Safety Culture: Magic Potion Welcome! Inova Mount Vernon Donald J. - - PowerPoint PPT Presentation
Safety Culture: Magic Potion Welcome! Inova Mount Vernon Donald J. Brideau, MD CEO, Vice President Stacey Schaab RN, MBA, CPHQ, NHA Director of Quality Department Housekeeping Slides were sent this morning Webinar is being recorded
Donald J. Brideau, MD CEO, Vice President Stacey Schaab RN, MBA, CPHQ, NHA Director of Quality Department
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Stacey Schaab RN, MBA, CPHQ, NHA Director of Quality Department Inova Mount Vernon Hospital
Donald J. Brideau, MD CEO, Vice President Inova Mount Vernon Hospital
convenience and state-of-the-art care in a unique healing environment.
award for “Gold-Plus Elite” designation for its premier stroke care.
2015 & 2016 related to Emergency Department Clinical Quality & Patient Satisfaction.
the Nation and #1 in the State of Virginia. TJC Successful Survey!
December 2016 TJC Results: 3 Directs and 8 Indirects. All were abated before the end of the survey. Important to note, there were no Nursing, Infection Control, Emergency Management or Leadership citations.
Applications may include: Regulatory Survey FMEA Core Measures TeamSTEPPS Engaged Staff Just Culture Shared Mental Model CUSP Safety Symposium
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The Comprehensive Unit-based Safety Program (CUSP) includes strategies towards making patient
care safer by improving the foundation of how your physicians, nurses and other clinical team members work together. It builds the capacity to address safety issues by combining clinical best practices and the science of safety. CUSP is a structured strategic framework for safety improvement that integrates communication, teamwork and leadership to create and support a culture of patient safety that can prevent harms. CUSP draws from frontline providers who have the most knowledge about safety hazards and the means to lessen the severity of those hazards and provides a mechanism to help defend against hazards. CUSP is implemented at the unit level and provides a scalable program that can be implemented throughout an organization.
Method of Communicating Change
Days Infection Control-FREE
90th Percentile 75th Percentile Average 25th Percentile 10th Percentile or Less
Communication Openness Manager Expectations around PS Non-Punitive Response to Error Feedback About Error Perceptions of Patient Safety Handoffs and Transitions Staffing Event Reporting Management Support for Patient Safety Organizational Learning Teamwork Across Units Teamwork in Unit
*Benchmarked against 2016 AHRQ Database (All Hospitals) N=953
No Change KEY 1 Percentile Group 2 Percentile Groups 1 Percentile Group
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All care areas such as OR, etc. Safety Survey/ Debriefs/Goal Setting CUSP Safety Call @ 7:45am Leadership Huddle @ 9:30am
True North Board Staff Shift Huddles
Hand Hygiene Compliance Fall Reduction via ‘No Patient Walks Alone’ Campaign
Call bell response time