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Improving Harm Across the Board

This guide details effective strategies implemented in hospitals to reduce harm incidents, highlighting the importance of treating harms as measurable events rather than solely focusing on preventive measures. By analyzing harm trends and defining moments in our safety journey, healthcare organizations can engage patients and families in safety initiatives. Key breakthroughs have been achieved, including a significant reduction in hospital-acquired conditions (HACs) and readmissions. Future actions will focus on sustaining these improvements and identifying further opportunities for harm reduction.

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Improving Harm Across the Board

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  1. Improving Harm Across the Board

  2. TEMPLATE GUIDE • Treat harms as events that can be summed • Focus on harms (outcomes) rather then preventive measures (process) • Special conditions can be considered a harm (e.g., EED, Readmits, …) • Produce an overall harm trend for the hospital (**Delete this slide when content of presentation is complete)

  3. 2012 Breakthrough in Reducing HARM: 250 to 50 harms/1,000 discharges WHA has created a excel template for all 4 graphs in this template

  4. Cut “harm across the board” in half: 60 patients per quarter to under 30 WHA has created a excel template for all 4 graphs in this template

  5. 2012 Breakthrough in Readmission: From 20% of discharges to 10% of discharges WHA has created a excel template for all 4 graphs in this template

  6. 2012 Breakthrough in Reducing Readmissions: From 20 per quarter to 10 per quarter WHA has created a excel template for all 4 graphs in this template

  7. Pearls • Please list the drivers of safety that produced these results. • Include one about patient and family engagement, if relevant

  8. DefiningMoment(s) In Our Journey • Name and date one or two defining moments. • Moments that caused the organization to commit to extraordinary safety. • Moments that resulted in a big breakthrough in the organization’s ability to deliver safety.

  9. Strategies to Drive Results • What challenges did you encounter that you were able to overcome to achieve the results you are presenting here? • What were the strategies you used to overcome them?

  10. Risk Profile by Areas of Risk

  11. Improving Harms by HAC • Scale: number of hospital-acquired conditions (HACs) at each level • IDEAL: level represents what we see as best possible • At Target: level represents meeting improvement target • Progress: level not yet at target • Opportunity: level represents an improvement opportunity (**Delete this slide when content of presentation is complete)

  12. Improving HAC Rates (per discharge)

  13. Our Hospital Risk Profile & Result

  14. Future Actions to Reduce Harm • What other actions will you take to reduce harm in the future?

  15. Photo of Hospital CEO &Safety Team

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