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Improving Hospital Patient Safety: A Comprehensive Analysis On Adverse Drug Events

Discussing progress, highlights, and recommendations for preventing adverse drug events in hospitals. Includes high performer insights and action plans for improvement through webinars and sharing best practices.

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Improving Hospital Patient Safety: A Comprehensive Analysis On Adverse Drug Events

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Presentation Transcript

  1. Intermountain-led CMS Hospital Engagement Network Adverse Drug Event PreventionJune 24, 2014 Affinity Call

  2. Outline for Discussion • Review of the HEN ADE work • “Just-one-thing” Recommendations • High performers • National ADE action plan

  3. Overall Progress Through Q1 2014

  4. Intermountain HEN 2012-Q1 2014 ADE w/ Harm

  5. Intermountain HEN 2012-Q1 2014 ADE w/ Harm

  6. Intermountain HEN 2012-Q1 2014 ADE per 1000 Patient-Days

  7. Intermountain HEN 2012-Q1 2014 ADE per 1000 Patient-Days

  8. Intermountain HEN 2012-Q1 2014 PSI 12 Post Operative PE or DVT

  9. Intermountain HEN 2012-Q1 2014 PSI 12 Post Operative PE or DVT

  10. Intermountain HEN 2012-Q1 2014 • ADE Due to Opioids • Controlled Postoperative Serum Glucose • Excessive Anticoagulation with Warfarin • Low Reporting

  11. Just One Thing MatrixRecommendations

  12. High Performing Hospital Highlight…ADE w/ Harm

  13. High Performing Hospital Highlight… ADE per 1000 Patient-Days

  14. High Performing Hospital Highlight… PSI 12 Post Operative PE or DVT

  15. 2014 plans for improvement • Webinar • Collect and share best practices across our network hospitals & system in a single document

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