{"id":1517,"date":"2015-02-10T10:50:31","date_gmt":"2015-02-10T14:50:31","guid":{"rendered":"https:\/\/news.med.virginia.edu\/kidsmatter\/?p=1517"},"modified":"2015-02-10T10:50:31","modified_gmt":"2015-02-10T14:50:31","slug":"january-quality-corner","status":"publish","type":"post","link":"https:\/\/news.med.virginia.edu\/kidsmatter\/january-quality-corner\/","title":{"rendered":"January Quality Corner"},"content":{"rendered":"<p><strong>Culture of Safety Survey<\/strong><\/p>\n<p>In December, the Medical Center took part in the Agency for Healthcare Quality &amp; Research (AHRQ) Hospital Survey on Patient Safety Culture. We are able to use this survey to compare the Culture of Safety here at UVA to other hospitals. We have previously taken part in this survey in 2008, 2010, and 2012. The survey is designed to measure twelve dimensions of culture pertaining to patient safety. These include:<\/p>\n<ul>\n<li>Communication openness<\/li>\n<li>Feedback and communication about error<\/li>\n<li>Frequency of events reported<\/li>\n<li>Handoffs and transitions<\/li>\n<li>Management support for patient safety<\/li>\n<li>Nonpunitive response to error<\/li>\n<li>Organizational learning \u2013 continuous improvement<\/li>\n<li>Overall perceptions of patient safety<\/li>\n<li>Staffing<\/li>\n<li>Supervisor\/manager expectations and actions promoting safety<\/li>\n<li>Teamwork across units<\/li>\n<li>Teamwork within units<\/li>\n<\/ul>\n<p>A total of 225 respondents identified themselves as working within the Children\u2019s Hospital or the Department of Pediatrics. Compared to the entire Medical Center, the Children\u2019s Hospital scored higher on every one of the above domains. There were significantly more favorable responses than the entire Medical Center on questions pertaining to teamwork across units, mistakes have led to positive changes, and evaluation of the effectiveness of changes made to improve patient safety. Compared to the survey administered in 2012, this year\u2019s survey results for the Children\u2019s Hospital showed considerable improvement in every one of the above domains as well except for the domain of handoffs and transitions. Another area the Children\u2019s Hospital needs to work on is the domain of nonpunitive response to error.<\/p>\n<p>Thank you all for participating. If you would like more information, please do not hesitate to contact me or your unit\/area manager or medical director. In addition, unit\/area specific culture results should be coming soon.<\/p>\n<p><strong>2015 Virginia Patient Safety Summit<\/strong><\/p>\n<p>Several members of the Children\u2019s Hospital attended the 2015 Virginia Patient Safety Summit in Richmond on January 29-30<sup>th<\/sup>. The Virginia Hospital &amp; Healthcare Association sponsors the annual summit. Two quality projects that were sponsored by the Children\u2019s Hospital were presented during the annual Poster Symposium.<\/p>\n<p>Mia Campbell, RN, and Tausha Grimm, BSN, RN presented the poster \u201cTo examine the integrity of a chlorhexidine impregnated gel central line dressing compared to a standard chlorhexidine impregnated disk and central line dressing\u201d which showed that a new type of central line dressing with chlorhexidine impregnated within it had the same integrity, made it easier to view the central line, and was cheaper than the previous standard dressing. This dressing is now being made the standard dressing for central lines across the hospital.<\/p>\n<p>Gigi Gentry, RN, and Tamara Wheeler, RRT, presented \u201cDecreasing unplanned extubations in a neonatal intensive care unit.\u201d This multidisciplinary group worked together to decrease unplanned extubations from a peak of more than 11 per 1,000 ventilator days to nearly 2 per 1,000 ventilator days.<\/p>\n<p>In addition, Tracey Hoke, MD, MSc presented as part of a panel during the break out session on \u201cThe Medical Record: Patient and Provider Partners for Safety.\u201d Brooke Vergales, MD, Jonathan Swanson, MD, MSc, and former Neonatology fellow Andrew Bowe, DO, MSc were recognized as a Virginia Quality Scholar after participating in the Institute for Health Care Improvement (IHI)\u2019s Open School Virginia Chapter\u2019s year-long program.<\/p>\n<p><a href=\"https:\/\/news.med.virginia.edu\/kidsmatter\/files\/2015\/02\/1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-1527\" src=\"https:\/\/news.med.virginia.edu\/kidsmatter\/files\/2015\/02\/1-300x225.jpg\" alt=\"1\" width=\"300\" height=\"225\" srcset=\"https:\/\/news.med.virginia.edu\/kidsmatter\/files\/2015\/02\/1-300x225.jpg 300w, https:\/\/news.med.virginia.edu\/kidsmatter\/files\/2015\/02\/1-1024x768.jpg 1024w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><strong><br \/>\nChlorhexadine Gel Dressing<br \/>\n<\/strong><em>Pictured: Mia Campbell and Tausha Grimm; Authors Not Pictured: Marnie Painter, Holly Nicholson, Becky Berry, Jen Glass, David Strider, Lauren Walker, Virginia Syptak, Jacqueline Keller, Mark Conway, Lisa Letzkus, and Beth Quatara.<\/em><\/p>\n<p><a href=\"https:\/\/news.med.virginia.edu\/kidsmatter\/files\/2015\/02\/2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-1528\" src=\"https:\/\/news.med.virginia.edu\/kidsmatter\/files\/2015\/02\/2-300x225.jpg\" alt=\"2\" width=\"300\" height=\"225\" srcset=\"https:\/\/news.med.virginia.edu\/kidsmatter\/files\/2015\/02\/2-300x225.jpg 300w, https:\/\/news.med.virginia.edu\/kidsmatter\/files\/2015\/02\/2-1024x768.jpg 1024w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><strong><br \/>\nUnplanned Extubations in the NICU<br \/>\n<\/strong><em>Pictured: Janine Smith, Tamara Wheeler, Gigi Gentry, Jonathan Swanson, Evie Nicholson; Authors Not Pictured: Andrew Bowe, Janet Glass, Tim Hicks, Deb Owens.<\/em><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Culture of Safety Survey In December, the Medical Center took part in the Agency for Healthcare Quality &amp; Research (AHRQ) Hospital Survey on Patient Safety Culture. We are able to use this survey to compare the Culture of Safety here at UVA to other hospitals. We have previously taken part in this survey in 2008, [&hellip;]<\/p>\n","protected":false},"author":338,"featured_media":1401,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[6],"tags":[18],"class_list":["post-1517","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-features","tag-jrs3yc"],"acf":false,"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>January Quality Corner - Monthly Matters<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/news.med.virginia.edu\/kidsmatter\/january-quality-corner\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"January Quality Corner - Monthly Matters\" \/>\n<meta property=\"og:description\" content=\"Culture of Safety Survey In December, the Medical Center took part in the Agency for Healthcare Quality &amp; Research (AHRQ) Hospital Survey on Patient Safety Culture. 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