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Barnes-Jewish Hospital submitted its medication reconciliation initiative as a poster for the Institute for Healthcare Improvement.
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Wayne Memorial Hospital in Goldsboro, NC, was surveyed Jan. 26-30, 2009. But the 316-bed hospital, prepares for its survey just about every other day of the year.
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The Joint Commission has put a one-year moratorium on its National Patient Safety Goals (NPSGs), as it reviews current goals with input from the field. One goal in particular, Goal 8 regarding medication reconciliation, will no longer be scored as part of the accreditation decision until a more refined goal is set forth in 2010.
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According to a recent study in the New England Journal of Medicine, "data suggest that at least half of all surgical complications are avoidable."1 The article goes on to say that teamwork in surgeries has been shown to lead to improved outcomes.
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Preparation for Joint Commission surveys and measuring performance improvement at St. Vincent's HealthCare in Jacksonville, FL, involves all staff. And it seems to be a method that works. The hospital was just recognized for the fifth consecutive year as a Distinguished Hospital for Clinical Excellence by HealthGrades.
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Five years after implementing the Adverse Health Care Events Law, which requires hospitals and ambulatory surgery centers to report on 28 quality measures, the Minnesota Department of Health published a retrospective report: "Adverse Health Care Events Reporting System: What have we learned?"
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In February 2008, 12% of the patients who presented to the emergency department at Gaston Memorial Hospital in Gastonia, NC, left without being treated. By the end of January 2009, that figure had dropped to 1.3%.
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While the Kaizen methodology, developed by Toyota, involves examining processes in minute detail, it ironically can lead to rapid improvement in ED processes, says Sonya Carver, RN, clinical manager/days for the ED at Gaston Memorial Hospital in Gastonia, NC.
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No emergency department cuts its average door-to-doc time from 93 minutes to 20 minutes by accident. The success story at Memorial Hermann Memorial City Medical Center in Houston was the result of discovering a patient flow model at another facility that was superior to theirs, and then continuing to search out additional models to come up with their own system that best addressed their specific needs.
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Winning a malpractice case takes more than success in the courtroom: It also requires ongoing best practices on the part of the ED manager to educate and prepare the staff for possible lawsuits.
