Becker's Clinical Quality & Infection Control

May/June 2020 IC_CQ

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18 PATIENT SAFETY Press Ganey aims to reduce harm by 80% in 5 years By Mackenzie Bean P ress Ganey seeks to decrease patient and caregiver harm by 80 percent over the next five years through a new initia- tive called Safety 2025: Accelerate to Zero. The initiative, announced March 11, was designed to remove financial and educational barriers preventing healthcare organi- zations from improving patient safety. Press Ganey's healthcare clients who commit to this goal will have free access to the company's technology and data services to analyze safety events, along with various learning forums and online safety resources. n 10 top patient safety concerns of 2020 from ECRI Institute By Anuja Vaidya D iagnostic errors and maternal health issues are the top two patient safety concerns for healthcare organizations in 2020, as ranked by the patient safety organization ECRI Institute. The institute releases an annual list of top 10 patient safety concerns for healthcare organizations. This year's list is based on analysis of more than 3.2 million patient safety events recorded via the institute's reporting program. "This list identifies areas that are high priorities for a variety of reasons, such as new risks; existing concerns that are changing because of new technology or care delivery models; and per- sistent issues that need focused attention or pose new opportu- nities for intervention," the institute said in a news release. The list: 1. Missed and delayed diagnoses. 2. Maternal health across the continuum. 3. Early recognition of behavioral health needs. 4. Responding to and learning from device problems. 5. Device cleaning, disinfection and sterilization. 6. Standardizing safety across the system. 7. Patient matching in the EHR. 8. Antimicrobial stewardship. 9. Overrides of automated dispensing cabinets (that is, overrides to remove medications from a computerized drug storage device before pharmacists have reviewed and approved the move). 10. Fragmentation across care settings. n Most hospitals not meeting Leapfrog minimum volume standards for high-risk surgeries By Anuja Vaidya A majority of U.S. hospitals perform high-risk surgeries without meeting e Leapfrog Group's minimum volume standards for performing those surgeries safely, which is "very disturbing," according to Leah Binder, president and CEO of the Leapfrog Group. Leapfrog released its "Safety In Numbers" report, which assesses whether hospitals are performing enough high-risk surgeries to have the experience to safely perform them. It also assesses whether hospitals grant privileges only to surgeons who meet minimum individual volume standards to prove experience in performing high-risk surgeries and whether hospitals actively monitor to ensure the necessity of each surgery performed at their facility. e 2019 report used data from the 2019 Leapfrog Hospital Survey, which polled more than 2,100 hospitals. Overall, a higher percentage of hospitals met the minimum volume standards compared to the percentage that did in 2018, but large gaps remain. Fewer than 10 percent of hospitals surveyed met the mini- mum volume standards for certain high-risk cancer surgeries in 2019: rectal cancer surgery (9.1 percent); lung resection for cancer (8.4 percent); pancreatic resection for cancer (7.7 percent) and esophageal resection for cancer (2.5 percent). e minimum annual volume standard for: • Rectal cancer surgery is 16 • Pancreatic resection for cancer is 20 • Esophageal resection for cancer is 20 • Lung resection for cancer is 40 e report does show a positive trend of hospitals avoiding unnecessary cancer surgeries. Most hospitals (70 percent) have protocols in place to ensure only necessary surgeries are being performed among cancer patients. "e good news is we are seeing progress on surgical safety," said Ms. Binder. "e bad news is the vast majority of hospitals performing these high-risk procedures are not meeting clear volume standards for safety. is is very disturbing, as a mountain of studies show us that patient risk of complications or death is dramatically higher in low-volume operating rooms." n

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