Patient Safety Awareness Week 2018 Patient Safety Focus: XX unit/dept Safety Focus What is the Safety Focus your unit/department over the past year Strategies Outline or highlight steps taken or solutions (strategies, interventions ) to address the identified Safety Focus in your unit/department Summary Summarize (e.g. Lessons learned, Facilitators & Barriers identified, Outcomes, Acknowledgments to Teams/Members) Patient Safety Awareness Week 2018 March 12 – 16

Patient Safety Awareness Week 2018 Draft EXAMPLE Patient Safety Focus: 9/13ICU Safety Focus Optimizing safe intrahospital transport of ICU patients Strategies Created interdisciplinary action council (CUSP) Surveyed critical care RNs and RTs regarding transport of ICU patients Identified barriers to provision of care when patient unstable or with care needs not available during off unit transport Identified potential solutions to address safety concerns and patient care needs Developed a reference with essential care and safety information about all potential diagnostic and therapeutic transport destinations (e.g. location of code cart, access to medications, supplies, etc) Developed a “Pre-transport screening checklist” to assess patient suitability for safe transport Implemented use of a transport supply caddy & medication lock box Summary Overall, staff feel intrahospital transport is safe, yet they are not confident about the emergency response and access to supplies, equipment, medications and teams when a patient’s condition declines. The new strategies identified by frontline clinicians in collaboration with procedural/diagnostic areas address concerns and increase confidence for safety during transport. Thank You: A Lencioni RN, D Barchas RN, D Shimabukuro MD, C Fong RN, M Aldrich MD, J Ketchum RRT and 9/13ICU CUSP Team Patient Safety Awareness Week 2018 March 12 – 16

Ambulatory Clinical Services Patient Safety Awareness Week 2018 AMBULATORY EXAMPLE DRAFT Patient Safety Focus: Ambulatory Clinical Services Safety Focus Preventing the transmission of pathogens through the effective cleaning of soiled instruments, endoscopes, and endocavity probes in the Ambulatory setting. Strategies Created a team to: Identify the most effective process for cleaning soiled instruments, endoscopes, and endocavity probes; and Identify the most efficient way to implement this process across a wide spectrum of clinics with varied workflows. Developed the training and competencies for handling and transporting soiled instruments, endoscopes, and endocavity probes. Provided retraining and appropriate resources for proper handling and transport of soiled instruments, endoscopes, and endocavity probes (e.g. transport bins, pre-cleaning solutions, biohazard stickers, and step by step procedure for transporting soiled instruments from point of use to soiled utility room) for all clinics using instruments. Increased frequency of clinic self-evaluations by the clinic staff, and frequency of walkthrough evaluations by the Ambulatory Clinical Services team. Summary A huge thank you to all of the clinical staff who worked in partnership with the Ambulatory Clinical Administration team on this project. Success with this project was evident in the recent Joint Commission visit. Out of the 53 clinics with instrument use, 44 clinics were visited and surveyed. All 44 clinics consistently demonstrated the protocol for handling and transporting soiled instruments, endoscopes, and endocavity probes. All were determined to be in compliance with regulatory requirements. A lesson learned was that one size does not fit all. It was more effective to provide the clinics with a basic foundation on the steps that need to be implemented, and have them individualize the workflow to what would work best in their clinic. Patient Safety Awareness Week 2018 March 12 – 16