Measuring Harm Across the Board Hospital Name Presenter

Report
Photo of Hospital
Improving Harm Across the Board
Hospital Name
Location
Presenter
Note hospital safety
vision, principle
Photo of Presenter
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
HACs
Estimated 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
TOTAL
Risk 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
Improving HAC Rates (per discharge)
HACs
ADE
CAUTI
CLABSI
Falls
Ob AE
Pr Ulcer
SSI
VAP
VTE
EED
Readmit
Baseline
[time period]
Target
Current
[time period]
Improvement
Status (scale)
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
Hospital Trend In Reducing HARM
Harms/1,000 discharges
60
50
40
30
20
10
0
11 Q1
11 Q2
11 Q3
11 Q4
12 Q1
12 Q2
7
Pearls
Please list the drivers of safety that
produce these results
• Note the few most defining drivers
Photo of Hospital CEO and Safety Team

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