Click the links in the Treatment Area column to view the survey results for a specific treatment.
Open Heart Surgery |
During the past year, MRMC has been reviewing and evaluating the data from the STS data base. Improvement activities have occured related to renal failure, mortalities, post-op transfusion and documentation of the NYHA class. |
Percutaneous Coronary Intervention |
MRMC received the BCBSM Cardiac Center of Excellence designation. Improvement activities include but are not limited to door to balloon time and all of the JCAHO Core Measures. |
Abdominal Aortic Aneurysm Repair |
Cases referred for peer review are reviewed against the Interqual criteria for appropriateness. Standard quality assurance screens are iin place. |
Carotid Endarterectomy Surgery |
Data is collected and submitted for Corotid Stents by the Vascular Surgeons. The results are reviewed and improvement opportunity activities implemented. Cases referred for peer review are reviewed against interqula criteria for appropriateness. |
Esophagectomy |
All cases referred to the Peer Review process are reviewed against Interqual criteria. Cases are reviewed at tumor board and improvement opportunity activities are conducted. |
Intensive Care Unit Physician Staffing (IPS) |
The Critical Care staff have not formally utilized the toolkit. However, upon review of the elements of the toolkit, several safety improvements/activities are currently in place. They include but are not limited to; participation in the MHA Keystone ICU project, BAP & BSI reduction strategies, glycemic control strategies, infection control reduction strategies, multidisciplinary team planning strategies, use of the rapid cycle improvement process for improvement, use of Intensivists, participation in all NPSG's and concurrent evaluation of staffing levels. |
Healthcare Failure Mode and Effect Analysis |
FMEA is conducted yearly and is in compliance wiht JCAHO standards. In 2005, 2 conducted. |
Root Cause Analisys |
MRMC has a disclosure policy and a team that actively supports disclosure activities. |
General Comments on Patient Safety Activities |
MRMC has a robust Patient Safety Committee. Activities include but are not limited to: NPSG's Compliance Progam, Infection Control Improvement efforts, SE Alert promoted actions, Patient Safety Culture Development and Patient Safety Attitude Questionaire improvement strategies. |
