Program results indicate a marked reduction in emergency codes and staff injuries. PDSA and QAPI were critical to success. The initiative has caused a positive shift in culture and safety within the hospital. There is a need for additional training...
Over the past 18 months, we have seen completion compliance skyrocket. We have identified multiple process concerns through the rounding tool and have been able to address them individually. We will sustain results by continually reviewing the tool to ensure...
Hospital-acquired pressure injuries (HAPIs) affect millions of patients yearly. Critically ill patients are at greater risk for the development of HAPIs due to hemodynamic instability, vasoactive drug use, and increased medical device use. HAPIs are identified as preventable events by...
Our intervention resulted in a sustained reduction in falls below the national average over a 24-month period, falling from 3.41/1000 BDOC in FY 21 to 2.29/1000 BDOC through FY 22. The National Aggregate falls rate for FY22 was 4.06/1000BDOC. Daily...
Successful implementation of lockdown of insulin order entry. Four monthly prescription and chart audit conducted shows the utilization of insulin categories for new starts, appropriate consult, and materials needed for effective patient diabetic education resulting in zero sentinel events. The...
COVID-19 has provided unique challenges to healthcare. Nonetheless, sustaining a positive culture of patient safety remained an organizational-wide priority. To improve our culture of patient safety based on findings from the 2021 AHRQ Culture of Safety survey, we implemented a...
The medical-surgical service line was able to achieve over one year of no HAIs. Dedication to patient safety impacted our patient experience. We have achieved a 10% increase in patient experience and increase percentile rank by over 40 points. Our...
The monthly number of safety reports increased. An onboarding process was implemented. The scope of practice was integrated into policies. Foundational work integrated business and clinical operations. Business operational leaders are now contacting clinical operations for an assessment of the...
The low volume of patients with PACs in the ICU is a challenge for clinicians to gain or maintain competencies, placing patients at risk for PACs related injury or sentinel events. Online learning, simulation, and checklists are tools for clinicians...