Loyola Univ. Health Sys. - Center for Clinical Effectiveness (CCE)

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LUHS Patient Safety and Quality Improvement
Priorities for FY 2008

Create a Culture of Safety
	Continue educational program on patient safety for the LUHS Board
	Implement system-wide basic patient safety education
	Implement patient safety presentation during new employee orientation
	Implement Pilot Team Training
	Patient Safety Culture Survey
	Complete 2007 Leapfrog Survey

Improve Adverse Event and Near Miss Reporting and Analysis System
	Implement electronic adverse event reporting system
	Educate LUHS about new reporting system
	Complete FMEA on Product Recalls and Chemotherapy

Improve Medication Safety
	Enhance medication reconciliation process, especially at care transitions in hospital
	Implement electronic adverse event reporting system
	Additional safety strategies for high-alert medications
	Improve safety of inpatient anticoagulation therapy
	Implement automated dispensing devices throughout LUMC

Reduce Healthcare Acquired Infections
	Improve hand washing
	Surgical Infection Prevention Project processes
	Improve processes to prevent ventilator associated pneumonia
	Selective expansion of MRSA screening
	Additional reduction in central line related blood stream infections

Patient Safety Projects
	National Patient Safety Goals
	Surgical Care Improvement Project
	Expand Implementation of Rapid Response Team
	Decubitus Ulcer Prevention
	Inpatient Pediatric Asthma Care