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Adverse events happen. ECRI Institute PSO creates opportunities to reduce these unfortunate events. It’s not just the information put into our PSO, it’s the information, analysis, advice, and support that allows participants to prevent future occurrences and learn from other healthcare organizations that makes working with a PSO so impactful.

The following examples show how ECRI Institute PSO creates and disseminates information based on the confidential data reported to the PSO to promote organizational learning and promote good patient safety practices:

Top 10 Patient Safety Concerns

Patient safety is a top priority for every healthcare organization, but knowing where to direct patient safety initiatives can be a daunting task.

To help guide organizations in deciding where to focus their patient safety efforts, ECRI Institute has developed the 2016 Top 10 Patient Safety Concerns for Healthcare Organizations.

Click here to read our Top 10 Patient Safety Concerns for 2015 or view a YouTube video on the 2015 Top 10. Our 2014 Top 10 Patient Safety Concerns article is also available.

Partnership for Health IT Patient Safety

The Partnership for Health IT Patient Safety has established workgroups for in-depth study of health IT events. The issue of copying and pasting health information (e.g., orders, notes, labels) was chosen for the first workgroup. Copy and paste is widespread, often underreported, and has the potential to cause adverse patient safety events. Tools released as a result of this effort include:

Health IT Patient Safety Update newsletters are also released by the partnership throughout each year:

Proceedings from the annual meetings of the partnership are also available:

 Public Resources from ECRI Institute PSO

 

 

HCAHPS Scores Not Linked to Prescribing of Postoperative Opioids after Dischargehttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts052417_HCAHPS.aspxHCAHPS Scores Not Linked to Prescribing of Postoperative Opioids after Discharge2017-05-24T00:00:00Z ​Prescribing of opioids after surgery was not associated with performance on Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) pain measures, according to a research letter published in the May 16, 2017, Journal of the American Medical Association.
HHS Updates its Cybersecurity Guidance after Global Ransomware Attackhttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts052417_Global.aspxHHS Updates its Cybersecurity Guidance after Global Ransomware Attack2017-05-24T00:00:00Z ​With the recent global ransomware attack once again exposing the healthcare industry's vulnerability to hacking, the U.S. Department of Health and Human Services (HHS) on May 15, 2017, updated its guidance regarding ransomware and cyber threats to healthcare organizations.
Violence in Healthcare Facilitieshttps://www.ecri.org/components/HRC/Pages/SafSec3.aspxViolence in Healthcare Facilities2017-05-24T00:00:00Z Violence in healthcare facilities creates a multitude of risks for patients, visitors, staff, and the organization. This guidance article discusses warning signs and presents strategies for prevention of and response to violence.
Lessons from the Recent Cyberattack that Crippled Computers across the Globehttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts051717_Cyberattack.aspxLessons from the Recent Cyberattack that Crippled Computers across the Globe2017-05-17T00:00:00Z ​Britain's National Health Service (NHS) was the highest-profile victim of a worldwide ransomware attack that crippled computers in nearly 100 countries on May 12, 2017.
Is One of the Most Common Orthopedic Procedures a Waste of Time and Money?https://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts051717_WasteOfTime.aspxIs One of the Most Common Orthopedic Procedures a Waste of Time and Money?2017-05-17T00:00:00ZA group of experts advised strongly against using arthroscopic surgery for nearly all patients with degenerative knee disease, in a rapid recommendation published May 1, 2017, in The BMJ.
Rate of Malpractice Claims Decreasing, but Mean Compensation Amounts are Increasinghttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts051017_Malpractice.aspxRate of Malpractice Claims Decreasing, but Mean Compensation Amounts are Increasing2017-05-10T00:00:00Z ​The rate of malpractice claims paid on behalf of U.S. physicians substantially declined between 1992 and 2014, according to an original investigation in the May 2017 issue of JAMA-Internal Medicine.
The Search Continues for a Low-Cost Way to Improve Medication Adherencehttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts051017_Search.aspxThe Search Continues for a Low-Cost Way to Improve Medication Adherence2017-05-10T00:00:00Z ​​Low cost devices that remind patients to take their medicine do not improve adherence among those taking up to three medications, according to an original investigation in the May 2017 issue of JAMA-Internal Medicine.
Does the Threat of Malpractice Liability Improve Patient Safety? Not Necessarily, Says Studyhttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts050317_Threat.aspxDoes the Threat of Malpractice Liability Improve Patient Safety? Not Necessarily, Says Study2017-05-03T00:00:00Z ​A study published in the May 2017 issue of The Joint Commission Journal on Quality and Patient Safety found no association between measures of malpractice risk and an organization's adherence to process care measures, although the threat of malpractice may increase the practice of defensive medicine.
Transgender Individuals Need—and Expect—Competent Healthcare, Says Speakerhttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts050317_Transgender.aspxTransgender Individuals Need—and Expect—Competent Healthcare, Says Speaker2017-05-03T00:00:00Z ​Among transgender and gender-nonconforming individuals, "there is a demand for competent healthcare," said Kristin Keglovitz Baker, PA-C, AAHIVS, chief operating officer and associate medical director, Howard Brown Health Center.
What Were Joint Commission’s Most Challenging Requirements for Hospitals in 2016?https://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts042617_Joint.aspxWhat Were Joint Commission’s Most Challenging Requirements for Hospitals in 2016?2017-04-26T00:00:00Z ​The standard that an organization "establishes and maintains a safe, functional environment" was the most challenging requirement for hospitals in 2016, according to compliance data released by the Joint Commission on March 29, 2017.
Getting at the Root Causes of the Limitations of Root Cause Analysishttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts042617_Root.aspxGetting at the Root Causes of the Limitations of Root Cause Analysis2017-04-26T00:00:00Z ​The most common solutions offered by root-cause analysis (RCA) also tend to be the least effective at reducing event recurrence, according to an April 19, 2017, study in BMJ Quality and Safety.
Persistent Opioid Use Associated More with Patient Factors than Post-Surgical Painhttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts041917_Opioid.aspxPersistent Opioid Use Associated More with Patient Factors than Post-Surgical Pain2017-04-19T00:00:00Z ​Patients continue to use opioids after surgery for complex reasons that go beyond surgical pain, state the authors of an original investigation published in JAMA Surgery. Citing wide variation and frequent excess in perioperative outpatient opioid prescribing, the authors conducted a population-based study of 36,177 insured individuals in the United States, examining incidence of "new persistent opioid use" (i.e., continued use at 90 days after surgery) and related risk factors for individuals undergoing minor or major surgical procedures.
CMS Issues Proposed FY 2018 Payment and Policy Updateshttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts041917_FY.aspxCMS Issues Proposed FY 2018 Payment and Policy Updates2017-04-19T00:00:00Z ​The Centers for Medicare and Medicaid Services (CMS) on April 14, 2017, issued a proposed rule to its hospital inpatient prospective payment system that should increase payments by approximately 1.7% in fiscal year (FY) 2018 after accounting for inflation and other required adjustments.
Device Cybersecurity: The Importance of Being Proactivehttps://www.ecri.org/components/HRC/Pages/ASG041217.aspxDevice Cybersecurity: The Importance of Being Proactive2017-04-12T00:00:00Z ​News of healthcare cybersecurity breaches—some of which compromised tens of thousands of patient medical records—continues to dominate headlines, leaving many hospitals wondering whether they would be prepared in the event of an attack.
Decrease Potential for “Oh, by the Way” Moments with Pre-Visit Notes from Patientshttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts041217_OhByTheWay.aspxDecrease Potential for “Oh, by the Way” Moments with Pre-Visit Notes from Patients2017-04-12T00:00:00Z ​Giving patients the opportunity to type their own primary care visit agendas into the electronic health record improves patient-clinician communication, according to a study published in the March/April 2017 Annals of Family Medicine.

 Other Resources from ecri institute pso

PSO Navigator newsletters, Deep Dive reports, and Patient Safety E-Lerts are also being made publicly available to further our mission to improve patient safety:

Help Make Your Patients Safer

See how ECRI Institute's PSO Plus can help you and your organization meet your goals. Call (610) 825-6000, ext. 5558 or e-mail pso@ecri.org.