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As Patient Safety Awareness Week #PSAW21 wraps up want to highlight @ECRI_Org top 10 #PtSafety Concerns for 2021- with #1 appropriately Racial and Ethnic Disparities in Healthcare beckershospitalreview.com/patient-safety…

Consider joining us for a course focused on Quality and Safety in Clinical Operations: Advancements for Improving Health Outcomes - exploring ways to achieve excellent clinical outcomes while reducing preventable harm x.com/HMSPostgradCE/…

CMS is testing a "carve-in" of hospice into Medicare Advantage. What might this mean for the EOL care of our patients? ja.ma/3lla9b8 JAMA @CAPC @MSHSGeriPalCare GeriPal - A Geriatrics & Palliative Care Podcast Melissa Aldridge @DianeEMeier Joan M Teno MD, MS MedicareRightsCenter #hapc

#jointcommissionjournal Building a Program of Expanded #PeerSupport for Entire #HealthCare Team: #NoOneLeftBehind Plum Analytics doi.org/10.1016/j.jcjq… #patientsafety #qualityimprovement #meded #medtwitter Medical College of Wisconsin MCW_OEI Jess Sachs Alicia Pilarski-Haller

"Do we care if a quality improvement (QI) innovation is effective, if it is not sustained?" - An important editorial on the necessary planning and modifications needed to sustain QI interventions Robert Burke in BMJ Quality & Safety ow.ly/nmB350GZ4cj

Important recommendations paired with provocative and thought provoking reflections from Kaveh Shojania - why bother with incident reporting? and, do the problems of IR signal a deeper problem within the field? Important questions to consider in Joint Commission Journal ow.ly/g4G050H2tV1

This syst rev of of SBAR highlights importance in QI work of assessing implementation fidelity. Studies of SBAR often fall short in terms of getting staff to use SBAR as intended, never mind substantially improving communication. bmjopen.bmj.com/content/11/12/…

What's the role of advanced care planning? It's not as clear cut as many think. A handful of new reflections out this month explore different ways this dogma is being called into question (see the following posts for a few great ones!).

1. Important viewpoint about ACP by @DianeEMeier Bob Arnold and R. Sean Morrison in JAMA : painting the the picture of “science working” - a logical hypothesis, studies trying to answer sound questions, and now evidence that suggests it doesn’t have the desired effect

2. A thoughtful reflection by danielalamasmd builds on the other published pieces this month painting the picture of when we might have had it all wrong with Advanced Care Planning in The New York Times ow.ly/9hNC50HpIAW

3. Judith Graham talks to experts like James Tulsky and Ariadne Labs Jo Paladino about the paradigm shift that may steer us away from ACP as we once knew it ow.ly/q2HW50HpK8Q

With the evidence mounting that advanced care planning may not yield the outcomes we imagined it would, it's imperative that we muster the strength to re-think our quality measures to reflect the evolving science National Quality Forum (NQF) CMSGov

"The health care system is facing a critical staffing shortage, fueled by many resignations from burnout during the pandemic, and resulting in the loss of approximately 700 medical/surgical and intensive care hospital beds since the beginning of 2021..."

New Health Affairs study shows Black patients had *2.5 times* higher odds of negative descriptors (eg "non-adherent,” "agitated”) in EHRs even after SES/risk adjustment. Concerning for racial bias/racist thinking by docs/RNs Led by M.Sun @DrMonicaPeek E.Tung, T.Oliwa The University of Chicago

Quality and Safety in Clinical Operations: Advancements for Improving Health Outcomes (June 8-10) is designed for leaders who want to improve the performance of their health care institutions. Register today. buff.ly/32IsxVm Elizabeth Mort Emily Aaronson

Thank you @IHI and The Leapfrog Group for outlining TOP 5 areas of safety focus for 2022 in Becker's Hospital Review, including integrating equity into safety work, tackling diagnostic harm and ongoing work to reduce HAIs among others. Lots of good work to keep doing! ow.ly/2jJC50HYXbI

Despite evidence to support basic safety practices, we see a failure to implement them reliably. Quality and Safety in Clinical Operations (June 8-10) will present these challenges with practical solutions. buff.ly/3uHTeok Emily Aaronson Elizabeth Mort

A great chance to reflect on mastering the crucial skill of rapid code status conversations with Kei Ouchi, MD, MPH David Wang and Alexander Zirulnik from HAEMR acepnow.com/article/tips-f…

Great to see more work aimed at developing meaningful quality measures to assess our orientation around what matters hcinnovationgroup.com/policy-value-b…

Team-based care is the future of health care. Physicians. Pharmacists. Community health workers. Human-centered and tech-enabled. That was part of my message at the Life Itself conference in June. Walmart is on a mission to improve care for everyone. cnn.com/videos/tv/2022…