Near miss to significant event.
I was trying to distill Nance to a few quick sentences and came up with:
Expect failure to achieve success
If you want peace, prepare for war
This is achieved via teams, not individuals
Attitude / culture and environment are paramount
Here are a few “open to anyone ideas” for QI / safety from the session 6/7
Rn activated protocols that allow them to dose OTC medications via a flow sheet for common issues such as pain, fever, sleep, allergic symptoms
Safety net system should have the capacity to analyze trends in the marco-data to identify themes / repeat event.
PCP initiative to increased number of advanced directives on file for their panel based on CAM scores to decrease uncertainty about wishes at end-of-life.
Video informed consents that present a visual, standardized model for the patients / family to improve understanding, evidence-based approaches and also allow them to generate question by watching numerous times. I think this may actually save providers time, not generate more work. I am considering trialing one for blood transfusions for my QI commitment.
Large hospital systems should generate a “second-opinion” network that is easily accessible to the public.
Will keep you all posted with more ideas from today’s session.