Click the links in the Treatment Area column to view the survey results for a specific treatment.
Open Heart Surgery |
External outside review of program
Participated and implemented Keystone best practice
Laproscopy vein harvest
Implemented extubation protocols
Implemented Blood Surgar Control protocol
Cath conference with cardiologist and cardiac surgeons
Infection control monitor of surgical procedure
Process of implementing concurrent abstraction of clinical data for STS
Process of developing multi-disciplinary committee for monitoring and implementing best practice.
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Percutaneous Coronary Intervention |
Participate with Core Measure for MI
Signicantly increased compliance with the following:prescribing ACEI or ARB at discharge, Beta blocker on arrival and discharge, smoking cessation counseling.
Reduced re stenosis rate.
Decreased Time to PTCA from 120 to 90
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Abdominal Aortic Aneurysm Repair |
Implemented closed AAA stenting |
General Comments on Patient Safety Activities |
Senior Leadership Safety Rounds Quarterly
Annual Patient Safety Culture Survey
Promote "Just" Culture
Implemented full discloser policy
Auditing process of Medication administration
Participate with SCIP-antibiotic protocols
Promote patient involvement in care JCAHO "Speak Up"
Changed Incident report to Patient Safety Report
Implmented medicaition reconciliation process
Implemented Keystone recommendations
Monitor and implement process improvement inititives for all of the Core Measures AMI, Pneumonia, CHF.
Implemented process improvement for Stroke
Implemented Rapid Response Team
In process of addressing patient flow, utilizing Lean Six Sigm methodology
Reduction of Falls program
Reduction of Restraints program
Maintain CLIA certification
Implementing standardization for hand off utilizing SBAR
Standardizing labels on all medications
Update look alike sound alike medication list
Eliminating use of unapproved abbreviations
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