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How Tight and Loose Cultures are Connected to the Current Challenges Inpatient Psychiatric Units Face to Meet Joint Commission National Patients Safety Goals

By Paul Perryman, MSN, MS, RN, NE-BC On November 19, 2019, the Associated Press published an article describing the perceived burden psychiatric hospitals face as they attempt to align their practice and environments with Joint Commission National Patient Safety Goal (NPSG) 15.01.01 Element of Practice (EP) 1 that went into effect on July 1, 2019.  In the circles I frequent, this article was circulated eliciting what appeared to be agreement that the therapeutic environment is being compromised in the name of safety upgrades that are based on a level of evidence including an expert panel and one study carried out by the Veterans Administration (The rationale for these can be viewed in The Joint Commission's R3 Report, Issue 18). The article took a puzzling turn when the Associated Press republished the article in December 2019 to correct their statement that the safety interventions described in the article as mandated by the Joint Commission, were not specifically mandated b...
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HR 1309 - A Federal Call to Action on Workplace Violence in Healthcare, Maybe

 by Paul Perryman, MSN, MS, RN, NE-BC With 70% of all injuries related to workplace violence occurring in health care and social services settings as of 2016, is government regulation needed to keep health care and social services workers safe?   On November 21, the U.S. House of Representatives passed the  Workplace Violence Prevention for Health Care and Social Service Workers Act which would require operationalizing new safety standards on the part of "covered facilities" and "covered services" identified in this act. This bill is the brain child of Senator Tammy Baldwin of Wisconsin who worked with House Representative Joe Courtney of Connecticut to sponsor this bill in the House of Representatives.  Although some Republican support exists for this bill in the House, it was only slightly bipartisan   and is now referred  to the U.S. Senate Committee on Health, Education, Labor, and Pensions where it may likely stay given the current pol...
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