December
Highlights of Performance Improvement at SHC
Quality Improvement and Patient Safety Committee
chaired by Joseph Hopkins, associate chief of staff
Tracer
Rounds
Tracking and documenting care of a selected patient throughout hospitalization
resumed in January. Bi-weekly hospital-wide Tracer Rounds will follow
monthly tracer audits in departments and units. The Tracer Rounds group
includes senior hospital leadership, the Quality Improvement and Patient
Safety Department, Quality Management and clinical services representatives.
Tracer Rounds will occur once on each unit during 2005 and will be reported
monthly to the QIPSC.
MRI-compatible IV pumps,
currently
available from the MRI department, should be more widely available in
other units for patients to be transported for MRI. Nurses on applicable
units should be trained in the use of specialized pumps and accompany
patients to MRI.
National Patient Safety Goals
Good
compliance in most areas. Enhanced physician effort sought in achieving
Consent & Schedule OK and H&P completion in the Ambulatory Surgery Center.
FDA Watch
The
QIPSC will serve as a clearing house for reports from Materials Management
to help users replace items affected by recalls and alerts from the
Food and Drug Administration. The purpose is to make replacement of
recalled items seamless for patients