Improving Harm Across the Board Hospital Name Location Presenter Photo of Hospital Photo of Presenter Note hospital safety vision, principle.

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Presentation transcript:

Improving Harm Across the Board Hospital Name Location Presenter Photo of Hospital Photo of Presenter Note hospital safety vision, principle

TEMPLATE GUIDE Treat harms as a events that can be summed. Focus on harms rather then preventive measures. Special conditions can be considered a harm (e.g., EED, Readmits, …) Produce an overall harm trend for the hospital

Risk Profile by Areas of Risk HACsEstimated annual number of patients at risk in each area ADE# of inpatients: CAUTI# pts in IP units with catheter in place: CLABSI# pts in IP units with central lines: Falls# of discharges: Ob AE# of women with deliveries: Pr Ulcer# of discharges: SSI# of applicable surgical pts: VAP# of patients on a ventilator: VTE# of inpatients: EED# of women with elective deliveries Readmit# of inpatients at risk of readmit: Other# of inpatients at risk TOTALRisk opportunities for harm across the board

Improving Harms by HAC Scale: number of HACs at each level IDEAL: level represents what we see as best possible At Target: level represents meeting improvement target Progress: level not yet at target Opportunity: level represents an improvement opportunity

HACsBaseline [time period] TargetCurrent [time period] Improvement Status (scale) ADE CAUTI CLABSI Falls Ob AE Pr Ulcer SSI VAP VTE EED Readmit Improving HAC Rates (per discharge)

Our Hospital Risk Profile & Result Annual Volume (Discharges) Total risk: annual harm opportunities Risks per patients (Total Opportunities)/Discharges) Number of PfP Harm Areas Applicable (0 – 11) Number of PfP Harm Areas Applicable & Adopted Number of PfP Areas at Improvement Target Number of PfP Areas at IDEAL

7 Hospital Trend In Reducing HARM Harms/1,000 discharges

Please list the drivers of safety that produce these results Pearls Note the few most defining drivers

Photo of Hospital CEO and Safety Team