Health Care Safety at National Scale (PDF Presentation, 2008)
Health Care Safety at National Scale (PDF Presentation, 2008)
Health Care Safety at National Scale (PDF Presentation, 2008)
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Safer P<strong>at</strong>ients<br />
Initi<strong>at</strong>ive 2 Aim<br />
Driver Diagram<br />
.<br />
Improve<br />
healthcare safety<br />
on an<br />
organis<strong>at</strong>ion-wide<br />
basis by reducing:<br />
1. Mortality by 15%<br />
2. Adverse events<br />
by 30%<br />
Primary Drivers<br />
Leadership<br />
System for <strong>Safety</strong><br />
<strong>Care</strong> of Critically<br />
Ill P<strong>at</strong>ients<br />
Perioper<strong>at</strong>ive<br />
<strong>Care</strong> Management<br />
<strong>Care</strong> of General<br />
Ward P<strong>at</strong>ients<br />
Secondary Drivers<br />
<strong>Safety</strong> as a Str<strong>at</strong>egic Priority<br />
Sustainable Infrastructure<br />
Engaged and Committed Leadership<br />
Ventil<strong>at</strong>or Associ<strong>at</strong>ed Pneumonia<br />
(Reduce to 0 or 300 Days Between)<br />
Central Line Bloodstream Infections<br />
(Reduce to 0 or 300 Days Between)<br />
Blood sugars within Range (80% or >)<br />
Surgical Site Infections - clean<br />
(Reduce by 50%)<br />
Crash Call R<strong>at</strong>es<br />
(Reduce by 30%)<br />
MRSA Bloodstream Infections<br />
(Reduce by 50%)<br />
Key<br />
Process<br />
Measures<br />
Reliable<br />
<strong>at</strong> 10 -2<br />
(defects<br />
in parts<br />
per 100)<br />
Medicines<br />
Management<br />
Anticoagulant Adverse Drug Events<br />
(Reduce by 50%)
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