Promoting Patient Safety
Learn about these innovative patient safety initiatives from leading healthcare systems who implemented quality improvements which improved patient outcomes 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
With partial support from an AEIX risk management grant, AEIX member Texas Health Resources developed a Vaginal Delivery Safety (VaDS) Checklist as part of a cutting-edge quality program. The Checklist is designed to be used twice during labor and has been shown to result in more frequent and earlier identification of the risk of three obstetrical emergencies: shoulder dystocia; postpartum hemorrhage; and neonatal resuscitation. While the tool is not designed to prevent the occurrence of such emergencies, improved situational awareness in identifying the potential risk and enhanced teamwork when responding to emergencies can result in improved outcomes. Articles have been published by THR about the checklist, the use of which is gaining momentum nationally from hospitals and professional organizations.
The “Vaginal Delivery Safety Checklist: Teaming Up for Safe Deliveries” AEIX quality improvement collaborative launched in January 2017 with fourteen hospitals in five states. AEIX is sponsoring this improvement project to spread the use of the checklist developed by THR as a best practice across the AEIX membership. Along with support in the implementation of the checklist, the AEIX quality improvement project provides frequent web-based education to improve management of common obstetrical emergencies, methods to identify patient status deterioration earlier, and resources to support the teams’ OB improvement projects. Premier Insurance Management Services (PIMS) and Premier Performance Partners together developed onsite targeted OB readiness assessments and simulation focusing on team skills training using TeamSTEPPS principles.
This collaborative will wrap up in August 2018, so the project cohort is closed to additional participants. New hospitals interested in implementing the checklist or receiving onsite risk and/or readiness assessments, or simulation of clinical or team skills, can contact Rebecca Price, CPPS, CPHQ, 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, consisting of a two-day onsite assessment with a report identifying risk exposures with recommendations for improvement and benchmarking of safety and reliability processes. The hospital teams were provided with 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 with obstetrical services could benefit from the risk assessment and benchmarking available through the PIMS’ High Reliability Perinatal Safety Assessment. Contact Rebecca Price, PIMS Claims and Quality Improvement Project Manager, at (858) 334-9504 or Rebecca_Price@Premierinc.com.
Emergency Department Safety Initiative
The Emergency Department Safety Initiative (EDSI), 2010 – 2013, was a collaborative designed to improve treatment outcomes through enhancing diagnostic protocols in the ED while also lowering financial risk. The initiative focused on management of two high-risk clinical conditions in the ED: chest pain and abdominal pain. Hospitals that collaborated in the initiative were provided with collaboration resources and education, and experienced a significant reduction in claims frequency arising from the ED. Download our July 2015 whitepaper.