The Quality and Patient Safety Division Newsletter, FIRST Do No Harm, is a vehicle for sharing quality and patient safety initiatives of Massachusetts healthcare facilities and the work of the Quality and Patient Safety Division and Committee. Publication of this Newsletter does not constitute an endorsement by the Board of any studies or practices described in the Newsletters and none should be inferred.
Spotlight on Quality and Patient Safety
2024
- Winter 2024 | (DOCX)
In This Issue- QPSD Safety & Quality Review Data Q1-Q3 2023
- Tufts Medical Center
- Emerson Health
- Patient Care Assessment-Quality Assurance (PCA-QA) Report due dates
- PCA Boot Camp Registration
2023
- Autumn 2023 | (DOCX)
In This Issue- Message from the QPSD Leadership
- The Betsy Lehman Center
- Beth Israel Deaconess Hospital - Needham
- Brigham and Women’s Faulkner Hospital
- Newton-Wellesley Hospital
- QPS Committee Conference
- Spring 2023 | (DOCX)
In This Issue- Message from the QPSD Leadership
- QPSD Team Approach
- Baystate Medical Center
- Boston Medical Center
- Signature Healthcare
- QPS Committee Member List
- Noted Trend
2022
-
Autumn 2022 l (DOCX)
In This Issue- Message from QPSD Leadership
- Berkshire Medical Center
- Lowell General Hospital
- Steward Health Care System
- Tufts Medical Center
- QPSD Outreach
- Summer 2022 l (DOCX)
In This Issue- Message from QPSD Leadership
- Baystate Medical Center
- Boston Medical Center
- MGB Salem Hospital
- Mercy Medical Center
- Signature Healthcare Brockton Hospital
- UMass Memorial Medical Center
- Trends in SQR Reporting
- QPSD staff members
-
Winter 2022 l (DOCX)
In This Issue- Message from QPSD Leadership
- Dr. Sarah Rae Easter, Maternal Levels of Care
- Boston Children’s Hospital
- Lawrence General Hospital
- MetroWest Medical Center
- Mount Auburn Hospital
- Southcoast Health
- Sturdy Memorial Hospital
- Reporting Reminders
- QPS Committee Members
2021
-
Autumn 2021 l (DOCX)
In This Issue- Message from QPSD Leadership
- UMASS Memorial Medical Center
- New Address for QPSD
- QPSD Reporting Reminder
- South Shore Hospital
- Boston Medical Center
- Boston Outpatient Surgical Services
- QPSD 2022 Workshops
-
Winter 2021 l (DOCX)
In This Issue:- Message from QPSD Leadership
- QPS Committee member Ziad Alfarah, MDP
- Cambridge Health Alliance
- Massachusetts General Hospital
- McLean Hospital
- Tufts Medical Center
- Update: Reporting to QPSD
2020
- Autumn 2020 l (DOCX)
Inside This Issue:- Message from QPS Leadership
- Baystate Medical Center
- Beth Israel Deaconess Medical Center
- Brigham & Women’s Hospital
- Emerson Hospital
- Milford Regional Medical Center
- North Shore Cataract & Laser Center
- Plymouth Laser & Surgical Center
- Spaulding Hospital Cambridge
- UMASS Memorial Marlborough Hospita
- Contact QPSD
- Reporting due dates
- June 2020 l (DOC)
Inside This Issue:- Message from QPSD Leadership
- A Patient’s Perspective
- Communication, Apology, and Resolution (CARe) at BIDMC
- The C.A.R.E.S. For You Program at Steward Health Care
- Patient Engagement at Franciscan Children’s Hospital
- Addendum
- Guidance on Reporting
- January 2020 l (DOC)
Inside This Issue:- Message from QPSD Leadership
- Feature of Month: Physician Leadership for Peer Review
- Beverly Hospital OPPE/FPPE
- Hospitalist Shadowing Program
- Teaching Standard Newton Wellesley
- QPSD PCA Workshop
- Hot Tips
- Upcoming Events and Hold The Date
2019
- September, 2019 l (DOC)
Inside This Issue:- Message from QPSD Leadership;
- We Heard You – Reporting Changes;
- Feature of the Month - Type IV Reporting;
- Type IV Decision Tree: MGH Example;
- Decreasing Maternal Mortality;
- Betsy Lehman Center Updates;
- QPSD Spring 2019 Conference;
- Hot Tips; and
- Upcoming Events and Hold the Date.
- March 2019 | (DOC)
- Leadership
- New Members
- Spring Conference
- Self-Harm Events
- Type IV Reporting
2015
- May 2015
- Baystate Medical Center – Redesigned Rapid Response Team
- BIDMC HouseStaff Quality Improvement Council
- Cambridge Health Alliance – Lessons Learned from Power Outage
2014
- November 2014
- Boston Medical Center Risk Stratified VTE Prophylaxis Protocol
- Hebrew Senior Life TIPS Conferences
- Anna Jaques Hospital “Patient Story” CME Program
- SQR Corner—MRI Safety
- NOTICE – Article on Delirium Protocol at Steward Hospitals
- June 2014
- Steward RBC Transfusion Practices
- Improving PCA Safety at BWH
- SQR Corner: Intra-op Arrhythmia
- Notice - Uterine Power Morcellation
- April 2014
In this ASC Issue:- DVT Risk Assessment
- Advanced Directives
- Anticoagulation in Endoscopy
- Diabetes Management
- January 2014
- NSMC – family rounds in ICUs
- DFCI - PFAC member experiences
- Baystate Health's Quality Report
2013
- August 2013
- Spaulding Rehab: FMEA for move to new hospital
- New Bedford Rehab: volumetric capnography for vent weaning
- Boston Medical: medications “in hand” for discharged asthma patients
- New England Baptist : pre-surgical risk assessment & planning
- June 2013
In this first ASC Issue:- ISO Implementation
- Safe Discharges
- Pre-admission Documentation
- Obtaining Post-Discharge Information
- Preventing Skin Tears
- QPSD Notes
- April 2013
-
Jim Conway Leadership/Preoccupation with Failure”
- North Shore Medical Center- Accurate Weights in CHF Patients
- UMass Medical Center–RCA Process
- “Lessons Learned” and SQR Examples
-
- March 2013
This issue includes The Four Habits Series:- Beth Israel Deaconess Medical Center and Winchester Hospital - Eliminating Preventable Harm
2012
- December 2012
This issue includes Handoff Communication Tools.- Boston Children’s Hospital I-PASS
- Southcoast-EMS Transport Handoffs
- Hallmark-Nursing Bedside Handoffs
- BWH Faulkner-Standardizing Handoffs
- QPS Notes & Updates
- September 2012
This issue includes New England Baptist Hospital and Beth Israel Deaconess Medical Center descriptions of their processes to Prevent Wrong Level Spine Surgery. - August 2012
This issue includes:- St. Vincent Hospital's ICU Early Ambulation Program
- Emerson Hospital Reduces HAIs
- Creating a Culture of Respect - Interview with Lucian Leape, MD
- ASC Update
- QPSD Notes & Updates
- July 2012
This issue includes The Four Habits Series:- Baystate Franklin & Northern Region “Service Excellence”
- Boston Medical Center “Exceptional Care without Exception”
- April 2012
This issue includes:- Boston Medical Center's Emergency Airway Response Team
- Sturdy Hospital End of Life Planning
- ASC Update
- QPSD Update
- SQR Corner-Spiral Endoscopy
- March 2012
This issue includes Massachusetts General Hospital Case Study: Physiological Alarm Monitoring.