Joint Commission Resources Content Proposed for PerforMax 3 Created On-Line Learning Lessons

Transcription

1 Jint Cmmissin Resurces Cntent Prpsed fr PerfrMax 3 Created On-Line Learning Lessns PerfrMax 3 has entered int a nn-exclusive agreement with Jint Cmmissin Resurces (JCR) t prduce and distribute nline learning curses frm JCR publicatins and web-based learning materials n varius health care quality and patient safety subjects. JCR will develp the cntent as well as prvide the cntinuing educatin units fr these nline curses fr health care prfessinals. This cntent supprts The Jint Cmmissin s accreditatin standards and assists health care rganizatin in meeting thse standards. JCR is a nt-fr-prfit affiliate f The Jint Cmmissin, prviding cnsulting services, educatin services, and publicatins t assist in imprving quality and safety in health care rganizatins wrldwide. JCR has been designated by The Jint Cmmissin as its fficial publisher and educatr t address quality and safety risk areas in health care, develping patient-centric slutins using its clinical experts and decades f experience. JCR is a recgnized leader in results-riented educatin prgrams, practical publicatins, and innvative multimedia prducts that can help imprve quality and safety acrss the entire health care rganizatin. The fllwing table describes JCR Cntent and The Jint Cmmissin requirements addressed by the cntent. PerfrMax3 estimates the creatin f apprximately 100 new n-line learning lessns as a result f this cllabratin with JCR. 1

2 Jint Cmmissin Resurces Cntent Prpsed fr PerfrMax 3 Created On-Line Learning Lessns Jint Cmmissin Resurces Cntent Staff Educatin Tls fr the 2010 Natinal Patient Safety Gals Cntents: Intrductin NPSG 1: Patient Identificatin NPSG 2: Caregiver Cmmunicatin NPSG 3: Safe Medicatin Use NPSG 7: Infectin Preventin and Cntrl NPSG 8: Medicatin Recnciliatin NPSG 9: Patient Falls NPSG 14: Pressure Ulcer Preventin NPSG 15: Risk Assessment Universal Prtcl fr Preventing Wring Site, Wrng Prcedure, Wrng Persn Surgery Appendix A: Review Quizzes Appendix B: Tls, Articles and Extra Infrmatin Tlkit fr Preventing Health Care-Assciated Infectins Cntents: Rules f Engagement Guidelines and Standards fr Cmbating Health Care-Assciated Infectins Drawing up the Battle Plan Develping a Successful Health Care-Assciated Infectin Preventin and Cntrl Plan Securing the Perimeter Mitigating Envirnmental Risks fr Infectin Preventin and Cntrl Defeating the Enemy Best Practices and Tls t Battle Health Care-Assciated Infectins Sptlight n Success Organizatins with successful Health Care-Assciated Infectin preventin and Cntrl Prgrams Jint Cmmissin Requirements 2010 Natinal Patient Safety Gals fr hspitals, critical access hspitals, ambulatry care, lng term care, behaviral health care, ffice-based surgery, and hme care, and labratries. Gals include: patient identificatin (patient identifiers, transfusin caregiver cmmunicatin (cmmunicating critical results f tests and diagnstics) safe medicatin use (medicatin labeling, anticagulant therapy) infectin preventin and cntrl (hand hygiene, MDROs, central line-assciated bldstream infectins, and surgical site infectins) medicatin recnciliatin patient falls pressure ulcers risk assessments (suicide risk, hme xygen therapy) Universal Prtcl fr Preventing Wrng Site, Wrng Prcedure, Wrng Persn Surgery Jint Cmmissin Infectin Preventin and Cntrl standards related t HAIs Natinal Patient Safety Gal 7: Reduce the risk f health care-assciated infectins. (hand hygiene, multidrug-resistant rganisms, central line-assciated bldstream infectins, and surgical site infectins) 2

3 Jint Cmmissin Resurces Cntent Prpsed fr PerfrMax 3 Created On-Line Learning Lessns Jint Cmmissin Resurces Cntent The Nurse's Rle in Medicatin Safety Cntents: Intrductin The Nurse s Rle in Medicatin Recnciliatin Using Technlgy t Help Nurses Imprve Medicatin Safety Using Technlgy t Help Nurses Imprve Medicatin Safety Partnering with Other Disciplines t Administer High-Risk IV Medicatins t Stable Patients Outside the Intensive Care Unit Organizatinal Challenges, Benefits, and Barriers t Medicatin Errr Reprting t Nurses Teamwrk, Cmmunicatin, and the Rad t Human Factrs Engineering First: D Nt Distract Helping Nurses Reduce the Risk f Pediatric Medicatin Errrs Appendix. Case Study fr Educating Staff The Essential Guide fr Patient Safety Officers Cntents: The Rle f Leadership Systematic Flw f Infrmatin Teamwrk and Cmmunicatin and Accuntability Patient Invlvement Effective Implementatin and Measurement Strategies Safety Culture Reliability and Resilience Direct Observatin and Feedback Prcess Imprvement Methds Disclsure Jint Cmmissin Requirements Jint Cmmissin Medicatin Management standards Natinal Patient Safety Gal 3: Imprve the safety f using medicatins. (medicatin labeling, anticagulant therapy) Natinal Patient Safety Gal 8: Accurately and cmpletely recncile medicatins acrss the cntinuum f care. Jint Cmmissin Leadership standards (culture f safety, perfrmance imprvement, managing patient flw, disclsure, ensuring patient invlvement, effective teamwrk and cmmunicatin) 3

4 Jint Cmmissin Resurces Cntent Prpsed fr PerfrMax 3 Created On-Line Learning Lessns Jint Cmmissin Resurces Cntent Handff Cmmunicatins: Tlkit fr Implementing the Natinal Patient Safety Gal Cntents: The Imprtance f Standardizing Handff Cmmunicatins Using Techniques and Tls frm Other Organizatins Creating r Custmizing Handff Cmmunicatin Techniques That Wrk in Yur Organizatin Appendix A: Frequently Asked Questins Appendix B: Internatinal Patient Safety Slutins Jint Cmmissin Requirements Frmer Natinal Patient Safety Gal. Nw part f Prvisin f Care, Treatment, and Services standards related t crdinating the patient s care, treatment, and services, specifically PC , EP 2. The hspital s prcess fr hand-ff cmmunicatin prvides fr the pprtunity fr discussin between the giver and receiver f patient infrmatin. Medicatin Recnciliatin: The Fundatin Fr Safe Medicatin Use AND Medicatin Recnciliatin Handbk, Secnd Editin Natinal Patient Safety Gal 8: Accurately and cmpletely recncile medicatins acrss the cntinuum f care. Cntents: Making the Case Systems Prcesses and Analysis Risk Pints and Slutins Physician Engagement Educating Key Individuals Patient Invlvement Perfrmance Imprvement and Measurement 4

5 Jint Cmmissin Resurces Cntent Prpsed fr PerfrMax 3 Created On-Line Learning Lessns Jint Cmmissin Resurces Cntent Turning Data Int Useful Infrmatin Cntents: Understand hw t use cre measures and variatin fr perfrmance imprvement Perfrmance measurement as a management tl Identify cmpnents f data cllectin Determine apprpriate display frmats f data Identify the pssible reasns fr discrepancies in utcme Rt Cause Analysis in Health Care, 4 th Editin Cntents: Rt Cause Analysis: An Overview Addressing Sentinel Events in Plicy and Strategy Preparing fr Rt Cause Analysis Determining What Happened and Why: The Search fr Prximate Causes Identifying Rt Causes Designing and Implementing and Actin Plan fr Imprvement Tls and Techniques Rt Cause Analysis Case Studies frm the Field Failure Mde and Effects Analysis, 3 rd editin Jint Cmmissin Requirements Perfrmance Imprvement standards data cllectin, data analysis, and perfrmance imprvement Leadership standard LD EP 8. The hspital cnducts thrugh and credible rt cause analyses in respnse t sentinel events as described in the Sentinel Events chapter. Jint Cmmissin Sentinel Event Plicy Leadership standard LD regarding practive risk assessment requirements Cntents: A Systematic Apprach t Errr Preventin Examinatin f Specific Prcesses t Identify Failures Befre They Happen and Determine the Cnsequences Managing Ptential Risks 5

6 Jint Cmmissin Resurces Cntent Prpsed fr PerfrMax 3 Created On-Line Learning Lessns Jint Cmmissin Resurces Cntent Staff Pcket Guide t MDROs Cntents: Fast Facts n Clinically Relevant MDROs Tips fr Managing Patients with MDROs Screening and Islatin Practices Staff Strategies fr Bedside Interactins Discntinuing Islatin Precautins Prtectin Guidelines fr Health Care Staff Anticagulatin Therapy: Tlkit fr Implementing the Natinal Patient Safety Gal Cntents: Understanding Jint Cmmissin Requirements Planning Strategies fr an Anticagulatin Therapy Prgram Cnsideratins fr Managing Patients Using Anticagulatin Medicatins Educating Patients Abut Anticagulatin Therapy Evaluatin and Perfrmance Imprvement fr an Anticagulatin Therapy Prgram Case Studies: Lessns frm the Field Jint Cmmissin Requirements Natinal Patient Safety Gal 7: Reduce the risk f health care-assciated infectins. (hand hygiene, multidrug-resistant rganisms, central line-assciated bldstream infectins, and surgical site infectins) Natinal Patient Safety Gal 3: Imprve the safety f using medicatins. (medicatin labeling, anticagulant therapy) Medicatin Management standard MM The hspital safely manages high-alert and hazardus medicatins. 6

7 Jint Cmmissin Resurces Cntent Prpsed fr PerfrMax 3 Created On-Line Learning Lessns Jint Cmmissin Resurces Cntent Medicatin Use: A Systems Apprach t Reducing Errrs, 2 nd editin Jint Cmmissin Requirements Jint Cmmissin Medicatin Management standards Cntents: A Systems Apprach t Medicatin Use Defining Medicatin Errrs Preventing Medicatin Errrs Measuring and Mnitring the Perfrmance f the Medicatin Use System. Evaluating and Imprving an Organizatin s Medicatin Use System. Case Study n Measuring and Imprving the Medicatin Use System Case Study n the Use f Health Care Technlgy t Imprve Medicatin Safety Addressing Patients' Health Literacy Needs Cntents: Understanding Health Literacy Assessing Health Literacy Implementing Slutins Case Studies Appendix: Health Literacy Resurces Glssary Jint Cmmissin Rights and Respnsibilities f the Individual standards. Standard RI The hspital respects the patient s right t receive infrmatin in a manner he r she understands. EP 1. The hspital prvides infrmatin in a manner tailred t the patient s age, language, and ability t understand. 7

8 Jint Cmmissin Resurces Cntent Prpsed fr PerfrMax 3 Created On-Line Learning Lessns Jint Cmmissin Resurces Cntent Patient-Fcused Medicatin Management Jint Cmmissin Requirements Jint Cmmissin Medicatin Management Standards Cntents: Putting the Patient Fcus in Medicatin Management Engaging Patients in Their Care Understanding Medicatin Regimen Nn-adherence Prmting Medicatin Regimen Adherence Understanding and Imprving Medicatin Recnciliatin Reducing the Risk f Falls in Yur Health Care Organizatin AND It's A Lng Way Dwn: Reducing The Risk f Patient Falls Natinal Patient Safety Gal 9 (fr lng term care and hme care): Reduce the risk f patient harm resulting frm falls. Cntents: Understanding Jint Cmmissin Requirements fr Fall Preventin Strategies fr Identifying an Individual s Fall Risk Strategies fr Minimizing Fall Risks Strategies fr Tracking Falls and Reviewing Data Lessns frm the Field: A Cllectin f Case Studies Appendix/ Suggested Readings 8

9 Jint Cmmissin Resurces Cntent Prpsed fr PerfrMax 3 Created On-Line Learning Lessns Jint Cmmissin Resurces Cntent Handbk n String and Securing Medicatins, Secnd Editin Cntents: Current Cncepts in Medicatin Strage and Security Principles and Practices f Medicatin Strage Maintaining Medicatin Security Case Studies in a Cntinuus Quality Imprvement Apprach t Medicatin Strage and Security Appendix 1: ASHP Technical Assistance Bulletin n Hspital Drug Distributin and Cntrl Jint Cmmissin Requirements Jint Cmmissin Medicatin Management standard MM The hspital safely stres medicatins. Appendix 2: Drug Standardizatin, Strage, and Distributin Self-Assessment Appendix 3: List f Sund-Alike and Lk-Alike Drug Names Appendix 4: Cntrlled Substances Prcedure Infectin Preventin and Cntrl Issues in the Envirnment f Care, Secnd Editin (bk) Jint Cmmissin Infectin Preventin and Cntrl standards as well as Envirnment f Care standards Cntents: Making the Cnnectin: Infectin Preventin and Cntrl and Envirnment f Care Issues Human Factrs fr Infectin Preventin and Cntrl and Envirnment f Care Prfessinals Equipment Envirnmental Services Utilities Cnstructin and Renvatin Emergency Management Perfrmance Measurement and Imprvement 9

10 Jint Cmmissin Resurces Cntent Prpsed fr PerfrMax 3 Created On-Line Learning Lessns Jint Cmmissin Resurces Cntent Managing Patient Flw: A Fcus On Critical Prcesses AND Managing Patient Flw in Hspitals: Strategies and Slutins, Secnd Editin Jint Cmmissin Requirements Jint Cmmissin Leadership standard LD The hspital manages the flw f patients thrughut the hspital. Cntents: Describe the cncept f variability Identify the rt causes f patient flw prblem Discuss risk reductin strategies related t managing patient flw Identify the Jint Cmmissin s patient flw related standards Safety in the Operating Rm Cntents: Imprving Cmmunicatin and Aviding Distractins Preventing Wrng-Site, Wrng-Prcedure, Wrng-Persn Surgery Preventing Medicatin Errrs Ensuring Fire Safety Ensuring Infectin Cntrl and Preventin Maintaining Prper Hand Hygiene in the OR Ensuring Sharps Safety Preventing Overbking f ORs Preventing Anesthesia Awareness Preventing Retentin f Freign Bdies After Surgery Appendix 1: Addressing Envirnment f Care Risks in the OR Appendix 2: Maintaining a Drug-Free Wrk Place Prvisin f Care, Treatment, and Services standards. Envirnment f Care standards. Life Safety standards. Natinal Patient Safety Gals as applicable. Universal Prtcl fr Preventing Wrng Site, Wrng Prcedure, and Wrng Persn Surgery. 10

11 Jint Cmmissin Resurces Cntent Prpsed fr PerfrMax 3 Created On-Line Learning Lessns Jint Cmmissin Resurces Cntent Patient Safety n the Line: Using Technlgy t Aid in Effective Cmmunicatin Cntents: Describe the Jint Cmmissin's NPSG related t imprving the effectiveness f cmmunicatin amng caregivers Understand rt causes f pr cmmunicatin Discuss ways t imprve reprting f critical/ urgent test results Determine slutins t imprve the timeliness f reprting and f receipt by the respnsible prvider f critical test results and values Identify slutins fr standardizing the apprach t hand-ff cmmunicatins Manage critical test results t be implemented effectively Medical Team Training: Strategies fr Imprving Patient Care and Cmmunicatin Cntents: A Team Culture f Safety The Team Training Prgram Getting Started Team Structures in Health Care Innvative Team Training Mdels Imprvement Strategies Teamwrk Prduces Imprved Patient Safety Jint Cmmissin Requirements Leadership standards (culture f safety, teamwrk) Perfrmance Imprvement standards Any standards related t staff cmmunicatin with each ther and with patients, including Rights and Respnsibilities f the Individual standards. Leadership standards (culture f safety, teamwrk) Perfrmance Imprvement standards Any standards related t staff cmmunicatin with each ther and with patients, including Rights and Respnsibilities f the Individual standards. 11

12 Jint Cmmissin Resurces Cntent Prpsed fr PerfrMax 3 Created On-Line Learning Lessns Jint Cmmissin Resurces Cntent Keeping Safety in Fcus: Reducing Cmplicatins in the Cardiac Cath Lab Cntents: Jint Cmmissin Requirements Sme f the key safety requirements invlve effective cmmunicatin, staff training, infectin preventin, medicatin labeling, and adherence t the Universal Prtcl. Wrng site, wrng prcedure, wrng persn surgery can be prevented. The Universal Prtcl is intended t achieve this gal. Identify The Jint Cmmissin s Natinal Patient Safety Gals and requirements which relate t the cardiac catheterizatin lab; Understand the safety challenges facing cath labs and the pprtunities fr imprvement; Define respnsibility and accuntability fr cath lab safety; Develp an apprach fr enhancing cath lab safety, based n data use and sund perfrmance imprvement principles Fundamentals f Health Care Imprvement A Guide t Imprving Yur Patient s Care Cntents: The Gap Between What We Knw and What We D Finding Scientific Evidence t Apply fr Clinical Imprvement Wrking in Teams Acrss Prfessins t Imprve Care Fcusing n an Imprvement Effrt The Necessary Prcess f Literacy Measurement Part 1: Overview f Data Analysis Measurement Part 2: Identifying Measures fr Imprvement Measurement Part 3: Using Run Charts and Cntrl Charts t Mnitr Systems Understanding and Making Changes in a System Develping Imprvement Skills in Clinician Learners: Defining the Cre Cmpetency fr Physicians Teacher s guide fr Designing Ways fr Students t Learn t Imprve Care Leadership standards (culture f safety, teamwrk) Perfrmance Imprvement standards Any standards related t staff cmmunicatin with each ther and with patients, including Rights and Respnsibilities f the Individual standards. 12

13 Jint Cmmissin Resurces Cntent Prpsed fr PerfrMax 3 Created On-Line Learning Lessns Jint Cmmissin Resurces Cntent Pediatric Patient Safety in the Emergency Department Cntents: Jint Cmmissin Requirements Prvisin f Care, Treatment, and Services standards. All Natinal Patient Safety Gals as they wuld apply t pediatric ppulatin. Hspital Leadership and Its Impact n the Care f Children in the ED Cmmunicatin Invlving Pediatric Patients and Their Families in the ED and Beynd Prmting a Patient and Family-Centered Envirnment f Care in the ED Medicatin Safety fr Pediatric Patients in the ED Infectin Preventin and Cntrl Issues Unique t Pediatric Patients in the ED Pediatric Patient Assessment, Diagnstic Studies, and Treatment in the ED Treating Children with Special Health Care Needs in the ED Including Pediatric Care Needs in Disaster Management 13