Although palliative care is integral to providing quality care, in the ED the focus tends to be on aggressive and life-saving measures. More education and training is needed to make ED providers more comfortable with integrating palliative care there.
Northwestern Medicine Lake Forest Hospital in Illinois had attempted to reduce hospital-acquired pressure injuries for years, with some success, but hospital leaders remained unhappy with the rate of pressure ulcers. Making changes stick required a change in culture.
Diagnostic errors continue to plague the healthcare system, but some progress is happening thanks to technology that can reduce the chance of an error reaching the patient and causing harm. Optimal results may require a more deliberate training program for those using the technology.
Clinical bioethics training programs serve a wide variety of individuals, some with clinical backgrounds, others with PhDs. Most graduates indicated that their basic training in ethics was adequate. Still, many wanted more training in quality improvement skills, including some exposure to quality improvement methodology. They also wanted to learn how to negotiate for resources and how to communicate with hospital leadership.
Inaccurate coding causes compliance issues, more denials, lost revenue, and negative patient experiences. More precise and accurate information from the onset sets the stage for correct billing, cleaner claims, and fewer denials.
Quality improvement professionals often must train staff in new processes or initiatives, but the effectiveness of those sessions can depend on the approach. A simple meeting with a PowerPoint presentation may not be the best way to get good results.
A supervisor says she received a complaint from a patient about rude treatment. She asks you, the registrar, whom the complaint is about, to listen to a recording of the call. Then, the supervisor asks if you think you provided good customer service. This approach could lead the team member to become embarrassed and defensive — and could permanently damage the feedback loop between supervisor and employee.