What patient safety beliefs get in the way of preventing harm? IHI’s Frank Federico lists some common misunderstandings, including the tendency to think of the Institute of Medicine’s six quality aims for improvement in silos.
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Communication failures are a leading root cause of the most serious harmful medical errors, which are a leading cause of death and harm in patients worldwide. New research evaluated a standardized communication structure to reduce those errors. They found that, although overall errors were unchanged, harmful medical errors decreased and family experience and communication processes improved after implementation of a structured communication intervention for family centered rounds coproduced by families, nurses, and physicians. Family centered care processes may improve safety and quality of care without negatively impacting teaching or duration of rounds.
David Westfall Bates, MD, Senior Vice President for Quality and Safety at Brigham and Women's Hospital, describes practices that reduce the frequency of medication dispensing errors in hospitalized patients including computerized physician order entry, medication bar coding and electronic medication administration records as well as new technologies that will further improve patient safety.
Health care isn’t the only industry that’s working to protect people in dangerous conditions. Each year at the IHI National Forum, IHI faculty lead excursions to organizations outside of health care to learn about how they do their work. Kathy Duncan, RN, IHI Faculty, leads a trip to the Central Florida Zoo, which has one of North America’s largest collections of venomous snakes. In this video, Duncan goes behind the scenes to learn about the staff’s safety procedures for handling snakes when they need to be moved from their enclosures.