WebinarAugust2017 2017-11-17T23:52:12+00:00
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 August 17, 2017, 12:00 pm – 1:30 pm CT / 1:00 pm – 2:30 pm ET

​Sepsis: Bringing it All Together Part 3    

Session Overview

This is the third webinar our sepsis series. Sepsis, according to Dr. Jeanne Huddleston our lead speaker this month, is one of the most common “Opportunities for Improvement” and a great area to have impact.  Dr. Huddleston is the leading researcher in mortality reviews at the Mayo Clinic.  Our national surveys have revealed that opportunities of omission and sepsis in particular have been identified as a major interest area of our research test bed.

Dr. Huddleston will sum up the terrific presentations in Part 1 and Part 2 and tie what we have learned to what has been gleaned from the Mayo Mortality Review process.

A reactor panel of patient advocates and experts will react to the presentation.

We offer these online webinars at no cost to our participants.

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Webinar Video and Downloads

Click here to download the National Survey Results.

Speaker Slide Sets:

Click here to download the combined speakers’ slide set in PDF format – one (1) slide per page.   

To view the file, click the desired link (please note: the files may take several minutes to download). To save to your hard drive, right click on the link and choose “Save Target As.” (In some browsers it might say “Save Link As.”)

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Registration Information and CE Credit Information

 Register:
This webinar has previously aired.

  When:  August 17, 2017   Time: 12:00 pm – 1:30 pm CT / 1:00 pm – 2:30 pm ET
We are accepting questions now that relate to the session topics. Please e-mail any questions related to the specific session to webinars@safetyleaders.org with the session title in the e-mail message header.

  • Questions about the Webinar series?
    E-mail webinars@safetyleaders.org or call 512-473-2370 between 9:00 a.m. and 4:30 p.m. CT.
  • Need technical assistance with registration? Call 512-457-7605 between 9:00 a.m. and 4:30 p.m. CT.

Learning Objectives:

  • Awareness: Participants will understand and be able to discuss important issues regarding sepsis related to critical, emergency care, and mortality reviews.
  • Accountability: Participants will understand who may be accountable for responding to, and prioritizing, the opportunities for improvement in sepsis.
  • Ability: Participants will learn about competencies important to sepsis care.
  • Action: Participants will learn what actions they may need to take in order to consider or adopt an approach to improvement of the care of their own patients in their institutions.

CE Participation Documentation

Texas Medical Institute of Technology, approved by the California Board of Registered Nursing, Provider Number 15996, will be issuing 1.5 contact hours for this webinar. TMIT is only providing nursing credit at this time.

To request a Participation Document, please click here.

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Session Speakers and Panelists

Jeanne M. Huddleston, MD, FACP, FHM
Jeanne M. Huddleston, MD, FACP, FHM Sepsis: Bringing it All Together
Bio
C. R. Denham, II, MD
C. R. Denham, II, MDIn the News and Recent Polling
Bio
Jennifer Dingman
Jennifer DingmanDiscussion and Reaction to Presentation AND The Voice of Patient and Family
Bio

Related Resources

  1. ECRI Institute. PSO Deep Dive: Patient Identification: Executive Summary. ECRI Institute. 2016 Aug.
    Available at: https://www.ecri.org/Pages/Patient-Identification-Deep-Dive.aspx 
  2. CDC. National Healthcare Acquired Infections Progress Report (2014 data). CDC.2016.  Available at: https://www.cdc.gov/hai/surveillance/progress-report/index.html 
  3. Fikes BJ. First medical diagnosis often incomplete or plain wrong, study finds. The Mayo Clinic. 2017 April. Available at: http://www.sandiegouniontribune.com/business/biotech/sd-me-second-opinions-20170404-story.html 
  4. ECRI Institute. Top 10 Patient Safety Concerns for Healthcare Organizations 2017. ECRI Institute. 2017 March 15. Available at: https://www.ecri.org/EmailResources/PSRQ/Top10/2017_PSTop10_ExecutiveBrief.pdf  
  5. Zimmerman B. Hospitals fail to document nearly half of all family-reported medical errors, study finds. Becker’s. 2017 Feb 28. Available at http://www.beckershospitalreview.com/quality/hospitals-fail-to-document-nearly-half-of-all-family-reported-medical-errors-study-finds.html 
  6. Khan A MD, MPH. Coffrey M MD, FRCPC, et al. Families as Partners in Hospital Error and Adverse Event Surveillance. JAMA Pediatrics. 2017 Feb 27. Available at http://jamanetwork.com/journals/jamapediatrics/article-abstract/2604750  
  7. Lipitz-Snyderman A PhD, Korenstein D PhD. Reducing Overuse—Is Patient Safety the Answer? JAMA. 2017 Feb 28. Available at http://jamanetwork.com/journals/jama/fullarticle/2605779  
  8. Douw G, Schoonhoven L, et al. Nurses’ worry or concern and early recognition of deteriorating patients on general wards in acute care hospitals: a systematic review. Critical Care. 2015 May 20. Available at: https://ccforum.biomedcentral.com/articles/10.1186/s13054-015-0950-5  
  9. National Academies of Sciences, Engineering, and Medicine. A national trauma care system: Integrating military and civilian trauma systems to achieve zero preventable deaths after injury. Washington, DC: The National Academies Press. 2016 June 17.Available at: http://www.nationalacademies.org/hmd/Reports/2016/A-National-Trauma-Care-System-Integrating-Military-and-Civilian-Trauma-Systems.aspx  
  10. ECRI Institute. 2017 Top 10 Hospital C-Suite WATCH LIST. ECRI Institute. 2017. Available at: https://www.ecri.org/Pages/ECRI-Institute-2017-Top-10-Hospital-C-Suite-Watch-List.aspx  
  11. Huddleston JM, Diedrich DA, Kinsey GC, Enzler MJ, Manning DM. Multi-Center Collaborative to Move Beyond Mortality Review and Create the Next Generation Safety Learning System. J Patient Saf. 2014 Mar;10(1). MultiCenter SLS Collaborative v17Aug2016.pdf  
  12. Huddleston JM, Diedrich DA, Kinsey GC, Enzler MJ, Manning DM. Learning from every death. J Patient Saf. 2014 Mar;10(1):6-12. doi: 10.1097/PTS.0000000000000053.  Special Article. http://journals.lww.com/journalpatientsafety/Citation/2014/03000/Learning_From_Every_Death.2.aspx  
  13. Anderson J, Naonori K. Learning from patient safety incidents in incident review meetings: Organisational factors and indicators of analytic process effectiveness. Safety Science. 2015 Dec. Available at: http://www.sciencedirect.com/science/article/pii/S0925753515001769.  
  14. Martin JH, Taylor B, et al. A 100% Departmental Mortality Review Improves Observed-to-Expected Mortality Ratios and University HealthSystem Consortium Rankings. Safety Science. 2013 Dec 25. Available: http://www.ncbi.nlm.nih.gov/pubmed/24529804.  
  15. Barbieri, JS. Fuchs BD. The Mortality Review Committee: A Novel and Scalable Approach to Reducing Patient Mortality. The Joint Commission Journal on Quality and Patient Safety. 2013 Sep 1. Available at: http://www.ncbi.nlm.nih.gov/pubmed/24147350.  
  16. Makary M and Daniel M. Medical error-the third leading cause of death in the US. BMJ. 2016 May 3;353:i2139. doi: 10.1136/bmj.i2139. Available at: http://www.bmj.com/content/353/bmj.i2139.  
  17. James JT. A New, Evidence-based Estimate of Patient Harms Associated with Hospital Care. J Patient Safety. 2013; 9:122-128. Available at: http://journals.lww.com/.  
  18. National Quality Forum. Safe Practice 1: Culture of Safety Leadership Structures and Systems. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications/2010/04/Safe_Practices_for_Better_Healthcare_%E2%80%93_2010_Update.aspx.   
  19. National Quality Forum. Safe Practice 2: Culture Measurement, Feedback, and Intervention. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications/2010/04/Safe_Practices_for_Better_Healthcare_%E2%80%93_2010_Update.aspx.   
  20. National Quality Forum. Safe Practice 3: Teamwork Training and Skill Building. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications/2010/04/Safe_Practices_for_Better_Healthcare_%E2%80%93_2010_Update.aspx.   
  21. National Quality Forum. Safe Practice 4: Risks and Hazards. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications/2010/04/Safe_Practices_for_Better_Healthcare_%E2%80%93_2010_Update.aspx.   
  22. National Quality Forum. Chapter 9: Opportunities for Patient and Family Involvement. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications/2010/04/Safe_Practices_for_Better_Healthcare_%E2%80%93_2010_Update.aspx.