Category: Other

Points from Dr. Peter Pronovost

A cure for ‘initiative fatigue’? March 11th, 2014|Patient Safety|By Peter Pronovost Share on emailShare on twitterShare on facebookMore Sharing ServicesMore Frontline caregivers across the United States—and in many other countries, no doubt—are bombarded by multiple quality improvement (QI) projects. A clinical unit might simultaneously be engaged in efforts to reduce readmissions, eliminate hospital-acquired infections and other complications, increase hand-hygiene compliance, improve performance on core measures, and enhance the patient experience. The demands brought by participating in all of these efforts risk overwhelming health care professionals, who are already stretched thin in an environment of reduced reimbursements and health care reform. So what are the ingredients that help some quality improvement projects succeed in this atmosphere? How do we avoid “initiative fatigue”? These were among the questions that sociologists from the University of Pennsylvania and Harvard University sought to answer as they interviewed 150 hospital workers across six states who were involved in two large-scale quality improvement projects. Targeting surgical site infections and ventilator-associated pneumonia, respectively, the projects were funded by the Agency for Healthcare Research and Quality and led by Johns Hopkins’ Armstrong Institute for Patient Safety and Quality, with the sociologists as key members of our project teams. They summarized what they have learned in a March 7 Health Affairs blog post. I encourage you to read the piece. Here are a few of its key points: Safety must be embedded into daily...

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List of Websites with Questions to Ask you Doctor

General physician appointment: http://www.ahrq.gov/patients-consumers/patient-involvement/ask-your-doctor/index.html General surgery http://my.clevelandclinic.org/patients-visitors/prepare-appointment/questions-to-ask-your-doctor.aspx Diabetes: http://www.thirdage.com/hc/c/type-1-diabetes-questions-doctor 
 Osteoarthritis: http://www.beliefnet.com/Health/Physical-Health/Questions-to-Ask-Your-Doctor-About-OA.aspx Cancer: http://www.cancer.net/navigating-cancer-care/diagnosing-cancer/questions-ask-doctor Cancer: http://www.ucsfhealth.org/education/questions_to_ask_your_doctor/ Cancer: http://www.cancer.org/treatment/findingandpayingfortreatment/treatmentdecisiontoolsandworksheets/questionstoaskyourdoctor/index 
Orthopedic treatment and surgery http://orthoinfo.aaos.org/topic.cfm?topic=A00562 Cancer: http://mbcn.org/education/category/questions-to-ask-your-doctor/ 

10.) General physician appointment: http://www.bidmc.org/CentersandDepartments/Departments/Medicine/Divisions/GeneralMedicineandPrimaryCare/QuestionstoAskYourDoctor.aspx General surgery: http://nihseniorhealth.gov/talkingwithyourdoctor/askingquestions/01.html General physician appointment: http://www.nhs.uk/NHSEngland/AboutNHSservices/questionstoask/Pages/Makethemostofyourappointment.aspx Breast cancer surgery:  http://ww5.komen.org/BreastCancer/QuestionstoAsktheDoctorPDFDownloads.html Ulcerative colitis: http://www.webmd.com/ibd-crohns-disease/ulcerative-colitis/features/ulcerative-colitis-talk-to-your-doctor Colorectal cancer: http://www.cdc.gov/cancer/colorectal/basic_info/screening/questions.htm General physician appointment: http://www.huffingtonpost.com/geeta-nayyar-md/what-you-should-ask-your-doctor_b_3416956.html Depression:  http://www.health.com/health/gallery/0,,20401185,00.html Parkinson’s disease: http://www.parkinson.org/Parkinson-s-Disease/PD-101/Top-Questions-to-Ask-Your-Doctor Breast cancer: http://www.breastcancer.org/symptoms/diagnosis/dr_questions Breast cancer:...

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