Highlights:

• From Snow to Achuff: Using Analytics to Drive Clinical Care
• Study: Staff Will Work Through Illness Despite Sick Policy
• PSQH Innovation Award Winner: Cleveland Clinic Develops Algorithm to Power Early Warning System
• A Lot Happens When You Report a Hazard or Error to ISMP - There's No 'Black Hole' Here!
• Risk Management and the Transgender Hospital Admission
• Industry Focus: Q&A: How to Improve Patient Handoffs
• Massachusetts Weighs Hospital Wayfinding Regulation
• ABQAURP News: Quality Measures and Improvement in Addiction Treatment
• Network Seeks to Reduce Drug Diversion, Increase Reporting Rate

Highlights:

• Enterprise Analytics: Data, Insight, Process, Change, Repeat
• Using Digital Dashboards to Reduce Wait Times
• Published Review of Independent Double Checks Shouldn't Dissuade Providers From Using Them Judiciously
• It's Time for Healthcare Organizations to Take Ownership of Burnout
• The Relationship Between Supply Chain and the Frontline Clinician
• Educating Consumers About Genetic Testing
• Industry Focus: Evaluating Sources of Patient Experience Data
• Virtual Reality Could Improve Surgical Safety

Highlights:

• Digitally Driven: Link Technology to Process Change
• When Is a Doctor Too Old for the Job?
• Industry Focus/Mitigating Risk--De-Escalation: Mitigating Violence in Healthcare
• Dangerous Wrong-Route Errors With Tranexamic Acid--A Major Cause for Concern
• Report Focuses on Risk to Patients From ED Errors
• Arming PCPs to Screen and Intervene on Behavioral Health
• Joint Commission Offers Drug Diversion Advice, Resources Amid Growing Opioid Epidemic
• Study Finds Major Problems With PPE Doffing

Highlights:

• AI: Augmented Intelligence or Electric Sheep?
• Industry Focus—Infection Control: Examine Your Dialysis Space to Ensure Room to Separate Infectious Patients
• Safety Enhancements Every Hospital Must Consider in Wake of Another Tragic Neuromuscular Blocker Event
• PSQH Industry Outlook Survey: Identifying Areas of Strength and Weakness
• Industry Focus—Culture of Safety: Just Culture: It's Much More Than an Algorithm
• Lessons Learned From a Death Outside a Hospital's Doorstep

Highlights:

• Believing is Seeing
• Fluoroscopy-Associated Skin Reactions: Lessons From the VHA Root Cause Analysis Database
• Mix-Ups Between Epidural Analgesia and IV Antibiotics in L&D Units Continue to Cause Harm
• Hospital-Owned Drug Company Aims for Transparent, Flat Pricing for Critical Generic Drugs
• PSQH Innovation Awards Winner: Thibodaux Regional Medical Center Transforms Orthopedic Care Processes
• Study: More Than Half of Hospital Infections Could Be Prevented With Proper Protocols

Highlights:

• A Health IT Soothsayer
• Report Finds Radiologists to Blame for Missed Diagnoses
• Could Legally Mandated Racial Bias Training Reduce Maternal Mortality Rates for Black Women?
• Guided Reflection: A Strategy to Reduce Patient Falls and Fall-Related Injuries
• Call to Action: Long-Standing Strategies to Prevent Accidental Daily Methotrexate Dosing Must Be Implemented
• A Novel Approach to Hospital Efficiency
• The Devastating Effects of Silence

Highlights:

• Musings on Patient Safety, Processes, and HIT
• Alternatives to Lifting Patients
• Ultrasound Guidance Improves Neuraxial Anesthesia Safety
• Smart Pump Custom Concentrations Without Hard 'Low Concentration' Alerts Can Lead to Patient Harm
• Digging Into the Patient Safety Risks From Hospital Mergers

Highlights:

• Analytics: Act Like an EIS Officer
• Are Second Victims Getting the Help They Need?
• ISMP Survey Shows Provider Text Messaging Often Runs Afoul of Patient Safety
• Memorial Healthcare Rolls Out New Protocol to Eliminate Wrong-Site Nerve Blocks

Highlights:

• Expanding a Telehealth Program to Serve More Patients
• Drug Shortages Continue to Compromise Patient Care
• Protecting Your Patients: Violence and Active Shooters
• EMRs: Are We There Yet?
• Navigating the Laws and Benefits of Telemedicine