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Reduce Hospital-Acquired Pressure Ulcers
HealthEast Care System (St. Paul, Minnesota, USA) significantly reduced the incidence of Stage III and IV hospital-acquired, reportable pressure ulcers since 2004 by successfully implementing defined work plans.
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Relieve the Pressure and Reduce Harm
New understanding about what causes pressure ulcers and how to prevent them is enabling some hospitals to dramatically reduce this age-old problem.
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Reduction of Nosocomial Pressure Ulcers
Through a comprehensive nursing staff collaboration, the University of Minnesota Medical Center, Fairview (Minneapolis, Minnesota, USA) has experienced a 30 percent progressive reduction in nosocomial pressure ulcers since the fourth quarter of 2004.
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Comprehensive Unit-Based Safety in Burn ICU Reduces Mortality
A comprehensive unit-based safety program introduced in the fall of 2005 in the Burn Intensive Care Unit at Johns Hopkins Bayview Medical Center (Baltimore, Maryland, USA) resulted in a mortality reduction of 60.2 percent in a one year period of time.
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OSF Healthcare System Reduces the Rate of Adverse Events From 98 to 35 Per 1,000 Patient Days in Two Years
Use of the SBAR communication framework at OSF Healthcare System (Peoria, Illinois, USA) is credited with helping to decrease adverse events by minimizing errors that result from communication handoffs.
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Improvement Tip: Focus on Harm, Not Errors
While alarm continues to mount over the high number of unintended medical errors that occur in health care institutions, IHI is working with patient safety leaders to shift the focus away from counting errors. What really matters is the harm that patients suffer — some of it due to errors, but most of it resulting from flawed systems within which highly skilled providers operate.
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Pausing for Safety
Imagine you’re about to undergo a minor medical procedure. You’ve already read and signed an informed consent form that describes unfortunate things that could happen in the course of the procedure. Now a member of the medical team pauses, and announces your name and the nature of what’s going to happen next to everyone gathered. Unnerving? Perhaps, but you should be reassured.
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SCIP: Best Safety Practices to Prevent Post Operation Myocardial Infarction and Venous Thromboembolism
Baystate Medical Center (Springfield, Massachusetts, USA) adopted new practices and measures to decrease the rates of post operation DVT/PE (from 1.09 to 0.47 percent) and myocardial infarction (0.53 to 0.31) at their tertiary care medical center.
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Improving Hand Hygiene Practice with Six Sigma
HealthEast Care System (St. Paul, Minnesota, USA), in partnership with 3M Health Care, initiated a Six Sigma hand hygiene improvement project in a 20-bed medical-surgical intensive care unit and improved practice compliance from 36 percent to 70 percent.
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Implementation of Bar Coded Wristbands: A Clinical Performance Management Effort
Massachusetts General Hospital (Boston, Massachusetts, USA) has improved the accuracy of patient identification by introducing bar coded inpatient wristbands.
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