Newsletter of the Oregon Patient Safety Commission
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May 2013
In this issue:
- Transitions in Care: A Challenge and an Opportunity
- Care Transitions: Strengthening Communication, Improving Outcomes
- The Medical Home: A Model for Improving Care and Decreasing Risk
- CCO Accountability for Transitions in Care
- Oregon Antimicrobial Stewardship Initiative
- PSRP Corner
- Action Alert
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April 2013
in this issue:
- Adverse Event Reporting Drives State-Wide Shared Learning
- Linking Transparent Reporting and Safety at Asante
- Where Does Your Data Go?
- Growth of Oregon’s Patient Safety Reporting Program
- What’s New at the Commission?
- PSRP Corner
- Action Alert
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March 2013
In this issue:
- Patient Safety 7 Days a Week, 365 Days a Year
- Three Oregon Hospitals Lead the Way in Patient Safety
- Center for Specialty Surgery: Taking on Infections
- Two Pharmacies Set High Bar for Event Reporting
- A Culture of Safety is Thriving at Robison Jewish Health Center
- What’s New at the Commission
- PSRP Corner
- Action Alert
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February 2013
IN THIS ISSUE:
- Take Action to Beat Winter Infections
- Protecting Vulnerable Children from Seasonal Illnesses
- Choosing to Vaccinate
- New Vaccination Recommendations
- What’s New at the Commission
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January 2013
IN THIS ISSUE
- Looking Back, Focusing Forward
- Patient Safety Awareness Week
- Patient Safety Reporting Program Enhancements
- Preventing Harm from Oversedation
- Oregon Adverse Event Disclosure Guide
- Grant-Funded Patient Safety Efforts
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December 2012
In this issue
- Risk Mitigation for Patient Safety
- Quality and Risk - A Natural Partnership
- Real-Time Methods for Identifying and Addressing Risk
- Better Patient Understanding, Better Outcomes
- What’s New at the Commission
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November 2012
IN THIS ISSUE
- Is Your Organization Health Literate?
- Health Literacy “Universal Precautions” for Developing Health Information Materials
- Including Health Literacy in Your Current Communication Efforts
- Nurse Navigation at Providence Health
- PSRP Corner
- What’s New at the Commission
Click here to view the November newsletter »
October 2012
In this Issue
- Building Strong Systems to Support Medication Safety
- Different Healthcare Facilities, Similar Challenges with Medication Safety
- A Pharmacist’s Perspective for Improving Medication Safety: An Interview with Jackson Leong, RPh
- Medication Reconciliation - An Opportunity to Prevent Harm
- What’s New at the Commission
Click here to view the October newsletter »
September 2012
IN THIS ISSUE
- Advancing Safety Culture with Measurement
- Advice from Dr. Atul Gawande
- Measuring Success: the Road to Real Culture Change (An Interview with Salem Health)
- Simple Measures for Powerful Results
- Using Data to Transform Care
Click here to view the September newsletter »
August 2012
In This Issue
- Improving Patient and Employee Safety Through Influenza Vaccination
- Get Vaccinated: Options for Immunization
- Employee Vaccination Program Makes Honor Role
- Prescription for Flu Prevention: See Your Pharmacist
- Legislative Workgroup on Health Care Worker Influenza Vaccine
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July 2012
In this issue:
- Preventing Harm through Proactive Assessment of Risk
- Oregon Nursing Home Prevents Falls One Patient at a Time
- No News is Not Good News: A PeaceHealth Safety Initiative
- The Adverse Event that Did Not Happen
- What’s New at the Commission
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June 2012
In this issue:
- Quality Improvement Collaboratives: Frequently Asked Questions
- Primary Care Renewal: A Collaborative Success
- Lessons from Oregon’s HAI Prevention Collaborative Teams
- Infections Move Across Care Settings – Can Collaboratives?
- What’s New at the Commission
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May 2012
In This Issue:
- Learning from Experience to Improve Patient Safety
- Adverse Event Reporting Systems: How does Oregon Compare?
- What Makes a Successful Reporting Program?
- Healthcare Facilities Benefit from Adverse Event Reporting
- Putting Adverse Event Reporting Data to Work
- What’s New at the Commission
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April 2012
In this issue:
- A “Sterile Cockpit” for Healthcare
- Patient Safety Advances: Oregon’s Dr. Melinda Muller
- Oregon Surgery Center Creates Operating Room “Quiet Zone”
- Smartphone Distractions in Healthcare
- What’s New at the Commission
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March 2012
In This Issue:
- Patient Safety Then and Now
- Oregon Hospital Uses TeamSTEPPS to Improve Patient Safety
- Reflections on the Patient Safety Movement with Oregon’s Dr. Bruce Johnson
- A Just Culture Approach to Nursing Regulation
- What’s New at the Commission
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February 2012
In this issue:
- Improving Patient Safety Through Provider Communication
- Two Oregon Hospitals Take Unique Steps to Improve Communication
- Community Pharmacist-Physician Teamwork May Prevent Falls
- Nursing Homes Use Tool to Reduce Avoidable Hospitalizations
- What’s New at the Commission
Click here to view the February newsletter »
