Conway, a practicing pediatric hospitalist, stressed that hospital networks to prevent harm solve problems for everyone. "A few months ago during post-op monitoring, we had a near miss event in the hospital that actually is now going to allow us to update a clinical standard to point to a best practice in post-op monitoring of patients."
He also says that during his time as a medical resident, a neonate died from a central line infection acquired in the neonatal intensive care unit. "The thinking at that time [was], and the attending said this to the family: 'You know, these things aren't preventable.' We now know they are preventable, and we're preventing them at a national level."
Melinda Davis, chief nursing officer for 84-bed Eastern Oklahoma Medical Center, a rural hospital, said that her hospital chose certain types of harm for focus, and managed to reduce VTEs, ventilator-associated pneumonias, CAUTIs, CLABSIs, and surgical site infections to zero.
It also achieved a 40% reduction in adverse drug events, pressure ulcers, early elective deliveries and falls.
Gary Kaatz, president and CEO of Rockford Health System, which includes 396-bed Rockford Memorial Hospital, said his organization has reduced by more than 40% eight types of adverse events, in part by gaining buy-in from the board.