Quoteworthy
By becoming better at giving and receiving feedback, we can facilitate truly effective learning for ourselves, our colleagues and our patients.
Kathleen Timme and Pete Hannon

Most Recent
How to Make Palm Scanning Work For Your Clinic

Biometric identification is a national best practice — but adapting that to a local environment isn’t easy. Although it’s rare, confusing an identity can have scary consequences (like getting a prescription for a drug you’re allergic to.) So Doug Ostler and his team worked to implement palm scanners and make patients feel safer.

How an Avalanche Highlighted the Importance of Root Cause Analysis

Utah's value engineers turn any real-world event into a cause for improvement. Recently, senior value engineer Will McNett and a friend were swept up in an avalanche, traveling 50 yards down the southeast face of Albright Peak in Grand Teton National Park. What many would consider terrifying, Will considered a cause for observation, investigation, analysis, and improvement.

How the Burn Trauma ICU Eliminated Central Line Infections

Is zero possible? In the case of central line infections, the answer was once no. A CLABSI (central line associated blood stream infection) was once considered a car crash, or an expected inevitability of care. When University of Utah’s Burn Trauma Intensive Care Unit started treating CLABSIs like a plane crash, or a tragedy demanding in-depth investigation and cultural change, zero became possible.

Canyoneering Close Call: Always Have a Safety Plan

Engineer Cindy Spangler compares canyoneering and surgery and identifies a common thread: the need for high-reliability processes. She describes how surgical time-out, a quick huddle to debrief before surgery, can serve as a useful model for reducing the risk of harm in canyoneering.

Dr. Sean Stokes on Improving Opioid Prescribing Patterns

Using improvement methodology to solve one piece of America’s opioid epidemic. Dr. Sean Stokes and team used the practice of scoping to focus on one population and one procedure to achieve manageable, measurable improvement.

How a Rehab Unit Reduced Overtime Cost (And Made Shift Report More Efficient)

Improving value in health care means tackling long-standing problems. These problems have seemingly simple solutions, but just won’t stay fixed. Fixing the old problems of health care requires new problem solving skills. Nurse manager Jamie D’Ausilio used University of Utah Health’s value improvement methodology to confront one of the most common management challenges—unnecessary overtime. Using concepts from lean and six sigma, D’Ausilio identified waste, prioritized root causes, and engaged her team to design interventions to create new workflow design.

Perpetual High Alert Is Not a Safety Plan

When a mistake happens, we promise we will never let it happen again. The problem is that a personal vow doesn’t change the way the system operates. Value engineers Steve Johnson, Cindy Spangler and Will McNett look at common personal incident—backing into the lamppost in your own front yard—as a lens for eliminating risk.

How Maintenance Management Systems Make Us a Safer Organization

Just under 40,000 pieces of physical equipment keep our hospital system humming—everything from hospital beds to air chillers. Casey Chandler manages the team that takes care of all 40,000 items. Here, he details the tools that keep us safe.

Safe Systems, Safe Patients

Medical errors are a leading cause of death in the United States. What can we do to ensure our patients aren’t harmed while in our care? Former Chief Medical Quality Officer Bob Pendleton reflects on a simple concept to begin the conversation.

Top 3 Data-Driven Tips for Holiday Travel

Healthcare isn’t the only industry experiencing whiplash-inducing change. Think about the significant change in the way we travel. We used to hear about a place or a particular hotel from a travel agent or friend, or gasp—the phone book. Today, the number of sites offering advice, recommendations and resources is astounding. In this post, we’re highlighting a few tried and true resources that leverage big data to make travel easier.

Curating Value: Archiving Utah's Exceptional Improvement Work

For years, the Exceptional Value Annual Report documented the performance of the organization on all 45 of the key initiatives identified in the Operational Plan.