US-Kliniken starten neue Qualitätsoffensive
In den USA startet derzeit das Institute for Healthcare Improvement (IHI) eine neue Qualitätsoffensive in Kliniken. Nach dem 100 000 Lives Programm hat die amerikanische Gesundheitsindustrie den Bedarf an einem umfassenden Risikomanagment im amerikanischen Gesundheitssystem aufgedeckt. Damals standen 6 Ziele zur Aufgabe, diese hat man nun erweitert und sich zur Aufgabe gemacht 5 000 000 Fehlbehandlungen in Pflege und Medizin zu vermeiden. Darin sind z. B. enthalten Prozess- und Therapiemanagment in interdisziplinären Teams und in Zusammenarbeit mit der Verwaltung.
following interventions – six of which were included in the 100,000 Lives Campaign and six of which are
new:
New interventions targeted at harm
· Prevent Methicillin-Resistant Staphylococcus aureus (MRSA) infection...by reliably implementing scientifically proven infection control practices throughout the hospital.
· Reduce harm from high-alert medications...starting with a focus on anticoagulants, sedatives, narcotics, and insulin.
· Reduce surgical complications...by reliably implementing the changes in care recommended by the Surgical Care Improvement Project (SCIP).
· Prevent pressure ulcers...by reliably using science-based guidelines for prevention of this serious and common complication.
· Deliver reliable, evidence-based care for congestive heart failure…to reduce readmissions.
· Get boards on board…by defining and spreading new and leveraged processes for hospital boards of directors, so they can become far more effective in accelerating the improvement of care.
The six interventions from the 100,000 Lives Campaign
· Deploy Rapid Response Teams… at the first sign of patient decline – and before a catastrophic cardiac or respiratory event.
· Deliver reliable, evidence-based care for acute myocardial infarction…to prevent deaths from heart attack.
· Prevent adverse drug events…by reconciling patient medications at every transition point in care.
· Prevent central line infections…by implementing a series of interdependent, scientifically grounded steps.
· Prevent surgical site infections…by following a series of steps, including reliable, timely administration of correct perioperative antibiotics.
· Prevent ventilator-associated pneumonia…by implementing a series of interdependent, scientifically grounded steps.
There is no cost for hospitals to join the 5 Million Lives Campaign though there is an obligation to adopt at least one intervention and an expectation of regularly reporting hospital profile and mortality data throughout the Campaign.
Quelle: ihi.org
Gruß der Randbayer
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