RESOURCE PEOPLE FOR QUALITY AND SAFETY:
The Queen’s Medical Center
- Dr. Barry Carlton, UH-JABSOM Professor of Psychiatry and QMC Chief of Psychiatry
- Dr. Junji Takeshita, UH-JABSOM Professor of Psychiatry and Associate Chair for Clinical Services and QMC Assistant Chief of Psychiatry
- Dr. Leslie Chun, QMC Vice President of Medical Staff Services and Chief Quality Officer
- Ms. Eleanor Huey, QMC Manager for Quality Improvement/Patient Safety
- QMC Remote Access to Intranet
Hawaii Pacific Health, inclusive of Kapi’olani Medical Center for Women and Children and Straub Clinic and Hospital
- Dr. Melinda Ashton, Vice President, Patient Safety and Quality Services
Prior to discharging a patient:
- Has the acute Suicidality or Safety concern been resolved?
- Has Treatment been offered and documented?
- Has Outpatient follow-up been offered and/or arranged?
- Has the attending Psychiatrist (and, if necessary for challenging cases, a peer/second opinion) seen and/or appropriately staffed the case?
Prior to transferring a patient:
- S = can the patient be SAFELY transferred, or what does the patient need in order to be transferred SAFELY (including suicide max sitter, PRN medication, etc.)
- T = have medical TREATMENTS been completed, and if not, is the receiving unit able to and prepared to give the needed TREATMENTS
- O= have ORDERS been handed off (physician to physician, nurse to nurse, etc.) and reconciled (including medications) with discontinuation of anything unnecessary; AND appropriate change of the attending’s name? Also, has the hospitalist team entered an inpatient psychiatry consult ORDER when a patient is being transferred from Kekela to the medical floor
- P = have the attending PHYSICIANS (transferring and receiving) been fully apprised of all orders, interventions, handoffs; and has there been a clear demarcations between when one PHYSICIAN’S role ends and the other begins
|Patient Safety Systems||6/3/15|