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A comprehensive grassroots model for statewide safety improvement
Maulik Joshi1, Vahé Kazandjian, Paul Martin
1Delmarva Foundation for Medical Care Inc, Easton, Maryland, USA.
Joint Commission Journal on Quality and Patient Safety
|January 25, 2006
Summary
The Maryland Patient Safety Center (MPSC) initiative reduced healthcare-associated infections by 36% in ICUs. This voluntary program fosters collaboration among providers to improve patient safety across Maryland.
Area of Science:
- Healthcare Improvement
- Patient Safety Research
- Public Health Initiatives
Background:
- Established in June 2004, the Maryland Patient Safety Center (MPSC) is a collaborative, voluntary initiative.
- It complements state regulatory efforts by focusing on performance improvement in healthcare.
- The MPSC aims to reduce unsafe practices through provider collaboration.
Purpose of the Study:
- To understand the causes of unsafe healthcare practices.
- To implement practical, evidence-based improvements in patient care.
- To enhance healthcare safety across Maryland.
Main Methods:
- Multifaceted approach including education, training, and safety culture collaboratives.
- Utilizing adverse-event and near-miss reporting systems.
- Engaging healthcare providers through voluntary, no-cost programs.
Main Results:
- Over 2,500 healthcare providers participated within 15 months.
- 80% of Maryland hospitals joined the ICU Safety Culture Collaborative.
- Achieved a 36% reduction in catheter-related bloodstream infections and a 20% decrease in ventilator-associated pneumonia.
Conclusions:
- The MPSC's vision is embraced by healthcare leaders and front-line workers.
- Significant reductions in key healthcare-associated infections demonstrate program effectiveness.
- The MPSC model offers a scalable approach for other states to improve patient safety.