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Year-End Issue  |  December 2016

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From the Director

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Looking back ... and looking forward

A vital part of the Betsy Lehman Center's mission is to spread the word about creative solutions to pressing patient safety challenges. We launched Patient Safety Beat to do just that in a simple and engaging way. This month, we present our "top 10" picks from our inaugural issues. As we look ahead to the new year, we invite you to tell us about your breakthroughs that are helping to make health care in Massachusetts as safe as possible in all settings. We'd love to share your stories with our 4,000 subscribers. Thank you for your engagement in our work. We wish you a happy holiday season!

Barbara Fain

Barbara Fain, Executive Director

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Innovative Thinking

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Small provider, big achievement

How Mount Auburn Medical Associates persisted with outreach efforts to push colorectal cancer screening rates for older patients well past
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Augmenting addiction care in the ER

How emergency departments are enhancing safety for a growing number of patients with behavioral challenges that arise from psychiatric disorders and opioid addiction spacer

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New ways to engineer safety

How health care providers are teaming up with a Boston learning lab that uses computer modeling to test better, safer health care delivery practices spacer

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Partnering with patients

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Disclosure is the best remedy

How Atrius Health, the state‚Äôs largest ambulatory care network, embraced communication, apology and resolution as a best practice in the aftermath of medical harm spacer

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Simple steps curb hospital falls

How Brigham & Women's Hospital reduced one of the most prevalent risks among its patients by engaging them and their caregivers with individualized fall-prevention plans spacer

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Keeping patients safe at home

How Cambridge Health Alliance reduced unplanned hospital readmission rates by tapping community health workers to
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Leveraging data

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Examining cataract surgery

How adverse event data, and collaboration among state officials and medical professionals, identified systemic problems and led to better cataract safety practices spacer

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Putting SREs in perspective

Why hospitals and ambulatory centers with low Serious Reportable Event numbers are not necessarily safest, and why we need better adverse event data spacer

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High cost of poor communication

How data show that focusing on basic communication and information transfer among providers and caregivers reduces patient harm and malpractice costs spacer

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One last thing

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Strict adherence to safety norms

Why even small deviations from patient safety rules and protocols can lead to the "normalization" of practices that are risky or dangerous spacer

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Patient Safety Beat is published monthly by the Betsy Lehman Center, a state agency that uses communications, research, and data to catalyze the efforts of providers, policymakers, and consumers working toward safer health care in Massachusetts.

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