The Patient Safety Movement Foundation (PSMF) is very proud to announce that Parrish Medical Center in Titusville, Florida, has become the first hospital to make formal commitments that align with all 12 Actionable Patient Safety Solutions (APSS) toward eliminating preventable patient deaths by 2020 (0X2020). Earlier this year, Parrish Medical Center made nine commitments through which 85 lives will be saved. Parrish was named one of the winners of PSMF’s annual competition to win a private fishing trip with former President Jimmy Carter and First Lady Rosalynn Carter for their estimated projection of “lives saved.”
In October, Parrish Medical Center’s Controller, Michael Sitowitz, joined President and First Lady Carter on a private fishing trip in the North Georgia Mountains. They were joined by four other individuals who have contributed significantly to the Foundation’s expansion, both domestically and internationally: Dr. Yisrael Safeek of the SafeCare Group; Dr. Robert Kamei and Dr. Michelle Thai, the Foundation’s Regional Network Co-Chairs in Asia; and Dr. Javier Davila, the Regional Network Chair in Mexico. Parrish Medical Center will announce their commitments at the 5th Annual World Patient Safety, Science & Technology Summit, February 3–4, 2017, at Laguna Cliffs Marriott Resort and Spa in Dana Point, California.
Since its inception, the Patient Safety Movement Foundation has worked with medical safety experts from around the world to develop a series of simple and easy to follow processes to some of the most common patient safety challenges that hospitals face today. These processes, called Actionable Patient Safety Solutions (APSS), can be adapted to almost any clinical setting, anywhere in the world. There are currently 12 patient safety challenges, and Parrish Medical Center has made a total of 16 commitments that align with all 12 APSS categories, resulting in 142 total lives saved so far in 2016.
“As a responsible medical provider on Florida’s east coast, Parrish Medical Center has always put patient care and safety first,” said Edwin Loftin, Vice President of Acute Care/CNO at Parrish Medical Center. “We are honored to be a part of such a vital movement. The APSS make it easy for medical professionals, in any setting, to follow step-by-step, evidence-based and cost-saving procedures that will spare thousands of families the tragic, yet preventable loss of a loved one.”
“I remember President Carter asking me why we hadn’t committed to all 12 APSS,”said Michael Sitowitz, Controller at Parrish Medical Center. “I paused and thought, ‘That’s a good question.’ Once we got back from our trip, we went to work on completing the remaining three commitments. It was an honor to meet the former President and First Lady and it was a once-in-a-lifetime experience and we left recharged to do even more.”
“We are impressed to see Parrish make a commitment for every one of our APSS. They are leading the way as an excellent example of an organization that is committed to putting patient safety first,” said Joe Kiani, Founder of the Patient Safety Movement Foundation. “We are proud of the 1,624 hospitals that have made a formal commitment to reach zero preventable deaths by the year 2020. I respectfully challenge every hospital to incorporate all 12 APSS in the upcoming year—it is imperative if we are to reach our goal of zero preventable deaths by 2020. Unlike over 200,000 families, that have lost loved ones due to a medical error last year, the lives saved by these commitments allow someone’s mother, father, child or loved one to be a part of their lives.”
“We are extremely grateful to former President Carter and First Lady Rosalynn for once again offering this once-in-a-lifetime opportunity to celebrate the winners and lives they will save,” continued Kiani. “Through their leadership, the Carter Center has helped to improve the quality of life for people in more than 80 countries. When they started, Guinea Worm Disease afflicted an estimated 3.5 million people a year in 21 countries in Africa and Asia. Today, they have taken this number down to 22 cases. We had some deep discussions on how we can expedite our efforts to help eliminate the 3 million preventable patient deaths in the developed world and 17,000,000 preventable deaths in the developing world.”
Mr. Kiani concluded, “We hope to be announcing soon the next fishing trip with President Carter and First Lady Rosalynn; so please go save our neighbors, friends, and loved ones from preventable deaths and enter into our next Fishing Trip competition. Stay tuned…”
For a list of commitments, please visit https://psmf.org/commitments-list/.
The 12 APSS and Parrish’s commitment(s) for each one are as follows:
1. Creating a Culture of Safety
Parrish commits to a Culture of Safety surrounding resuscitation optimization, in which they will implement a system of all call rapid response to promote patient and family involvement in calling rapid response as well as any staff member.
2. Healthcare-associated Infections
Parrish commits to:
- Maintaining zero Indwelling Catheter Associated Urinary Tract Infections
- Achieve zero level hospital onset LAB ID event for MRSA bloodstream infection and Clostridium difficile infection
- Maintain zero Central Line Associated Bloodstream Infection events (CLABSI)
- Maintain zero Ventilator Associated Event with Infection (VAE) events
- Achieve zero deep Surgical Site Infection events for colon and hysterectomy procedures.
3. Medication Errors
Parrish commits to antimicrobial stewardship to achieve optimal clinical outcomes related to antimicrobial use.
4. Monitoring for Opioid-Induced Respiratory Depression
Parrish commits to monitoring for opioid induced respiratory depression & deploying systems, assessment, intervention, electronic medical record (EMR), and equipment.
5. Anemia and Transfusion
Parrish commits to using evidence-based information to drive changes that minimize the use of allogeneic blood while maximizing patient outcomes.
6. Hand-off Communications
Parrish commits to distribute “Baby Boxes” to families post-delivery to decrease the incidence of co-bedding and sudden infant death syndrome (SIDS) through education and emphasis on SAFE SLEEP practices.
7. Suboptimal Neonatal Oxygen Targeting
Parrish commits to utilize evidenced based best practice initiatives to improve patient outcomes and protocols for optimal oxygenation in newborns. Policies and protocols will continuously be updated and reviewed to reflect the monitoring of all resuscitations and oxygen administration in both term and pre-term newborns.
8. Failure to Detect Critical Congenital Heart Disease (CCHD)
Parrish commitment: Critical Congenital Heart Disease Screening in Newborns
9. Airway Safety
Parrish commits to develop and deploy a comprehensive, team-based pathway and implement EBP to prevent delayed, missed, or lost airways.
10. Early Detection of Sepsis
Parrish commits to adopt key initiatives for early detection of sepsis, reduction in variation of care for this patient population, improved compliance with the Early Management Bundle, and severe Sepsis/Septic Shock.
11. Optimal Resuscitation
Parrish commits to deploy a system that supports early recognition of subtle changes in patient condition which allows for early intervention.
12. Optimizing Obstetric Safety
Parrish commits to optimize obstetric safety specifically in the care of pregnant women with Hypertensive disorders. The initiative will include a system of risk assessment, protocols, medication management and documentation.
Commitments that fall outside of current PSMF APSS categories include:
- Zero falls with injury for patients
- Maintain zero hospital-acquired stage III and IV pressure ulcers
Parrish Medical Center
Parrish Medical Center (PMC) is a public, nonprofit, acute care hospital in Titusville, Florida, within sight of the launch towers of Kennedy Space Center. PMC has been nationally recognized for clinical care quality, patient safety, low cost, and overall patient experience. It has committed to zero preventable patient deaths caused by indwelling Catheter Associated Urinary Tract Infection (CAUTI), Surgical Site Infection for colon resection and total abdominal hysterectomy procedures, methicillin-resistant staphylococcus aureus (MRSA), Clostridum difficile infection (CDI), and Sepsis, among many other potential causes.