Adventist HealthCare Initiatives Win Patient Safety Awards
Gaithersburg, Md. — The Maryland Patient Safety Center has recognized Adventist HealthCare Shady Grove Medical Center and Adventist HealthCare Washington Adventist Hospital for their commitment to quality and safety practices in caring for patients. Each hospital has projects represented in the Top 20 submissions for the 2017 Patient Safety Innovation awards, which the center gives to organizations that have shown a demonstrable difference in patient safety through innovative solutions.
“These awards reflect Adventist HealthCare’s commitment to quality performance and delivering superior clinical outcomes for our patients,” said Susan Glover, senior vice president and chief quality officer for Adventist HealthCare. “We will continue to look for innovative ways to advance patient safety and develop best practices that will help our staff address the needs of patients and their families.”
Adventist HealthCare projects that won these high honors include:
- “Reducing the Incidence of Chronic Lung Disease”
Distinguished Achievement Award
Chronic Lung Disease (CLD) is a serious disorder in preterm infants. The diagnosis of CLD is associated with significant death and a number of other diseases. The Neonatal Intensive Care Unit (NICU) at Adventist HealthCare Shady Grove Medical Center sought to decrease the rate of chronic lung disease using evidence-based methodology on preterm infants experiencing respiratory distress. Since initiating this innovative approach, Shady Grove’s NICU has been able to reduce the incidence of CLD by 47 percent.
- “Getting to Zero: A Team-Based, Evidence-Based Approach to the Reduction of Necrotizing Enterocolitis”
Circle of Honor
Necrotizing Enterocolitis (NEC) is a devastating, often fatal disease that occurs in premature newborns. The NICU at Shady Grove Medical Center wanted to eliminate incidence of the disease on the unit through the creation of a NEC prevention package, which included avoidance of antacids, prolonged courses of antibiotics and the early initiation of breast milk feedings. As a result of these measures, over the last five years, the team successfully reduced the incidence of NEC in the Shady Grove NICU from 9 percent in 2010 to zero in 2015 and 2016.
- “Antibiotic Use – Getting it Right”
Circle of Honor
Several years ago, the Adventist HealthCare Antimicrobial Stewardship team began to implement several evidence-based strategies and technologies to prevent the inappropriate use of antibiotics, including an alert system that requires providers to review each antibiotic 48 hours after the initial order.
In 2014, the team started collecting data to monitor Days of Antibiotic Therapy (DOT), Defined Daily Dose (DDD) of antibiotics, and the percent of 48-hour review of antibiotic appropriateness after initial order. Over one year, DOT declined 12 percent and DDD declined 19 percent at Shady Grove Medical Center, indicating an improvement in antibiotic use.
- “Cardiac Biomarker Serial Strategy”
Cardiac biomarkers are used in the diagnosis of patients with chest pain and suspected acute coronary syndrome. Adventist HealthCare Washington Adventist Hospital focused on compliance to its cardiac biomarkers strategy throughout 2016.
The Washington Adventist team performed an exhaustive review of its care of chest-pain patients. The team then implemented and revised power-plan evaluations, which are electronic orders that outline a patient’s care plan based on his or her symptoms, to reflect current, evidence-based guidelines. Through these revisions, the team has been able to meet its target of compliance since August 2016.
The Maryland Patient Safety Center will present these awards at its 13th Annual Maryland Patient Safety Conference today in Baltimore.
About Adventist HealthCare
Based in Gaithersburg, Adventist HealthCare is the first and largest health-care provider in Montgomery County, Md., and one of the largest employers in the state of Maryland. It includes Shady Grove Medical Center, Washington Adventist Hospital, Behavioral Health & Wellness Services, Rehabilitation, Home Care Services, Adventist Medical Group, Imaging and Urgent Care.