Multifocal Clinical Performance Improvement Across 21 Hospitals | Zendy

Barbara Crawford | Zendy; Melinda Skeath | Zendy; Alan Whippy | Zendy

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Multifocal Clinical Performance Improvement Across 21 Hospitals

Author(s) -

Barbara Crawford,

Melinda Skeath,

Alan Whippy

Publication year - 2013

Publication title -

journal for healthcare quality

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.374

H-Index - 27

eISSN - 1945-1474

pISSN - 1062-2551

DOI - 10.1111/jhq.12039

Subject(s) - quality management , medicine , clostridium difficile , patient safety , health care , medical emergency , intensive care medicine , emergency medicine , operations management , management system , microbiology and biotechnology , economics , biology , economic growth , antibiotics

Improving quality and safety across an entire healthcare system in multiple clinical areas within a short time frame is challenging. We describe our experience with improving inpatient quality and safety at Kaiser Permanente Northern California. The foundations of performance improvement are a “four-wheel drive” approach and a comprehensive driver diagram linking improvement goals to focal areas. By the end of 2011, substantial improvements occurred in hospital-acquired infections (central-line–associated bloodstream infections and Clostridium difficile infections); falls; hospital-acquired pressure ulcers; high-alert medication and surgical safety; sepsis care; critical care; and The Joint Commission core measures.

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