T
he Department ofDefense (DoD)2005 Tri-Service Survey on PatientSafety is a web-based survey thatstaffwithin all Military Health System(MHS) facilities worldwide will be askedto complete during a six week field periodbeginning in the Fall 2005.Since patientsafety and quality ofcare are ofthe utmostimportance in MHS facilities,the survey will help DoD improve the quality of healthcare services and provide a saferpatient care environment across all MHSsettings.TRICARE Management Activity (TMA) is sponsoring the survey and hasbeen working for months with a team of Army,Navy,and Air Force patient safety and information technology representa-tives and contractors to develop the roll-out for this important initiative.Because staffmembers work day-inand day-out on the front lines deliveringpatient care,the survey asks for theiropinions about patient safety issues,error,and event reporting in their facilities.By capturing a staffperspective,the survey will help raise staffawareness aboutpatient safety and event reporting.It willalso allow facility leadership to assess thestatus oftheir patient safety and improve-ment efforts.Above all,the survey isdesigned to be a tool to help MHS facili-ties gauge the extent to which they empha-size patient safety,facilitate open discus-sion oferror,encourage event reporting,and create an atmosphere ofcontinuouslearning and improvement when it comes
DoD 2005 Tri-Service Survey on Patient Safety
Coming Soon to Your MTF
Page 3
PS Program Leadership Changes
Page 5
Nursing Meds Error Prevention
Page 6
Links – 2006 Patient SafetyGoals
Page 6
Links – Patient Safety Bracelet
SUMMER 2005A QUARTERLY NEWSLETTER TO ASSIST THE MILITARY HEALTH SYSTEM IMPROVE PATIENT SAFETY
THIS ISSUE
NNMC BETHESDA PILOTS FALLS PROGRAM
P
ATIENT
S
AFETY
SUMMER 2005
Continued on Page 2
Examples showing survey feedback report pages. Not real data.
to patient safety issues.The survey will also enable MHS facili-ties to meet several Joint Commission onAccreditation ofHealthcare Organizations(JCAHO) standards related to performanceimprovement (PI) and leadership (LD),including:
O
PI.1.10 #2—Organizations consider col-lecting data on 1) staffopinions andneeds;2) staffperceptions ofrisks toindividuals and suggestions for improv-ing patient safety;and 3) staffwilling-ness to report unanticipated adverseevents.
O
LD.4.40—The leaders ensure that an inte-grated patient safety program is imple-mented throughout the hospital.
O
LD.4.50—The leaders set performanceimprovement priorities and identify how the hospital adjusts priorities inresponse to unusual or urgent events.
O
LD.4.60—The leaders allocate adequateresources for measuring,assessing,andimproving the hospital’s performanceand improving patient safety.
O
LD.4.70—The leaders measure and assessthe effectiveness ofthe performanceimprovement and safety improvementactivities.The survey was developed and pilot test-ed by Westat under contract to the Agency for Healthcare Research and Quality (AHRQ) in 2004 and has demonstrated reli-ability and validity.The survey has already been implemented by dozens ofprivate sec-tor hospitals and outpatient facilities acrossthe U.S.Their feedback indicates a very pos-itive experience with the survey.They wereable to use survey results to identify areas of strength as well as areas to target for patientsafety improvement.The survey asks staffabout the followingaspects ofpatient safety:1.Overall perceptions ofsafety 2.Frequency ofreported events3.Supervisor/manager expectations &actions promoting patient safety 4.Organizational learning/Continuousimprovement5.Teamwork within work areas6.Handoffs & transitions7.Communication openness8.Feedback & communication abouterror9.Non-punitive response to error10.Staffing11.Management support for patientsafety 12.Teamwork across work areasDeployment ofthe DoD survey willcommence in the Fall 2005 by e-mail notifi-cation sent to clinical and non-clinical staff working in Army,Navy and Air Force hospi-tals,clinics,ambulatory/outpatient carefacilities,and dental facilities.These staff members include active duty and reservistmilitary,GS and contractor civilians,as wellas volunteers.Staffwill hyperlink to a securesurvey web site to complete the 10-minutesurvey.Recognizing the importance ofconfi-dentiality,responses will remain anonymousand individual answers will be unidentifi-able.Only aggregated data will be reportedto leadership levels.Results will be presentedat the MTF,Region,and overall Service lev-els.Participation ofall MHS staffis criticalto the success ofthe survey and the validity ofthe results.Therefore,when the e-mailnotification is distributed throughout yourMHS facility,please take the few minutesneeded to link to the web survey andrespond,and encourage other staffto do so.This is an important opportunity to let youropinions be heard and to contribute toimprovement efforts at your facility andacross the entire MHS system.Please contact your Service representa-tive with any questions or comments.
O
Army
O
Air Force
O
Navy
2
SUMMER 2005 PATIENT SAFETY
Tri-Service Survey
Continued from Page 1
Participation of all MHS staff is critical to the success ofthe survey.The goal ofthe MHS is 100% participation.
DoD 2005 Tri-Service Survey on Patient Safety
“This survey will help the DoD’s Military Health System realize our missionofimproving patient safety by enabling open promotion and discussionregarding the identificationofsafety issues specific toeach unique environment in our system.”
— David Tornberg, MD, MPH
Chief Medical Officer TRICARE Management ActivityNovember 2004
PATIENT SAFETY SUMMER 2005
3
LEADERSHIP TRANSITIONS IN PATIENT SAFETY PROGRAM
A
s I make plans for civilian life aftertwenty-eight years in the Navy,Ireflect on the past three years of accomplishments in the Patient Safety Pro-gram.It has been an extraordinary journey ofgrowth thanks to a group ofpassionate,talented professionals that make up thePatient Safety Planning and CoordinationCommittee.When I arrived on the scene three yearsago as the first Director ofthe DoD PatientSafety Program,my initial thought was“What have I gotten myselfinto?”The Safety Program was still in its infancy following the2001 NDAA mandate directing the MHS tohave a Patient Safety Program.Programs andinitiatives were scattered throughout differ-ent agencies like newspaper clippings.Through the vision ofDr.David Torn-berg,ChiefMedical Officer ofthe TRICAREManagement Activity,the pieces ofthe PSPwere collected and housed under one roofatTMA.Enter the talented,passionate leadersofPatient Safety.Heidi King took ownershipofa fledgling medical team training programand over time,collaborating with the Agency for Healthcare Research and Quality,createdthe gold-standard for medical team trainingfor not only the MHS,but the nation.DrGeoffRake became the Director ofthePatient Safety Center,designated as thePatient Safety Registry,and transformed asketchy system ofunreliable data captureinto a robust center ofdata driven processes,resources and patient safety tools for Mili-tary Treatment Facilities (MTFs).We stillhave a long way to go in perfecting meaning-ful data capture and interpretation.Hopeful-ly,the automated Patient Safety Reportingtool to be released throughout the MHS inFY 06 will go a long way toward taking usthere.The third component ofthe DoDPatient Safety program,the Center for Edu-cation and Research in Patient Safety (CERPS) has also grown by leaps andbounds thanks to the direction and leader-ship ofCAPT Glenn Merchant,Dr.EricMarks,and Dr.Howard Steed.From its rudi-mentary beginning,Patient Safety traininghas grown to include several curriculafocused on advancing the skills ofthe MTFPatient Safety Managers,and educating ourMTF leaders on the vigilance required to runa safe,efficient facility.Incorporated into thisprogram has been the world-wide training of MEDMARX,an automated medicationerror reporting system,and TapRoot®,a rootcause analysis tool designed to detect systemfailures rather than identify individual errorand assess blame.This explosion ofgrowth in the PatientSafety Program would have lay fallow were itnot for the vital link to the field provided by the Service Patient Safety Representatives:Ms Carmen Birk (Navy),LTC Steve Grimes(Army),LtCol Kathryn Robinson,MeganSnide,and LtCol (Ret) Beth Kosin (AirForce).These individuals have truly been thechampions in seeding,cultivating and reap-ing the rewards ofgetting the message out towhat we in the Navy refer to as “the deck-plates”– the invaluable providers at thesharp end ofcare.I look forward now to watching thePatient Safety Program continue to growunder the very capable direction ofLTCSteve Grimes.I also look forward to life as aretired beneficiary and the knowledge that Iwill receive safe,quality healthcare when Iwalk into a Medical Treatment Facility.
Welcome…..To LTCSteve Grimes
Incoming Director Shares Visionand Goals
LTC Steve Grimes,the incoming Directorofthe DoD Patient Safety Program,whilenew to this position,is not a newcomer tothe field ofmilitary patient safety.After var-ious assignments with the Army NurseCorps during the course ofhis eighteen yearcareer,LTC Grimes completed a one year fel-lowship at the Joint Commission for theAccreditation ofHealthcare Organizations(JCAHO) in 2003,and has served since asthe Director ofthe Army Medical Depart-ment (AMEDD) Patient Safety Program,where he has been responsible for develop-ing,coordinating and implementingAMEDD patient safety initiatives.He con-currently has represented the Army on theDoD Patient Safety Planning CoordinationCommittee (PSPCC),the leadership body which directs patient safety activities acrossthe military healthcare system.As he assumes his new responsibilities,LTC Grimes shares a clear vision ofProgramand personal goals.On a Program level,he ismost proud ofthe efforts ofthe PSPCC overthe last three years to align patient safety efforts among the three services.He intendsto continue working on alignment with and
Continued on Page 4
CAPT McKay addresses the Patient Safety Leadership Forum training session in June.
Farewell.....FromCAPT Deborah McKay
Patient Safety DivisionDirector Retiring
Search History:
Result 00 of 00
00 results for result for
p.
More From This User
Notes
Load more
