Improving Harm across the board

1. Pulaski Memorial Hospital Improving Harm across the board Winamac, Indiana

2. Pulaski Memorial Hospital Improving Harm across the board 2012 Hospital Trend in Reducing Harm Adverse Drug Event (ADE): Excessive anticoagulation with warfarin – Inpatients Catheter Associated Urinary Tract Infection (CAUTI): Catheter-Associated Urinary Tract Infection Rate - All Tracked Units (CDC NHSN) Central Line Associated Bloodstream Infection: CLABSI Rate - All Units (by Device Days) (CDC NHSN) Falls: Falls With or Without Injury (NSC-4) Early Elective Deliveries (EED): Elective Deliveries at >= 37 Weeks and < 39 Weeks (JC PC-1) OB: Elective less than 39 week births admitted to NICU (March of Dimes) Pressure Ulcer: Patients with at least One Stage III or Greater Nosocomial Pressure Ulcer (subset of NSC-2) SSI: Surgical Site Infection Rate (in-hospital) (CDC NHSN) Venous Thromboembolism (VTE): Potentially Preventable VTE (VTE-6)

3. Pulaski Memorial Hospital Improving Harm across the board 2012 Total Number of Harms 2 Falls 2 EED 3 Falls 3 EED 2 Falls 1 SSI 3 EED 1 Fall

4. Pulaski Memorial Hospital Improving Harm across the board Improving Harm Rates (per discharge)

5. Pulaski Memorial Hospital Improving Harm across the board “Because It Is the Right Thing To Do” Tom Barry, CEO; Sharon Berry, RN OB Services; Carrie Collins, RN; Dr. Healton, ED; Linda Webb, RN, Chief Nurse Executive; Peg Madsen, Quality Director; Kelly Ortman, RN, Oncology & Med/Surg; Dixie Weldon, RN, Surgical Services; Debbie McDonald, RN ED; George Ellis, Infection Control; Debbie Trennepohl, Pharmacy Director; Jeff Boer, IT Director

6. Pulaski Memorial Hospital • Most important drivers of safety that produced these results: • Leadership Commitment to Quality • Technology – The use of technology in patient safety processes and continual monitoring for compliance to achieve the safest outcomes • State/Regional Organizations – Involvement in organizations that focus on improving patient safety and outcomes (Indiana Hospital Association, Coalition for Care, Indiana Rural Health Association, West Central Patient Safety Coalition, Indiana Organization of Nurse Executives, Indiana Association for Professionals in Infection Control, Health Care Excel and Indiana Perinatal Network) • Transparency/Accountability • Active Performance Improvement Committee Improving Harm across the board Pearls

7. Pulaski Memorial Hospital Improving Harm across the board Our Hospital Risk Scorecard