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MHA Keystone: Emergency Room (ER)

Problem
According to The Henry J. Kaiser Family Foundation, 461 of every 1,000 Michigan residents visited an ER in 2010, roughly 11 percent above the national average. Hospitals in Michigan and across the country are also experiencing overcrowding and longer patient stays due to healthcare professional shortages, an aging population, and an increase in uninsured and underinsured residents.

What We Are Doing
Last fall, MHA Keystone: ER teams partnered with MHA Keystone: CAUTI teams to implement the CAUTI insertion bundle, focusing on appropriate placement and proper catheter insertion technique, to reduce the risk of developing a CAUTI in the ER. Data collection concluded in April and the data are being aggregated to determine results. MHA Keystone: ER teams are also active with the MHA Keystone: Sepsis collaborative and are working in partnership with MHA Keystone: ICU teams to quickly identify and treat patients who arrive to the emergency department in severe sepsis or septic shock.

Results
From second quarter 2010 to first quarter 2013, participating hospitals decreased the rate of patients who left without being seen by 35 percent.

Emergency Room Stat Chart

Staff Contact
Michelle Norcross

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Aug. 5 and 6, 2014
Engaging Employees to Combat Burnout, Improve Quality and Build Leadership
Chief nurse and medical officers and clinical teams across the healthcare continuum are encouraged to attend the special retreat Engaging Employees to Combat Burnout, Improve Quality and Build Leadership to learn about real-time strategies for combating burnout, depression and unhealthy behaviors while engaging instincts to better develop coping mechanisms, innovation and leadership. Other discussion topics include the impact of stress and fatigue on quality and safety; the effects of traumatic events and medical errors and the stages of recovery; structuring the work environment to learn from defects and support predictability; and dealing with difficult colleagues. The retreat, scheduled for Aug. 5 and 6 at Royal Park Hotel, Rochester, will be led by J. Bryan Sexton, PhD, director of the Patient Safety Center for the Duke University Health System, Durham, NC. Registration is available online. For more information, contact Janice Jones.
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Noteworthy
  • Annual Symposium

    Annual Symposium

    The MHA Patient Safety & Quality Symposium offers an opportunity to explore innovative patient safety techniques and dialogue with others about how to enhance patient safety across the continuum. Learn new strategies and ideas from faculty who are game-changes in the healthcare and business world.

  • Patient and Family Engagement

    Patient and Family Engagement

    Michigan hospitals and the MHA Keystone Center are committed to including patients and families in improving care and focusing improvement efforts with a patient-centric approach. To that end, the MHA Keystone Center is a proud Pinwheel Sponsor of the Institute for Patient- and Family-Centered Care.

  • MHA Keystone HEN

    The MHA Keystone Center HEN works with hospitals to identify, share and implement best practices aimed at reducing the number of adverse drug events, catheter-associated urinary tract infections, central-line-associated bloodstream infections, injuries from falls and immobility, obstetrical adverse events, pressure ulcers, surgical-site infections, venous thromboembolisms, ventilator-associated pneumonia and preventable readmissions.

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