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  • Promoting Patient Safety

    Emergency Department Safety Initiative

    The Emergency Department Safety Initiative (EDSI), 2010 – 2013, was a collaborative designed to improve treatment outcomes in the ED while lowering financial risk.  Hospitals that collaborated in the initiative were provided with collaboration resources, education, teamwork training, and EFM training using NICHD terminology. The initiative focused on management of two high-risk clinical conditions in ED: chest pain and abdominal pain. Hospitals participating in the initiative experienced a significant reduction in claims frequency arising from the ED. Download our July 2015 whitepaper.

    Learn about these innovative patient safety initiatives from leading healthcare systems who implemented bundles and significantly reduced their risk. PIMS offers benchmarking assessments and other services at competitive pricing to healthcare systems not in our current improvement collaboratives. For more information, please contact us.

    Vaginal Delivery Safety Checklist Collaborative

    The Vaginal Delivery Safety Checklist: Teaming Up for Safe Deliveries quality improvement collaborative launched in January 2017 with fourteen hospitals in five states. AEIX member and Grant winner , Texas Health Resources (THR), developed a Vaginal Delivery Safety (VaDS) Checklist as part of a cutting-edge quality program. The Checklist is used during labor and has been shown to result in more frequent and earlier identification of common risks of three targeted obstetrical emergencies: shoulder dystocia, postpartum hemorrhage and neonatal resuscitation. While the tool is not designed to prevent the occurrence of such emergencies, improved teamwork and situational awareness can result in lower harm from such emergencies, and improve patient care, clinical teamwork, and staff perception of the safety culture. Articles have been published by THR about the Checklist, which is gaining momentum from professional associations in the specialty of Obstetrics.

    AEIX is sponsoring an improvement project to spread the use of the Checklist as a best practice across the AEIX membership. Along with support in the implementation of the Checklist, the AEIX “Vaginal Delivery Safety Checklist: Teaming Up for Safe Deliveries” project provides web-based targeted education to improve management of common obstetrical emergencies and methods to identify patient status deterioration earlier. Premier Insurance Management Services (PIMS) and Premier Performance Partners partnered to provide onsite targeted OB risk assessments and simulation focusing on team skill training using TeamSTEPPS principles.

    The project cohort is closed to additional participants, but hospitals interested in implementation of the Checklist, onsite risk and/or readiness assessments, or simulation of clinical or team skills can contact Rebecca Price, CPPS, CPHA, PIMS Claims and Quality Improvement Project Manager, at (858) 334-9504 or Rebecca_Price@Premierinc.com.

    Perinatal Safety Initiative

    The Premier Perinatal Safety Initiative (PPSI), 2008 – 2014, was launched to: 1) create high reliability in labor and delivery processes; 2) improve compliance with specific evidence-based interventions; (3) eliminate the incidence of preventable perinatal harm; and (4) reduce malpractice claims and payouts. PIMS provided the hospitals with a baseline and follow-up High Reliability Perinatal Safety Assessment, a two-day onsite assessment providing identification of risk exposures, recommendations for improvement, and benchmarking of safety and reliability processes. The hospital teams were provided with focused education and resources to improve the safety and reliability of their perinatal units, including clinical bundles, standardized communication and teamwork training, and EFM training using NCIHD terminology. In 2010, the project was awarded an AHRQ Patient Safety and Medical Liability Grant to continue through 2013. More detailed information regarding the interventions and outcomes of the PPSI can be found in the PPSI Whitepaper published May, 2014.

    PIMS provides consulting services to assist hospitals in evaluating and benchmarking the perinatal service area, and can help develop and manage perinatal quality improvement programs.  Every hospital could benefit from the review and benchmarking available through the PIMS’ High Reliability Perinatal Safety Assessment PIMS HRPSA Brochure. Contact Rebecca Price, PIMS Claims and Quality Improvement Project Manager, at (858) 334-9504 or Rebecca_Price@Premierinc.com.

    Click here to access perinatal quality improvement resources and links