University of Michigan Health System Patient Safety Toolkit: Overview

University of Michigan Health System
Patient Safety Toolkit: Overview

Overview

Safety Culture

Safety Plan

Safety Curriculum

Adverse Events

Medication Safety

Infection Prevention Control

Disclosure

How To Use This Toolkit
Reprint Statement
Acknowledgements
  Tookit Development Committee
  Conference Planning Committee
  Safety Culture Chapter
  Safety Plan Chapter
  Safety Curriculum Chapter
  Adverse Events Chapter
  Medication Safety Chapter
  Infection Control Chapter
  Disclosure Chapter
  Toolkit Research & Compilation
  Reprint Permission
  Document Retrieval
  Graphic Design

How To Use This Toolkit

This toolkit is designed to build a foundation of knowledge and to suggest practical applications for developing best practices. Content includes conceptual discussions, seminal literature, and "tools and templates", integrating original material and material adapted from other sources. The toolkit contains chapters related to specific topics that are considered to be of prime importance to hospitals seeking to enhance patient safety and quality care. Each chapter is sub-divided into the following sections.

Brief introduction to the topic
Key Issues highlighting the most critical issues
Challenges that may be encountered when addressing issues
Primers and other seminal literature that enhance knowledge around the topic
Tools and Templates designed to help hospitals turn their conceptual knowledge into practical and achievable strategies

The toolkit will be of maximum value if shared with a wide variety of healthcare professionals. Suggested distribution includes hospital administrators, physician leaders, pharmacy, nursing, risk management, quality improvement, infection prevention and control departments and other healthcare professionals whose roles include the design and implementation of patient safety initiatives.

Reprint Statement

PERMISSION IS GRANTED TO USE, COPY AND REDISTRIBUTE THIS DOCUMENT FOR NONCOMMERCIAL EDUCATION AND RESEARCH PURPOSES, SO LONG AS NO FEE IS CHARGED, AND SO LONG AS THE COPYRIGHT NOTICE ABOVE AND THIS GRANT OF PERMISSION APPEAR IN ALL COPIES MADE; AND SO LONG AS THE NAME OF THE UNIVERSITY OF MICHIGAN IS NOT USED IN ANY ADVERTISING OR PUBLICITY PERTAINING TO THE USE OR DISTRIBUTION OF THIS DOCUMENT WITHOUT SPECIFIC, WRITTEN PRIOR AUTHORIZATION. PERMISSION TO MODIFY OR OTHERWISE CREATE DERIVATIVE WORKS OF THIS DOCUMENT IS NOT GRANTED.

ALL OTHER REQUESTS FOR REPRINT PERMISSION SHOULD BE FORWARDED TO THE ATTENTION OF MARIA PERNAL-WALLAG AT mariasw@umich.edu OR MAILED TO: OFFICE OF QUALITY IMPROVEMENT, UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS, NI7A10 NORTH INGALLS BUILDING, 300 NORTH INGALLS, ANN ARBOR, MI. 48109-0484.

Acknowledgements

Sincere appreciation to the Blue Cross Blue Shield of Michigan Foundation for their financial support of this work, and to the following individuals for their contributions in promoting and developing the Patient Safety Toolkit.

Toolkit Development Committee

Susan Anderson, MSN, MBA, CPHRM Interim Director Risk Management	Shon Dwyer, BSN, MBA, RN (Chair) Corporate Director Quality Improvement
Candace Friedman, MPH, CIC Manager Infection Control & Epidemiology	Debbie Guglielmo, RN, MS Director Quality Improvement Operations & Education
Amy Hooberman, MHSA Staff Associate Medical School	John F. Mitchell, Pharm.D., FASHP Medication Safety Coordinator Department of Pharmacy Services
Maria S. Pernal-Wallag, BA Administrative Assistant Quality Improvement & Accreditation	Patricia L. Schmidt, RN, MS Coordinator, Adverse/Sentinel Events Quality Improvement
Kristen VanDerElzen, MPH, CIC Staff Specialist Infection Control & Epidemiology	Heather Wurster, RN, MPH Administrator Office of Clinical Affairs

Conference Planning Committee

Kenneth J. Appleby, BA, ARM, CPHRM Former Director Risk Management	John E. Billi, MD (Chair) Associate Dean for Clinical Affairs Medical School Associate Vice President for Medical Affairs
Arlene Bradford, BA Assistant Director Office of Continuing Education	Shon A. Dwyer, BSN, MBA, RN Corporate Director Quality Improvement
Paul O. Farr, MD Speaker of the House Michigan State Medical Society	Jeanne M. Kin, JD, MHA Staff Associate Medical School Administration
Marilynn M. Rosenthal, Ph.D. Professor of Sociology/Medical Sociology Adjunct Professor Dept of Internal Medicine Director, U of M FORUM on Health Policy	Sanjay Saint, MD, MPH Associate Professor Director, Patient Safety Enhancement Program Research Scientist, Ann Arbor VA Medical Center

Safety Culture Chapter

Principal Author:		Maria S. Pernal-Wallag, BA Administrative Assistant Quality Improvement and Accreditation
Contributor:		Shon Dwyer, BSN, MBA, RN Corporate Director Quality Improvement
Reviewers:		Amy Hooberman, MHSA Staff Associate Medical School Jeanne M. Kin, JD, MHA Staff Associate Medical School Administration Mark D. Pearlman, MD Professor of Reproductive Medicine Vice Chair and Service Chief Department of Obstetrics and Gynecology Marilynn M. Rosenthal Ph.D. Professor of Sociology/Medical Sociology Adjunct Professor Dept of Internal Medicine Director, U of M FORUM on Health Policy Patricia L. Schmidt, RN, MS Coordinator, Adverse/Sentinel Events Quality Improvement Heather Wurster, RN, MPH Administrator Office of Clinical Affairs

Safety Plan Chapter

Principal Author:		Maria S. Pernal-Wallag, BA Administrative Assistant Quality Improvement and Accreditation
Contributor:		Shon Dwyer, BSN, MBA, RN Corporate Director Quality Improvement
Reviewers:		Candace Friedman, MPH, CIC Manager Infection Control and Epidemiology Jeanne M. Kin, JD, MHA Staff Associate Medical School Administration Marilynn M. Rosenthal Ph.D. Professor of Sociology/Medical Sociology Adjunct Professor Dept of Internal Medicine Director, U of M FORUM on Health Policy

Safety Curriculum Chapter

Principal Author:		Maria S. Pernal-Wallag, BA Administrative Assistant Quality Improvement and Accreditation
Contributor:		Shon Dwyer, BSN, MBA, RN Corporate Director Quality Improvement
Reviewers:		Amy Hooberman, MHSA Staff Associate Medical School Jeanne M. Kin, JD, MHA Staff Associate Medical School Administration Marilynn M. Rosenthal Ph.D. Professor of Sociology/Medical Sociology Adjunct Professor Dept of Internal Medicine Director, U of M FORUM on Health Policy Heather Wurster, RN, MPH Administrator Office of Clinical Affairs

Adverse Events Chapter

Principal Authors:		Richard C. Boothman, AB, JD Assistant General Counsel U of M Legal Office Shon Dwyer, BSN, MBA, RN Corporate Director Quality Improvement Maria S. Pernal-Wallag, BA Administrative Assistant Quality Improvement amd Accreditation
Contributors:		Louise Grondin, MS, APRN, BC Quality Improvement Coordinator Quality Improvement Patricia L. Schmidt, RN, MS Coordinator, Adverse/Sentinel Events Quality Improvement
Reviewer:		Kristen VanDerElzen, MPH, CIC Staff Specialist Infection Control and Epidemiology,

Medication Safety Chapter

Principal Author:		John F. Mitchell, Pharm.D., FASHP Medication Safety Coordinator Department of Pharmacy Services
Reviewers:		Shon Dwyer, BSN, MBA, RN Corporate Director Quality Improvement Louise Grondin, MS, APRN, BC Quality Improvement Coordinator Quality Improvement Maria S. Pernal-Wallag, BA Administrative Assistant Quality Improvement and Accreditation Patricia L. Schmidt, RN, MS Coordinator, Adverse/Sentinel Events Quality Improvement Jim Stevenson, Pharm D. Director of Pharmacy Services Maureen Thompson, MSN, RN, CCRN Coordinator, Patient Safety, Office of Clinical Affairs Adjunct Faculty, University of Michigan School of Nursing

Infection Control Chapter

Principal Author:		Candace Friedman, MPH, CIC Manager Infection Control and Epidemiology
Contributors:		Maria S. Pernal-Wallag, BA Administrative Assistant Quality Improvement and Accreditation Kristen VanDerElzen, MPH, CIC Staff Specialist Infection Control and Epidemiology
Reviewers:		Carol Chenoweth, MD Professor, Department of Internal Medicine Division of Infectious Diseases Shon Dwyer, BSN, MBA, RN Corporate Director Quality Improvement Jeanne M. Kin, JD, MHA Staff Associate Medical School Administration

Disclosure Chapter

Principal Author:		Maria S. Pernal-Wallag, BA Administrative Assistant Quality Improvement and Accreditation
Contributors:		Susan Anderson, MSN, MBA, CPHRM Interim Director Risk Management Shon Dwyer, BSN, MBA, RN Corporate Director Quality Improvement Edward Goldman, JD Assistant General Counsel University of Michigan Hospitals and Health Centers Attorney
Reviewers:		Margaret Dawson, BA, RN, CPHRM Consultant Risk Management Amy Hooberman, MHSA Staff Associate Medical School Allen B. Kachalia, MD Department of Internal Medicine Jeanne M. Kin, JD, MHA Staff Associate Medical School Administration Marilynn M. Rosenthal Ph.D. Professor of Sociology/Medical Sociology Adjunct Professor Dept of Internal Medicine Director, U of M FORUM on Health Policy Sanjay Saint, MD, MPH Associate Professor Director, Patient Safety Enhancement Program Research Scientist Ann Arbor VA Medical Center Jacqueline Voigt, MSSA Manager Cultural Competency Program- PMCH

Toolkit Research & Compilation

Maria S. Pernal-Wallag, BA
Administrative Assistant
Quality Improvement and Accreditation

Reprint Permission

Lisa M. Kincius
Secretary
Quality Improvement
Customer Satisfaction and Data Management

Document Retrieval

Janis Beard
Secretary
University of Michigan Medical School
Administration/Strategic Healthcare Planning

Lisa M. Kincius
Secretary
Quality Improvement
Customer Satisfaction and Data Management

Graphic Design

Vivienne Oestergaard, BA
Promotions Coordinator
Office of Continuing Medical Education

U-M Medical School \| Hospitals & Health Centers \| U-M \| TEXT-ONLY University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 (c) copyright 2008 Regents of the University of Michigan Developed & maintained by: Public Relations & Marketing Communications Contact UMHS
The University of Michigan Health System web site does not provide specific medical advice and does not endorse any medical or professional service obtained through information provided on this site or any links to this site. Complete disclaimer and Privacy Statement

UMHS HOME

Health Topics A-Z

For Patients & Families

For Health Professionals

Search Tools & Index