Every year, Cindy Spangler hosts ‘Friendsgiving’ for over forty friends, family, and work colleagues. Cindy is also a senior value engineer and associate editor for Accelerate. So we asked: what is the process behind a successful Thanksgiving?
Preventing medication errors often means using checklists and leveraging technology. But implementing these seemingly simple tools requires interdisciplinary teamwork, learning, and a commitment to ongoing verification that the process is working. Clinical operations nursing director Joy Lombardi describes how Huntsman Cancer Institute made chemotherapy highly reliable.
General Surgery resident Josh Bleicher spent a year exploring opioid prescribing patterns in patients discharged after elective surgery. What did he find? We need a more patient-centered approach to opioid prescribing.
A missed diagnosis can delay treatment or result in inappropriate treatment, causing unnecessary pain, suffering, and often financial hardship for our patients. Internist and hospitalist Peter Yarbrough helps explain why diagnostic errors happen with strategies to prevent them.
Medical errors often occur due to system failure, not human failure. Hospitalist Kencee Graves helps explain why we need to evaluate medical error from a system standpoint.
Biometric identification is a national best practice — but adapting that to a local environment isn’t easy. Although it’s rare, confusing an identity can have scary consequences (like getting a prescription for a drug you’re allergic to.) So Doug Ostler and his team worked to implement palm scanners and make patients feel safer.
Utah's value engineers turn any real-world event into a cause for improvement. Recently, senior value engineer Will McNett and a friend were swept up in an avalanche, traveling 50 yards down the southeast face of Albright Peak in Grand Teton National Park. What many would consider terrifying, Will considered a cause for observation, investigation, analysis, and improvement.
Kyle Bradford Jones is back, this time with a deep dive into decision-making. Jones uses psychology to explain why it takes so long to adopt new evidence into our clinical practice and argues that we need to actively schedule time together in order to reflect.
Is zero possible? In the case of central line infections, the answer was once no. A CLABSI (central line associated blood stream infection) was once considered a car crash, or an expected inevitability of care. When University of Utah’s Burn Trauma Intensive Care Unit started treating CLABSIs like a plane crash, or a tragedy demanding in-depth investigation and cultural change, zero became possible.
To celebrate the New Year, Value Engineer Mitch Cannon applied statistics to weight loss. He was quickly reminded of an important lesson that applies in health care: when you’re trying to improve, don’t overreact to data.
Balancing uncertainty, fear, and emotions isn’t easy — especially in health care. Family practice physician Kyle Bradford Jones looks outside of his practice to identify two common biases that affect how we behave in the face of perceived risk. His key insight? The risk that isn’t directly in front of us may be mistaken for no risk at all.
First came High Reliability Thanksgiving. Then High Reliability Camping. In keeping with the Lean holiday spirit, Accelerate’s Marcie Hopkins shares her method for high reliability gift wrapping — with a little help from our friends in Sterile Processing, who’ve perfected the envelope fold.
