Survey Results for Hackley Hospital

In the Annual Volume Results column, the lower bar always represents the Coalition's recommended volume and the upper bar always represents the hospital's volume. The actual volume numbers are displayed below the bars.

Click the links in the Treatment Area column to view the survey results for a specific treatment.

Treatment Area	Activity Results	Annual Volume Results
Open Heart Surgery	n/a
Percutaneous Coronary Intervention	n/a
Abdominal Aortic Aneurysm Repair	n/a
Carotid Endarterectomy Surgery	n/a
Esophagectomy	n/a
Low Birthweight Infants	n/a
Infants with Congenital Anomalies	n/a
Intensive Care Unit Physician Staffing (IPS)	n/a	n/a

Hospital Comments

Healthcare Failure Mode and Effect Analysis	timely and intensive
Root Cause Analisys	Timely and intense
General Comments on Patient Safety Activities	Medication management/reconcilitaion team FMEA on dispensing and administering medications. Fall reduction task force and program. Implementation of Rapid Response Teams. Continued Readiness team. Balanced score card in use. Monthly review by Patient Quality/Safety team. Implemented ISMP suggestions. Assigned a Medication Safety Officer. Tracer teams reviewing all areas

Survey Results for Hackley Hospital

Treatment Area

Activity Results

Annual Volume Results

Hospital Comments

Healthcare Failure Mode and Effect Analysis

Root Cause Analisys

General Comments on Patient Safety Activities