mitigate Clinical Hazards
- Weinberg 4C CUSP: Cohorting, Multidisciplinary Rounds and Daily Goals
- Embedding Teamwork and Communication Improvement Strategies in the Work Environment: The JHM Teamwork and Communication Program
- Preparing Medical Students for their Patient Safety Role on the Hospital Wards: Development and Evaluation of a Two-Day Safety and Teamwork Course
- Human Factors/TeamSTEPPS™Training for Community Hospital Clinicians
- Rapid Response…Not a "Team", but Effective "Teamwork"
- Multidisciplinary Approach to Evaluation, Development and Implementation of a Standardized Infusion Drug Library
- Improving Medication Safety with Opioids: A Team Approach
- Jack’s Crown and Jill’s Hip: Advancing Fall Prevention Beyond Kindergarten
- Rapid Response Team as a Patient Safety Strategy in the Community Hospital Setting
- Early Identification Using Risk Assessments to Minimize Complications for Sleep Apnea Patients
- Code Critical Airway: A Bridge to Safety
- Rapid Rescuers and Sepsis Survivors
Workforce- Nursing's Liftoff
- Employee On-Boarding: Hiring for a Better Organizational Fit
- Production of an Online Patient Safety Lecture Series
- Preparing Medical Students for their Patient Safety Role on the Hospital Wards: Development and Evaluation of a Two-Day Safety and Teamwork Course
- Achieving Patient Safety: Engaging Staff Through Teaching Technology