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2012 3 March Newsletter | Oregon Patient Safety Commission

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Oregon Patient Safety

Patient Safety Then and Now

This week is National Patient Safety Awareness Week and an opportunity for healthcare professionals to take time to appreciate where we’ve come from and where we’re headed. In honor of Patient Safety Awareness Week, we reflect on some of the patient safety movement’s beginnings and one of the most critical factors necessary to improve patient safety - establishing a culture of safety.

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Oregon Hospital Uses TeamSTEPPS to Improve Patient Safety

Columbia Memorial Hospital in Astoria, Oregon is putting Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) to work. Trainings held across all hospital departments in 2011 have helped to get nearly all hospital staff and management involved in an effort to improve communication and teamwork skills on behalf of patients.

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Reflections on the Patient Safety Movement with Oregon's Dr. Bruce Johnson

Bruce Johnson

Mary Post, Infection Prevention Specialist for the Oregon Patient Safety Commission, recently spoke with Dr. Bruce Johnson, member of the Commission’s Board of Directors and surgeon at Willamette Ear, Nose, Throat and Facial Plastic Surgery in Salem, Oregon. They discussed the changes Dr. Johnson has observed over time in both the patient safety movement and also in his time as a Commission board member.

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A Just Culture Approach to Nursing Regulation

“Disciplining nurses in response to human error does not improve public safety, though nurses who make reckless choices must be held accountable.” The North Carolina Board of Nursing has developed an assessment instrument called the Complaint Evaluation Tool to help employers apply Just Culture principles when errors occur in practice. The tool also helps employers clarify their criteria for reporting employees to the board of nursing.

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What's New at the Commission

During the week of March 4-10, the Commission is celebrating Patient Safety Awareness Week. This week-long observance is an opportunity to raise awareness about the need for both providers and patients to be involved in patient safety efforts and to highlight the great strides Oregon healthcare organizations are making to improve patient safety.

Patient Safety Awareness Week is a nation-wide event led by the National Patient Safety Foundation. The theme for this year’s Patient Safety Awareness Week is Be Aware for Safe Care, which highlights the need to involve everyone, including both patients and providers, in ensuring the safety of our healthcare process. The National Patient Safety Foundation offers tools, resources, and materials to help providers and patients become more involved in working for healthcare safety. The Oregon Patient Safety Commission also provides resources for providers and patients on our website.

In honor of Patient Safety Awareness Week, the Commission held an awareness breakfast event in Salem to hear from patient safety advocate Kim Sandstrom of the organization Mothers Against Medical Error and to recognize healthcare organizations that are leading the way in Oregon’s Patient Safety Reporting Program. You can read a press release about the event here.

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