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DoD PSP Treasure Chest: January Edition

Image of the DoD Patient Safety Program (PSP) logo. Image of the Department of Defense (DoD) Patient Safety Program (PSP) logo.

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An open treasure chest on a three dimensional light blue sphere with a shadow.Welcome to the January edition of the DoD PSP Treasure Chest! Every month, we will be sharing resources to help you execute your day-to-day patient safety activities easily and effectively. Please visit us often and get access to tools and information developed with you, our committed Military Health System (MHS) patient safety champions, in mind!

Briefs and Huddles Toolkit

The benefits of team events like Briefs and Huddles are documented. The Brief allows the team leader to explain what is going to happen, cover pertinent contingencies, get input from each member of the team (including the patient), and ensure that each team member knows his or her roles and responsibilities. Huddles are team events for problem solving and updating the plan. Anyone can call for a huddle to deal with new issues, added complexities, unusual circumstances, or any need to adapt the earlier plan. The Briefs and Huddles Toolkit contains everything you need to implement briefs and huddles in your health care organization. Learn more about the Briefs and Huddles Toolkit.

TeamSTEPPSTeam Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) is an evidence-based teamwork system designed to improve the quality, safety and efficiency of healthcare. TeamSTEPPS consists of a collection of instructions, materials and tools to help drive a successful teamwork initiative from the initial planning to implementation through to sustainment. The system is designed to improve patient safety using a three-phase approach: Phase I Assessment: Facility determines organizational readiness; Phase II Planning, Training & Implementation: Facility “decides what to do” and “makes it happen;” and Phase III Sustainment: Facility spreads the improvements in teamwork performance, clinical processes and outcomes resulting from the TeamSTEPPS initiative.TeamSTEPPS

Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) is a teamwork system designed to improve the quality, safety and efficiency of health care. The goal of TeamSTEPPS is to produce highly effective medical teams that optimize the use of information, people, and resources to achieve the best clinical outcomes for our patients. This system can be implemented in various health care settings and is designed to improve communication and other crucial teamwork skills among health care professionals. Learn more about TeamSTEPPS.

Medical Team Performance Assessment Tool

The Medical Team Performance Assessment Tool (MTPAT) of TeamSTEPPS is a software application that supports the transition and sustainment of principles through evaluation, debrief and analysis of health care team performance in training and operational environments. Learn more about MTPAT.

TEAM UP

A starting point for engaging patients as part of your health care team. TEAM UP is a simple tool for patients to understand the types of actions and questions they should initiate or ask to improve their health care. Learn more about TEAM UP.

Patient Safety Reporting: Intermediate Course

This self-paced eLearning module is intended for PSMs and other military treatment facility (MTF) staff already familiar with basic functionalities of PSR. The course is designed to help learners develop the decision-making skills needed to effectively manage patient safety event data in PSR, in the ongoing effort to eliminate preventable harm at MTFs. Learn more about the Patient Safety Reporting Intermediate Course.

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Hospital goes low, high tech to ensure patient safety

Article
1/19/2017
Evans Army Community Hospital operating room nurse Regina Andrews performs a diagnostic test on the RFID wand. The wand is used to locate surgical sponges embedded with an RFID chip. (U.S. Army photo by Jeff Troth)

To ensure the count of medical sponges is correct in its operating rooms, Evans Army Community Hospital has started using radio-frequency ID sponges

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Feature: Resolving Conflict and Professional Conduct

Article
1/3/2017
Picture of four health care providers performing surgery.

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Patient Safety In Action: The Value of Partnership, Continued Learning

Article
1/3/2017
Picture of unknown person sitting at computer and taking notes.

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A decade of progress in Women’s health, cancer research

Article
10/26/2016
Navy Lt. Cmdr. Denise Thigpen, director, Breast Imaging Center at the Murtha Cancer Center at Walter Reed Bethesda, reads two mammograms of a patient. (Courtesy photo)

New discoveries at the Murtha Cancer Center have researchers encouraged about Women’s cancer research

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Hospital's sterile-processing techs are 'Gladiators' of patient safety

Article
9/14/2016
Army Staff Sgt. Oscar Domino (left), operating room technician, hands a sterile pack to Army Maj. Jerry Rivera-Santiago, sterile processing's officer in charge. Carl R. Darnall Army Medical Center's Sterile Processing Department assembles and packs more than 400 surgical units monthly. (U.S. Army photo by Gloria Montgomery)

Sterile-processing medical technicians are the multipliers of hospital safety who clean, disinfect and sterilize the hospital and dental clinic's surgical tools

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2016 DoD PSP Awards Application Guidance

Technical Document
8/5/2016

This document provides guidelines for all interested parties who would like to submit an application package for the 2016 Advancement toward High Reliability in Healthcare Awards Program. The awards program recognizes those who have shown initiative and commitment to the development of systems and processes that will lead the MHS toward a better,...

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Patient Safety in Action: The I’M SAFE TeamSTEPPS® Checklist – An Exercise in Openness and Transparency with your Team

Article
8/1/2016
NEWPORT NEWS, Va. (Apr. 14, 2016) -- During a General Quarters training exercise, Sailors assigned to Pre-Commissioning Unit Gerald R. Ford's (CVN 78) medical response team, simulates care and treatment for common injuries. This ship-wide general quarters drill focused on damage control and emergency responses and is a significant step in certifying the crew as they train to fight and take delivery of the ship.(U.S. Navy photo taken by Mass Communication Specialist 3rd Class Matthew R. Fairchild/Released)

The connection between transparency and high reliability is one that touches many aspects of what we do as MHS patient safety professionals. We strive to be transparent in the way we share information with our patients – working with them as partners in their care and informing them of what we do openly and visibly. We are also transparent about our...

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MHS Patient Safety Spotlight

Article
8/1/2016
Image of the DoD Patient Safety Program (PSP) logo.

The MHS Patient Safety Spotlight is a new resource designed to highlight best practices and interesting initiatives that come from the field and are worthy of being shared across the enterprise. This resource features data-driven examples of improvement and case studies that tackle specific problems with specific solutions.

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DoD PSP Treasure Chest: August Edition

Article
8/1/2016
Ensign Joshua Mondloch, a nurse assigned to Naval Medical Center San Diego, takes notes in the cardiology in-patient ward. More than 1,000 active duty and civilian nurses provide patient care throughout the medical center. (Photo by Mass Communication Specialist Second Class John O’Neill Herrera)

Welcome to the August edition of the DoD PSP Treasure Chest! Each and every month, we will be sharing resources to help you execute your day-to-day patient safety activities easily and effectively. Please visit us often and get access to tools and information developed with you, our committed MHS patient safety champions, in mind! This month we...

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HRO Corner: The Patient Safety Culture Survey Resource Guide – An Overview

Article
8/1/2016
Soldiers from the 399th Combat Support Hospital, 804th Medical Brigade, 3d Medical Command (Deployment Support) watch video footage of their performance during an exercise held April 2, 2016 at the Mayo Clinic Multidisciplinary Simulation Center in Rochester, Minnesota. The unit's every move was recorded at the facility, which allowed them to review and improve their performance throughout the course of the exercise. During the exercise, the unit, which is based out of Fort Devens, Massachusetts, practiced the Team Strategies and Tools for Enhanced Performance and Patient Safety, or TeamSTEPPS, model of patient care. TeamSTEPPS is a framework implemented by the Department of Defense to optimize performance of military medical teams and reduce communication errors that can result in improper patient care. (Photo by: Staff Sgt. Andrea Merritt)

The DoD is on a journey to transform the Military Health System (MHS) into a high reliability organization (HRO) to ensure safe, reliable care for all of its patients and their families. This transformative shift is one that requires a laser-sharp focus by every one of us – leadership and frontline staff – to identify high-risk situations before they...

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MHS Patient Safety Data Snapshot

Article
8/1/2016
Image of the DoD Patient Safety Program (PSP) logo.

The new MHS Patient Safety Data Snapshot is a monthly compilation of two types of patient safety data 1) Sentinel Event (SE) notifications submitted to the Patient Safety Analysis Center (PSAC); 2) Anonymous, voluntarily reported patient safety events via the web-based incident reporting system known as PSR.

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Feature: Transparency, High Reliability and Patient Safety

Article
8/1/2016
Senior Airman Wesley Hong, 60th Medical Diagnostics and Therapeutics Squadron picture archiving communication system administrator, reviews patient imagery May 25, 2016, at David Grant USAF Medical Center at Travis Air Force Base, Calif. Hong works in the hospital's PACS department, which is the largest in the U.S. Air Force. The department is responsible for ensuring the accuracy of health records for medical facilities at 19 bases, including clinics in Afghanistan. (U.S. Air Force photo by Tech. Sgt. James Hodgman)

On any given day, Military Health System (MHS) patient safety professionals are working tirelessly to ensure they provide the highest quality of care to their patients. Driven by a high level of dedication, MHS patient safety professionals know that our patients are the single most important part of our mission and we must serve our patients in an...

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MHS Leadership Engagement Toolkit

Training Material
7/14/2016

The Leadership Engagement Toolkit was designed to help healthcare leaders assess gaps in their safety culture, engage key influencers for change, set goals for targeted improvement, implement proven safe practices, and reinforce key behaviors to ensure high-reliability performance for improvement. There are two sets of evidence-based best practices (...

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Feature: TeamSTEPPS® and High Reliability: An Overview of the 2016 National TeamSTEPPS Conference

Article
7/1/2016
Ms. Heidi King, chief of the Patient Safety and High Reliability Initiatives Office, at the 2016 TeamSTEPPS® National Conference opening up the DoD two-day  session titled “The“Military Health System (MHS) Across the Globe….Don’t Stop Believing in Zero Harm”.

The 10th Annual National TeamSTEPPS Conference – an event designed to highlight strategies and techniques to effectively implement and sustain TeamSTEPPS in today’s ever-evolving health care environment – was held 7-10 June, 2016 in Washington, D.C. Welcoming over 700 health care industry professionals and experts, the National TeamSTEPPS conference...

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Military Health System (MHS) Patient Safety Culture Survey Update

Article
7/1/2016
Patient safety professionals across the Military Health System (MHS) work eagerly as teams to deliver excellence and high quality care. By completing the 2016 MHS Patient Safety Culture Survey earlier this year, MHS patient safety champions voiced their opinions and contributed to patient safety improvements in their facilities to optimize the care we provide every day. In this picture, the Army Reserve Medical Command team observes Soldiers of the 399th Combat Support Hospital, 804th Medical Brigade, 3rd Medical Command (Deployment Support) as they conduct an exercise at the Mayo Clinic Multidisciplinary Simulation Center in Rochester, Minnesota. Photo by: Staff Sgt. Andrea Merritt.

Starting in February through mid-April, Military Health System (MHS) staff at Military Treatment Facilities (MTFs) worldwide were asked to complete the 2016 MHS Patient Safety Culture Survey (Culture Survey). The purpose of the Culture Survey was to assess staff perceptions of patient safety at their MTFs.

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