Transcript Measuring Harm Across the Board Hospital Name Presenter

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