MISH Hospital and Clinics is a firm supporter of the Speak Up™ program, a national patient safety campaign developed by The Joint Commission* and the Centers for Medicare & Medicaid Services. Speak Up urges patients to help prevent health care errors by becoming active, involved and informed participants on their health care team. If you or your family has a safety concern, please Speak Up. The Speak Up program and MISH want to encourage patients to:

  • Speak up if you have questions or concerns. If you still don’t understand, ask again. It’s your body and you have a right to know.
  • Pay attention to the care you get. Always make sure you’re getting the right treatments and medicines by the right health care professionals. Don’t assume anything.
  • Educate yourself about your illness. Learn about the medical tests you get, and your treatment plan.
  • Ask a trusted family member or friend to be your advocate, advisor or supporter.
  • Know what medicines you take and why you take them. Medicine errors are the most common health care mistakes.
  • Use a hospital, clinic, or other type of health care organization that has been carefully checked out. For example, The Joint Commission visits hospitals to see if they are meeting The Joint Commission’s quality standards.
  • Participate in all decisions about your treatment. You are the center of the health care team.

 Speak Up™ materials are intended for the public and have been put into a simplified (i.e., easy-to-read) format to reach a wider audience. They are not meant to be comprehensive statements of standards interpretation or other accreditation requirements, nor are they intended to represent evidence-based clinical practices or clinical practice guidelines. 

* The Joint Commission, an independent, not-for-profit organization, is the nation’s oldest and largest standards-setting and accrediting body in health care.







        INFECTION :

In healthcare, controlling the spread of infection is a team effort. Please review the provided materials below. Be informed, Be empowered and Be prepared:



            HAND HYGIENE :

      Hand Hygiene is the single most important and easiest thing that all of us can do in the fight for infection control.




 Please watch this video as part of your preparation for surgery or once you have been admitted to the hospital. This video summarizes our efforts in keeping you safe during your stay in the hospital. The goal of the video is to empower and educate you on how you can help us make your stay even safer.

  • VIDEO - What you want to know when being admitted




 Each year, millions of older people—those 65 and older—fall. In fact, more than one out of four older people falls each year, but less than half tell their doctor.  Falling once doubles your chances of falling again. Many falls do not cause injuries. But one out of five falls does cause a serious injury such as a broken bone or a head injury.  These injuries can make it hard for a person to get around, do everyday activities, or live on their own. Many people who fall, even if they’re not injured, become afraid of falling. This fear may cause a person to cut down on their everyday activities. When a person is less active, they become weaker and this increases their chances of falling further.  

Please review the materials provided below to help you better understand Falls and how to prevent them and ultimately get your life back:



         ANTICOAGULATION (blood thinning) :

 Below is a guide to taking anticoagulation medication, and important information that you may need to know about your anticoagulation medication.

 GENERAL: Stopping anticoagulants before surgery guide

Bridging of patients on warfarin

  • Inpatient Bridging for Patients on Warfarin
  • Inpatient Bridging - Patient Instruction Form
  • Outpatient Bridging for Patients on Warfarin
  • Outpatient Bridging - Patient Instruction Form
  • Direct Oral Anticoagulants (DOACs)
    • Patient Education Comparison
  • Apixaban (Eliquis)
    • FDA Patient medication guide
    • Treatment with apixaban
  • Betrixaban (Bevyxxa)
    • FDA Patient medication guide
  • Dabigatran (Pradaxa)
    • FDA Patient medication guide
    • Treatment with dabigatran
  • Edoxaban (Savaysa)
    • Patient medication guide
  • Enoxaprin (Lovenox)
    • Treatment with enoxaparin
  • Rivaroxaban (Xarelto)
    • FDA Patient medication guide
    • Treatment with rivaroxaban
  • Direct Oral Anticoagulants (DOACs)
    • DOAC Patient Education Comparison
  • Venous Thromboembolism
    • Preventing Blood Clots: while you are in the hospital
    • Treating Blood Clots: deep vein thrombosis (DVT) and pulmonary embolism (PE) and how they are treated
  • Other
    • How to give yourself a subcutaneous (SQ) injection
    • Medicines to avoid before surgery
    • Herbal products: what warfarin patients need to know
    • Preventing and treating nosebleeds
    • Wearing compression stockings When to call your anticoagulation clinic
    • Memory aids in taking medications
    • When to call your Anticoagulation Clinic



D    DEPRESSION (Major Depressive Disorder) :

  • Make a Safety Plan


  • General Patient Information
  • Substance abuse Resource Guide
  • Tobacco Abuse Resource Guide


  • Acute Pain Management
    • Key terms in pain management
    • Managing acute pain
    • Common medications used to manage pain
  •  Chronic Pain Management

                     Management of chronic pain

Opioid Overdose :

  • Scope of the problem
  • General Safety Advice
  • 5 essential steps for 1st responders
  • Useful resources

           LINE CARE (long-term access lines)

  • PICC Line – Patient Line Care Instructions
  • Implanted Ports – Patient Information Booklet
  • Groshung Catheter – Patient Information Booklet