Patient Safety Science & Technology Summit 2014

1. Patient Safety Science & Technology Summit2014

2. Erin DuPree, MD • Chief Medical Officer and Vice President, The Joint Commission Center for Transforming Healthcare

3. Healthcare Associated Infections • Healthcare associated infections (HAI) are infections occurring after exposure to healthcare, often, but not always, as a consequence of this exposure. • Includes • hospital-acquired (nosocomial) • nursing home-acquired • long-term care-associated • outpatient care-associated (e. g. dialysis, chemotherapy) • home care-associated infections

4. In the United States: 1 in 20 patients 1.7 million HAIs 99,000 deaths Economic impact: $9.8 billion annually HAIs occur in all types of facilities HAI Global Burden • Developing Countries: • Limited data from low income countries • Estimated prevalence: at least three times greater than United States Klevens et al Public Health Reports 2007 Allegranzi et al Lancet 2011 Zimlichman E, et al. JAMA Intern Med

5. Adherence to infection control guidelines is incomplete • Many HAIs are preventable with current recommendations • Failure to use proven interventions is unacceptable • Only 30%-38% of U.S. hospitals are in full compliance • Healthcare worker hand hygiene compliance hovers at just 40%

6. Culture Change “Many infections are inevitable; some might be preventable” “Each infection is potentially preventable,unless proven otherwise”

7. M. Michael Shabot, MD, FACS, FCCM, FACMI Alicia Cole Robin Betts, MBA-HM, RN Thomas M. Priselac Sharon Rossmark, MBA System Chief Medical Officer, Memorial Hermann Healthcare System, Houston Texas Patient Safety Expert Assistant Vice President, Quality & Patient Safety, Intermountain Healthcare President & CEO, Cedars-Sinai Health System Vice-Chair, Sinai Health System HAIs Panel

8. Patient Safety Science & Technology Summit2014