We Will Not Compete on Safety: How Children's Hospitals Have Come Together to Hasten Harm Reduction  Anne Lyren, MD, MSc, Maitreya Coffey, MD, Melissa.

Slides:



Advertisements
Similar presentations
Aim: Advance the adoption of proven strategies to improve the reliability, safety and quality of care received by patients in Tennessee hospitals.
Advertisements

Healthcare Safety: How will your next patient be injured?
Partnership for Patients Betsy Lee, RN, MSPH March 2, 2012.
Key Steps to improve and measure clinical outcomes
Clinical Enterprise FY2012 Institutional Quality Pillar Goals Final.
Washington State Hospital Association Partnership for Patients Reducing Surgical Site Infections: Glucose Control Clinical Presentation July 10, 2012.
Hospital Acquired Infections & Quality Improvement Texas Rural Health Forum Conference, Austin, Texas November 10, 2010 Terri Conner, Vice President, TCQPS.
Washington State Hospital Association Partnership for Patients Safe Table Reducing Hospital Acquired Infections July 31, 2013 Amber Theel, Director Patient.
Thomas Kelley, MD Chief of Quality and Transformation Orlando Health Leading the Way to Better Care: Florida’s Quality Journey.
2012 Quality and Patient Safety Performance Results Annual Report The Quality Committee of the Board Confidential & Privileged Peer Review Materials; Pages.
Slide 1 1 Eliminating Harm Across the Board Mary M. Pizzino, Executive Director, Informatics/Quality Data Management.
© Copyright, The Joint Commission 2013 National Patient Safety Goals.
2014 Summit Co-Convener:Founder: Patient Safety Science & Technology Summit 2014.
Improving Harm Across the Board Dalton, Georgia Breakthrough in Identification of HARM: 2.
Eliminating Harm Across the Board (HAB): Monthly Update Hospital: ________________ State: ______ Month: _________ Customize the hospital name, state and.
Model for Improvement and Tests of Change Denise Remus, PhD, RN Improvement Advisor, Cynosure Health / HRET HEN.
Indiana Healthcare Associated Infection Initiative Kickoff.
FHC NH Partnership for Patients Our charge is clear: reduce preventable harm by 40% and reduce preventable readmissions by 20% by 2013.
CLABSI Supplemental Call Series Best Practices: How Successful Units Engaged Their Senior Executive Leaders October 18, 2011 Presenters: Jonathan Kling,
HOSPITAL ENGAGEMENT NETWORK (HEN) – QUALITY IMPROVEMENT THROUGH REDUCING HARM AND READMISSIONS Introducing Truven Health Center for Innovation: Performance.
HRET Improvement Leader Fellowship WHA Guidance Call Travis Dollak and Thomas Kaster WHA Quality Coordinators 1.
Patient/Family Centered Safe Care: Putting Patients First Quality Improvement and Patient Safety Your Role in Patient/Family Centered Safe Care.
Kentucky AHA/HRET Hospital Engagement Network Charisse Coulombe, MS, MBA, CPHQ; Senior Director, HEN Hospital Engagement Network Health Research & Educational.
Improving Harm Across the Board Hospital Name Location Presenter Photo of Hospital Photo of Presenter Note hospital safety vision, principle.
Improving Harm Across the Board. TEMPLATE GUIDE Treat harms as events that can be summed Focus on harms (outcomes) rather then preventive measures (process)
Hospital Engagement Network Project and Hospital/System-Level Results for Missouri HEN Participating Hospitals.
OHA HEN 2.0 Ohio Hospital Association/Ohio Patient Safety Institute October 8, 2015.
Best Care – Best Way – Every Patient – Every Day.
The National CMS Partnership for Patients Campaign: The National PFE Network.
Patient/Family Centered Safe Care Putting Patients First 40/20 by ‘13 The Board’s Role in Patient/Family Centered Safe Care.
Thomas Kelley, MD Chief of Quality and Transformation Orlando Health Leading the Way to Better Care: Florida’s Quality Journey.
© Copyright, The Joint Commission 2014 National Patient Safety Goals.
Reducing Preventable Readmissions and HAIs: The SPIA Approach Patricia M. Noga, PhD, RN May 20, 2013.
Improving Harm Across the Board 4/17/13 HAB Template Version 12.
Ohio BEACON Council May 13, 2010 Ohio Children’s Hospitals Collaborative Solutions for Patient Safety.
Harm Across the Board (HAB): Monthly Update Hospital: ________________ State: ______ Month: _________.
Insert Hospital Name Here Insert Your Motto Here, e.g. “Our Bottom-line Line is Patient Safety” Slide 1 Customize the motto Insert a photo of your hospital.
February 25, 2016 Natalie Erb MPH Program Manager, HRET AHA/HRET HEN 2.0 THE HEN 2.0 SPRINT 1.
Patient/Family Centered Safe Care Putting Patients First 40/20 by ‘13 What Leaders Need to Know About Patient/ Family Centered Safe Care.
 Participated in HRET/THA collaborative “AHRQ CUSP CLABSI Project  Enrolled 22 bed Medical ICU; July 2010.
Solutions for Patient Safety: A model for patient safety collaboration based on High Reliability CAPHC Patient Safety Symposium October 18, 2015.
QUALITY CARE/NPSG’S NUR 152 Week 16. OBJECTIVES Define quality improvement and the methods used in health care to ensure quality care. State understanding.
THA Hospital Improvement Innovation Network (HIIN) Monthly Check-In
Florida Hospital Association
Hospital Engagement Network
Harm Across the Board (HAB): Monthly Update
Medication Safety at its Best, Get on Board!
Florida’s Hospitals: Five Years of Improved Quality
McQIC past, present, future
THA Hospital Improvement Innovation Network (HIIN) Monthly Check-In
Can Vasopressors Safely Be Administered Through Peripheral Intravenous Catheters Compared With Central Venous Catheters?  J. Michael Brewer, MD  Annals.
Florida Hospital Association Hospital Engagement Network (HEN) Office Hours Wednesday, May 8, :00 PM.
A Win for Patient Safety: Collaboration to Curb Catheter-Associated Urinary Tract Infections (CAUTIs) due to Candida species  Mary A. Fulton, RN, BSN,
Hospital Engagement Network
2017 National Patient Safety Goals
The AHRQ Safety Program for Improving Antibiotic Use
HRET Hospital Engagement Network Strategy Map
National Quality Program Achieves Improvements in Safety Culture and Reduction in Preventable Harms in Community Hospitals  Karen Frush, MD, BSN, CPPS,
The 5th Annual Lorraine Tregde Patient Safety Leadership Conference “The Will to Pursue Excellence” June 14, 2012.
Evaluation of Patient and Family Outpatient Complaints as a Strategy to Prioritize Efforts to Improve Cancer Care Delivery  Jennifer W. Mack, MD, MPH,
MCQIC: Phase 2 Prepared by: Bernie McCulloch
Timing of surgery for pulmonary embolism: An evolving paradigm
Focus on the Quadruple Aim: Development of a Resiliency Center to Promote Faculty and Staff Wellness Initiatives  Ellen Morrow, MD, Megan Call, PhD, Robin.
An Interview with Thomas H. Gallagher
Carratalà J.   Clinical Microbiology and Infection 
Magnitude of Venous Thromboembolism Risk in US Hospitals: Impact of Evolving National Guidelines for Prevention of Venous Thromboembolism  Wei Huang,
QUALITY: SAFE CARE Potentially Preventable Adverse Events and Complications of Care in Hospitals Among Medicare Beneficiaries, 2004–2005 Percent *Surgical.
Stephen Pastan, J. Michael Soucie, William M. McClellan 
2014 Progress.
Presentation transcript:

We Will Not Compete on Safety: How Children's Hospitals Have Come Together to Hasten Harm Reduction  Anne Lyren, MD, MSc, Maitreya Coffey, MD, Melissa Shepherd, BA, Nicholas Lashutka, BA, Stephen Muething, MD  Joint Commission Journal on Quality and Patient Safety  Volume 44, Issue 7, Pages 377-388 (July 2018) DOI: 10.1016/j.jcjq.2018.04.005 Copyright © 2018 Terms and Conditions

Figure 1 Between 2005 and 2017, the Solutions for Patient Safety (SPS) Network evolved from a focused quality improvement effort shared among a small number of hospitals into an international collaborative engaged in a broad portfolio of harm reduction work. SSI, surgical site infection; ADE, adverse drug event. Joint Commission Journal on Quality and Patient Safety 2018 44, 377-388DOI: (10.1016/j.jcjq.2018.04.005) Copyright © 2018 Terms and Conditions

Figure 2 As of 2017, the SPS Network had grown to more than 130 member hospitals, distributed across the United States and Canada. Joint Commission Journal on Quality and Patient Safety 2018 44, 377-388DOI: (10.1016/j.jcjq.2018.04.005) Copyright © 2018 Terms and Conditions

Figure 3 The Children's Hospitals’ Solutions for Patient Safety (SPS) Network is governed by a board of directors composed mainly of member hospital chief executives. The leadership team oversees improvement teams made up of a combination of Network staff and volunteer clinical leaders and subject matter experts from member hospitals across the Network. HAC, hospital-acquired condition. Joint Commission Journal on Quality and Patient Safety 2018 44, 377-388DOI: (10.1016/j.jcjq.2018.04.005) Copyright © 2018 Terms and Conditions

Figure 4 Solutions for Patient Safety (SPS) Network improvement efforts are organized into a series of discrete phases (2015–2018), corresponding to idea generation, testing, evidence generation, sustaining improvement, and dissemination. HAC, hospital-acquired condition; QI, quality improvement. Joint Commission Journal on Quality and Patient Safety 2018 44, 377-388DOI: (10.1016/j.jcjq.2018.04.005) Copyright © 2018 Terms and Conditions

Figure 5 The discrete foci of Network harm reduction work progressed through the design phases between 2015 and 2018. IV, intravenous; CLABSI, central line–associated bloodstream infection; Hem/Onc, hematology/oncology; VAE, ventilator-associated events; VTE, venous thromboembolism; PI, pressure injury; CAUTI, catheter-associated urinary tract infection. Joint Commission Journal on Quality and Patient Safety 2018 44, 377-388DOI: (10.1016/j.jcjq.2018.04.005) Copyright © 2018 Terms and Conditions

Left to right: Stephen Muething, MD; Melissa Shepherd, BA; Nicholas Lashutka, BA, President, SPS; Maitreya Coffey, MD; Anne Lyren, MD, MSc; and Michael Fisher, Chairman, Board of Trustees, SPS. Joint Commission Journal on Quality and Patient Safety 2018 44, 377-388DOI: (10.1016/j.jcjq.2018.04.005) Copyright © 2018 Terms and Conditions