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In March 2002, The Joint Commission, together with the Centers for Medicare and Medicaid Services, launched a national campaign to urge patients to take a role in preventing health care errors by becoming active, involved and informed participants on the health care team. The program features brochures, posters and buttons on a variety of patient safety topics.
Through this Michigan Health and Hospital Association project, Memorial is enhancing patient safety efforts with a simple five-step checklist designed to prevent certain hospital infections. At Memorial using proven quality practices to save lives and reduce health care costs is vital. Our efforts are targeting the reduction of ventilator associate pneumonia, bloodstream infections, peptic ulcers, and leg blood clots.
Keystone Hospital-Associated Infections (HAI)
Memorial is employing lessons learned and focusing on the prevention of Hospital Associated Infection by employing evidence-based best practice, including hand hygiene and bloodstream infection and urinary tract infection prevention.
Memorial Healthcare is participating in a statewide patient safety collaborative focused on protecting mothers and newborns. This collaboration with the Michigan Hospital Association (MHA) is known as Keystone: Obstetrics. The effort seeks to prevent harm to mothers giving birth and their newborn babies. Over 60 Michigan hospitals are participating in the collaborative that focuses on timely interventions for elective induction of labor, coordinating a safe progression of labor, and appropriate responses to fetal distress. Our goal is to provide not only an excellent birthing experience but to ensure the safety of mothers and newborns through the use of shared best practices.
Keystone is a joint initiative between hospital emergency departments (ED) and critical care units (CCU) developed to improve compliance of the Surviving Sepsis Campaign. These guidelines are used to reduce mortality through implementation of timely and appropriate treatment. This serves as a screening and treatment plan that is started in the ED and continued into the patient CCU stay.
Bedside Medication Verification
Memorial is one a few Michigan hospitals and a minority of hospitals in the nation using Bedside Medication Verification. The system allows nurses to utilize bar code scanning technology prior to administering medications. This process confirms patient identity and medication information against data readily available in the patient’s electronic medical record.
Electronic Health Records
At Memorial Healthcare, a new system of wireless computers, customized software, and data encryption technology is connecting doctors, expediting the flow of information, and ensuring accurate and up-to-date medical records. While speed is a great bi-product of the new Electronic Medical Record (EMR), its real value is in “decision support.” With the increasing complexity of treatment and the surge of new medications, the latest evidence-based protocols are literally at the doctor’s fingertips. A rich system of templates, key questions, and procedures can support a physician during a patient encounter. It is systems like Memorial’s EMR that help reduce variability in care and support best practices in hospitals and physician offices.
Rapid Response Team
Patients sometimes have worsening of their medical conditions during a hospitalization. Rapid identification of patient decline and appropriate, timely intervention are very important. Memorial Healthcare has developed unique teams of individuals that may be called into action by nurses to assist in the care of a patient whose condition is declining. These teams are called Rapid Response Teams and are comprised of the House Nursing Supervisor, a Critical Care Unit Register Nurse, and Respiratory Therapist. Their responsibility is to assist in the evaluation and treatment of a declining patient.
Memorial Safety Initiatives
Each year every department in the hospital develops a safety initiative that specifically applies to their department. Well defined goals are developed and progress towards those goals are measured monthly. Two of these initiatives are: 1) Delivery of the first dose of antibiotics to the medical floor in less than 60 minutes from the time order was entered and 2) All critical results will be phoned to responsible physician within one hour of result.