1 © 2007 TMIT Children Hospitals - Confidential Do Not Distribute Task Force Submitters LFG Analysis Children’s Hospitals Taskforce October 2007 Children’s.

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Presentation transcript:

1 © 2007 TMIT Children Hospitals - Confidential Do Not Distribute Task Force Submitters LFG Analysis Children’s Hospitals Taskforce October 2007 Children’s Hospitals Taskforce October 2007

2 © 2007 TMIT Children Hospitals - Confidential Do Not Distribute ObjectiveObjective Provide Snapshot of Children’s Hospital vs. National ResultsProvide Snapshot of Children’s Hospital vs. National Results Identify Gaps and Obtain FeedbackIdentify Gaps and Obtain Feedback Provide Context for Adoption Simulator SubmissionProvide Context for Adoption Simulator Submission Provide Snapshot of Children’s Hospital vs. National ResultsProvide Snapshot of Children’s Hospital vs. National Results Identify Gaps and Obtain FeedbackIdentify Gaps and Obtain Feedback Provide Context for Adoption Simulator SubmissionProvide Context for Adoption Simulator Submission

3 © 2007 TMIT Children Hospitals - Confidential Do Not Distribute Summary of Findings 10 Organizations Submitted to the TMIT Survey10 Organizations Submitted to the TMIT Survey Average 721 Points out of 1,000Average 721 Points out of 1,000 National Average is 706National Average is 706 Range 918 – 492 PointsRange 918 – 492 Points 10 Organizations Submitted to the TMIT Survey10 Organizations Submitted to the TMIT Survey Average 721 Points out of 1,000Average 721 Points out of 1,000 National Average is 706National Average is 706 Range 918 – 492 PointsRange 918 – 492 Points

4 © 2007 TMIT Children Hospitals - Confidential Do Not Distribute Distribution of Sample n Survey Score

5 © 2007 TMIT Children Hospitals - Confidential Do Not Distribute Summary of Findings Strengths:Strengths: –“As” Action (“Strongest” of the 4 As) –Safe Practices (Above National Average) SP# 1.1 – Culture of Safety (+11%)SP# 1.1 – Culture of Safety (+11%) SP# 2 – Informed Consent (+12%)SP# 2 – Informed Consent (+12%) SP# 4 – Disclosure (+17%)SP# 4 – Disclosure (+17%) SP# 17 – Perioperative Myocardial Ischemia Prevention (+11%)SP# 17 – Perioperative Myocardial Ischemia Prevention (+11%) SP# 20 – BSI (+16%)SP# 20 – BSI (+16%) SP# 22 – Hand Hygiene (+13%)SP# 22 – Hand Hygiene (+13%) SP# 25 – Wrong-Site (+17%)SP# 25 – Wrong-Site (+17%) Strengths:Strengths: –“As” Action (“Strongest” of the 4 As) –Safe Practices (Above National Average) SP# 1.1 – Culture of Safety (+11%)SP# 1.1 – Culture of Safety (+11%) SP# 2 – Informed Consent (+12%)SP# 2 – Informed Consent (+12%) SP# 4 – Disclosure (+17%)SP# 4 – Disclosure (+17%) SP# 17 – Perioperative Myocardial Ischemia Prevention (+11%)SP# 17 – Perioperative Myocardial Ischemia Prevention (+11%) SP# 20 – BSI (+16%)SP# 20 – BSI (+16%) SP# 22 – Hand Hygiene (+13%)SP# 22 – Hand Hygiene (+13%) SP# 25 – Wrong-Site (+17%)SP# 25 – Wrong-Site (+17%)

6 © 2007 TMIT Children Hospitals - Confidential Do Not Distribute Summary of Findings Gaps were Identified:Gaps were Identified: –“As” Accountability (Weakest of the 4 As) –Safe Practices (below National Average) SP# 15 – Pharmacists’ Role (-6%)SP# 15 – Pharmacists’ Role (-6%) SP# 19 – Risk of Aspiration (-8%)SP# 19 – Risk of Aspiration (-8%) SP# 26 – Perioperative Myocardial Ischemia Prevention (-36%)SP# 26 – Perioperative Myocardial Ischemia Prevention (-36%) SP# 28 – DVT/VTE Prevention (-31%)SP# 28 – DVT/VTE Prevention (-31%) SP# 29 – Anticoagulation Therapy (-17%)SP# 29 – Anticoagulation Therapy (-17%) Gaps were Identified:Gaps were Identified: –“As” Accountability (Weakest of the 4 As) –Safe Practices (below National Average) SP# 15 – Pharmacists’ Role (-6%)SP# 15 – Pharmacists’ Role (-6%) SP# 19 – Risk of Aspiration (-8%)SP# 19 – Risk of Aspiration (-8%) SP# 26 – Perioperative Myocardial Ischemia Prevention (-36%)SP# 26 – Perioperative Myocardial Ischemia Prevention (-36%) SP# 28 – DVT/VTE Prevention (-31%)SP# 28 – DVT/VTE Prevention (-31%) SP# 29 – Anticoagulation Therapy (-17%)SP# 29 – Anticoagulation Therapy (-17%)

© 2007 TMIT 7 Children Hospitals - Confidential Do Not Distribute Culture of Safety: Practice 1 Element 1 – 120 Points 73% 62% Children’s Hospitals 62% Nat’l. Avg. National Average

© 2007 TMIT 8 Children Hospitals - Confidential Do Not Distribute 67% 68% % Natl. Avg. Culture of Safety: Practice 1 Element 2 – 20 Points 68% Nat’l. Avg. Children’s HospitalsNational Average

© 2007 TMIT 9 Children Hospitals - Confidential Do Not Distribute 58% % Natl. Avg. Culture of Safety: Practice 1 Element 3 – 40 Points 58% Nat’l. Avg. Children’s HospitalsNational Average

© 2007 TMIT 10 Children Hospitals - Confidential Do Not Distribute 74% 73% Culture of Safety: Practice 1 Element 4 – 120 Points 73% Nat’l. Avg. Children’s HospitalsNational Average

© 2007 TMIT 11 Children Hospitals - Confidential Do Not Distribute 59% 47% % Natl. Avg. Informed Consent: Practice 2 – 4 Points 47% Nat’l. Avg. Children’s HospitalsNational Average

© 2007 TMIT 12 Children Hospitals - Confidential Do Not Distribute 58% 51% % Natl. Avg. Life-Sustaining Treatment: Practice 3 – 4 Points 51% Nat’l. Avg. Children’s HospitalsNational Average

© 2007 TMIT 13 Children Hospitals - Confidential Do Not Distribute 85% 68% % Natl. Avg. Disclosure: Practice 4 – 25 Points 68% Nat’l. Avg. Children’s HospitalsNational Average

© 2007 TMIT 14 Children Hospitals - Confidential Do Not Distribute 75% 78% % Natl. Avg. Nursing Workforce: Practice 5 – 100 Points 78% Nat’l. Avg. Children’s HospitalsNational Average

© 2007 TMIT 15 Children Hospitals - Confidential Do Not Distribute 66% 63% % Natl Avg. Direct Caregivers Workforce: Practice 6 – 20 Points 63% Nat’l. Avg. Children’s HospitalsNational Average

© 2007 TMIT 16 Children Hospitals - Confidential Do Not Distribute 75% 69% % Natl. Avg. Critical Care Information: Practice 8 – 84 Points 69% Nat’l. Avg. Children’s HospitalsNational Average

© 2007 TMIT 17 Children Hospitals - Confidential Do Not Distribute 71% 73% Order Read-back: Practice 9 – 25 Points 73% Nat’l. Avg. Children’s HospitalsNational Average

© 2007 TMIT 18 Children Hospitals - Confidential Do Not Distribute 78% 70% Labeling Studies: Practice 10 – 15 Points 70% Nat’l. Avg. Children’s HospitalsNational Average

© 2007 TMIT 19 Children Hospitals - Confidential Do Not Distribute 75% 69% % Natl. Avg. Discharge System: Practice 11 – 25 Points 69% Nat’l. Avg. Children’s HospitalsNational Average

© 2007 TMIT 20 Children Hospitals - Confidential Do Not Distribute 85% 82% % Natl. Avg. Abbreviations: Practice 13 – 11 Points 82% Nat’l. Avg. Children’s HospitalsNational Average

© 2007 TMIT 21 Children Hospitals - Confidential Do Not Distribute 85% 83% % Natl. Avg. Medication Reconciliation: Practice 14 – 35 Points 83% Nat’l. Avg. Children’s HospitalsNational Average

© 2007 TMIT 22 Children Hospitals - Confidential Do Not Distribute 74% 81% % Natl. Avg. Pharmacists’ Role: Practice 15 – 32 Points 81% Nat’l. Avg. Children’s HospitalsNational Average

© 2007 TMIT 23 Children Hospitals - Confidential Do Not Distribute 74% 71% % Natl. Avg. Standardized Medication Labeling & Packaging: Practice 16 – 20 Points 71% Nat’l. Avg. Children’s HospitalsNational Average

© 2007 TMIT 24 Children Hospitals - Confidential Do Not Distribute 84% 73% % Natl. Avg. High-Alert Medications: Practice 17 – 20 Points 73% Nat’l. Avg. Children’s HospitalsNational Average

© 2007 TMIT 25 Children Hospitals - Confidential Do Not Distribute 62% 68% % Natl. Avg. Unit-Dose Medications: Practice 18 – 25 Points 68% Nat’l. Avg. Children’s HospitalsNational Average

© 2007 TMIT 26 Children Hospitals - Confidential Do Not Distribute 74% 82% % Natl. Avg. Risk of Aspiration & VAP Prevention: Practice 19 – 20 Points 82% Nat’l. Avg. Children’s HospitalsNational Average

© 2007 TMIT 27 Children Hospitals - Confidential Do Not Distribute 95% 80% % Natl. Avg. Central Venous Catheter Blood Stream Infection Prevention: Practice 20 – 30 Points 80% Nat’l. Avg. Children’s HospitalsNational Average

© 2007 TMIT 28 Children Hospitals - Confidential Do Not Distribute 84% % Natl. Avg. Surgical-Site Infection: Practice 21 – 30 Points 84% Nat’l. Avg. Children’s Hospitals 79% National Average

© 2007 TMIT 29 Children Hospitals - Confidential Do Not Distribute 81% % Natl. Avg. Hand Hygiene: Practice 22 – 30 Points 81% Nat’l. Avg. Children’s Hospitals 94% National Average

© 2007 TMIT 30 Children Hospitals - Confidential Do Not Distribute 82% 76% Influenza Protection: Practice 23 – 10 Points 76% Nat’l. Avg. Children’s HospitalsNational Average

© 2007 TMIT 31 Children Hospitals - Confidential Do Not Distribute 83% % Natl. Avg. Wrong-site Surgical Prevention: Practice 25 – 20 Points 83% Nat’l. Avg. Children’s Hospitals 100% National Average

© 2007 TMIT 32 Children Hospitals - Confidential Do Not Distribute 51% % Natl. Avg. Perioperative Myocardial Ischemia/Infarct Prevention: Practice 26 – 20 Points 51% Nat’l. Avg. 0% Children’s Hospitals 15% National Average

© 2007 TMIT 33 Children Hospitals - Confidential Do Not Distribute 77% Pressure Ulcer Prevention: Practice 27 – 25 Points 77% Nat’l. Avg. Children’s Hospitals 84% National Average

© 2007 TMIT 34 Children Hospitals - Confidential Do Not Distribute 63% DVT/VTE Prevention: Practice 28 – 25 Points 63% Nat’l. Avg. 31% Children’s HospitalsNational Average

© 2007 TMIT 35 Children Hospitals - Confidential Do Not Distribute 51% % Natl. Avg. – Anticoagulation Therapy: Practice 29 – 35 Points 51% Nat’l. Avg. Children’s Hospitals 34% National Average

© 2007 TMIT 36 Children Hospitals - Confidential Do Not Distribute 65% 62% % Natl. Avg. 62% Nat’l. Avg. – Contrast Media-induced Renal Failure: Practice 30 – 10 Points Children’s HospitalsNational Average