The following studies, which appeared in the January 2014 issue of The Joint Commission Journal on Quality and Patient Safety, highlight how several hospitals successfully reduced patient harm in different areas of their organization.
- ‘Not So Fast!’ The Complexity of Attempting to Decrease Door-to-Floor Time for Emergency Department Admissions (subscription only)
A case study at America’s Essential Hospitals member University of California, San Francisco Medical Center examined door-to-floor times in the emergency department and revealed three domains linked to barriers and opportunities for success.
- Medication Event Huddles: A Tool for Reducing Adverse Drug Events (subscription only)
Nationwide Children’s Hospital across three years identified more than 3,000 improvements through conducting 800 medication event huddles. Since 2010, the hospital reduced the absolute number of harmful adverse drug events by 74 percent.
- Sustainable, Effective Implementation of a Surgical Preprocedural Checklist: An ‘Attestation’ Format for All Operating Team Members (subscription only)
Reformatting the preprocedural checklist so each operating team member provides a personal attestation improved pause compliance from 78 percent to 96 percent.