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Hospitals Now Able to Analyze Medical Mistakes without Fear of Lawsuits
Thursday, December 04, 2008
Government creates a safety reporting system similar to the one used by U.S. commercial airlines to collect and share data on errors and near misses.
MEMPHIS, Tenn., Dec. 4 /PRNewswire/ -- Continuing concern over preventable
harm to patients due to medical error has inspired a government agency to
emulate a leading aviation safety system. An immediate outcome from
recommendations in the IOM "Crossing the Quality Chasm" series of reports, is
the Patient Safety and Quality Improvement Act of 2005 that authorized the
creation of Patient Safety Organizations (PSOs). PSOs will provide a secure
environment in which clinicians and health care organizations can collect,
aggregate, and analyze data that enable the identification and reduction of
risks and hazards associated with patient care. Supporters note that fear of
disclosure and isolated, non-standardized data have hampered the potential
learning from data collected on patient safety events. Similar to NASA's
Aviation Safety Reporting System (ASRS), PSOs allow for voluntary
participation of standardized and confidential reporting and analysis of data
on adverse medical events, without the fear of legal discovery.
ASRS is the world's largest repository of aviation human factors
information. Pilots anonymously report as many as 40,000 mistakes per year to
this secure data base system maintained by NASA. Tracking reported errors for
more than 30 years has allowed researchers to effectively pinpoint problems
within the aviation system, identify safety risks and proactively address the
problems before flying customers are jeopardized. In an effort to achieve
similar success, the government has designed a health care safety reporting
system utilizing multiple data collection agencies designated as Patient
Safety Organizations.
The Agency for Healthcare Research and Quality (AHRQ) recently listed
Human Performance Technology Group (HPTG) as one of the first PSOs. HPTG
president Lindsey Donges, a commercial airline pilot, familiar with the
benefits of NASA's ASRS system, created his company after experiencing errors
in his own healthcare. HPTG offers a proven communication and data
analysis/measurement application similar to NASA's system called KBCoreSM.
Powered by KBCoreSM, HPTG's customized Web-based data collection modules
capture, analyze, share, and manage hospital-wide patient safety data from
multiple hospitals in a standardized format and with a primary focus on
learning, aggregating, and building knowledge.
"I personally lived through a culture change in aviation over the past 35
years and I can tell you first hand that the culture of team building,
communicating and knowledge building is desperately needed in the dynamic
environment of practicing medicine in hospitals of the future," says Captain
Lindsey Donges. "LifeWings and Human Performance Technology Group were both
born from the current culture of aviation and utilize 21st century forward
thinking in bringing true quality improvements to healthcare and its human
element."
Ensuring hospitals get the maximum benefit from this modern, new approach
for embedding a proactive, preventive and predictive patient safety knowledge
communication and analysis system in hospitals, HPTG is collaborating with
LifeWings Partners, the nation's largest provider of aviation-based safety
systems for hospitals. LifeWings' Crew Resource Management (CRM) program,
built by a former Top Gun instructor and a group of commercial airline pilots,
former astronauts, physicians, nurses and risk managers, has been proven to
significantly and measurably reduce errors, increase patient and employee
satisfaction, reduce turnover, and cut healthcare costs. Taught to more than
13,000 high-performance medical team members each year, the LifeWings system
has been a resounding success at scores of institutions. Healthcare
facilities using the program have seen error rates reduced ten-fold, observed
mortality rates cut by 43%, and surgical count errors decreased by 50%.
"The medical teams we work with are, in many respects, just like flight
crews. They are extremely skilled, highly dedicated and disciplined
professionals who take their work seriously. We find that the practices
developed for the LifeWings CRM program resonate with these expert workers,"
said Captain Stephen Harden, president and co-founder of LifeWings Partners
LLC. "We are pleased to collaborate with HPTG, to strengthen our efforts in
improving the safety and quality of patient care nationwide."
For the first time, HPTG and LifeWings will appear together at IHI's
National Forum on Quality Improvement in Health Care, the country's largest
patient safety conference, in Nashville, TN, December 9-11th at the Gaylord
Opryland Resort & Convention Center, Ryman C, Booth 321. They will introduce
an operational model of a PSO to hospital representatives and healthcare
professionals who are eager to implement this new system in the expectation
of learning about medical errors and improving overall performance, healthcare
quality, and patient safety.
About LifeWings Partners LLC:
LifeWings Partners was founded by a former U.S. Navy Top Gun instructor, a
commercial airline pilot, and two physicians who are former NASA astronauts.
LifeWings' practical and effective teamwork training programs are highly
effective in reducing human error and currently involve the training of more
than 13,000 high-performance medical team members per year. Measurable
results are found in all LifeWings' initiatives. To find out more, please
visit www.SaferPatients.com.
About Human Performance Technology Group:
Human Performance Technology Group (HTPG) has successfully made quality
improvement and patient safety its mission by delivering a proactive model
that instills a culture of communication and learning to healthcare systems.
Recently designated a Patient Safety Organization (PSO), HPTG provides a full
array of analysis and problem solving capabilities through easy to use
Web-based data collection, powered by KBCoreSM. HPTG encourages all
participants in the healthcare system to collaborate and perpetuate a
continual process for improvement and better outcomes. To find out more,
please visit www.humantechgroup.com/.
LIFEWINGS CONTACT: HPTG CONTACT:
Steve Harden, President Lindsey Donges, President & CEO
LifeWings Partners LLC Human Performance Technology Group
sharden@SaferPatients.com ldonges@humantechgroup.com
(901) 413-8598 (800) 818-0297
SOURCE LifeWings Partners LLC
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