Task Force Submitters LFG Analysis

1. Task Force Submitters LFG Analysis Children’s Hospitals Taskforce October 2007

2. Objective • Provide Snapshot of Children’s Hospital vs. National Results • Identify Gaps and Obtain Feedback • Provide Context for Adoption Simulator Submission

3. Summary of Findings • 10 Organizations Submitted to the TMIT Survey • Average 721 Points out of 1,000 • National Average is 706 • Range 918 – 492 Points

4. Distribution of Sample n Survey Score

5. Summary of Findings • Strengths: • “As” Action (“Strongest” of the 4 As) • Safe Practices (Above National Average) • SP# 1.1 – Culture of Safety (+11%) • SP# 2 – Informed Consent (+12%) • SP# 4 – Disclosure (+17%) • SP# 17 – Perioperative Myocardial Ischemia Prevention (+11%) • SP# 20 – BSI (+16%) • SP# 22 – Hand Hygiene (+13%) • SP# 25 – Wrong-Site (+17%)

6. Summary of Findings • Gaps were Identified: • “As” Accountability (Weakest of the 4 As) • Safe Practices (below National Average) • SP# 15 – Pharmacists’ Role (-6%) • SP# 19 – Risk of Aspiration (-8%) • SP# 26 – Perioperative Myocardial Ischemia Prevention (-36%) • SP# 28 – DVT/VTE Prevention (-31%) • SP# 29 – Anticoagulation Therapy (-17%)

7. Culture of Safety: Practice 1 Element 1 – 120 Points 100 90 80 73% 70 62% Nat’l. Avg. 62% 60 50 40 30 20 10 0 Children’s Hospitals National Average

8. Culture of Safety: Practice 1 Element 2 – 20 Points 100 90 80 68% 68% Nat’l. Avg. 67% 70 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

9. Culture of Safety: Practice 1 Element 3 – 40 Points 100 90 80 70 62% Natl. Avg. 58% 58% 58% Nat’l. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

10. Culture of Safety: Practice 1 Element 4 – 120 Points 100 90 80 74% 73% 73% Nat’l. Avg. 70 60 50 40 30 20 10 0 Children’s Hospitals National Average

11. Informed Consent: Practice 2 – 4 Points 100 90 80 70 62% Natl. Avg. 59% 60 47% 47% Nat’l. Avg. 50 40 30 20 10 0 Children’s Hospitals National Average

12. Life-Sustaining Treatment: Practice 3 – 4 Points 100 90 80 70 62% Natl. Avg. 58% 60 51% 51% Nat’l. Avg. 50 40 30 20 10 0 Children’s Hospitals National Average

13. Disclosure: Practice 4 – 25 Points 100 90 85% 80 68% 68% Nat’l. Avg. 70 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

14. Nursing Workforce: Practice 5 – 100 Points 100 90 78% 75% 78% Nat’l. Avg. 80 70 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

15. Direct Caregivers Workforce: Practice 6 – 20 Points 100 90 80 66% 70 63% 63% Nat’l. Avg. 62% Natl Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

16. Critical Care Information: Practice 8 – 84 Points 100 90 80 75% 69% 69% Nat’l. Avg. 70 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

17. Order Read-back: Practice 9 – 25 Points 100 90 80 73% 71% 73% Nat’l. Avg. 70 60 50 40 30 20 10 0 Children’s Hospitals National Average

18. Labeling Studies: Practice 10 – 15 Points 100 90 78% 80 70% 70% Nat’l. Avg. 70 60 50 40 30 20 10 0 Children’s Hospitals National Average

19. Discharge System: Practice 11 – 25 Points 100 90 80 75% 69% 69% Nat’l. Avg. 70 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

20. Abbreviations: Practice 13 – 11 Points 100 90 85% 82% 82% Nat’l. Avg. 80 70 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

21. Medication Reconciliation: Practice 14 – 35 Points 100 90 85% 83% 83% Nat’l. Avg. 80 70 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

22. Pharmacists’ Role: Practice 15 – 32 Points 100 90 81% 81% Nat’l. Avg. 80 74% 70 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

23. Standardized Medication Labeling & Packaging: Practice 16 – 20 Points 100 90 80 74% 71% 71% Nat’l. Avg. 70 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

24. High-Alert Medications: Practice 17 – 20 Points 100 90 84% 80 73% 73% Nat’l. Avg. 70 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

25. Unit-Dose Medications: Practice 18 – 25 Points 100 90 80 68% 68% Nat’l. Avg. 70 62% 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

26. Risk of Aspiration & VAP Prevention: Practice 19 – 20 Points 100 90 82% 82% Nat’l. Avg. 80 74% 70 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

27. Central Venous Catheter Blood Stream Infection Prevention: Practice 20 – 30 Points 100 95% 90 80% 80% Nat’l. Avg. 80 70 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

28. Surgical-Site Infection: Practice 21 – 30 Points 100 90 84% 84% Nat’l. Avg. 79% 80 70 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

29. Hand Hygiene: Practice 22 – 30 Points 100 94% 90 81% 81% Nat’l. Avg. 80 70 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

30. Influenza Protection: Practice 23 – 10 Points 100 90 82% 76% 80 76% Nat’l. Avg. 70 60 50 40 30 20 10 0 Children’s Hospitals National Average

31. Wrong-site Surgical Prevention: Practice 25 – 20 Points 100% 100 90 83% 83% Nat’l. Avg. 80 70 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average

32. Perioperative Myocardial Ischemia/Infarct Prevention: Practice 26 – 20 Points 100 90 80 70 62% Natl. Avg. 60 51% 51% Nat’l. Avg. 50 40 30 20 15% 10 0% 0 Children’s Hospitals National Average

33. Pressure Ulcer Prevention: Practice 27 – 25 Points 100 90 84% 77% 77% Nat’l. Avg. 80 70 60 50 40 30 20 10 0 Children’s Hospitals National Average

34. DVT/VTE Prevention: Practice 28 – 25 Points 100 90 80 70 63% 63% Nat’l. Avg. 60 50 40 31% 30 20 10 0 Children’s Hospitals National Average

35. Anticoagulation Therapy: Practice 29 – 35 Points 100 90 80 70 62% Natl. Avg. 60 51% 51% Nat’l. Avg. 50 40 34% 30 20 10 0 Children’s Hospitals National Average

36. Contrast Media-induced Renal Failure: Practice 30 – 10 Points 100 90 80 70 65% 62% 62% Nat’l. Avg. 62% Natl. Avg. 60 50 40 30 20 10 0 Children’s Hospitals National Average