{"id":41621,"date":"2012-12-10T00:00:00","date_gmt":"2012-12-10T06:00:00","guid":{"rendered":"https:\/\/www.unmc.edu\/newsroom\/2012\/12\/10\/nebraska-coalition-for-patient-safety-helps-hospitals-learn-from-their-mistakes\/"},"modified":"2022-08-22T16:22:18","modified_gmt":"2022-08-22T21:22:18","slug":"nebraska-coalition-for-patient-safety-helps-hospitals-learn-from-their-mistakes","status":"publish","type":"post","link":"https:\/\/www.unmc.edu\/newsroom\/2012\/12\/10\/nebraska-coalition-for-patient-safety-helps-hospitals-learn-from-their-mistakes\/","title":{"rendered":"Nebraska Coalition for Patient Safety helps hospitals learn from their mistakes"},"content":{"rendered":"<div class=\"panel body-content\"><div class=\"panel__container\"><p>\nWhen choosing a health care facility, the executive director of the <a href=\"http:\/\/www.nepatientsafety.org\/\">Nebraska Coalition for Patient Safety<\/a> said potential patients should add one more query to their list of questions: &ldquo;Do you self-report adverse events?&rdquo;<\/p>\n<p>\nAnd if the answer is &ldquo;no,&rdquo; Ann McGowan said, maybe you should consider getting your knee replacement &ndash; or whatever it may be &ndash; somewhere else.<\/p>\n<p>\nNCPS is an independent, nonprofit, federally-designated patient safety organization (PSO), founded by the <a href=\"http:\/\/www.nebraskapa.org\/\">Nebraska Academy of Physician Assistants<\/a>, <a href=\"http:\/\/www.nhanet.org\/\">Nebraska Hospital Association<\/a>, <a href=\"http:\/\/www.nebmed.org\/\">Nebraska Medical Association<\/a>, <a href=\"http:\/\/www.nebraskanurses.org\/\">Nebraska Nurses Association<\/a> and <a href=\"http:\/\/www.npharm.org\/\">Nebraska Pharmacists Association<\/a>. It is headquartered at the <a href=\"http:\/\/www.unmc.edu\/\">University of Nebraska Medical Center&rsquo;s<\/a> <a href=\"http:\/\/www.unmc.edu\/alliedhealth\/\">School of Allied Health Professions<\/a>.<\/p>\n<p>\nIts aim is to create a culture of safety in Nebraska health care by encouraging, assisting and collaborating in the self-reporting of medical errors and patient-safety events by health care organizations across the state. The reports are then studied, and de-identified and shared across NCPS membership, in hope of avoiding a repeat of similar incidents.<\/p>\n<p>\n&ldquo;By sharing this information with others, hospitals can learn to prevent errors before they happen,&rdquo; said Stephen Smith, M.D., NCPS president and chief medical officer at <a href=\"http:\/\/www.nebraskamed.com\/\">The Nebraska Medical Center<\/a>.<\/p>\n<p>\nAccording to its 2012 annual report, NCPS has trained more than 250 professionals from 59 health care organizations in the use of root-cause analysis &ndash; a tool to analyze and learn from adverse events.<\/p>\n<p>\nHalf of Nebraska&rsquo;s hospitals have joined the coalition &ndash; but half have not. It&rsquo;s tough to crack the culture of keeping our mistakes to ourselves, said Darwin Brown, assistant professor in <a href=\"http:\/\/www.unmc.edu\/alliedhealth\/pa.htm\">UNMC&rsquo;s physician assistant education program<\/a>, who serves as NCPS treasurer.<\/p>\n<p>\nBut those incidents are happening, whether the public hears about them or not. A 2008 <a href=\"http:\/\/www.hhs.gov\/\">U.S. Department of Health and Human Services<\/a> report found that 13.5 percent of Medicare beneficiaries surveyed experienced a serious adverse event during their hospital stay. An additional 13.5 percent experienced smaller events which resulted in temporary harm.<\/p>\n<p>\nIf we hear of an incident, we may be less apt to use that hospital. &ldquo;But I tend to think the opposite,&rdquo; McGowan said. &ldquo;It means they&rsquo;re engaged. They know what&rsquo;s going on.&rdquo;<\/p>\n<p>\nWe all make mistakes &ndash; even health care organizations.<\/p>\n<p>\nThere&rsquo;s only one way to find out if a health care organization is learning from its mistakes, McGowan said: Ask.<\/p>\n<p>\nFor more information on NCPS, or to speak with McGowan, call 402-559-8421 or go to <a href=\"http:\/\/www.nepatientsafety.org\/\">www.nepatientsafety.org<\/a>.<\/p>\n<p>\n<strong>NEBRASKA COALITION FOR PATIENT SAFETY &ndash; MEMBER HOSPITALS<\/strong><\/p>\n<p>\n<strong><u>Albion<\/u><\/strong> &#8212; Boone County Health Center<\/p>\n<p>\n<strong><u>Alliance<\/u><\/strong> &#8212; Box Butte General Hospital<\/p>\n<p>\n<strong><u>Alma<\/u><\/strong> &#8212; Harlan County Health System<\/p>\n<p>\n<strong><u>Atkinson<\/u><\/strong> &#8212; West Holt Medical Services<\/p>\n<p>\n<strong><u>Auburn<\/u><\/strong> &#8212; Nemaha County Hospital<\/p>\n<p>\n<strong><u>Aurora <\/u><\/strong>&#8212; Memorial Community Health<\/p>\n<p>\n<strong><u>Beatrice<\/u><\/strong> &#8212; Beatrice Community Hospital<\/p>\n<p>\n<strong><u>Cambridge &#8212; <\/u><\/strong>Tri Valley Health System<\/p>\n<p>\n<strong><u>Central City <\/u><\/strong>&#8212; Litzenburg Memorial County Hospital<\/p>\n<p>\n<strong><u>Columbus<\/u><\/strong> &#8212; Columbus Community Hospital<\/p>\n<p>\n<strong><u>Cozad<\/u><\/strong> &#8212; Cozad Community Hospital<\/p>\n<p>\n<strong><u>Creighton<\/u><\/strong> &#8212; Avera Creighton Hospital<\/p>\n<p>\n<strong><u>David City <\/u><\/strong>&#8212; Butler County Health Care Center<\/p>\n<p>\n<strong><u>Fairbury<\/u><\/strong> &#8212; Jefferson Community Health Center<\/p>\n<p>\n<strong><u>Fremont<\/u><\/strong> &#8212; Fremont Area Medical Center<\/p>\n<p>\n<strong><u>Geneva<\/u><\/strong> &#8212; Fillmore County Hospital<\/p>\n<p>\n<strong><u>Grand Island<\/u><\/strong> &#8212; St. Francis Medical Center<\/p>\n<p>\n<strong><u>Holdrege <\/u><\/strong>&#8212; Phelps Memorial Health Center<\/p>\n<p>\n<strong><u>Kearney<\/u><\/strong><strong> &#8212; <\/strong>Good Samaritan Hospital<\/p>\n<p>\n<strong><u>Lexington <\/u><\/strong>&#8212; Lexington Regional Health Center<\/p>\n<p>\n<strong><u>Lincoln<\/u><\/strong> &#8212; Nebraska Heart Hospital; Bryan Health; St. Elizabeth Regional Medical Center<\/p>\n<p>\n<strong><u>McCook<\/u><\/strong> &#8212; Community Hospital<\/p>\n<p>\n<strong><u>Nebraska City<\/u><\/strong> &#8212; St. Mary&rsquo;s Community Hospital<\/p>\n<p>\n<strong><u>Neligh<\/u><\/strong> &#8212; Antelope Memorial Hospital<\/p>\n<p>\n<strong><u>Norfolk <\/u><\/strong>&#8212; Faith Regional Health Services<\/p>\n<p>\n<strong><u>North Platte<\/u><\/strong> &#8212; Great Plains Regional Medical Center<\/p>\n<p>\n<strong><u>Omaha <\/u><\/strong>&#8212; Alegent Health Bergan Mercy Medical Center; Alegent Health Immanuel Medical Center; Alegent Health Lakeside; Creighton University Medical Center; Nebraska Methodist Health System; Nebraska Orthopaedic Hospital; The Nebraska Medical Center<\/p>\n<p>\n<strong><u>O&rsquo;Neill<\/u><\/strong> &#8212; Avera St. Anthony&rsquo;s Hospital<\/p>\n<p>\n<strong><u>Osmond<\/u><\/strong> &#8212; Osmond General Hospital<\/p>\n<p>\n<strong><u>Papillion<\/u><\/strong> &#8212; Alegent Health Midlands Hospital<\/p>\n<p>\n<strong><u>Pawnee City<\/u><\/strong> &#8212; Pawnee County Memorial Hospital<\/p>\n<p>\n<strong><u>Pender<\/u><\/strong> &#8212; Pender Community Hospital<\/p>\n<p>\n<strong><u>Schuyler <\/u><\/strong>&#8212; Alegent Health Memorial Hospital<\/p>\n<p>\n<strong><u>Seward<\/u><\/strong> &#8212; Memorial Health Care Systems<\/p>\n<p>\n<strong><u>St. Paul<\/u><\/strong> &#8212; Howard County Medical Center<\/p>\n<p>\n<strong><u>Superior<\/u><\/strong> &#8212; Brodstone Memorial Hospital<\/p>\n<p>\n<strong><u>Tilden<\/u><\/strong> &#8212; Tilden Community Hospital<\/p>\n<p>\n<strong><u>Valentine<\/u><\/strong> &#8212; Cherry County Hospital<\/p>\n<p>\n<strong><u>Wahoo<\/u><\/strong> &#8212; Saunders Medical Center<\/p>\n<p>\n<strong><u>Wayne<\/u><\/strong> &#8212; Providence Medical Center<\/p>\n<p>\n<strong><u>West Point<\/u><\/strong> &#8212; St. Francis Memorial Hospital<\/p>\n<p>\n<strong>NEBRASKA COALITION FOR PATIENT SAFETY &ndash; BOARD MEMBERS<\/strong><\/p>\n<p>\n<strong><u>Officers (all from Omaha):<\/u><\/strong><\/p>\n<p>\nPresident &#8212; Stephen B. Smith, M.D., The Nebraska Medical Center<\/p>\n<p>\nVice president &#8212; Katherine Jones, Ph.D., University of Nebraska Medical Center (UNMC)<\/p>\n<p>\nTreasurer &#8212; Darwin Brown, UNMC physician assistant<\/p>\n<p>\nSecretary &#8212; Patty Scholting, UNMC physician assistant<\/p>\n<p>\n<strong><u>Other board members:<\/u><\/strong><\/p>\n<p>\n<strong><u>Columbus<\/u><\/strong> &#8212; Dan Rosenquist, M.D., Columbus Family Practice Association<\/p>\n<p>\n<strong><u>David City<\/u><\/strong> &#8212; Don Naiberk, Butler County Health Care Center<\/p>\n<p>\n<strong><u>Grand Island<\/u><\/strong> &#8212; Paula Riesberg, St. Francis Medical Center<\/p>\n<p>\n<strong><u>Lincoln<\/u><\/strong> &#8212; Kathy Corbett, Nebraska Wesleyan University; Doug Elting, Visions in Architecture; Cary Ward, M.D., St. Elizabeth Regional Medical Center<\/p>\n<p>\n<strong><u>Norfolk<\/u><\/strong> &#8212; Laura Hoogestraat, Faith Regional Health Services<\/p>\n<p>\n<strong><u>Omaha<\/u><\/strong> &#8212; Ed DeSimone, Ph.D., Creighton University Medical Center<\/p>\n<p>\n<strong><u>West Point<\/u><\/strong> &#8212; Carol Kampschneider, St. Francis Memorial Hospital<\/p>\n<p>\n&nbsp;<\/p>\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Half of Nebraska&#8217;s hospitals have joined coalition; member hospitals and board members listed<\/p>\n","protected":false},"author":78,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-41621","post","type-post","status-publish","format-standard","hentry","category-uncategorized","topic-outreach","department-college-of-allied-health-professions","department-press-release"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Nebraska Coalition for Patient Safety helps hospitals learn from their mistakes<\/title>\n<meta name=\"description\" content=\"Half of Nebraska&#039;s hospitals have joined coalition; 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