miércoles, 1 de marzo de 2017

Seattle Hospital Improves Patient Safety with AHRQ Quality Indicators Toolkit | Agency for Healthcare Research & Quality

Seattle Hospital Improves Patient Safety with AHRQ Quality Indicators Toolkit | Agency for Healthcare Research & Quality



Featured Case Study: Seattle Hospital Improves Patient Safety With AHRQ Quality Indicators Toolkit

Harborview Medical Center, a level I trauma center in Seattle, used AHRQ’s Toolkit for Using the AHRQ Quality Indicators as a cornerstone in efforts to improve patient safety. The hospital measured a 21 percent decrease in the rate of deep vein thrombosis or pulmonary embolism among postoperative patients in less than four years. Access the case study.
AHRQ--Agency for Healthcare Research and Quality: Advancing Excellence in Health Care

Seattle Hospital Improves Patient Safety with AHRQ Quality Indicators Toolkit

February 2017
Harborview Medical Center, a level I trauma center in Seattle, used an AHRQ toolkit as a cornerstone in efforts to improve patient safety. The hospital measured a 21 percent decrease in the rate of deep vein thrombosis or pulmonary embolism (DVT/PE) among postoperative patients in under 4 years.
The hospital continues to use resources from the Toolkit for Using the AHRQ Quality Indicators to support added improvements, including a focus on patient safety measures aligned with the Centers for Medicare & Medicaid Services’ patient safety programs.
AHRQ’s QI Toolkit is available to help hospitals use the AHRQ Quality Indicators to improve patient care. The toolkit provides how-to guidance throughout the improvement process, along with an array of resources that hospitals can adapt to meet their specific needs.
Ellen Robinson, a physical therapist and clinical quality specialist, led Harborview’s improvement initiative. She credits the resources from AHRQ’s QI Toolkit for helping Harborview improve its ability to:
  • Assess leadership’s readiness to change
  • Apply the AHRQ Quality Indicators to hospital data
  • Prioritize clinical areas and measures for improvement
  • Identify and implement evidence-based clinical strategies to improve care
Using the AHRQ QI Toolkit to reduce DVT/PEs helped Harborview achieve measurable results. The chart below shows the hospital’s DVT/PE reductions.
MeasureBaseline
(in 2011)
Post-intervention
(Jan–Sep 2015)
Impact
(in 3 years, 9 months)
Rate of DVT/PE among postoperative patients11.7/1,0009.3/1,00021% decrease
Rate of hospital-acquired DVT/PE7.5/1,0006.4/1,00015% decrease
Harborview leaders found that using the QI Toolkit achieved broader impacts as well; it raised awareness about patient safety concerns across the hospital, improved collaboration to support patient safety, and institutionalized a standard set of patient safety protocols. Harborview is also using QI Toolkit resources to reduce:
  • Pressure ulcers
  • Central venous catheter-related blood stream infections
  • Postoperative respiratory failures
  • Postoperative sepsis
  • Accidental punctures or lacerations
"We no longer have any trouble convincing people to participate in improvement efforts," Ms. Robinson noted. "The QI Toolkit helped shift the hospital culture to a greater appreciation for improvement."
Impact Case Study Identifier: 
2016-19
AHRQ Product(s): CAUTI Toolkit, QI Toolkit, Toolkit to Improve Safety in Mechanically Ventilated Patients, Long-term Care Toolkit
Topics(s): Quality Indicator (QI), Patient Safety, Health Care Quality
Geographic Location: Washington
Implementer: Harborview Medical Center
Date: 02/16/2017
Page last reviewed February 2017