Click the links in the Treatment Area column to view the survey results for a specific treatment.
Open Heart Surgery |
1) Decreasing post-operative renal failure; currently analyzing data for potential improvement opportunities.
2) Decrease prolonged post-operative ventilation; reviewing protocols to determine optimal changes to current care sets. The scope of this work includes review of pharmaceuticals and care team approach to early extubation.
3) Increase compliance with indicators of the Surgical Care Improvement Project; this includes selection and timing of prophylactic antibiotics, timely discontinuation. Care sets have been updated to reflect current standards and these have been implemented. |
Percutaneous Coronary Intervention |
MGHP has a multi-disciplinary improvement initiative focused on increasing the number of patients who have a door-to-balloon time of 90 minutes or less. Analysis of individual cases and potential patterns and trends has been done & is ongoing. Several processes have been changed and overall variation has been decreased. Work continues on this indicator. |
Abdominal Aortic Aneurysm Repair |
Baseline data was collected on the use of beta blockers for all major elective surgeries. The multi-disciplinary team developed a protocol for beta blocker use and we are finalizing that protocol for implementation. Ongoing monitoring of compliance with this protocol will follow implementation.
We continue work on tight blood glucose control for surgical and medical patients. |
Carotid Endarterectomy Surgery |
Baseline data was collected on the use of beta blockers for all major elective surgeries. The multi-disciplinary team developed a protocol for beta blocker use and we are finalizing that protocol for implementation. Ongoing monitoring of compliance with this protocol will follow implementation.
We continue work on tight blood glucose control for surgical and medical patients. |
General Comments on Patient Safety Activities |
1) S-BAR communication tool
2) Executive rounding on patient safety
3) Conducted a culture of safety survey
4) Unit-based patient safety advocates
5) Unit-based pharmacists
6) EMR-based medication reconciliation |
