Hospital Safety Measures
PeaceHealth is committed to improving safety for our patients and employees in all our facilities. This commitment is inherent
in our rigorous pursuit of exceptional medicine and our promise to provide Healing and Compassionate Care to patients and
families in all the communities we serve. Two areas of Safety we measure at PeaceHealth include the National
Patient Safety Goals and the Safety Culture.
Data reported below represent the most recent data available for each hospital.
Data was updated on 12/31/2012
Data not yet available or measure not applicable to this hospital.
Too few cases. Data hidden to protect patient confidentiality.
Hospital is participating with this safety goal.
|National Patient Safety Goals|
In July 2002, The Joint Commission introduced National Patient Safety Goals. These goals are revised annually and focus on practices that help to ensure safe, quality care for our patients. Each of the goals listed below covers one or more specific research-based practices that have been shown to decrease errors, creating a safer care delivery environment for our patients.
|2011 Hospital Safety Measures|
|Improve the accuracy of patient identification|
|Prior to any specimen collection, medication administration, transfusion, or treatment, the hospital actively involves the patient, or the patient's family, to identify the patient using two unique identifiers.|
|Before starting a blood or blood product transfusion, the patient is matched to the blood or blood product using a two person verification process that uses at least two unique patient identifiers.|
|Improve the effectiveness of communication among caregivers|
|Any staff who receives a verbal order or test result writes down the information and reads back the information and the person giving the order or test result confirms the information that was read back.||~|
|A list of "do not use" abbreviations, aconyms, symbols and dose desciptions is created and applied to all handwritten or free text orders or medication documents and to preprinted forms.||~|
|Measure and evaluate (and if needed, improve) the timeliness of reporting and receipt of critical tests and critical results and values.||~|
|Implement a standardized approach to "hand off" communications, including an opportunity to ask and respond to questions.||~||~|
|Improve the safety of using medications|
|Identify and review at least yearly a list of look-alike, sound-alike drugs used in the hospital and take action to prevent errors involving the interchange of these drugs.||~|
|Correctly label all medications and solutions, including containers (syringes, medicine cups, basins, etc.), on and off the sterile field. |
|Implement a defined anticoagulant management program to individualize the care provided to each patient receiving anticoagulation therapy.|
|Reduce the risk of health care-associated infections|
|Comply with the Centers for Disease Control (CDC) hand hygiene guidelines.|
|Manage all identified cases of unanticipated death or major permanent loss of function associated with health care associated infection as sentinel events.||~|
|Implement evidence-based practices to prevent health care associated infections due to multiple drug-resistant organisms.|
|Develop and test practices to prevent blood stream infections associated with venous catheters that will be fully implemented by January 1, 2010.||~|
|Develop and test practices for preventing surgical site infections that will be fully implemented by January 1, 2010||~||~|
|Accurately and completely reconcile medications across the continuum of care|
|At the time of arrival or admission, a complete list of the patient's home medications is documented and compared to medications ordered at the start of the patient's stay and discrepancies are reconciled and documented.|
|A complete and reconciled list of the patient's medication is communicated to the next provider of service when the patient is transferred to another setting, service, practioner or level of care within or outside of the hospital.|
|When a patient leaves the hospital's care, a complete and reconciled list of the patient's medications is provided directly to the patient and the patient's family as needed, and the list is explained to the patient and/or family.|
|In settings where medications are minimally used, or prescribed for a short duration, a modified medication reconciliation process is performed. |
|Reduce the risk of patient harm resulting from falls|
|Implement a patient fall reduction program that includes an evaluation of the effectiveness of the program.||~|
|Encourage the patient's active involvement in their own care|
|Patients and families are educated on the how to report concerns related to care, treatment, services and patient safety issues.||~||~|
|Identify safety risks inherent in the hospital's patient population|
|Identify patients at risk for suicide ||~|
|Improve recognition and response to changes in a patient's condition|
|Select a suitable method that enables health care staff to directly request additional assistance from a specially trained individual(s)when the patient(s) condition appears to be worsening.||~|
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