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

Healthcare Failure Mode and Effect Analysis

Are just beginning our first HFMEA

General Comments on Patient Safety Activities

Leaderdhip safety rounds Handwashing iniative. Signed to participate in MHA Keystone project Falls with injury reduction thru FMEA Shift to shift safety breifings SBAR communication with pt handoffs Acceptable abbreviations Read back verball/telephone orders RCA within 72hours on all incidents with harm or potential harm Clinical alarms monitoring pt/LTC residents and employee vaccination med reconsilliation Safety culture surveys Proper pt identification