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Noting an upward trend in central line-associated blood stream infections, the hospital joined the Illinois Hospital Association Patient Safety Collaborative to 'Stop BSI.' The infection control committee established a goal to decrease CLABSI to below the National Healthcare Safety Network pooled…
Using a sequential rapid cycle improvement process to implement evidence-based practices for central line blood stream infection prevention, the hospital reduced its critical care central line blood stream infection rate from 14.6 per 1,000 device days in 2004 to zero for the past 57 months. A…
SMH was an early participant in the Premier Quest Collaborative designed to improve quality, efficiency, safety and transparency. By benchmarking with organizations whose results were better than theirs, SMH was able to make rapid cycle improvements that resulted in improved outcomes. SMH was able…
Human resources and the nursing leadership team worked together using a PDCA for rapid cycle improvement to decrease turnover of registered nurses by refining the interview process and improving their orientation. This project enhances the patient experience of care by providing continuity of…
Data from the AHRQ Safety Culture Survey indicated the need to improve mechanisms for incident capture, analysis, prioritization and action. Based on Lean/Six Sigma methodology, the defect huddle was designed. It is a weekly 30 minute multidisciplinary team meeting where safety events, including…
A multidisciplinary committee found that despite an overall sepsis mortality rate similar to expected, there was significant variation in the care these patients received. Efforts to reduce mortality focused on sepsis recognition and treatment by using an ED protocol on appropriate fluid and…
St. John's implemented a web-based business intelligence platform that integrates physician quality and utilization data in a severity adjusted format. This tool was utilized to monitor implementation of an evidence-based pathway for inpatient management of congestive heart failure patients as…