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Performance Improvement MONITOR ... - Reflectx Staffing

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oPPoRTUNiTiES FoR iMPRoVEMENT<br />

performanCe measurement<br />

and improvement update<br />

PERFORMANCE IMPROVEMENT<br />

Several areas of performance improvement are still above our threshold. Key focus<br />

areas that will be addressed include medication errors and “do not returns” for clinical<br />

procedure and unprofessional behavior.<br />

medication errors<br />

Medication errors continue to be a huge concern due to the high incidence of<br />

medication errors noted throughout the United States. Medication errors can result<br />

in harmful effects or death, increase hospital length of stay, and add tremendous cost<br />

to healthcare. Medication errors continue to be a cause of concern for maxim <strong>Staffing</strong><br />

Solutions as evidenced by our performance improvement data. There are many ways<br />

you can take steps to minimize this risk:<br />

make certain to follow the 6 rights of medication administration:<br />

4Right Medication. Check the physician order and check it against the<br />

medication label.<br />

4Right Dose. Check the physician order and the medication label. Look up the<br />

medication if you are unfamiliar with it.<br />

4Right Time. Check the order and check the medication label. Check the time.<br />

Give the medication at the time prescribed.<br />

4Right Route. Check the MD order and check the medication label to determine<br />

that the medication will be given by the right route.<br />

4Right Patient. Check the MD order and check the medication label. Check the<br />

patient and check the patient’s allergies prior to medication administration.<br />

4Right Documentation of Medication. Properly document the medication given,<br />

dose, time, route, and patient response to medication.<br />

take steps to stay current on medications:<br />

Many new medications come into the market each year. Take steps to become familiar<br />

with medication so you have a full understanding of medication administration, dosage,<br />

side effects, and proper storage. Consider taking continuing education courses to better<br />

understand medication administration and prevent medication errors. MedCom is a<br />

CEU vendor that Maxim uses that offers a course on medication administration. Please<br />

contact your Maxim representative for more information.<br />

do not returns<br />

A “Do Not Return” (or DNR) occurs when a facility notifies Maxim that they do<br />

not wish for a particular staff member to return. Facilities have the right to do this,<br />

and Maxim must honor their request. DNRs usually occur due to two reasons:<br />

unprofessional behavior and for clinical reasons.<br />

do not return for Clinical procedure<br />

Prior to performing any procedure, make certain to follow the facility policy and<br />

procedure manual. If, at any time, you are unsure about any type of treatment,<br />

medication, or procedure, STOP and ASK FOR HELP! This will ensure that the<br />

patient gets the proper treatment.<br />

do not return for unprofessional Behavior<br />

Did you know that Maxim has to report all cases of unprofessional behavior that result<br />

in a DNR to The Joint Commission? Unprofessional behavior is disrespectful and<br />

disruptive to staff and patients. In some cases, facilities have reported these types of<br />

behaviors to the state licensing boards. Please take a moment to consider your behavior<br />

when working in facilities. Make certain to maintain professionalism at all times.<br />

JoiNT CoMMiSSioN continued<br />

new! tHe Joint Commission<br />

Center for transforming<br />

HealtHCare<br />

Established in 2009, The Joint Commission<br />

Center for Transforming Healthcare aims<br />

to solve healthcare’s most critical safety and<br />

quality problems. The Center’s participants –<br />

the nation’s leading hospitals and health<br />

systems – use a systematic approach to<br />

analyze specific breakdowns in care and<br />

discover their underlying causes to develop<br />

targeted solutions that solve these complex<br />

problems. In keeping with its objective to<br />

transform healthcare into a high reliability<br />

industry, The Joint Commission will share<br />

these proven effective solutions with the<br />

more than 18,000 health care organizations<br />

it accredits and certifies. Hospitals have made<br />

significant advances in quality – even better<br />

results are now achievable. Hospitals and The<br />

Joint Commission are working together to<br />

improve systems and processes of care.<br />

More information can be found here: http://<br />

www.centerfortransforminghealthcare.org/<br />

Source: http://www.centerfortransforminghealthcare.org/<br />

about/about.aspx<br />

w w w . t r a v m a x . c o m 4

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