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FAQs for 2009 National Patient Safety Goals Update

Release Date: December 19, 2008

Analysis and discussion regarding the posting of the 2009 version of the FAQs for the National Patient Safety Goals.

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Leadership Orientation & Education Requirements Form 2009

Release Date: September 16, 2008

Leadership Orientation, Education Requirements for 2009 Checklist

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2009 NPSG Analysis of Implementation Expectations

Release Date: August 11, 2008

Analysis of the 2009 NPSG changes, what’s new, what remains and what is expected for implementation. Included are the 2008 FAQ revisions as they impact the 2009 NPSGs and tips for compliance.

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Pain Management, Assessment/Reassessment, Policy

Release Date: February 10, 2010

Non compliance citations for pain assessment and reassessments continue to raise especially the documentation of reassessments after intervention (PC.01.02.07 EP.3). The lack of an initial comprehensive pain assessment is also frequently cited (PC.01.02.07 EP.1), but organizations can typically show 90% compliance for emergency department patients and inpatients. Compliance issues are less clear for the general ambulatory care patient.

The model policy addresses common vulnerabilities by establishing common sense approaches to this complex issue. It focuses the patient populations requiring a comprehensive assessment and it allows for flexible documentation of pain reassessments.

The policy requires a pain reassessment every 12 hours for inpatients which supports hospitals with a mixture of shift lengths. By performing pain reassessments, for example,  on each shift of both 8-hour and 12-hours, staff will comply with policy without raising a standard of care issue.

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Medication Reconciliation, Sample Form

Release Date: September 4, 2008

Inpatient medication reconciliation form.

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Look Alike-Sound Alike and High Alert Medications, Overview

Release Date: July 21, 2008

This overview document provides a model policy for look alike-sound alike and high alert medications, a sample listing of medication pairs for LASA error prevention, and an analysis of the TJC revisions to their list.

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Critical Tests & Critical Values, Policy

Release Date: August 27, 2008

Critical test definition and critical value/result definition, reporting and measurement of compliance policy.

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Question of the Month |

  • What kind of data do you get back from the PSO?

  • The PSO provides two major types of information that you get back as a member of the PSO. We break this into two categories: