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September 26, 2013

Successful Safety Strategies

One of the most successful efforts to improve quality and patient safety nationally was the Stop BSI national central line associated bloodstream infection (CLABSI) reduction campaign. Within a few years, a complication previously thought to be unpreventable saw dramatic improvement. How could this success be replicated? This was the subject of a recent Health Affairs article written by Peter Pronovost, who shares 8 necessary components of successful interventions:

  1. The program must be "sufficiently ripe" with interventions supported by robust evidence
  2. A national team must have sufficient infrastructure and a clear chain of accountability
  3. Standard measurements
  4. Local clinicians should be encouraged to modify the intervention to fit their culture and needs. When interventions are imposed on a team, rather than developed with a team, interventions are resisted.

Continued

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