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Allergy to Errors? Allergy Task Force Implementation
The Allergy Task Force at the University of Pittsburgh Medical Center (Pittsburgh, Pennsylvania, USA) reduced medication errors involving allergies by 22.5 percent and increased interception of prescription errors by approximately 12 percent.
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National Medication Safety Breakthrough Collaborative (NMSBC)
The purpose of the project is to reduce medication-related patient harm (including harm ‘near misses’) by 50 percent, as referenced by the National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP) index categorization tool (USA). The NMSBC is auspiced by the Australian Council for Safety and Quality in Health Care (ACS&QHC).
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Improving Patient Safety Culture
As a participant in the patient safety spread initiative within the Baptist Memorial Healthcare System, Baptist Memorial Hospital Booneville (100 Hospital Street, Booneville, MS 38829) began a journey to improve the culture of safety within the organization by utilizing the FMEA process and the ADE trigger tool; and as opportunities were identified, the medical staff and hospital implemented process improvement initiatives that changed the way we do our work; and as a result, we can see significant improvement in ADE/1000 doses which was one of our major emphases; however, by continuing to incorporate safety awareness through staff involvement, safety walk rounds, safety briefings the culture of safety within our hospital is now the highest in the Baptist Healthcare system of 17 hospitals.
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Improving Medication Safety at Metropolitan Hospital
Successful improvement efforts generally have two valuable pay-offs: the end result and the learning gained along the way. Such is the case at Metropolitan Hospital (Grand Rapids, Michigan, USA) where adverse drug events (ADEs) on admission have been virtually eliminated, and a whole new approach to problem solving is now described as “a way of life.”
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Improvement Report: Improving Patient Safety Through Collaboration
Through the Madison Patient Safety Collaborative (Madison, Wisconsin, USA), area hospitals and medical groups have collaborated to make improvements: the presence of inpatient error-prone abbreviations has been reduced by over 90 percent; patient falls on target units have been decreased more than 50 percent; and provider hand hygiene adherence has increased by 16 percent.
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Improvement Report: Lean Thinking Applied to Pharmacy Processes
Cancer Treatment Centers of America at Midwestern Regional Medical Center (Zion, Illinois, USA), has increased patient medication safety, as measured by the internal error rate, and decreased turnaround time (TAT) for chemotherapy preparation by 20 percent, while decreasing the number of steps in the process by 50 percent, using Lean Thinking processes and models.
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Reducing Mortality Through Aggressive Blood Sugar Control at SSM Health Care
St. Joseph Health Center (St. Charles, Missouri, USA) implemented a new insulin protocol that resulted in a 32 percent overall reduction in hospital-wide mortality. The aim of the protocol, now in use hospital-wide, is to aggressively control the blood sugar levels of all patients — not just those with diabetes — in an effort to reduce infection.
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Reducing Adverse Drug Events: Missouri Baptist Medical Center
Missouri Baptist Medical Center (St. Louis, Missouri, USA) reduces the number of adverse drug events (ADEs) using IHI's Trigger Tool for Measuring ADEs.
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Cutting the Use of Dangerous Abbreviations: SSM Health Care
SSM Health Care (St. Louis, Missouri, USA) attempts to improve patient safety by reducing the use of dangerous abbreviations in prescription orders.
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Reducing Adverse Events in the Intensive Care Unit
Learn how St. Joseph Hospital (Lexington, Kentucky, USA) made dramatic improvements to reduce the number of adverse events per ICU day from 8.4 to consistently below 3.0.
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