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Clinicians want to know what to do and when, so Hopkins created a schedule of checklists as a way of changing institutional culture. "Too many hospitals refuse to divulge their findings" about nosocomial infections, or infections that originate in a hospital, Altman said. "You've got to have some really courageous senior leaders" who can stand up to the legal teams and encourage clinicians to report errors, Murphy suggested. There also needs to be some standardization of what is being reported and how that information is interpreted, she added, saying that there are too many measurement groups with too few standards. Pronovost told the story of a central line infection killing 18 month old Josie King at Johns Hopkins in 2001. "At the time, our rate of infections at Johns Hopkins was sky high," he said. Such a record might cause the hospital to get shut down today, said Pronovost, a 2008 recipient of a John D.

and Catherine T. MacArthur Foundation "genius grant. ""NSQIP is data surgeons will believe," said panelist Dr. Carl Boyd of Adidas Shoes Zx 750 Price Memorial University Medical Center in Savannah, Ga. "If you share data, you will see change in your hospital. "The session fo.

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ety, and their roles were a little bit different," Murphy said. Provide staff with education, skills and tools to address each type of error. This should include methods to build and sustain reliability, including redundancy, visual cues and team training. Hospital executives need to address the common issue of people being afraid to speak up for safety, Murphy said. Reduce the "power gradient," which is what subordinates perceive as the distance between them and their superiors, so front line practitioners and workers feel comfortable raising their voices, she added. Adidas Shoes Zx 750 Price Well known safety guru Dr. Peter Pronovost, senior vice president for patient safety and quality at Johns Hopkins Medicine in Baltimore, said that a patient in a typical intensive care unit is at the risk of a dozen harms. ICU clinicians would have to do 150 things every day without Adidas Shoes Zx 750 Price a roadmap.

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