Health Care Safety at National Scale (PDF Presentation, 2008)

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Safer Patients Initiative 2 Aim Driver Diagram . Improve healthcare safety on an organisation-wide basis by reducing: 1. Mortality by 15% 2. Adverse events by 30% Primary Drivers Leadership System for Safety Care of Critically Ill Patients Perioperative Care Management Care of General Ward Patients Secondary Drivers Safety as a Strategic Priority Sustainable Infrastructure Engaged and Committed Leadership Ventilator Associated Pneumonia (Reduce to 0 or 300 Days Between) Central Line Bloodstream Infections (Reduce to 0 or 300 Days Between) Blood sugars within Range (80% or >) Surgical Site Infections - clean (Reduce by 50%) Crash Call Rates (Reduce by 30%) MRSA Bloodstream Infections (Reduce by 50%) Key Process Measures Reliable at 10 -2 (defects in parts per 100) Medicines Management Anticoagulant Adverse Drug Events (Reduce by 50%)
Calls to Outreach Team and Cardiac Arrest Rate: Luton and Dunstable Sustaining 33% reduction in cardiac arrestsincreasing accuracy in data collection
Page 1 and 2: Health Care Safety at National Scal
Page 3: PARIS IN THE THE SPRING
Page 6 and 7: The First Law of Improvement “Eve
Page 8 and 9: Complex Cardiac Surgery: A Case Stu
Page 10 and 11: Leaders’ Tasks… • Will • Id
Page 12: Campaign “Planks” - Six Changes
Page 15 and 16: Central Line Associated Bloodstream
Page 17 and 18: Observed minus Expected Rate per 10
Page 19 and 20: “Safety is not a goal; it is a co
Page 21 and 22: The Campaign “Planks” - Six Cha
Page 23: Safer Patients Initiative 2: Aims V
Page 27 and 28: Ventilator-Associated Pneumonia: No
Page 29 and 30: Scottish Phase I SPI Site: Tayside
Page 31 and 32: The Vision of the Scottish Patient
Page 33 and 34: An Agenda for Action 1. Declare pat
Page 35 and 36: An Agenda for Action 3. Assess wher
Page 37 and 38: Proposed Shared Aims • Infection
Page 39 and 40: An Agenda for Action 5. Establish k
Page 41 and 42: Linked Improvements (Batalden and D
Page 43 and 44: We Need Professionals Who… • Em
Page 45 and 46: An Agenda for Action 7. Reflect, re

Health Care Safety at National Scale (PDF Presentation, 2008)

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