Did you hear about the redesign of the nurse manager role at Advocate Health? This episode discusses the six insights gleaned from three simple questions that just might save the nurse manager role.
Key Points:
-Ask the frontline
-Mutual goals
-Critical mentorship

References:
-Twenter, P (Oct. 21, 2024). Advocate redesigns the nurse manager role. Becker’s Clinical Leadership. https://www.beckerhospitalreview.com/nursing/advocate-redesigns-the-nurse-manager-role.html.
-American Association of Colleges of Nursing (AACN). (Oct. 2022). Nursing Shortage Fact Sheets. AACN News & Information. https://www.aacnnursing.org/news-information/fact-sheets/nursing-shortage
-Incredible Health. (March 16, 2021). 34% of Nurses Plan to Leave Their Current Role by the End of 2022. Inside Incredible Health. https://www.incrediblehealth.comwp-content/uploads/2022/03/IH-COVID-19-2022-Summary-1.pdf.
-Kennedy, M. (Jan. 29, 2018). Experienced Bedside Nurses: An Endangered Species? Off the Charts: Blog of the American Journal of Nursing. Retrieved Nov. 30, 2022, from https://ajnoffthecharts.com/experienced-bedside-nurses-endangered-species/
-Kennedy, M. Nurses at the Bedside--Who Will Be Left to Care? AJN, 118(2), 7. https://www.doi.org/10.1097/01.NAJ.0000530224.10340.d1/
-Lohrenz, C. (2014). Fearless Leadership, 2nd ed. Greenleaf Book Group Press.
-Phillips, David et al. (2010). Christmas and New Year as risk factors for death. Soc Sci Med, 71(8). 1463-71. https://www.doi.org/10.101/j.socscimed.2010.07.024.
-Tarlengco, J. (Nov. 21, 2022). Gemba Walk: Meaning, Process, and Examples. Safety Culture. https://safetyculture.com/topics/gemba-walkTwenter, P (Oct. 21, 2024). Advocate redesigns the nurse manager role. Becker’s Clinical Leadership. https://www.beckerhospitalreview.com/nursing/advocate-redesigns-the-nurse-manager-role.html.

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Important notices are common in healthcare, but opportunities for feedback can be hard to find. Yet, communication about problems is essential to a robust patient safety program. This episode looks at changes in technology that could improve safety communication across the healthcare industry.
Key Points:
-Safety communication in space
-Healthcare feedback loops
-Overwhelming public comment

References:
Sull, D; Sull, C (Oct. 18, 2023). How Do Nurses Rate Their Employers? MIT Sloan Management Review. https://www.sloanreview.mit.edu/article/nursing-satisfaction-index/.

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Big Pharma spends billions of dollars on advertising that teaches the public how to say the names of their products. While millions of people live with hypertension, many of them cannot remember the name of their diagnosis or what it means. This episode discusses healthcare communication and shares helpful models for improvement.
Key Points:
-Big Pharma ads get it right
-Idiopathic Explanations
-Louis Braille and medical coding

References:
-Institute of Medicine (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy press.
-Hughes, RG, Ed (April 2008). “Handoffs: Implications for Nurses.”  Patient Safety and Quality: An Evidence-Based Handbook for Nurses. AHRQ. https://www.ncbi.nlm.nih.gov/books/NBK2649/.
-Mole, B (Jan. 11, 2019). Big Pharma shells out $20B each year to schmooze docs, $6B on drug ads. Ars Technica. https://arstechnica.com/science/2019/01/healthcare-industry-spends-30b-on-marketing-most-of-it-goes-to-doctors/.
-Etymonline (Sept. 18, 2024). “Idiot.”  https://www.etymonline.com/word/idiot/.
-Petzold, C (2023). Braille and Binary Codes. Code: The Hidden Language of Computer Hardware and Software, 2nd Ed. Pearson Education.

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For more information, visit PorterQI.com, or email [email protected].

Have you ever noticed how admission orders can be corrected, but a faulty discharge is nearly impossible to correct? Today's episode explores fake deaths, inaccurate discharges, and how to begin solving for resurrection errors in healthcare.
Key Points:
-Fake deaths are common
-Computers do not believe in resurrection
-Discharges are surprisingly inflexible

References:
-Wikipedia (2024). “Safety Coffin.” https://en.wikipedia.org/wiki/Safety_coffin.
-Stechyson, N. (June 19, 2024). “Noam Chomsky told us to question the media. This week, the media reported he had died.” CBC. https://www.cbc.ca/news/world/noam-chomsky-not-dead-1.7239373.
-Bruchac, J (2005). Code Talker. New York: Penguin.
-Clapper, C (October 16, 2023). Special Feature: Can we keep our patients safe? Asking an expert the tough questions with Craig Clapper. Quality for the Rest of Us. https://podcasts.apple.com/us/podcast/quality-for-the-rest-of-us/id1640141276

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What can a con-man teach us about patient safety? Sometimes normal human reactions are just what is needed to breach protocol and result in harm. Today's episode explores the relationship between the perfect heist and safety culture.
Key Points:
-Reaction Videos
-Dual Auditing
-Decoys and False Alarms

References:
Diaz, Naomi (Nov. 17th, 2022). Why healthcare mergers and acquisitions are a cybersecurity risk. Becker’s Health IT. https://www.beckershospitalreview.com/cybersecurity/why-healthcare-mergers-and-acquisitions-are-a-cybersecurity-risk.html.

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Infectious disease fascinates me. When the State of Texas offers a free certification program in pandemic preparedness, including courses in epidemiology and infectious disease, I'm eager to sign up. Tune in to hear some of what I loved, what I didn't love, and why access to this type of knowledge is a great opportunity overall.

Key Points:
-Public Health History in Texas
-Research Hesitancy
-Neglected Tropical Diseases

References:
-Texas Epidemic Public Health Institute (2024). Certificate Program. https://www.tephi.texas.gov/training/index.htm.
-Kuhn, T (1996). The Structure of Scientific Revolutions, 3rd ed. U of Chicago P.

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Have you noticed how busy the clinic waiting rooms are becoming? As the largest living generation retires from providing care and seeks to receive it, our primary care models are experiencing new challenges. This episode seeks to focus our efforts on an improvement mindset as we manage the surge of patients.
Key Points:
-Blocking the Door
-Black Friday in Healthcare
-Primary Care Triage

References:
-Shen, Fan (2004). The Barefoot Doctor. Gang of One. University of Nebraska Press.

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For more information, visit PorterQI.com, or email [email protected].

Have you ever been asked to sign that you'll pay whatever is "leftover" from your bill -- without knowing the total? This episode uses a risk approach to discuss the expectation that patients must promise to pay to an infinite and undefinable cost, and shares solutions that fit a patient safety model using clear communication and patient-empowered decision-making.
Key Points:
-The Blank Check
-Transparency Laws in Practice
-Patient-Driven Billing

Support the show

For more information, visit PorterQI.com, or email [email protected].

Is it possible that one of our top safety interventions could increase the risk of patient harm? Why do some huddles seem so fruitful while others fall short? This episode shares 5 pitfalls of the typical staff huddle with tips on how to improve their productivity without increasing the risk for clinical errors.
Key Points:
-Reality is not like the research
-The unforgiving med pass
-Opportunities for engagement

References:
-Pimentel, CB; Snow, AL; Carnes, SL; Shah, NR; Loup, JR, Vallejo-Luces, TM; Madrigal, C, Hartmann, CW (Sept. 2021). Huddles and their effectiveness at the frontlines of clinical care: a scoping review. J Gen Intern Med, 36(9): 2772-2873. DOI: 10.1007/s11606-021-06632-9. https://www.ncbi.nlm.nih.gov/pmc/articles/pmc8390736/.
-Greenberg, M (Jan. 14, 2014). Feeling Deprived Can Lead to Some Illogical Behavior. Psychology Today. https://www.psychologytoday.com/us/blog/the-mindful-self-express/201401/feeling-deprived-can-lead-some-illogical-behavior.

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Does healthcare improvement sometimes feel like an impossible task? This episode looks at ways to refresh more than the data, but also our outlook and understanding, through an analytical approach.
Key Points:
-Time to give up?
-Human rights applications
-Breaking it down

References:
-World Vision International. (Feb. 9th, 2018). A Stolen Trombone, Barrier Analysis and Isaiah 65 – A chat with Tom Davis – World Vision’s New Global Lead for Sustainable Health. Retrieved September 8th, 2022, from https://www.wvi.org/article/stolen-trombone-barrier-analysis-and-isaiah-65-chat-tom-davis-world-visions-new-global-lead.
-Porter, G (2023). Simple Tools. Healthcare Quality for the Rest of Us: A Friendly Guide to Healthcare Quality Management. Porter Creatives.

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For more information, visit PorterQI.com, or email [email protected].