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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.
Background:
The Maryland Patient Safety Center (MPSC) a collaboration of the Maryland Hospital Association and Delmarva Foundation for Medical Care, Inc., was designated by the State of Maryland in June 2004. A voluntary, nonregulatory initiative, the MPSC complements the state's regulatory efforts in mandatory reporting and support for performance improvement.
Programs:
The MPSC's mission is to bring health care providers together to understand causes of unsafe practices and to put practical, evidence-based improvements in place. Using a multifaceted approach, the MPSC implements its mission through education and training, safety culture collaboratives, adverse-event and near-miss reporting, research, and special projects. Participation in these initiatives is provided at no cost to Maryland providers. Early results show that health care leaders and front-line workers are embracing the MPSC's vision to make Maryland's health care the safest in the nation. More than 2,500 health care providers have participated in the MPSC's programs in its 15 months. Eighty percent of the state's hospitals are taking part in the intensive care unit (ICU) Safety Culture Collaborative, which has already yielded a 36% decrease in catheter-related blood stream infections and a 20% decrease in ventilator-associated pneumonia.
A Model For Other States:
The MPSC's approach can serve as a model for other states to emulate.
Insights
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.
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