Lack of standardization

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Presentation transcript:

Lack of standardization Improving Outcomes for High-Risk and Critically Ill Patients Specific Changes: Primary Drivers: Secondary Drivers: Current Challenges: Rapid Response System Identify & rescue worsening patients See next page Early Warning System Lack of reliability Lack of standardization Harm Unnecessary deaths Waste Provide appropriate, reliable and timely care to high-risk and critically ill patients using evidence-based therapies Protocols and Standing Orders Example: Another way to organize change package: Driver Diagram Desired Outcomes: Bundles Decrease Mortality Complications Costs Improve Satisfaction Care planning Create highly effective multi-disciplinary team Reliable communication Family involvement Clarification of wishes Integrate patient & family into care so they receive care they want End of life care Consistent care delivery Driver Diagram IG: PP. 286,412,429 Flow Develop an infrastructure that promotes quality care Leadership 9-22-07 IHI Financial Stewardship