Scroll down to read these articles in this Issue: Cognitive Interviewing Workshop Congratulation to the Winter 2023 WPSC Speak UP! Award Winners The Spring 2024 Speak-UP! Award Period is Currently Open for Nominations
CRP Certification is Back - Pulse CPSEA’s Family-Centered Patient Advocacy Course
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Only 12 Seats Remain for the Cognitive Interviewing Workshop!
The Washington Patient Safety Coalition has partnered with BETA Healthcare Group’s Risk Management and Safety team to deliver a highly interactive, simulation-based in-person workshop introducing basic cognitive interviewing techniques and evidence-based recommended practices for getting the most out of your investigative interviews.
The Winter 2023 WPSC Speak UP! Award winners and finalists have been announced. Vanna Staver, RN at the University of Washington Medical Center – Northwest, received the individual award for preventing harm from a wrong site surgery through her courageous act of speaking up. The team award went to the Infusion Center Team at Valley Medical Center for their collective efforts in preventing medication errors by stopping the line, reassessing situations, and intervening when necessary. Both recipients demonstrated a commitment to safety, contributing to a culture that prioritizes patient well-being. Congratulations to all for their outstanding contributions to healthcare safety!
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Cognitive Interviewing Workshop!
The WPSC is hosting an in-person workshop to provide formal training on cognitive interviewing technique for adverse event investigations.
What is Cognitive Interviewing: Cognitive Interviewing is a novel and systematic approach to adverse event investigations that improves the recall of accurate and reliable information from an interviewee. It can greatly enhance adverse event investigations. Click here to learn more about the technique and workshop.
Who should attend: Patient Safety, Risk Management, Patient Experience professionals, those who participate in root cause analysis and leaders who conduct adverse event investigative interviews.
Why attend: This in-person workshop will deliver a highly interactive, simulation-based workshop introducing basic cognitive interviewing techniques and evidence-based recommended practices for getting the most out of your investigative interviews. Attendees will learn and practice cognitive interviewing skills that can be implemented to improve the recall of accurate and reliable information from an interviewee and enhance understanding of their choices, actions, and experiences. Robust adverse event investigations are essential to comprehensively understand the contributing factors and potential prevention strategies associated with these events.
When: March 19, 2024, 10 a.m. - 3 p.m. Where: This is an in-person workshop and will not be recorded.
The Conference Center at SEATAC airport, 17801 International Blvd, Rm 6012M, Seattle, WA 98158. Lunch, coffee, and parking provided. Continuing Education Credit: CPHRM Contact Hours: “This meeting has been approved for a total of 4.0 contact hours of Continuing Education Credit toward fulfillment of the requirements of ASHRM designations of FASHRM (Fellow) and DFASHRM (Distinguished Fellow) and towards CPHRM renewal.”
CPPS Contact Hours: “This activity meets the criteria of the Certification Board for Professionals in Patient Safety for up to 4.0 CPPS CE hours.” Fee: $250 per attendee.
Workshop limit: 40 attendees. Only 12 seats remain as of Feb 2nd! Faculty: Jonathan D. Stewart, J.D., M.Sc., M.S., RN, NPD-BC, CPPS, CPHRM. Senior Director, Risk Management and Patient Safety, BETA Healthcare Group.
For additional information or registration assistance contact Steve Levy at slevy@qualityhealth.org. (206) 204-7383.
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Congratulation to the Winter 2023 WPSC Speak UP! Award Winners! The finalists and winners of the Winter 2023 WPSC Speak UP! Awards were announced this week.
Individual award: Vanna Staver, RN at the University of Washington Medical Center – Northwest prevented what could have been permanent harm from a wrong site surgery. Speaking up for safety, especially in the operating room where authority gradient can be apparent, takes courage and is supported by the Northwest’s psychologically safe work culture. Because of Vanna's speaking up for safety, the organization has identified opportunities related to surgical site marking standards and implemented quality improvement changes to ensure the process is reliable and safe, every time.
Team award: Infusion Center Team,
Valley Medical Center, - Stopping the Line when there is a patient concern, re-assessment of the situation, speaking up, and intervening to prevent patient harm prevented medication errors. From the front desk staff, patient care assistants, nurses, and leadership, all members of the Infusion Team embody excellent teamwork and accountability, especially in challenging situations. Speaking up resulted in greater collaboration with ordering providers leading to improved trust between providers and nurses.
The following finalists are to be commended for their commitment to fostering a culture of safety that prevents harm: Michelle Bunikis, OR Staff Nurse - University of Washington Medical Center – Main Campus Holy Ige, RT; Zeek Lebbie, CAN; Adam Alhassan, Security - Kindred Hospital Meaza Woldemichael, Nurse - Kindred Hospital Suhair Hamza, Nurse – Kindred Hospital Nicholas Anderson - University of Washington Medical Center – Montlake
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The Spring 2024 Speak-UP! Award Period is Currently Open for Nominations
The next round for the WPSC Speak-Up! Award is taking nominations for the Spring 2024 award. The nomination deadline is May 3rd. Nominations may be made on the Speak-UP! Award page.
This is a great way to recognize staff and Washington healthcare organizations for the fantastic work they are doing. It is open to clinical and non-clinical employees/team members from all Washington healthcare organizations, such as hospitals, pharmacies, long term care (e.g., skilled nursing facilities & assisted living facilities), clinics and physician offices to name some examples. There are three 2024 Awards. Nomination due dates are: – May3, 2024
– August 30, 2024 – December27, 2024
For more information go to the Speak-Up! Award website or contact Steve Levy, Executive Director, WPSC at slevy@qualityhealth.org.
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| CRP Certification is Back! |
After a multi-year hiatus, FHCQ’s Communication and Resolution Program (CRP) Certification is back and ready to support Washington healthcare organizations, providers, and patients who have experienced an adverse medical event. CRP is an important tool that provides a framework of essential commitments, elements, and steps to guide the response to patients who have been harmed by their healthcare, while also addressing the quality and safety gaps responsible for the event. FHCQ supports this work through two services:
CRP Screening and CRP Certification. For these services, FHCQ gathers a diverse group of healthcare stakeholders including patient advocates, physicians, risk managers, attorneys, and more to create the CRP review panel. This panel is tasked with providing feedback to all submitted cases, helping organizations fulfill all steps of the CRP process, and ensuring that the organization took the right steps to improve patient safety and prevent the event from reoccurring. These two services are
free and independent from one another. Although these services can provide support in different and beneficial ways, it is not required for organizations to go through both processes. What is CRP Screening?
CRP Screening is an informal process and is meant for individuals who would like support during a current CRP response or advice on how a previous adverse event could have been better aligned with CRP principles. The purpose of CRP Screening is to provide organizations/providers with
real-time feedback of their CRP response, how to proceed if challenges arose during the CRP process, help ensure all elements of CRP are present in the response, and to
provide advice on how previous adverse events could have incorporated (or better incorporated) CRP principles. One of the most valuable aspect of CRP Screening and Certification is the feedback applicants receive from the review panel. CRP Screening provides more chances for organizations/providers to talk through the challenges they are experiencing and receive support in troubleshooting the complexities of the CRP process with a group of non-judgmental peers.
What is CRP Certification?
CRP Certification is a formal process and is meant to affirm if the organization/provider incorporated all of the core elements of CRP in their response to the adverse event. With CRP Certification, we partner with the Washington Medical Commission where adverse events that are certified by the CRP review panel may be included in the Commission’s own investigations. The purpose of CRP Certification is to
affirm to regulators that patient safety was met and improvements have been implemented to ensure the adverse event will not reoccur. Another crucial aspect of CRP Certification is sharing the lessons learned from each submitted application, in which FHCQ will de-identify all cases and widely share the learnings to ensure the greater healthcare community can learn from the event as well. Want to learn more about CRP, CRP Screening, or CRP Certification? Register for our upcoming webinar! This webinar will cover FHCQ’s CRP services in more detail and you will have the opportunity to hear from one of our current CRP review panel members on their experience on the panel and submitting a case for review. When: March 7, 11:30AM-12:30PM
If you have any questions, contact Felicidad Smith, Communication and Resolution Program Manager at fsmith@qualityhealth.org or visit www.qualityhealth.org/crp. |
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Pulse CPSEA’s Family-Centered Patient Advocacy Course |
Leading patient safety group offers intensive 2-day course Pulse Center for Patient Safety Education & Advocacy is proud to announce that it will hold a 2-
day intensive training course, “Family-Centered Patient Advocacy” on March 14-15, 2024.
The course will be held in person in Plainview, Long Island, NY. All are welcome — from Board-
Certified Patient Advocates (BCPA), who will receive 14 CEs for attending, to individuals just
wanting to support their families in getting safer medical care. “Medical error is the third-highest cause of premature death in this country,” says Pulse
President Ilene Corina, BCPA, “but there are many things we can do to reduce the risks and get
better outcomes from our care. Those attending the course will learn how to do that.”
Want to know more? Information and registration at
https://www.pulsecenterforpatientsafety.org/fcpatraining Media enquiries:
David Halperin: patientsafetynews@gmail.com
or Ilene Corina: info@pulsecpsea.org or (516) 579-4711 |
| One of many groups of former FCPA training graduates |
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