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Community Continuous Improvement Healthcare Patient Care Patient Experience Patient Safety Quality Improvement Safety Culture Secured

Safety Culture & Virtue 3: Families

  • By Gayle Porter
  • April 25, 2025

You might think that the stress of family responsibilities and relationships could cause problems for a patient trying to recover from illness, but it’s actually the opposite. In my

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Accountability Communication Continuous Improvement Error Analysis Healthcare Patient Safety Risk Management Safety Culture Secured

Virtue Symptom #1: Voluntary Reporting Occurs

  • By Gayle Porter
  • March 28, 2025

Patient safety reporting is often depersonalized to provide distance and objectivity during an investigation and to help the team see opportunities clearly. But if we lean on system issues because we

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Accountability Continuous Improvement Healthcare Patient Safety Quality Improvement Risk Management Safety Culture

Safety Culture and Virtue

  • By Gayle Porter
  • March 14, 2025

Over the past few weeks, I have wrestled with the idea of safety culture. Safety culture is itself a symptom of something that is difficult to pin down: virtue.

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Artificial Intelligence Continuous Improvement Data Analytics Healthcare Innovation Nursing Nursing Profession Quality Improvement Research Secured

Smart Staff Surveys

  • By Gayle Porter
  • November 8, 2024

I heard about some fantastic solutions implemented by Advocate Health to improve the Nurse Manager role and the results make me feel hopeful. The problem they identified is that

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Communication Healthcare Patient Safety Quality Improvement Risk Management Secured

NASA, Spaceships, and Hospital Administration

  • By Gayle Porter
  • October 21, 2024

After creating a flawless, foolproof plan, NASA launched Apollo 13 on another mission to the moon in 1970. But they didn’t just sign off and watch the trip. They

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Accountability Care Coordination Communication Healthcare Patient Education Patient Safety Uncategorized

Medicine, Codes, and Braille

  • By Gayle Porter
  • September 27, 2024

Did you know that pharmaceutical companies spend $6 billion on drug advertising in the U.S.?[1] Why do you think they spend so much money advertising products that Americans are already

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Care Coordination Continuous Improvement Error Analysis Healthcare Interoperability Patient Care Patient Safety Secured

Ghost Stories

  • By Gayle Porter
  • September 9, 2024

“You’re supposed to be dead!” the professor stammered. “I know. I heard. Sorry to disappoint!”  During our recent road trip, my husband recalled how an error in paperwork resulted

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Continuous Improvement Error Analysis Healthcare Healthcare Cybersecurity Infection Control Patient Safety Quality Improvement Uncategorized

Safety: Worth A Fortune

  • By Gayle Porter
  • August 16, 2024

Have you noticed that our culture has become increasingly reactionary? I mean, there is an entire genre on YouTube for Reaction Videos. People sit and watch other people react

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Artificial Intelligence Continuous Improvement Healthcare Innovation Patient Care Quality Improvement Research Secured

“Jarvis, Fetch My Labs”

  • By Gayle Porter
  • August 2, 2024

Have you ever really considered the leap from one technology to another? Have you ever wondered what the future of healthcare will be? Will Jarvis report my cholesterol to

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Healthcare healthcare history Infection Control Nursing Patient Safety Risk Management

Free Public Health Infectious Disease Training

  • By Gayle Porter
  • July 19, 2024

I have exciting news if you are a Texas healthcare nerd whose heart skips a beat at the words “infectious disease.” I love studying things like how to measure

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Aging Care Coordination Community Continuous Improvement Equity & Accessibility Healthcare Patient Care Patient Experience Patient Safety Risk Management Secured

How Do We Triage in Primary Care?

  • By Gayle Porter
  • July 5, 2024

This portion of the site is for members only. Register now or sign in below.

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Continuous Improvement Data Analytics Healthcare Mortality Patient Care Patient Safety Quality Improvement Risk Management

What is the “Mortality Index” and Why Should I Care?

  • By Gayle Porter
  • June 14, 2024

Have you ever wondered if your facility is especially good or bad at taking care of certain patients? You’re not alone. I’ve talked to professionals across the nation, and

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Accountability Care Coordination Equity & Accessibility Healthcare Patient Care Patient Experience Patient Safety Risk Management Secured

Blank Check

  • By Gayle Porter
  • May 24, 2024

The other day, I attempted to ship a gift to my niece. She loves tea and I had found an adorable four-cup teapot that I knew she would just

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Healthcare Nurse's Week Nursing Nursing Profession Patient Care Patient Experience Survivor stories

How Waiting Rooms Recruit Nurses

  • By Gayle Porter
  • May 10, 2024

Our whole family was packed into a booth at our favorite pizza shop, laughing, teasing, and having a good time. Suddenly, my mom grabbed my dad’s hand and said,

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Burnout Continuous Improvement Healthcare Innovation Quality Improvement Quality Professionals

Refuse to Stay Sick

  • By Gayle Porter
  • April 26, 2024

After fending off a cold, I was looking forward to tasting my food again, leaving the tissues at home, and hosting dinner nights with friends. Instead, our whole family

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Communication Healthcare Nursing Patient Care Patient Experience Quality Improvement Quality Professionals Secured

Don’t Mention the Weather

  • By Gayle Porter
  • April 5, 2024

“It’s such a beautiful day today!” My preceptor brisked into the room with a huge smile and a cheery greeting. “Really? I wouldn’t know.” The patient turned away, despondent.

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Burnout Healthcare Patient Care Patient Safety

Healthcare is in a Stage of Grieving

  • By Gayle Porter
  • March 22, 2024

“It’s not as though we can give life or death to our patients,” I sighed. “Some things are out of our control.” “Of course we can! What do you

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Communication Continuous Improvement Error Analysis Healthcare Patient Care Patient Safety Quality Improvement Risk Management Secured

Why is Patient “Risk” a Dirty Word?

  • By Gayle Porter
  • March 1, 2024

The patient had undergone an elective surgery to reduce “noisy breathing.” Post-op, she never got off the ventilator because of a lifelong neuromuscular disease. Who, in their right mind,

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Care Coordination Communication Error Analysis Healthcare Healthcare Cybersecurity Innovation Patient Safety Quality Improvement Risk Management Secured

Digital Harm?

  • By Gayle Porter
  • February 15, 2024

The patient’s transfer and medication reconciliation had been done twice – once by the attending physician and once by the specialist ordering an upgrade in acuity. As the nurses

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Communication Continuous Improvement Healthcare Healthcare Cybersecurity Quality Improvement Risk Management

Reactive Information Security

  • By Gayle Porter
  • February 2, 2024

Have you ever noticed how rare it is to have proactive information security? For urgent incidents, there is a 24/7 toll free phone number. For data breaches, there are

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Continuous Improvement Healthcare Quality Improvement Quality Professionals Resources Secured time management

Post-Holiday Backlog: Frog or Fruit?

  • By Gayle Porter
  • January 18, 2024

January can be a challenging time as we return from a holiday break to discover that December was not particularly productive. As I enter my office, I feel full

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Accountability Communication Continuous Improvement Equity & Accessibility Healthcare Patient Care Patient Education Patient Experience Patient Safety Quality Improvement Risk Management Wish-List

10 Things Patients Wish We Knew

  • By Gayle Porter
  • December 21, 2023

We talk a lot about focusing on patients, patient engagement, and patient-centered care, but then we turn around and recommend designer vitamins and expensive wearables for our Medicaid participants.

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Continuous Improvement Error Analysis Healthcare Innovation Patient Care Patient Safety Quality Improvement Respiratory Therapy

My Clinical Wish List: A Portable MAR for Respiratory Therapy

  • By Gayle Porter
  • December 8, 2023

I recently visited a big box store to buy groceries while I host our family from out of town. The best part of this trip was that I was

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Accountability Burnout Error Analysis Healthcare Nursing Patient Care Patient Experience Patient Safety Quality Improvement Risk Management Secured

Discharge Apology

  • By Gayle Porter
  • November 10, 2023

We had the unlucky privilege of going to the Emergency Department last week and were surprised by some of the developments in local emergency care: First, there was a

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Burnout Continuous Improvement Data Analytics Healthcare Innovation Nursing Nursing Profession Patient Care Patient Safety Quality Improvement Secured

Should Staffing Improve?

  • By Gayle Porter
  • October 27, 2023

It was a big moment. For the first time in my nursing career, I was wearing slacks, a sweater, and professional shoes instead of scrubs and sneakers. I missed

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Communication Continuous Improvement Data Analytics Error Analysis Healthcare Nursing Profession Patient Care Patient Safety Quality Improvement Risk Management

Can Error Reports Help Our Patients?

  • By Gayle Porter
  • September 29, 2023

Robust error reporting has done wonders for the health industry. We no longer need to guess when a problem could occur. Most clinical staff carry a mental list of

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Healthcare Innovation Nursing Nursing Profession Patient Care Patient Experience Quality Improvement Quality Professionals

Why Nurses Should Lead

  • By Gayle Porter
  • September 13, 2023

I see a lot of recommendations to enhance workplace empowerment and build nurse leaders to improve healthcare. And that’s good. But not for the reasons you might think. Let

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Accountability Continuous Improvement Error Analysis Healthcare Nursing Profession Patient Care Patient Safety Quality Improvement Quality Professionals Research Risk Management

“Help, I Need a Bureaucrat!” A Healthcare Comedy.

  • By Gayle Porter
  • August 29, 2023

“Oh my, are you bleeding?” The nurse stood with her hands on her hips, assessing the situation. “Well, yes. I think so,” the patient replied. “I tried pressing the

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Accountability Communication Continuous Improvement Equity & Accessibility Healthcare Misinformation Nursing Patient Care Patient Safety Quality Improvement Research Risk Management

Misinformation: “Healthcare, We Have a Problem”

  • By Gayle Porter
  • August 17, 2023

One of the first moments I knew that my husband was “the one” was during a game of Balderdash. In this game, an unfamiliar word is read aloud, and

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Accountability Burnout Continuous Improvement Healthcare Nursing Nursing Profession Patient Care Patient Experience Patient Safety

What Burnout Isn’t

  • By Gayle Porter
  • August 1, 2023

We often talk about burnout like it’s something that can be cured with a little self-care. Take a day off, get a massage, listen to nature sounds during your

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Continuous Improvement Error Analysis Healthcare Innovation Nursing Nursing Profession Patient Safety Quality Improvement Secured

It’s Time to Retire the Lunch & Learn

  • By Gayle Porter
  • July 17, 2023

Have you ever noticed that the persistent problems affecting our patients today are the self-same problems that we were facing 20 years ago? Back in 1999, To Err is

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Where Nurses Bury Their Stories

  • By Gayle Porter
  • July 3, 2023

As a nurse, she took children from their families and smuggled them in boxes and tool chests, placing them in a safe place until the end of the war.

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Latchkey Seniors

  • By Gayle Porter
  • June 20, 2023

As the Baby Boomers retire, many are facing decreased social connections, scattered family support and economic challenges.[1] Out of this situation, many seniors find themselves living alone at home.

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Communication Community Continuous Improvement Healthcare Nursing Patient Care Patient Education Perinatal Care Quality Improvement Resources Secured

Solutions for Exclusive Breastfeeding Programs

  • By Gayle Porter
  • June 5, 2023

“We’re failing our perinatal exclusive breastfeeding measures,[1] but I’m afraid there’s nothing we can do about it.” This belief is surprisingly common among hospital quality managers - and I

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Accountability Continuous Improvement Healthcare Innovation Nurse's Week Nursing Nursing Profession Patient Care Patient Safety Quality Improvement Quality Professionals Wish-List

A Nurse’s Wish for National Nurses Week (and no, it’s not a pizza party)

  • By Gayle Porter
  • May 8, 2023

I love having lunch with my nurse colleagues. Whenever we fuel our minds over salads and sandwiches, we also solve problems in healthcare, identifying what we believe is the

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Continuous Improvement Error Analysis Healthcare Quality Improvement Quality Professionals Research Secured

Failure & Evaluation in Healthcare

  • By Gayle Porter
  • April 7, 2023

Thomas Edison had 1,093 patents for his inventions. The successful ones like the lightbulb, the phonograph, and the motion picture camera changed the world, but who has heard of

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Artificial Intelligence Continuous Improvement Error Analysis Healthcare Secured

“Computers Don’t Make Mistakes” and Other Fallacies

  • By Gayle Porter
  • March 20, 2023

I gasped as the image became clear: A young ballerina with six fingers, backwards ears, and teeth like a carnivorous piranha. I was trying to use an Artificial Intelligence

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Artificial Intelligence Data Analytics Healthcare Interoperability Patient Safety Quality Improvement Quality Professionals Research

Quality and Digital Change

  • By Gayle Porter
  • February 28, 2023

I’ve realized that Artificial Intelligence (AI) is only as good as the data it consumes. If the data pipeline is weak, the AI program withers like a city in

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Artificial Intelligence Communication Data Analytics Healthcare History Quality Improvement Quality Professionals

Hospital Selfies & Data Visibility

  • By Gayle Porter
  • February 13, 2023

Have you heard of the Artificial Intelligence (AI) program that was trained to be a psychopath? A group of MIT researchers [1]found out that AI algorithms get pretty dark

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Continuous Improvement Data Analytics Healthcare Quality Improvement Research Secured

Data Resources: Putting it All Together

  • By Gayle Porter
  • December 19, 2022

With so many data resources, how do I pull it together and make sense of it? What is the compass that will guide me through the forest of information?

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Continuous Improvement Data Analytics Healthcare Patient Safety Quality Improvement Resources Secured

Surveys & Peer Review

  • By Gayle Porter
  • December 12, 2022

I learned in school that it helps to have someone check my work before I submit embarrassing spelling errors about “Bare Activity in the Forest” to my biology teacher.

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Continuous Improvement Data Analytics Healthcare Patient Experience Quality Improvement Research Secured

Are Case Studies Useful?

  • By Gayle Porter
  • December 5, 2022

My father used to complain that he had “tired ears.” I didn’t understand what he meant until I became a parent: When I took a walk with my two-year-old

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Continuous Improvement Data Analytics Healthcare Patient Experience Patient Safety Quality Improvement Research Resources Secured

Finding Data in the Patient’s Story

  • By Gayle Porter
  • November 28, 2022

The first time I watched the film, The Matrix, I remember looking at the ones and zeroes on Neo’s screen and wondering, “What is the story? Where is the

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Continuous Improvement Data Analytics Healthcare Quality Improvement Research

Percentages: The Devil’s Metric

  • By Gayle Porter
  • November 14, 2022

I once had a supervisor call to discuss our mortality rates for a particular diagnosis, and I honestly thought I was getting congratulated because only two people died that

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Continuous Improvement Data Analytics Healthcare healthcare history Quality Improvement Research Secured

What Was Done Before?

  • By Gayle Porter
  • November 7, 2022

The library is one of my favorite places. And why shouldn’t it be? There are centuries of knowledge in those dusty books. It was at the library that Sister

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Data Analytics Healthcare Quality Improvement Secured

Basic Data Integration in Healthcare

  • By Gayle Porter
  • October 31, 2022

Last week’s article talked about how Vital Signs can represent the three types of data we use in quality improvement analytics. This week we explore what happens if we

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Data Analytics Healthcare Nursing Quality Improvement Secured

Data Analysis: Healthcare Vital Signs

  • By Gayle Porter
  • October 24, 2022

As a nurse, I have a love-hate relationship with data. Sometimes, data can be the silver bullet that reveals the source of a complex problem, and other times, it

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Accountability Healthcare Nursing Quality Improvement

Null: The Case for a Failure Library

  • By Gayle Porter
  • October 17, 2022

I recently learned that the NIH is questioning 16 years of Alzheimer’s research after indications of falsified imaging were identified in one of the seminal studies. Apparently, the images

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Continuous Improvement Healthcare Nursing Patient Safety Quality Improvement Secured

Part I: What is Quality for the Rest of Us?

  • By Gayle Porter
  • September 26, 2022

What is the purpose of Healthcare Quality Improvement (QI) exactly? And what does it mean to have quality “for the rest of us”? At the most basic level, Healthcare

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Equity & Accessibility Healthcare Patient Safety Quality Improvement Uncategorized

Patient Consent: A Manifesto

  • By Gayle Porter
  • September 19, 2022

We have an accessibility problem in healthcare. Translation services are difficult to obtain and utilize, and for patients who are illiterate, or whose primary language is, for example, Mexican

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Healthcare Nurse's Week Nursing Nursing Profession Patient Safety Risk Management Safety Culture

Safety Culture & Virtue 4: Security

  • By Gayle Porter
  • May 9, 2025

Nurses are on the frontline of violence. And patients, already vulnerable from disease and disability, are at particular risk to the volatile environment of a healthcare organization. The current

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Safety Culture & Virtue 2: End of Life Care

  • By Gayle Porter
  • April 11, 2025

Some of my fondest memories from being a nurse were the times that I end of life care. It is a critical moment for the patient, but it’s also

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