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Task Force Submitters LFG Analysis

Task Force Submitters LFG Analysis. Children’s Hospitals Taskforce October 2007. Objective. Provide Snapshot of Children’s Hospital vs. National Results Identify Gaps and Obtain Feedback Provide Context for Adoption Simulator Submission. Summary of Findings.

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Task Force Submitters LFG Analysis

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  1. Task Force Submitters LFG Analysis Children’s Hospitals Taskforce October 2007

  2. Objective • Provide Snapshot of Children’s Hospital vs. National Results • Identify Gaps and Obtain Feedback • Provide Context for Adoption Simulator Submission

  3. Summary of Findings • 10 Organizations Submitted to the TMIT Survey • Average 721 Points out of 1,000 • National Average is 706 • Range 918 – 492 Points

  4. Distribution of Sample n Survey Score

  5. Summary of Findings • Strengths: • “As” Action (“Strongest” of the 4 As) • Safe Practices (Above National Average) • SP# 1.1 – Culture of Safety (+11%) • SP# 2 – Informed Consent (+12%) • SP# 4 – Disclosure (+17%) • SP# 17 – Perioperative Myocardial Ischemia Prevention (+11%) • SP# 20 – BSI (+16%) • SP# 22 – Hand Hygiene (+13%) • SP# 25 – Wrong-Site (+17%)

  6. Summary of Findings • Gaps were Identified: • “As” Accountability (Weakest of the 4 As) • Safe Practices (below National Average) • SP# 15 – Pharmacists’ Role (-6%) • SP# 19 – Risk of Aspiration (-8%) • SP# 26 – Perioperative Myocardial Ischemia Prevention (-36%) • SP# 28 – DVT/VTE Prevention (-31%) • SP# 29 – Anticoagulation Therapy (-17%)

  7. Culture of Safety: Practice 1 Element 1 – 120 Points 100 90 80 73% 70 62% Nat’l. Avg. 62% 60 50 40 30 20 10 0 Children’s Hospitals National Average

  8. Culture of Safety: Practice 1 Element 2 – 20 Points 100 90 80 68% 68% Nat’l. Avg. 67% 70 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

  9. Culture of Safety: Practice 1 Element 3 – 40 Points 100 90 80 70 62% Natl. Avg. 58% 58% 58% Nat’l. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

  10. Culture of Safety: Practice 1 Element 4 – 120 Points 100 90 80 74% 73% 73% Nat’l. Avg. 70 60 50 40 30 20 10 0 Children’s Hospitals National Average

  11. Informed Consent: Practice 2 – 4 Points 100 90 80 70 62% Natl. Avg. 59% 60 47% 47% Nat’l. Avg. 50 40 30 20 10 0 Children’s Hospitals National Average

  12. Life-Sustaining Treatment: Practice 3 – 4 Points 100 90 80 70 62% Natl. Avg. 58% 60 51% 51% Nat’l. Avg. 50 40 30 20 10 0 Children’s Hospitals National Average

  13. Disclosure: Practice 4 – 25 Points 100 90 85% 80 68% 68% Nat’l. Avg. 70 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

  14. Nursing Workforce: Practice 5 – 100 Points 100 90 78% 75% 78% Nat’l. Avg. 80 70 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

  15. Direct Caregivers Workforce: Practice 6 – 20 Points 100 90 80 66% 70 63% 63% Nat’l. Avg. 62% Natl Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

  16. Critical Care Information: Practice 8 – 84 Points 100 90 80 75% 69% 69% Nat’l. Avg. 70 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

  17. Order Read-back: Practice 9 – 25 Points 100 90 80 73% 71% 73% Nat’l. Avg. 70 60 50 40 30 20 10 0 Children’s Hospitals National Average

  18. Labeling Studies: Practice 10 – 15 Points 100 90 78% 80 70% 70% Nat’l. Avg. 70 60 50 40 30 20 10 0 Children’s Hospitals National Average

  19. Discharge System: Practice 11 – 25 Points 100 90 80 75% 69% 69% Nat’l. Avg. 70 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

  20. Abbreviations: Practice 13 – 11 Points 100 90 85% 82% 82% Nat’l. Avg. 80 70 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

  21. Medication Reconciliation: Practice 14 – 35 Points 100 90 85% 83% 83% Nat’l. Avg. 80 70 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

  22. Pharmacists’ Role: Practice 15 – 32 Points 100 90 81% 81% Nat’l. Avg. 80 74% 70 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

  23. Standardized Medication Labeling & Packaging: Practice 16 – 20 Points 100 90 80 74% 71% 71% Nat’l. Avg. 70 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

  24. High-Alert Medications: Practice 17 – 20 Points 100 90 84% 80 73% 73% Nat’l. Avg. 70 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

  25. Unit-Dose Medications: Practice 18 – 25 Points 100 90 80 68% 68% Nat’l. Avg. 70 62% 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

  26. Risk of Aspiration & VAP Prevention: Practice 19 – 20 Points 100 90 82% 82% Nat’l. Avg. 80 74% 70 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

  27. Central Venous Catheter Blood Stream Infection Prevention: Practice 20 – 30 Points 100 95% 90 80% 80% Nat’l. Avg. 80 70 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

  28. Surgical-Site Infection: Practice 21 – 30 Points 100 90 84% 84% Nat’l. Avg. 79% 80 70 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

  29. Hand Hygiene: Practice 22 – 30 Points 100 94% 90 81% 81% Nat’l. Avg. 80 70 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

  30. Influenza Protection: Practice 23 – 10 Points 100 90 82% 76% 80 76% Nat’l. Avg. 70 60 50 40 30 20 10 0 Children’s Hospitals National Average

  31. Wrong-site Surgical Prevention: Practice 25 – 20 Points 100% 100 90 83% 83% Nat’l. Avg. 80 70 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

  32. Perioperative Myocardial Ischemia/Infarct Prevention: Practice 26 – 20 Points 100 90 80 70 62% Natl. Avg. 60 51% 51% Nat’l. Avg. 50 40 30 20 15% 10 0% 0 Children’s Hospitals National Average

  33. Pressure Ulcer Prevention: Practice 27 – 25 Points 100 90 84% 77% 77% Nat’l. Avg. 80 70 60 50 40 30 20 10 0 Children’s Hospitals National Average

  34. DVT/VTE Prevention: Practice 28 – 25 Points 100 90 80 70 63% 63% Nat’l. Avg. 60 50 40 31% 30 20 10 0 Children’s Hospitals National Average

  35. Anticoagulation Therapy: Practice 29 – 35 Points 100 90 80 70 62% Natl. Avg. 60 51% 51% Nat’l. Avg. 50 40 34% 30 20 10 0 Children’s Hospitals National Average

  36. Contrast Media-induced Renal Failure: Practice 30 – 10 Points 100 90 80 70 65% 62% 62% Nat’l. Avg. 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

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