VHA National Center for Patient Safety

TIPS is published quarterly (formerly bimonthly) and is the VA's official patient safety newsletter.

TIPS is published quarterly (formerly bimonthly) and is the VA's official patient safety newsletter. It is meant to be a source of patient safety information for all VA employees and others who may face similar challenges within their patient care systems.

January/February/March 2017

• Lessons Learned: Fall and Fall Related Injury Prevention Virtual Breakthrough Series: The VA NCPS White River Junction, Vermont Field Office discuss the results of their recent Virtual Breakthrough Series on fall prevention.
• Alberta Province Implements VA's Mental Health Environment of Care Checklist: Alberta Health Services has adopted NCPS' Mental Health Environment of Care Checklist. The checklist has contributed to an 82 percent decrease in deaths by suicide in VA inpatient mental health units.
• Balancing Blood Sugar: Dr. Brian Burke from the Dayton VA and Pharmacist Sandra Hedin discuss the Choosing Wisely Hypoglycemia Safety Initiative.
• Patient Safety Centers of Inquiry Update: New Patient Safety Measurement Display: The Patient Safety Center of Inquiry on Measurement to Advance Patient Safety (MAPS) is located within the Center for Healthcare Organization and Implementation Research (CHOIR) at the VA Boston Healthcare System.
• Rocky Top Journey to High Reliability: The Mountain Home VA Healthcare System patient safety team review the ongoing journey toward high reliability.
• Putting a Face to a Name: You're Patient Safety Team
• 2017 Joint Commission National Patient Safety Goals