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Welcome to theNQF Safe Practices for Better Healthcare Webinar:
Optimizing a Workforce for Optimal Safe Care (Safe Practices 9-11)
Hosted by NQF and TMIT
Attendee dial-in instructions:Toll-free Call-in number (U.S./Canada): 1-866-
814-8482 (direct number, no code needed)
For the webinar slides handout, go to: www.safetyleaders.org
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Charles Denham, MDChairman, TMIT
Co-chairman, NQF Safe Practices Consensus CommitteeChairman, Leapfrog Safe Practices Program
Safe Practices WebinarJanuary 21, 2010
Welcome and Safe PracticeOverview
Toll-free Call-in number: 1-866-814-8482
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Panelists
Charles Denham: Welcome and Safe Practice Overview
Ann Rhoades: Off the Wall Leadership
Gerald Winslow: A View from the Culture Officer
Gerald WinslowAnn RhoadesCharles Denham
Toll-free Call-in number: 1-866-814-8482
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Panelists
Victoria L. Rich: Putting Principles to Action
Peter Angood: Critical Care Manpower
Mary Foley: Roles for the Patient Advocate
Mary FoleyPeter AngoodVictoria L. Rich
Toll-free Call-in number: 1-866-814-8482
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Roles for the Patient Advocate
Mary Foley, RN, MS, PhD(c) Associate Director, Center for Nursing Research and
Innovation, University of California San Francisco School of Nursing
Safe Practices WebinarJanuary 21, 2010
Toll-free Call-in number: 1-866-814-8482
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Practice Line-Up Changes:
• From 30 to 34 Practices• Culture Practice Elements
Broken Up into 4 Practices• 2 Practices Discontinued• 4 Medication Management
Practices Combined into 1• 2 Communication Practices
Combined into 1• 8 New Practices Added• CMS Care Settings Defined• Patient and Family
Involvement Section Added
Final Report:
• Format Structure Preserved • Lightly Edited Text of Most
Practices• New Practices• Updated References• Corrections and Clarification• Care Setting Clarification Using
CMS Classification• Measures To Be Considered (in
formulation)• Soft Copy Document Hyperlinks• Crosswalk Tables • Glossary
Changes of 2006 Version to 2009 Update
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Harmonization – The Quality Choir
Toll-free Call-in number: 1-866-814-8482
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Information Management and Continuity of Care
Medication Management
Healthcare-Associated Infections
Condition- & Site-Specific Practices
Consent & Disclosure
Culture
Workforce
Consent and Disclosure
Toll-free Call-in number: 1-866-814-8482
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CHAPTER 7: Hospital-Associated Infections• Hand Hygiene• Influenza Prevention• Central Venous Catheter-Related Blood Stream
Infection Prevention • Surgical-Site Infection Prevention• Care of the Ventilated Patient and VAP • MDRO Prevention• UTI Prevention
Information Management and Continuity of Care
Medication Management
Healthcare-Associated Infections
Condition-, Site-, and Risk-Specific Practices
Consent & Disclosure
Wrong-siteSx Prevention
Press. Ulcer Prevention
DVT/VTE Prevention
Anticoag. Therapy
VAP Prevention
Central V. Cath.BSI Prevention
Sx-Site Inf.Prevention
Contrast Media Use
Hand HygieneInfluenza
Prevention
Pharmacist Systems Leadership:High-Alert, Std. Labeling/Pkg., and Unit-Dose
Med. Recon.
Culture
CPOE
Read-Back & Abbrev.
Discharge System
PatientCare Info.
LabelingStudies
Culture Meas.,FB., and Interv.
Structuresand Systems
ID and Mitigation Risk and Hazards
Team Trainingand Team Interv.
Nursing Workforce
ICU CareDirect
Caregivers
Workforce CHAPTER 4: Workforce• Nursing Workforce• Direct Caregivers• ICU Care
CHAPTER 2: Creating and Sustaining a Culture of Patient Safety (Separated into Practices]
Leadership Structures and Systems Culture Measurement, Feedback, and Interventions Teamwork Training and Team Interventions Identification and Mitigation of Risks and Hazards
CHAPTER 5: Information Management and Continuity of Care
Patient Care Information Order Read-Back and Abbreviations Labeling Studies Discharge Systems Safe Adoption of Integrated Clinical Systems including
CPOE
CHAPTER 6: Medication Management Medication Reconciliation Pharmacist Leadership Role Including: High-Alert
Med. and Unit-Dose Standardized Medication Labeling and Packaging
CHAPTER 8:• Wrong-Site, Wrong-Procedure, Wrong-Person
Surgery Prevention • Pressure Ulcer Prevention• DVT/VTE Prevention• Anticoagulation Therapy• Contrast Media-Induced Renal Failure Prevention• Organ Donation• Glycemic Control• Falls Prevention• Pediatric Imaging
Informed Consent
Life-Sustaining Treatment
Disclosure
CHAPTER 3: Informed Consent and Disclosure• Informed Consent• Life-Sustaining Treatment• Disclosure• Care of the Caregiver
Consent and Disclosure
2009 NQF Report
Care of Caregiver
MDROPrevention
UTIPrevention
FallsPrevention
OrganDonation
GlycemicControl
New
MaterialChanges
No MaterialChanges
Legend:
PediatricImaging
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LEADERSHIP STRUCTURES and SYSTEMS
Values
Systems
Structures
Behaviors
Outcomes
Culture Measurement, Feedback, and Intervention
Teamwork Training and Skill Building
Identification and Mitigation of Risks and Hazards
Leadership Structuresand Systems
Patients and Community
NQF 34 Safe Practices