Eliminating perioperative adverse events at Ascension Health
Language: 
English
Abstract: 

BACKGROUND: For Ascension Health's Healthcare That Is Safe strategy, Sacred Heart Hospital (SHH) and Columbia St. Mary's (CSM) served as alpha sites to develop strategies to eliminate perioperative adverse events (POAEs). The alpha sites set an interim goal of a 50% reduction of POAEs, then 100%, or elimination of POAEs by July 2008. IMPLEMENTATION: The alpha sites identified a process for data management to establish clear, measurable elements for each of the five strategies of the alpha initiative; created an infrastructure to foster transformational change in the operating room suite; and implemented tactics to measure the success of the five strategies. STRATEGIES AND TACTICS: The sites implemented tactics for five strategies: (1) prevention of errors due to human factors, (2) prevention of surgical site infections, (3) prevention of adverse perioperative cardiac events, (4) prevention of postoperative venous thromboembolism, and (5) prevention of postoperative hemorrhage. RESULTS: Both alpha sites achieved > or = 90% reduction in the POAE rate. DISCUSSION: A number of key learnings were drawn from the alpha experiences, including the need to adjust to evolving definitions and guidelines for implementation and measurement of perioperative care.

Author(s): 
Ewing, Hella
Bruder, Greg
Baroco, Paul
Hill, Maria
Sparkman, Lora P.
Item Type: 
Journal Article
Publication Title: 
Joint Commission Journal on Quality and Patient Safety
Journal Abbreviation: 
Jt Comm J Qual Patient Saf
Publication Date: 
2007-05
Publication Year: 
2007
Pages: 
256-266
Volume: 
33
Issue: 
5
ISSN: 
1553-7250
Library Catalog: 
PubMed
Extra: 
PMID: 17503681

Turabian/Chicago Citation

Hella Ewing, Greg Bruder, Paul Baroco, Maria Hill and Lora P. Sparkman. 2007-05. "Eliminating perioperative adverse events at Ascension Health." Joint Commission Journal on Quality and Patient Safety 33: 5: 256-266.

Wikipedia Citation

<ref> {{Cite journal | doi = | issn = 1553-7250 | volume = 33 | pages = 256-266 | last = Ewing | first = Hella | coauthors = Bruder, Greg, Baroco, Paul, Hill, Maria, Sparkman, Lora P. | title = Eliminating perioperative adverse events at Ascension Health | journal = Joint Commission Journal on Quality and Patient Safety | date = 2007-05 | pmid = | pmc = }} </ref>