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

HFMEA is not effectively utilized in our facility, but we are trying to move in that direction through education as our finances allow.

Root Cause Analisys

RCA is not effectively utilized in our facility, but we are trying to move in that direction through education as our finances allow.

General Comments on Patient Safety Activities

Electronic Pharmacy System (not including ordering) Medication Reconciliation Implemented a Patient Safety Committee Increased employee awareness/training regarding patient safety and initiatives