/ en Wed, 30 Apr 2025 02:40:27 -0500 Mon, 21 Apr 25 08:18:45 -0500 /advancing-health-podcast/2025-04-21-quality-101-how-university-utah-health-strengthens-board-culture-better-patient-outcomes <p>Developing a strong board culture of quality and safety is a heavy but necessary lift for any health system. In this conversation, University of Utah Health's Kencee Graves, M.D., hospitalist and palliative medicine physician, and David Colling, vice chair, Community Board of Directors, discuss how a “Quality 101” approach helped bridge knowledge gaps between clinicians and board members, and why making this transformation interactive leads to stronger strategic alignment and better patient outcomes.</p><hr><div></div><div class="raw-html-embed"><details class="transcript"> <summary> <h2 title="Click here to open/close the transcript."> <span>View Transcript</span><br> </h2> </summary> <p> 00:00:01:01 - 00:00:30:06<br> Tom Haederle<br> Welcome to Advancing Health. Quality and patient safety are the twin engines driving the mission of every hospital and health system, and both clinicians and board members have an important role to play in achieving these goals. Coming up in today's podcast, we hear from two experts from University of Utah Health about some of the best ways to help board members understand the critical role they play in making sure that quality and safety are always foremost in the patient experience. </p> <p> 00:00:30:09 - 00:00:53:15<br> Nikhil Baviskar<br> Hi, I'm Nikhil Baviskar program manager, trustee services here at the ���������� Association. Today I'll be discussing the critical role the board plays in quality and safety. With me are Dr. Kencee Graves, who is the interim chief medical quality officer at University of Utah Health and is an associate professor of internal medicine, where she practices as a hospitalist and palliative medicine physician. </p> <p> 00:00:53:18 - 00:01:16:24<br> Nikhil Baviskar<br> Also with us today is David Calling, who has served on the University of Utah Hospitals and Clinics Board since 2016 and is currently vice chair and co-chair of the board Quality and Safety Committee. Dr. Graves, I'd like to start with you. You recently presented to the board at University of Utah Health on quality and patient safety, an extremely important topic now and always for board members. </p> <p> 00:01:16:29 - 00:01:19:18<br> Nikhil Baviskar<br> Can you give us an outline of that presentation? </p> <p> 00:01:19:20 - 00:01:51:22<br> Kencee K. Graves, M.D.<br> Thanks for having us. And I think this is a really important topic. So when I gave this presentation to our board, I was new in this role. And what I learned was people around me, our board, our staff, people did not really understand the nuts and bolts of quality and the details. And so one of the things I offered to do was a quality 101 session. And my intent in doing that was to make sure that the group I would be working with and I were starting on the same page, so we both knew kind of what was going on in the landscape of quality. </p> <p> 00:01:51:25 - 00:02:10:18<br> Kencee K. Graves, M.D.<br> So the content of my presentation really came from the questions I was being asked in my first few months in this role. And that is, what is quality? What is safety? How they are different. So what sets those apart? What are these ranking systems all about? Why do we do that? What are accreditation bodies, why do we do that? </p> <p> 00:02:10:20 - 00:02:22:05<br> Kencee K. Graves, M.D.<br> And then, what is a quality structure? So what are you responsible [for]? Who works for you, that kind of stuff. And so really that's what my outline was, was just the basics, what I consider the basics in quality. </p> <p> 00:02:22:07 - 00:02:38:29<br> Nikhil Baviskar<br> I think it's great that you, you did something where everyone starts at a level playing field. That sounds like a really wonderful way. I know that not everyone has the opportunity to do so, but definitely a good way to get everyone on the same page. Can you give us the response that you received from the board members to that presentation? </p> <p> 00:02:39:01 - 00:02:57:20<br> Kencee K. Graves, M.D.<br> Yeah, I do want to call out - when I started, I actually had really good support from our board members. And they told me that this is something that they wanted. And so I felt like I had an open invitation because Dave and our CEO said, hey, we really think people could use something like this. Would you be open for it? </p> <p> 00:02:57:20 - 00:03:15:20<br> Kencee K. Graves, M.D.<br> So they gave me the time. Many of them had been to the AHA and we used an AHA podcast by Jamie Orlikoff to kind of set the tone for that session. And so people went in with a really curious mindset. I actually did a Google survey after I gave the talk to make sure people learned and felt like it was valuable. </p> <p> 00:03:15:22 - 00:03:35:21<br> Kencee K. Graves, M.D.<br> The feedback I got were that people felt like they knew more about quality after this session than they did before. They loved hearing about what we did at the U. They really felt strongly about supporting quality and supporting our leadership and driving toward high quality care, and they wanted to know how they could be more involved. </p> <p> 00:03:35:23 - 00:03:44:27<br> Nikhil Baviskar<br> So, David, question for you as one of the University of Utah Health board members, what was your reaction to this presentation? </p> <p> 00:03:45:00 - 00:04:03:12<br> David Colling<br> Yeah, Nikhil, what I would say is a couple of things, a few things that Kencee mentioned. But also remember, community board members typically are not clinicians, they're not health care employees, so this is a bit of a foreign environment for them. And that's part of the point, right. To have community board members get, you know, to offer a different perspective. </p> <p> 00:04:03:14 - 00:04:22:09<br> David Colling<br> But what can happen is, as a board member, you can get pretty overwhelmed pretty quickly with whether it's the acronyms, the accreditation, you know, all the different things Kencee trained on can be pretty overwhelming for community board members. So, I thought it was excellent. And once again, I want to reiterate, it was really a 101. Kencee </p> <p> 00:04:22:09 - 00:04:40:02<br> David Colling<br> didn't take any for granted, whether it was an acronym or a word, something need to be defined. It was really quite effective in the way that she approached it. You know, the other thing I think is it helped us continue to elevate quality and safety, you know, as a really important topic for the board. Right? So this is not a sideline. </p> <p> 00:04:40:09 - 00:04:55:17<br> David Colling<br> This is a really, really important really the driving force behind the board. You know, maybe besides finance and some other things, you know, a really important piece of piece of the work that we do. So I think there's a couple of things, that I reacted to. And frankly, I've been a board member for, as you mentioned, almost ten years. </p> <p> 00:04:55:19 - 00:05:03:13<br> David Colling<br> And I learned a lot. So what does that tell you? Right. So I think it's good for existing board members and new board members. </p> <p> 00:05:03:16 - 00:05:14:01<br> Kencee K. Graves, M.D.<br> I think it was a really important launching point for the CMS structural measure that requires patient safety to be part of board meetings. That would have been difficult if we had not done already the Quality 101 session. </p> <p> 00:05:14:03 - 00:05:35:29<br> Nikhil Baviskar<br> Thank you for mentioning that. What you're referring to as quapi, we're seeing a lot of folks, other boards that are realizing this is something that has to be integral to the planning process and the strategic planning process. David, I wanted to ask you, a follow up on that. So as the co-chair of the Board Quality and Safety Committee, you said you learned a lot. </p> <p> 00:05:36:01 - 00:05:46:01<br> Nikhil Baviskar<br> Do you do you feel like Kencee's presentation sort of set maybe an agenda or help you and your other co-chair plan going forward? </p> <p> 00:05:46:04 - 00:06:02:13<br> David Colling<br> Yeah. I mean, again, it gave such a good foundation, and I liked what Kencee said about us all being on the same page. So I do, I think it's set an excellent foundation for the committee moving forward. Got us all kind of in the same spot, whether you'd been there for ten years like myself or whether you're a brand new community board member. </p> <p> 00:06:02:15 - 00:06:19:22<br> David Colling<br> You know, the other thing I thought it was nice to, you know, we had it wasn't just board members. It was the clinical and health care staff there as well. I think it's important for them to listen to the dialog, understand that should help them understand kind of that knowledge gap, whether it's quality and safety or whether it's other, you know, board activities. </p> <p> 00:06:19:22 - 00:06:32:15<br> David Colling<br> You know, the community board members do need to be constantly reminded of definitions and things that come naturally to clinicians and health care workers, that that we need to continue to, to bridge that knowledge gap. So, yeah, absolutely. </p> <p> 00:06:32:17 - 00:06:43:01<br> Nikhil Baviskar<br> So as you know, this podcast will be listened to, by other board members. David, can you give some nuggets of wisdom or some advice to other board members that may be listening? </p> <p> 00:06:43:04 - 00:07:04:06<br> David Colling<br> Yeah for sure. So again, going to reiterate 101 basics. You know, don't take anything for granted. Don't make any assumptions. Assume that you're starting with everyone that knows very little about, you know, not necessary quality and safety, but certainly quality and safety in the context of the health care environment. I'd highly recommend making it interactive, almost a Q&A ongoing, right? </p> <p> 00:07:04:06 - 00:07:23:12<br> David Colling<br> So in other words, and I think we did that, you know, we never have enough time in our board activities. We probably could even have allotted more time. But as opposed to a report out on a presentation with Q&A at the end, and we did some of this, I would argue we could have even done more with this kind of back and forth discussion with the community board members asking further questions. </p> <p> 00:07:23:16 - 00:07:41:15<br> David Colling<br> Kencee being able to elaborate a little bit more, potentially even the health care folks and clinicians in the room adding a little bit of color. And we did some of that but I would encourage that. And once again, I would make sure that you include all certainly all community board members, regardless of tenure. You know, there might be the occasional one that feels like they know it. </p> <p> 00:07:41:15 - 00:08:01:11<br> David Colling<br> I'd be amazed if, if a community board member, no matter how long you've been serving didn't learn something from the presentation. And once again, I would say the entire board should be included, that dialog is healthy and I think creates good understanding amongst all parties. And you know, Kencee, you mentioned the podcast that that we kind of did a pre-work. </p> <p> 00:08:01:12 - 00:08:20:28<br> David Colling<br> You know, we asked everybody to listen to Jamie's podcast, and I want to say that was about a 30 minute give or take podcast, excellent foundation to reinforce the importance of quality and safety, right? So before we go into the 101 and the teaching piece, get everybody on the same page of the importance of it and the role it plays with the board. </p> <p> 00:08:20:28 - 00:08:29:10<br> David Colling<br> So I thought that was excellent. You know, I'll call it pre-work and everyone should kind of be required to listen to that I think prior to the actual presentation itself. </p> <p> 00:08:29:12 - 00:08:46:16<br> Kencee K. Graves, M.D.<br> I'm really glad you called out some of the interactive stuff and the keep it fun. I don't know if there's any chief quality officers listening, I do think that's an important piece. And so a couple things that I did that I thought worked really, really well. Survey questions after sections of my presentation. So I would talk about patient safety. </p> <p> 00:08:46:16 - 00:09:04:11<br> Kencee K. Graves, M.D.<br> And then I would ask people what it is. And then I would give them four multiple choice questions. Put one in there that was funny. And that kind of thing kept people really engaged. I also put together a laminated front-and-back about what ranking system that we use at the University of Utah, and explained every section of that. </p> <p> 00:09:04:14 - 00:09:23:11<br> Kencee K. Graves, M.D.<br> I went through my office and introduced people and talk about what they did, and that's the kind of stuff that people loved. They loved getting to know who their leaders are, and they really liked the human part. And I think that's critical because we're here for humans, right? Like quality care is for humans. And so that was kind of my undertone. </p> <p> 00:09:23:11 - 00:09:24:29<br> Kencee K. Graves, M.D.<br> I'm glad David picked up on it. </p> <p> 00:09:25:01 - 00:09:42:16<br> David Colling<br> And Nikhil, I'll just add one more comment to that. Yeah, the structure within the organization where quality and safety fits, the different roles. Again, something I kind of knew but didn't know in that level of detail. There's quite a bit more to the quality and safety than many would imagine. So I thought that was know really well done. </p> <p> 00:09:42:16 - 00:09:58:17<br> David Colling<br> You know, Kencee, I don't know if I've mentioned it to you, but I think that presentation it's interesting is I went back and reviewed it. That almost needs to be kind of a continuous piece of reference material. I almost feel like I want to make it a little less of a PowerPoint and more of a reference piece. So there's an assignment for you. </p> <p> 00:09:58:17 - 00:10:16:07<br> David Colling<br> But, you know, because it is so well done. It should be a continuous reference, you know, that's almost in your little in your toolbox as a community board member, because this is how busy we as committee board members are. You know, we've got our day jobs and we get so focused. So that presentation, which was extremely effective was only a few months ago. </p> <p> 00:10:16:09 - 00:10:30:20<br> David Colling<br> But when I reviewed it, you know, even prior to this, discussion, I was like, oh yeah, I need to, you know, keep remembering this kind of thing. So I'm going to be referring back to that pretty regularly. So that might be another piece of advice, you know, use it as an ongoing resource for the for the board. </p> <p> 00:10:30:22 - 00:10:48:28<br> Kencee K. Graves, M.D.<br> That's really good advice. And I want to go back to a point you made earlier where our accreditation partner is, that Det Norske Veritas or DNV. They were on site at the end of January. And so I reported that out to the board in February, and I included what DNV stands for and what it means and what they gave us citations on. </p> <p> 00:10:48:28 - 00:11:07:27<br> Kencee K. Graves, M.D.<br> And I used graphics to demonstrate kind of each bucket. And I did have people that have worked at the University of Utah in leadership for more than a decade come up and tell me, thank you for doing that, because I think quality is such an alphabet soup that for those of us who work in it, it's easy to forget that it doesn't mean a lot to anybody else. </p> <p> 00:11:07:27 - 00:11:16:23<br> Kencee K. Graves, M.D.<br> And so I would just say, I think it's really, really important to continue to revisit those abbreviations that may not land well without an introduction. </p> <p> 00:11:16:25 - 00:11:35:05<br> David Colling<br> And Kencee, I would say that the entire clinical or healthcare environment, health care environment is a big alphabet soup. If I had one advice for, you know, the clinical and health care staff, beyond quality and safety, there are acronyms and short you know, wordings used for things that just don't come natural to community board members. </p> <p> 00:11:35:05 - 00:11:38:06<br> David Colling<br> So I think that's a good reminder beyond quality and safety as well. </p> <p> 00:11:38:08 - 00:11:59:03<br> Kencee K. Graves, M.D.<br> Yeah, I've spent a lot of time talking about what I think chief quality officers should do. But I'll tell you what I think has been valuable to me as interim chief quality officer with a board. The board members ask really good questions. And for me, that is my check on. Am I explaining something well? What does an average patient hear and think and see? </p> <p> 00:11:59:03 - 00:12:17:24<br> Kencee K. Graves, M.D.<br> And how do they perceive us through the media? And what does the community say? And that is incredibly valuable because there are not a lot of spaces in my life where I hear that because I work in health care, I work around other doctors and nurses and the community board is my window to what the rest of the world sees when they see our health system. </p> <p> 00:12:17:27 - 00:12:37:28<br> Nikhil Baviskar<br> That's very helpful. As you said, the board should reflect the community and that's really important. You know, Kencee or Doctor Graves, I'll ask you just one more thing. For the board members listening, I already asked this to David, but what do you think that the board member should take away when it comes to, you know, working on quality, understanding it and learning about it? </p> <p> 00:12:38:01 - 00:13:01:02<br> Kencee K. Graves, M.D.<br> Part of that is, is what I said in that ask questions, stay engaged. And so if you see something or hear something that doesn't make sense, ask about it. The other thing that our board has asked me to do, which I found very, very helpful, is if I bring them a problem they've also asked me to report on who is responsible for it, what is the fix and when do I report back? </p> <p> 00:13:01:05 - 00:13:23:29<br> Kencee K. Graves, M.D.<br> And that cadence has kept me giving them information that is meaningful. And then also they've learned to trust the information I bring them. It keeps me honest and keeps a closed loop communication. So I think that's been really good. I do think it's possible to skim over things, and I would just say, I think board members can and should ask really really good questions. </p> <p> 00:13:24:01 - 00:13:35:08<br> Nikhil Baviskar<br> Well, thank you both so much for your time. This has been an awesome discussion and we really do hope that you know, your quality journey just continues getting better from here on out. So thank you again. </p> <p> 00:13:35:11 - 00:13:36:04<br> David Colling<br> Thank you. </p> <p> 00:13:36:07 - 00:13:38:16<br> Kencee K. Graves, M.D.<br> Thank you for having us. </p> <p> 00:13:38:19 - 00:13:47:00<br> Tom Haederle<br> Thanks for listening to Advancing Health. Please subscribe and rate us five stars on Apple Podcasts, Spotify or wherever you get your podcasts. </p> </details></div> Mon, 21 Apr 2025 08:18:45 -0500 Quality & Patient Safety /news/headline/2025-04-08-aha-launches-online-collaborative-focused-quality-improvement <p>The AHA Living Learning Network is launching the Quality Exchange, a virtual collaborative for health care quality and patient safety professionals at hospitals and health systems. Participants will convene online monthly to explore and share strategies, resources, solutions and metrics for sustaining quality improvement in patient care and organizational performance. The deadline to <a href="https://forms.office.com/pages/responsepage.aspx?id=QJMRube-Xk6EsjzBj3s2pml74gh-eaFHrnQINP8bdpxUODlRWEE1NFo3Q0FaT1dJQ083WjFIRjdSMy4u&route=shorturl" target="_blank">sign up</a> is April 22 and enrollment is limited. <a href="/center/living-learning-network/ahas-quality-exchange?utm_source=newsletter&utm_medium=email&utm_campaign=aha-today" target="_blank"><strong>LEARN MORE</strong></a> </p> Tue, 08 Apr 2025 15:45:06 -0500 Quality & Patient Safety /center/living-learning-network/ahas-quality-exchange Fri, 04 Apr 2025 15:30:00 -0500 Quality & Patient Safety /news/headline/2025-04-01-aha-webpage-highlights-how-hospitals-and-health-systems-integrate-patient-safety <p>As part of the AHA's <a href="/aha-patient-safety-initiative" target="_blank">Patient Safety Initiative</a>, a dedicated webpage features case studies showing how hospitals and health systems across the nation are implementing effective and innovative programs to create a culture of safety, improve staff well-being and connect with their communities. <a href="/aha-patient-safety-initiative/us-hospitals-and-health-systems-enhance-patient-safety" target="_blank"><strong>READ NOW</strong></a></p> Tue, 01 Apr 2025 15:38:04 -0500 Quality & Patient Safety /news/blog/2025-03-28-can-collaborative-efforts-improve-device-design-improve-safety <p>During World War II, the U.S. Army Air Corps depended on its B-17 bombers to inflict incredible damage against the Axis powers in Europe. These “Flying Fortresses” were deemed essential to winning the war in the European theater, but they had one big problem. Despite the plane’s technically advanced design and the provision of effective training for the young pilots responsible for steering them through war zones, too many crashed on landing, destroying the machines and often killing the pilots and crew.</p><p>Initial investigations into B-17 crashes concluded that the accidents resulted from pilot error, and the Army invested in training and retraining pilots. Yet, the crashes continued. Then Alphonse Chapanis, a young psychologist who joined the Army Air Corps’ aeromedical lab in 1942, noticed that the switches for the plane’s flaps and the landing gear were adjacent on the dash and identical in appearance — but radically different in function.</p><p>It was far too easy for pilots — stressed and weary after hours of combat flying — to flip the wrong switch when trying to land the B-17. The plane’s design had failed to account for the likelihood of normal human error. Chapanis suggested changing the knobs so that one was triangular and the other was spherical, making it easy for pilots to differentiate. This small change in design led to an immediate and substantial decrease in the number of B-17 crashes. (<a href="https://uxmag.com/articles/pilot-error-chapanis-and-the-shape-of-things-to-come" target="_blank">Read more about Chapanis</a> and his influence on device design).</p><p>While most health care isn’t delivered in war zones, health care and device company leaders recognize that care is often delivered in high-stress, high-risk situations. Despite elegant efforts to design for safe use, rigorous standards and regulatory requirements from the Food and Drug Administration and standards bodies, and lots of training of health care professionals, many acknowledge that there is still room to ensure clinicians are “flipping the right switch” when using medical devices.</p><h2>AHA and AAMI Meeting</h2><p>Earlier this year, the ���������� Association (AHA) and the Association for Advancement of Medical Instrumentation (AAMI) brought together a small group composed of hospital and health system leaders, device manufacturers and policy leaders to explore how to make devices safer by design. Their energy and commitment were palpable. Participants were invigorated and challenged by the shared goal of creating devices that could be used more easily, effectively and safely.</p><p>The meeting began with table-setting presentations to make sure all attendees understood each other’s perspectives. Clinical leaders described the stresses and distractions of the busy hospital environment that make it difficult for staff to use devices as the designers had envisioned, including their personal experiences of devices being implicated in near misses or safety events. Manufacturers discussed their rigorous processes for designing, testing and providing instructions to ensure safe use. An AAMI leader described the role of standards in promoting safety, and a former FDA official spoke about the role of regulation, oversight and post-market surveillance in promoting safety. The group then broke into multidisciplinary groups with direction to identify practical, actionable pathways that augment or replace current activities and lead to better safety by design.</p><h2>3 Key Takeaways from the Conversations</h2><ul><li><strong>Users and manufacturers need better information.</strong> Engineers and users need to be able to exchange the right information to make design improvements that address usability issues. Right now, they are not connecting well. Health care providers often discover a design challenge with a piece of equipment when conducting a root cause analysis and then report that information to their patient safety organization, but that information is not readily available to manufacturers. Manufacturers get information from FDA databases, but these may not have sufficient information to understand exactly how the device design may have contributed to the occurrence of patient harm or inform design alterations that could prevent it in the future. Finally, post market surveillance reporting is often slow to reach the manufacturer, limiting their ability to alter design in a timely fashion.</li><li><strong>Work as imagined differs from work as done.</strong> In designing each particular product, engineers imagine the clinical environment in which it will be placed, plan for a rigorous training of the health care professionals who will be operating it and create comprehensive instruction manuals. Health care professionals use an expanding and rotating panoply of devices every day, and their ability to be trained on each and every one of those, remember that training and use it in a moment of emergent patient need is radically different from what the designer imagined. Better communication between users and designers is the only way to help designers anticipate how their devices will actually be used.</li><li><strong>There is a natural tension between innovation and the experience that promotes safe use of a device.</strong> In a busy clinical environment, it is challenging for clinicians to keep up with all they must learn, but device makers may want to make routine improvements to the software or user interface of their devices to refresh perceptions of the device. Honest discussions about the kind of innovation device manufacturers intend and how the alteration will work in a busy clinical environment are needed to ensure innovation better contributes to safety and ideally decreases the draw on clinicians’ already-stretched mental capacity. Further, the regulatory framework needs to support this balance between innovation and safety by recognizing and creating safe tables and sandboxes within which to drive progress.</li></ul><p>One actionable item that drew keen interest was creating an opportunity for the manufacturers’ engineers to participate in a hospital’s response to a patient safety event. Stakeholders across the spectrum agreed that open sharing of how design may have contributed to an event is vital to generating changes needed to promote safer use and reduce patient harm. AHA and AAMI are committed to working to make these conversations a reality as part of our ongoing efforts to make care safer.</p><p><em>Nancy Foster is the AHA’s vice president of quality and safety policy.</em></p> Fri, 28 Mar 2025 11:56:05 -0500 Quality & Patient Safety /news/headline/2025-03-26-aha-podcast-great-catch-strategies-building-culture-safety-reporting <p>Mindy Estes, M.D., former CEO of Saint Luke’s Health System and former AHA board chair, and Nancy Howell Agee, CEO emeritus of Carilion Clinic and former AHA board chair, discuss the importance of bringing a culture of safety reporting to an organization and how technology cannot replace the human factor in a successful patient safety strategy. <a href="/advancing-health-podcast/2025-03-26-great-catch-strategies-building-culture-safety-reporting" title="March leadership dialogue"><strong>LISTEN NOW</strong></a><strong> </strong> </p><div></div> Wed, 26 Mar 2025 15:28:00 -0500 Quality & Patient Safety <div class="container"><div class="row"><div class="col-md-8"><p>Hearst Newspapers contacted AHA seeking comment for a national project spearheaded by a group of regional Hearst reporters that focuses on incidences of retained surgical items (RSI).</p><p>The reporters say their research using data from state health departments and the Centers for Medicare & Medicaid Services show that there are hundreds of RSI cases reported annually, among the tens of millions of annual surgeries across the country. The reporters pointed out that their data show cases are relatively rare but can result in additional surgery or other complications.</p><p>We are aware that some of the journalists working on this project write stories for the Houston Chronicle, San Antonio News Express, San Francisco Chronicle, Albany Times Union of New York, Connecticut Post and New Haven Register. However, Hearst owns 26 dailies and 52 weeklies so the story could appear more widely. The regional reporters likely will seek to localize the story for their respective communities and have been reaching out to hospitals and health systems around the country to ask what policies they use to prevent instances of retained surgical items.</p><h2>AHA RESPONSE AND RESOURCES</h2><p>The AHA shared the following statement with Hearst Newspapers from AHA Chief Physician Executive Chris DeRienzo, M.D. “Hospitals and health systems have ramped up their efforts to enhance patient safety and will continue implementing effective, evidence-based approaches toward the goal of eliminating unplanned retention of surgical items (RSI). With more than <a href="/infographics/2024-06-13-hospitals-are-cornerstones-their-communities-infographic" target="_blank" title="Hospitals Are Cornerstones of Their Communities Infographic">28 million surgeries</a> performed at community hospitals in 2023, the data show that the likelihood of patients experiencing this kind of event is extremely rare. But there is more work to do. To that end, hospitals and health systems are embracing new strategies to improve the safety of surgical care, sharing best practices with each other, upgrading equipment and employing new technologies that enhance patient outcomes in their commitment to delivering top-tier patient care around-the-clock, 365 days a year.”</p><p>Hospitals and health systems across America and their dedicated care teams strive to deliver safe, high-quality care to every patient, continually identifying what drives better outcomes and then implementing changes to improve patient care. As you know, the AHA launched its <a href="/aha-patient-safety-initiative" target="_blank" title="Patient Safety Initiative Website">Patient Safety Initiative</a> in 2023 to reaffirm hospital and health system leadership and commitment to patient safety. Please visit the Patient Safety Initiative <a href="/aha-patient-safety-initiative" target="_blank" title="Patient safety webpage">webpage</a>, which includes reports, member stories and data-driven analyses highlighting the excellent work and improvements that hospitals and health systems are leading to create a culture of safety for patients and staff.</p><h2>WHAT YOU CAN DO</h2><ul><li>Please share this Advisory with your quality, patient safety and communications teams, government relations leaders and other key executives.</li><li>Prepare to share how your hospital works 24/7 to provide safe, high-quality care.</li></ul><h2>FURTHER QUESTIONS<strong> </strong></h2><p>If you have further questions, please contact Sharon Cohen, AHA senior associate director of media relations, at <a href="mailto:scohen@aha.org" target="_blank" title="Sharon Cohen email ">scohen@aha.org</a>.</p></div><div class="col-md-4"><a href="/system/files/media/file/2025/03/member-advisory-for-hospital-and-health-system-leaders-3-26-2025.pdf"><img src="/sites/default/files/2025-03/cover-member-advisory-for-hospital-and-health-system-leaders-3-26-2025.png" data-entity-uuid data-entity-type="file" alt="Member Advisory: Member Advisory for Hospital and Health System Leaders PDF" width="NaN" height="NaN"></a></div></div></div> Wed, 26 Mar 2025 13:48:17 -0500 Quality & Patient Safety /aha-center-health-innovation-market-scan/2025-03-25-top-4-takeaways-new-aha-safety-insights-report <div class="container"><div class="row"><div class="col-md-8"><img src="/sites/default/files/inline-images/Top-4-Takeaways-from-New-AHA-Safety-Insights-Report.png" data-entity-uuid="0033e72b-2c55-4754-ac0a-facda1a20ca4" data-entity-type="file" alt="Top 4 Takeaways from New AHA Safety Insights Report. The cover of the AHA "Insights Report: Improvement in the Safety Culture Linked to Better Patient and Staff Outcomes" overlayed on an image of a surgery being performed by four clinicians." width="1200" height="677"><p>Over the past six months, the AHA and its data partners have produced two comprehensive reports that document the progress hospitals and health systems continue to make on key patient safety measures.</p><p>In September 2024, the AHA partnered with Vizient on a <a href="/guidesreports/2024-09-12-new-analysis-shows-hospitals-performance-key-patient-safety-measures-surpassing-pre-pandemic-levels">report</a> showing that numerous outcome measures of health care quality and patient safety — including decreasing risk of mortality and lower levels of health care-associated infections — are improving while hospitals care for more patients with significant health needs.</p><p>Meanwhile, the newly released Insights Report, <a href="/guidesreports/2025-03-11-improvement-safety-culture-linked-better-patient-and-staff-outcomes">“Improvement in Safety Culture Linked to Better Patient and Staff Outcomes,”</a> highlights progress on additional outcome measures of patient safety including some that reflect the ongoing work led by nurses to protect patients.</p><p>The latest report, created in collaboration between the AHA and Press Ganey, shows clear improvement on the experience of both patients and the health care workforce. It also shows improvements in safety culture, a leading indicator of better safety outcomes and better experiences for patients and staff.</p><h2>4 Takeaways from the New Data</h2><h3><span>1</span> <span>|</span> 4 key quality and safety areas are improving.</h3><p>Hospitals are performing at or better than prepandemic levels on multiple quality and safety measures, according to the March report. The findings are based on the Press Ganey National Database Quality Indicators reflecting quality measures reported by more than 25,000 units across 2,430 acute care inpatient hospitals. The data show improvements from their mid-pandemic levels in four key measurement areas:</p><ul><li>Catheter-associated urinary tract infections</li><li>Central line-associated bloodstream infections.</li><li>Patient falls that result in harm.</li><li>The number of patients who develop hospital-acquired pressure injuries such as bedsores.</li></ul><h3><span>2</span> <span>|</span> Patient experience and safety improvements are being noticed.</h3><p>The report’s data, based on responses from 13 million patients, show steady gains in their experience of care and their perceived safety of care after a drop during the COVID-19 pandemic. Drivers of these improvements include patient perception of good teamwork among staff, attention and responsiveness to patient needs and communication among patients and clinical care team members.</p><h3><span>3</span> <span>|</span> Patients are attuned to team dynamics and interpersonal competencies.</h3><p>One key factor driving improvements in patients’ perceptions of care is the teamwork of their caregivers. Across clinical areas — inpatient and outpatient, surgical and medical, emergency and scheduled — the single largest driver of a patient’s likelihood to recommend a hospital, facility or provider is the perception of how well their care team members work together, the report notes. Better teamwork has long been shown to drive better outcomes.</p><p>Similarly, patients who perceive that their care was safe are 2.5 to 3 times more likely to recommend their hospital to others. Their perceptions of safety are based on their own interactions with hospital team members, their observations regarding practices such as handwashing and cleanliness, and how they see team members interacting with one another to deliver care.</p><h3><span>4</span> <span>|</span> Workforce experience and well-being are improving.</h3><p>As the enormous strain of the COVID-19 pandemic recedes, the health care workforce is beginning to rebound as well. Press Ganey data from 1.7 million health care workforce members show a rise in their resiliency and perceived work experiences. A resilient workforce is essential in health care, given the complex and high stakes nature of the work.</p><p>Hospitals that score higher on team member engagement surveys also see higher patient experience scores reported from patients. This correlation is becoming more pronounced every year, with the top-performing quartile of hospitals on staff engagement in 2023 scoring in the 80th percentile on patients’ likelihood to recommend.</p><hr><h2>Learn More</h2><p>A key goal of the <a href="/aha-patient-safety-initiative">AHA’s Patient Safety Initiative</a> is to help hospitals and health systems improve their safety culture. Launched in 2023, the initiative catalyzes hospitals’ and health systems’ collective expertise and momentum for improvement and focuses on (1) safety culture, (2) identifying and addressing disparities in health care outcomes and (3) the workforce’s well-being.</p></div><div class="col-md-4"><p><a href="/center" title="Visit the AHA Center for Health Innovation landing page."><img src="/sites/default/files/inline-images/logo-aha-innovation-center-color-sm.jpg" data-entity-uuid="7ade6b12-de98-4d0b-965f-a7c99d9463c5" alt="AHA Center for Health Innovation logo" width="721" height="130" data-entity- type="file" class="align-center"></a></p><p><a href="/center/form/innovation-subscription"><img src="/sites/default/files/2019-04/Market_Scan_Call_Out_360x300.png" data-entity-uuid data-entity-type alt width="360" height="300"></a></p></div></div></div>.field_featured_image { position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } .featured-image{ position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } h2 { color: #9d2235; } Tue, 25 Mar 2025 06:15:00 -0500 Quality & Patient Safety /education-events/advancing-patient-safety-integrated-nursing-practice-professional-development-and-patient-education <p><strong>Advancing Patient Safety: Integrated Nursing Practice, Professional Development and Patient Education  </strong>  <br><em>Practical approaches to elevate care quality and outcomes  </em></p><p><strong>Thursday, May 8, 2025 </strong><br><em>1 - 2 p.m. Eastern; noon - 1 p.m. Central; 10 - 11 a.m. Pacific</em></p><p>It is critical to implement strategies in both nursing development and patient education to enhance patient safety in today’s health care landscape. This webinar will showcase how leading hospitals do just that through innovative approaches.    </p><p>During this roundtable conversation, leaders from the AHA and Elsevier will share success stories and approaches that have transformed health care organizations. The discussion will illustrate how these approaches create exceptional care delivery and optimal patient outcomes.  </p><p>Hospital leaders and nursing professionals attending this session will gain valuable insights into enhancing nurse readiness and development, implementing supportive systems that empower nurses at every career stage, and adopting forward-thinking patient education approaches to advance both safety and satisfaction.  </p><p><strong>Attendees Will Learn:</strong></p><ul><li>Discover evidence-based strategies to bridge the readiness gap for novice nurses and accelerate their clinical and professional development.   </li><li>Explore comprehensive support systems that empower nurses at all experience levels to progress and deliver safer patient care.</li><li>Examine innovative frameworks for patient education that enhance safety outcomes and create sustainable improvements.  </li></ul><p><strong>Speakers:</strong></p><p>Tiffany McCauley, MSN, RN <br><em>Clinical Nurse Executive </em><br><strong>Elsevier</strong></p><p>Tammy Purcell, MSN, RNC-OB <br><em>Clinical Nurse Executive </em><br><strong>Elsevier</strong></p><p>Claire M. Zangerle, DNP, MBA, RN, NEA-BC, FAONL, FAAN <br><em>Chief Executive Officer</em>, <strong>American Organization for Nursing Leadership; </strong><br><em>Chief Nurse Executive, </em><strong>���������� Association </strong></p> Tue, 18 Mar 2025 09:13:26 -0500 Quality & Patient Safety /aha-patient-safety-initiative/us-hospitals-and-health-systems-enhance-patient-safety <div class="row"><div class="col-md-10 col-md-offset-1"> .PSIStates { background-color:; float:left } .PSIStates{ overflow:auto; } .PSIStates h2 { text-align: center; text-transform:uppercase; border-bottom:solid 5px; /*margin-top:50px*/ } @media (min-width:700px){ .PSIStates img { float:right; width:40vw; min-width:400px; max-width:475px; margin-left:15px; margin-top: 15px; } } @media (max-width:699px){ .PSIStates img { width:auto; max-width: calc(100% - 150px); margin:auto; display:block } } .PSIStates .btn-primary{ margin-top:25px; } .PSI-StateList{ text-align:center; margin-bottom:15px; } <div class="PSI-StateList" id="StateList"><a href="#alabama" title="Jump to Alabama">AL</a> | <a href="#arizona" title="Jump to Arizona">AZ</a> | <a href="#arkansas" title="Jump to Arkansas">AR</a> | <a href="#california" title="Jump to California">CA</a> | <a href="#colorado" title="Jump to Colorado">CO</a> | <a href="#connecticut" title="Jump to Connecticut">CT</a> | <a href="#delaware" title="Jump to Delaware">DE</a> | <a href="#florida" title="Jump to Florida">FL</a> | <a href="#georgia" title="Jump to Georgia">GA</a> | <a href="#illinois" title="Jump to Illinois">IL</a> | <a href="#indiana" title="Jump to Indiana">IN</a> | <a href="#iowa" title="Jump to Iowa">IA</a> | <a href="#kansas" title="Jump to Kansas">KS</a> | <a href="#kentucky" title="Jump to Kentucky">KY</a> | <a href="#maryland" title="Jump to Maryland">MD</a> | <a href="#massachusetts" title="Jump to Massachusetts">MA</a> | <a href="#michigan" title="Jump to Michigan">MI</a> | <a href="#missouri" title="Jump to Missouri">MO</a> | <a href="#montana" title="Jump to Montana">MT</a> | <a href="#nevada" title="Jump to Nevada">NV</a> | <a href="#new-hampshire" title="Jump to New Hampshire">NH</a> | <a href="#new-jersey" title="Jump to New Jersey">NJ</a> | <a href="#north-carolina" title="Jump to North Carolina">NC</a> | <a href="#ohio" title="Jump to Ohio">OH</a> | <a href="#pennsylvania" title="Jump to Pennsylvania">PA</a> | <a href="#south-carolina" title="Jump to South Carolina">SC</a> | <a href="#south-dakota" title="Jump to South Dakota">SD</a> | <a href="#virginia" title="Jump to Virginia">VA</a> | <a href="#washington" title="Jump to Washington">WA</a> | <a href="#wisconsin" title="Jump to Wisconsin">WI</a> | <a href="#dc" title="Jump to District of Columbia">D.C.</a></div><div class="PSIStatesWrapper"><div class="PSIStates" id="alabama"><h2>Alabama</h2><img src="/sites/default/files/2025-03/PSI-Childrens-Hospital-Alabama-Birmingham-700x532.jpg" alt="Exterior view of the building for Children's of Alabama" id="ChildrensAlabama"><h3>Children's of Alabama</h3><h4>Quest for Zero/Solutions for Patient Safety Collaborative</h4><p>Through its own patient safety initiatives, Children’s of Alabama supports the national goals of the Solutions for Patient Safety Collaborative, a group of children’s hospitals working together to help each other reach zero harm. Children’s Quality Improvement Committee focuses on addressing hospital-acquired conditions through training videos and other tools. Their work helps strengthen safety by reducing surgical site infections, pressure injuries, falls, sepsis and adverse drug events among other things.</p><p><a class="btn btn-primary btn-wide" href="https://www.childrensal.org/childrens-sps-initiative" title="Children’s of Alabama | Children's SPS Initiative">Learn More</a></p><hr><img src="/sites/default/files/2025-03/PSI-Crestwood-Medical-Center-nurse-patient-700x532.jpg" alt="Crestwood Medical Center nurse holding a patients hand in bed" id="CrestwoodMedical"><h3>Crestwood Medical Center</h3><h4>Nurses Improving Care for Healthsystem Elders (NICHE)</h4><p>To improve geriatric care, Crestwood Medical Center launched the Nurses Improving Care for Healthsystem Elders (NICHE) program, which addresses clinical issues such as falls, pain, skin breakdown and wounds, use of advance directives and family involvement in decision-making. Additionally, NICHE aims to make the physical and social environment friendlier to older adult patients. Crestwood Medical Center has implemented steps to recognize and address the unique needs of elderly patients with the support of a core group of geriatric resource nurses who have received additional education and training specific to geriatric nursing.</p><p><a class="btn btn-primary btn-wide" href="https://www.crestwoodmedcenter.com/acute-care-for-the-elderly" title="Crestwood Acute Care | Acute Care for Elderly (ACE)">Learn More</a></p></div><div class="PSIStates" id="arizona"><h2>Arizona</h2><h3 id="ValleywiseHealth">Valleywise Health</h3><h4>Bicycle Helmet Screening and Distribution in the ER: An Injury Prevention Program</h4><p>Protecting children from serious injury is paramount. Through a state safety grant, Valleywise received funds to purchase bicycle helmets to distribute at community events focusing on health and safety. To protect young Arizonans, staff distributed helmets at no cost to families at community and school events and Valleywise Comprehensive Health Centers and Family Resource Centers. Through this program, Valleywise offers a proactive health measure aimed at preventing head injuries. In light of serious injuries from bicycle accidents, including a significant number of pediatric patients arriving in the emergency department, Valleywise educated children and their families about preventing injuries and riding safely.</p><p><a class="btn btn-primary btn-wide" href="https://assets.nationbuilder.com/azhha/pages/902/attachments/original/1730745142/Valleywise_BicycleHelmetScreeningandDistroinED_POSTER.pdf?1730745142" title="Valleywise Health | Bicycle Helmet Screening and Distribution in the Emergency Department An Injury Prevention Program to engage the community during Emergency Department visits.">Learn More</a></p></div><div class="PSIStates" id="arkansas"><h2>Arkansas</h2><h3 id="NEABaptist">NEA Baptist Memorial Hospital</h3><h4>C-diff Task Force Committee</h4><p>NEA Baptist Memorial established the C-diff Task Force Committee aiming to eliminate the spread of C-diff, a common bacterial infection that can be acquired in a hospital. The committee developed and implemented various strategies to reduce C-diff, including reducing hospital-acquired infections, evaluating patient care processes and systems-based practices, and optimizing utilization of health care resources. For its efforts, the C-diff Task Force Committee was awarded the Baptist President’s Quality Award.</p><p><a class="btn btn-primary btn-wide" href="https://bmme-imresidency-neabaptist.org/Quality_Improvement" title="NEA Baptist Residency | Quality Improvement & Patient Safety">Learn More</a></p></div><div class="PSIStates" id="california"><h2>California</h2><img src="/sites/default/files/2025-03/PSI-Childrens-Hospital-Los-Angeles-700x532.jpg" alt="Smiling baby boy with a trach" id="ChildrensHospital"><h3>Children's Hospital Los Angeles</h3><h4>Southern California’s First Aerodigestive Program</h4><p>Aerodigestive disorders affect the airways or upper and lower respiratory tracts. In response, Children’s Hospital Los Angeles launched a pediatric Aerodigestive Program specifically designed to address children’s ability to breathe, swallow and eat. As a subspecialty of its nationally ranked Pulmonology and Sleep Medicine and Gastroenterology, Nutrition and Hepatology services, the program developed effective ways to better serve pediatric patients. Successful strategies used in this program include a collaborative team approach, comprehensive diagnostic testing, specialized clinics and an expert care team including nutritionists as well as digestive, respiratory and breathing specialists.</p><p><a class="btn btn-primary btn-wide" href="https://www.chla.org/aerodigestive-program" title="Children’s Hospital Los Angeles | Aerodigestive Program">Learn More</a></p></div><div class="PSIStates" id="colorado"><h2>Colorado</h2><img src="/sites/default/files/2025-03/PSI-Intermountain-Health-smmck9groupphoto2-700x532.jpg" alt="SMMC K-9 group with 4 handlers and their dogs" id="IntermountainHealth"><h3>Intermountain Health St. Mary's Regional Hospital</h3><h4>Culture of Care & K-9 Program</h4><p>Intermountain Health St. Mary’s Regional Hospital created a #CultureofCare campaign to combat a rise in verbal and physical workplace violence incidences directed against health care workers. The #CultureofCare campaign aims to make sure everyone knows abuse will not be permitted and staff will be supported when it does occur. The #CultureofCare programs seek to ensure health care workers’ safety through education, training and system enhancements, including an innovative K-9 program at St. Mary’s Regional Hospital in Colorado. The dogs are trained to protect in life-threatening situations and to provide comfort and emotional support for employees, patients, family and visitors.</p><p><a class="btn btn-primary btn-wide" href="https://cha.com/intermountain-health-st-marys-regional-hospital-culture-of-care-k-9-program/" title="Colorado Hospital Association | Intermountain Health St. Mary’s Regional Hospital – Culture of Care & K-9 Program">Learn More</a></p><p><br><img src="/sites/default/files/2025-03/PSI-Denver-Health-CO-700x532.jpg" alt="Hand written sign that says: Welcome! This is your space for reflection, decompression & meaningful connection - to yourself and other in the community - HEART picture" id="DenverHealth"></p><h3>Denver Health</h3><h4>Resilience and Equity through Support and Training for Organizational Renewal (RESTORE) Program</h4><p>Employee well-being influences the quality of patient care and the ability of hospitals to recruit and retain high quality staff, so Denver Health dedicated resources toward improving employees’ mental well-being and reducing employee burnout. The Resilience and Equity through Support and Training for Organizational Renewal (RESTORE) program was designed to promote and sustain the mental well-being of the workforce; support individual, collective and organizational resilience through timely and confidential peer-delivered emotional support and psychological first aid; and provide trauma and resilience-informed education and training. Since the program launched in 2020, it has supported more than 519,000 touches and more than 16,500 encounters or activations for psychological first aid and emotional support. More than 4,500 individuals have participated in RESTORE.</p><p><a class="btn btn-primary btn-wide" href="https://cha.com/denver-health-and-hospital-authority-resilience-and-equity-through-support-and-training-for-organizational-renewal/" title="Colorado Hospital Association | Denver Health – Resilience and Equity through Support and Training for Organizational Renewal">Learn More</a></p></div><div class="PSIStates" id="connecticut"><h2>Connecticut</h2><img src="/sites/default/files/2025-03/PSI-UConn-Health-Safety-photo-for-UCT-700x532.jpg" alt="Scott Allen standing with the word SAFTEY in multiple languages" id="UConnHealth"><h3>UConn Health</h3><h4>Culture of Safety Where We Put the Patient First</h4><p>UConn Health has embraced a culture of safety to create a positive environment for patients and staff. The hospital encourages CHAMP behaviors: Communicate Clearly, Handoff Effectively, pay Attention to Detail, Mentor and Coach Others, and Practice and Accept a Questioning Attitude. UConn Health also encourages employees to embrace the STAR approach – Stop-Think-Act-Review – to take a short, mini-mental timeout before proceeding with a specific task to ensure it is the appropriate step. UConn also holds morning safety huddles designed to focus staff attention on safety in the hospital. It supports an error analysis program encouraging collaboration between the quality team and frontline staff to focus on ways to improve their system of care.</p><p><a class="btn btn-primary btn-wide" href="https://today.uconn.edu/2024/04/uconn-healths-culture-of-safety-where-we-put-the-patient-first/" title="University of Connecticut | UConn Health’s Culture of Safety Where We Put the Patient First">Learn More</a></p></div><div class="PSIStates" id="delaware"><h2>Delaware</h2><h3 id="Bayhealth">Bayhealth</h3><h4>Mobile Care Clinic</h4><p>In 2023, Bayhealth launched a rolling clinic in a 38-foot medical recreational vehicle (RV) to help improve patient access to health care throughout central and southern Delaware. Bayhealth Mobile Care provides care to underserved and hard-to-reach communities throughout the state. The rolling clinic offers blood pressure checks, health education, health screenings and vaccinations. Bayhealth Mobile Care also enables Bayhealth to offer on-site occupational health services including hearing tests, physical exams, laboratory work and electrocardiograms.</p><p><a class="btn btn-primary btn-wide" href="https://www.bayhealth.org/community-wellness/community-outreach/mobile-care" title="Bayhealth | Health on the Move">Learn More</a></p><hr><h3 id="ChristianaCare">ChristianaCare</h3><h4>School-Based Health Centers</h4><p>To encourage a lifelong path of wellness, ChristianaCare supports school-based health centers in Delaware’s elementary schools. Each school-based health center includes a health care team of medical, mental health, community health and nutrition experts. In addition to the School-Based Health Center, students are connected to the full ChristianaCare system of care. These wrap-around services are most effective in engaging students and creating positive health outcomes.</p><p><a class="btn btn-primary btn-wide" href="https://christianacare.org/us/en/care/primary-care/pediatrics/high-school-wellness-centers" title="ChristianaCare | Pediatric Services: School-Based Health Centers">Learn More</a></p></div><div class="PSIStates" id="florida"><h2>Florida</h2><h3 id="AdventHealthLake">Advent Health Lake Placid</h3><h4>“Speak Up” Program</h4><p>Patients at Advent Health Lake Placid and throughout all of Advent Health’s 55 acute care hospitals are encouraged to play an active role in their safety through the “Speak Up” Program. This program gives patients the opportunity to share their comments, suggestions and concerns about safety and quality of care via SHARE cards available throughout each hospital. It offers patients other actionable tips such as paying attention to the care you receive, educating yourself about tests being conducted as well as your diagnosis and treatment plan, asking a trusted friend or family member to be your health care advocate, knowing your lab results and medications, and using medical centers that have met rigorous safety standards.</p><p><a class="btn btn-primary btn-wide" href="https://www.adventhealth.com/legal/patient-safety" title="AdventHealth | Patient Safety: Committed to Your Safety">Learn More</a></p><hr><h3 id="BayCareHealth">BayCare Health System</h3><h4>FirstFocus</h4><p>BayCare prioritizes safety first across the health system. It implemented and standardized FirstFocus meetings in all divisions of all facilities to review reported patient safety events, identify risks, assign improvement activities, share lessons learned, and spread effective changes throughout the organization. By forming a multidisciplinary cross-divisional First Focus Sprint Group to develop optimization recommendations and then share those recommendations across the safety chain of committees, including senior and executive leadership, BayCare has achieved strong buy-in and awareness across its system.</p><p><a class="btn btn-primary btn-wide" href="https://baycare.org/about-us/clinical-quality-at-baycare-health-system/our-quality-philosophy" title="BayCare | Our Quality Philosophy">Learn More</a></p></div><div class="PSIStates" id="georgia"><h2>Georgia</h2><h3 id="CoffeeRegional">Coffee Regional Medical Center</h3><h4>Electronic Medication Reconciliation Improvement Process</h4><p>An important part of patient safety is reducing the risk of medical errors – and Coffee Regional Medical Center is achieving that through its Electronic Medication Reconciliation Improvement Process. This 98-bed hospital has implemented an advanced medication distribution system which includes a robotic pharmacy where patient barcodes are matched to prescription barcodes. This confirms that the right medications are delivered to the right patient, helping to improve patient safety and medical outcomes.</p><p><a class="btn btn-primary btn-wide" href="https://www.coffeeregional.org/technology-at-crmc/" title="Coffee Regional Medical Center | Innovations in Technology">Learn More</a></p></div><div class="PSIStates" id="illinois"><h2>Illinois</h2><h3 id="FHNMemorial">FHN Memorial Hospital</h3><h4>Post-birth Alert Orange Bracelet Program</h4><p>FHN Memorial Hospital is prioritizing postpartum patient safety. Women in the first six to twelve weeks after delivering a baby are at higher risk of dying from pregnancy and birth-related complications such as blood clots or sepsis. To address this, each postpartum patient is given an orange wristband at discharge to serve as an alert. The bands are worn until the mother’s postpartum appointment with their provider. Additionally, if a post-partum patient has a medical emergency and is not able to communicate, the bracelet informs providers and emergency personnel of her postpartum status. Thanks to these alerts, FHN has increased the percentage of time when patients are triaged by a nurse within 10 minutes from 39% to 58%.</p><p><a class="btn btn-primary btn-wide" href="https://www.fhn.org/Post-Birth-Alert-Bracelet.asp" title="FHN | Post-Birth Alert Orange Bracelet Program">Learn More</a></p></div><div class="PSIStates" id="indiana"><h2>Indiana</h2><img src="/sites/default/files/2025-03/PSI-Hendricks-Regional-Health-483482354-700x532.jpg" alt="Group photo of Kim now that she is back to PT/OT with her therapists, Kayla and Laura." id="HendricksRegional"><h3>Hendricks Regional Health</h3><h4>Fall Prevention Program</h4><p>Falls are a leading cause of injury in hospitalized patients. Hendricks Regional Health has a patient-centric falls prevention program that provides all patients with the individual support they need to ambulate safely. The program assesses an individual’s fall risk, determines the safest way to assist a patient during ambulation and repositioning in bed, and offers an individualized patient safety tool sharing safe ambulation information among appropriate staff.</p><p><a class="btn btn-primary btn-wide" href="https://www.hendricks.org/?id=1325&sid=1" title="Hendricks Regional Health | Health Equity and Fall Risk">Learn More</a></p></div><div class="PSIStates" id="iowa"><h2>Iowa</h2><img src="/sites/default/files/2025-03/PSI-Boone-medical-bed-700x532.jpg" alt="empty patients room with a medical bed" id="BooneCounty"><h3>Boone County Hospital</h3><h4>Safer Room</h4><p>Boone County Hospital opened a Safer Room in their Medical/Surgical Unit to keep patients in mental health crises safe. This room is specifically designed with specialized doors and secure medication storage to ensure the safety of both patients and staff while delivering essential medical and mental health care.</p><p><a class="btn btn-primary btn-wide" href="https://www.boonehospital.com/about-us/news-library/safer-room-open-for-patients" title="Boone County Hospital | Safer Room Opens for Patients">Learn More</a></p></div><div class="PSIStates" id="kansas"><h2>Kansas</h2><h3 id="UniversityKansas">The University of Kansas Health System</h3><h4>Equitable Colorectal Screening</h4><p>The University of Kansas Health System is helping close gaps in colorectal cancer screening. Through a partnership with other local providers, KU helps provide low-cost to no-cost fecal immunochemical test kits, and when needed, follow-up CT colonography and colonoscopies. Through a public-private partnership, the Health Partnership Clinic has developed innovative strategies to increase access to care and increase screening rates in their underserved patient population.</p><p><a class="btn btn-primary btn-wide" href="https://www.khconline.org/news/khc-news-releases/648-health-partnership-clinic-closes-gaps-in-colorectal-cancer-screening " title="Kansas Healthcare Collaborative | Health Partnership Clinic Closes Gaps in Colorectal Cancer Screening">Learn More</a></p></div><div class="PSIStates" id="kentucky"><h2>Kentucky</h2><img src="/sites/default/files/2025-03/PSI-Owensboro-Infection-Prevention-Team-700x532.jpg" alt="Owensboro Health Regional Hospital Wins Kentucky Hospital Association" id="OwensboroHealth"><h3>Owensboro Health Regional Hospital</h3><h4>Infection Prevention Initiative</h4><p>Owensboro’s Infection Prevention Initiative team implemented a “no flash rule” to ensure better sterilization of surgical tools and instruments throughout the hospital. The hospital’s electronic medical record system is included in the project to assist with the scheduling process and to optimize the use of sterile instruments needed for surgical procedures. In four years, they have seen a 50.76% reduction in Class 2 surgical site infections.</p><p><a class="btn btn-primary btn-wide" href="https://www.owensborohealth.org/news-events/news-media/2023/owensboro-health-regional-hospital-wins-kentucky-hospital-association" title="Owensboro Health | Owensboro Health Regional Hospital Wins Kentucky Hospital Association Quality Award">Learn More</a></p></div><div class="PSIStates" id="maryland"><h2>Maryland</h2><img src="/sites/default/files/2025-03/PSI-Meritus-MD-patient-nurse-700x532.jpg" alt="Nusre checking on a patient with loved one nearby" id="#MeritusHealth"><h3>Meritus Health</h3><h4>Team STEPPS Program</h4><p>Meritus Health has created a patient safety environment built on trust, fairness, and community. Through the Team STEPPS program, Meritus Health focuses on Communication, Situation Monitoring, Leading Teams, and Mutual Support to create a culture of safety at every level – from patients and families to care members and support staff. The Team STEPPS program, which is strengthened by other Meritus safety culture programs including increased security and teamwork, has resulted in a 10.7% decrease in care quality concerns and 21% drop in preventable harm events.</p><p><a class="btn btn-primary btn-wide" href="https://www.meritushealth.com/about/patients-visitors/zero-harm" title="Meritus Health | Zero Harm">Learn More</a></p><p><br> </p><h3 id="JohnsHopkins">Johns Hopkins Medical</h3><h4>Communication and Resolution Program</h4><p>The team at Johns Hopkins Medical understands the importance of communication in ensuring patient safety. They created a Communication and Resolution Program (CRP) which promises consistent, open and honest communication between health care providers, patients and patients’ family members.</p><p><a class="btn btn-primary btn-wide" href="https://www.hopkinsmedicine.org/armstrong-institute/clinical-operations/communication-resolution" title="Johns Hopkins Medicine | Communication and Resolution Program (CRP)">Learn More</a></p></div><div class="PSIStates" id="massachusetts"><h2>Massachusetts</h2><h3 id="EmersonHealth">Emerson Health</h3><h4>Equity Informed High Reliability</h4><p>Emerson Health is invested in creating a culture of reliability and trains all members of the board, senior leaders, and heads of the medical staff on Equity Informed High Reliability. Front line staff and patient and family input is included in all event evaluations to enhance risk perception and build safer systems. Safety reporting tripled the first year of the program and grew by another 25% the second year.</p><p><a class="btn btn-primary btn-wide" href="/advancing-health-podcast/2024-08-14-it-starts-culture-quality-and-safety-emerson-health" title="It Starts with Culture: Quality and Safety at Emerson Health">Learn More</a></p><hr><img src="/sites/default/files/2025-03/PSI-Boston-Medical-Center-485305819-700x532.jpg" alt="People gathered togther" id="BostonMedical"><h3>Boston Medical Center</h3><h4>Daily Safety Huddle</h4><p>Boston Medical Center’s daily safety huddle is a cornerstone of our commitment to patient safety and operational excellence, bringing together leaders from 50 hospital areas to collaborate in real-time. With >95% consistent participation, this seven-day-a-week forum ensures rapid issue resolution, fosters teamwork, and enhances communication, with nearly 100 attendees on weekdays and daily email summaries reaching 400 leaders. By reviewing safety events from the past 24 hours and anticipating potential challenges for the next 24, our huddle drives continuous improvement and proactive problem-solving across the hospital. In 2024, more than 6,900 safety and operational issues were raised at the huddle and 87% were resolved within one day.</p><p><a class="btn btn-primary btn-wide" href="https://www.bmc.org/quality-and-safety" title="Boston Medical Center | Quality and Patient Safety">Learn More</a></p></div><div class="PSIStates" id="michigan"><h2 id="michigan">Michigan</h2><h3 id="CorewellHealth">Corewell Health</h3><h4>Quality, Safety and Experience Department</h4><p>Corewell Health realizes the reality facing health care today - increasing complexity in operations and ever-higher targets for patient experience, safety and quality. They are pursuing a wide range of initiatives to improve the resilience of their systems and processes, with a special focus on patient care through their Quality, Safety and Experience Department. Corewell offers quality report cards for specific conditions and procedures to empower patients to make informed choices for the personalized care they seek.</p><p><a class="btn btn-primary btn-wide" href="https://www.spectrumhealth.org/about-us/quality-safety-and-patient-experience/quality-reports" title="Corewell Health | Quality reports">Learn More</a></p></div><div class="PSIStates" id="missouri"><h2>Missouri</h2><h3 id="CoxNorth">Cox North Hospital</h3><h4>Safety and Injury Prevention</h4><p>Cox North offers innovative educational outreach programs focused on injury prevention in the community, school and workplace. These programs, which include safety measures related to poison, guns, biking, fires, water, driving and more, span from elementary school students to high schoolers and beyond and are available at no cost.</p><p><a class="btn btn-primary btn-wide" href="https://www.coxhealth.com/services/trauma-services/safety-and-injury-prevention/." title="CoxHealth | Safety and Injury Prevention: Available Educational Outreach Programs">Learn More</a></p><hr><h3 id="ChildrensMercy">Children’s Mercy Hospital</h3><h4>Safety, Care & Nurturing (SCAN) program</h4><p>Mercy collaborates with social workers and government agencies to develop novel prevention and therapy programs. The Safety, Care & Nurturing (SCAN) program includes specially trained pediatric and adolescent sexual assault nurse examiners for expert forensic and medical care.</p><p><a class="btn btn-primary btn-wide" href="https://www.childrensmercy.org/departments-and-clinics/child-adversity-and-resilience/safety-care-and-nurturing/" title="The Children's Mercy Hospital | Safety, Care & Nurturing Clinic">Learn More</a></p></div><div class="PSIStates" id="montana"><h2>Montana</h2><h3 id="ProvidenceStJoseph">Providence St. Joseph Medical Center</h3><h4>Certified Safe Sleep Center</h4><p>Providence St. Joseph Medical Center is committed to eliminating sleep-related deaths by helping prevent sudden infant death syndrome (SIDS). A specially designed program emphasizes the need to create a safe sleep environment by placing a baby on its back to sleep and following health care guidance for vaccines, breastfeeding and skin-to-skin contact.</p><p><a class="btn btn-primary btn-wide" href="https://www.providence.org/locations/mt/st-joseph-medical-center/birthing-center/safe-sleep-hospital" title="Providence St. Joseph Medical Center | Certified Safe Sleep Hospital">Learn More</a></p></div><div class="PSIStates" id="nevada"><h2>Nevada</h2><img src="/sites/default/files/2025-03/PSI-Tahoe-Forest-Health-System-NV-700x532.jpg" alt="Medical personal making a little child happy" id="TahoeForest"><h3>Tahoe Forest Health System</h3><h4>STEEEP Framework</h4><p>Throughout the Tahoe Forest Hospital District, the system has adopted the Institute of Medicine’s ‘STEEEP’ framework to deliver quality care. Following the framework, staff and facilities are focused on providing care that is Safe, Timely, Effective, Efficient, Equitable, and Patient-centered. The Tahoe Forest team is focused on reducing surgical site infections and sepsis, improving Emergency Department Transfer Communication (EDTC), and more to strengthen patient safety.</p><p><a class="btn btn-primary btn-wide" href="https://www.tfhd.com/about/quality-safety/" title="Tahoe Forest Health System | Quality & Safety">Learn More</a></p></div><div class="PSIStates" id="new-hampshire"><h2>New Hampshire</h2><img src="/sites/default/files/2025-03/PSI-Dartmouth-Hitchcock-Medical-Center_patient-safety-training-center-room-700x532.jpg" alt="Dartmouth Hitchcock Medical Center patient safety training center room" id="DartmouthHitchcock"><h3>Dartmouth Hitchcock Medical Center</h3><h4>Patient Safety Training Center Programs</h4><p>As part of the Patient Safety Training Center, Dartmouth Health’s Dartmouth Hitchcock Medical Center incorporates innovative Simulation-Based Education and Research (SBER) for clinical skills and task training, competency development and scenario-based training. In using these simulation education tools, health care professionals acquire technical proficiency, knowledge, confidence, appropriate attitudes and team skills to continue the journey to safer practice and excellence in patient care.</p><p><a class="btn btn-primary btn-wide" href="https://www.dartmouth-hitchcock.org/patient-safety-center" title="Dartmouth Hitchcock Medical Center | The Patient Safety Training Center">Learn More</a></p></div><div class="PSIStates" id="new-jersey"><h2>New Jersey</h2><h3 id="TrinitasRegional">Trinitas Regional Medical Center</h3><h4>Operation SAFE Program</h4><p>Trinitas Regional Medical Center has rolled out a program addressing the potential anxiety children and families may face before a patient or loved one undergoes surgery. Trinitas provides a supportive and friendly environment through their Operation SAFE (Supportive and Friendly Environment) Program. The program allows for pre-op tours of the hospital, an operating room holding area for parents, and enables parents to play an active role in the operation prep process.</p><p><a class="btn btn-primary btn-wide" href="https://www.rwjbh.org/trinitas-regional-medical-center/patients-visitors/operation-safe-at-trinitas/" title="Trinitas Regional Medical Center | Operation Safe At Trinitas">Learn More</a></p></div><div class="PSIStates" id="north-carolina"><h2>North Carolina</h2><h3 id="UNCHealth">UNC Health</h3><h4>Health Quality Expo</h4><p>UNC Health’s Annual Quality Expo showcases performance improvement initiatives across the organization, providing departments an opportunity to share their success stories. Over the past two years, each expo featured more than 100 poster presentations. In 2023, the Anesthesiology Department won the “Collaboration Is Key” award for its “Code OR Root Cause Analysis” project, which focused on improving communication between six separate teams including Carolina Air Care.</p><p><a class="btn btn-primary btn-wide" href="https://www.uncmedicalcenter.org/uncmc/about/quality-and-safety/projects-and-programs/" title="UNC Medical Center | Projects and Programs">Learn More</a></p></div><div class="PSIStates" id="ohio"><h2>Ohio</h2><h3 id="SummaHealth">Summa Health</h3><h4>I'm 4 Safety</h4><p>With the aim of providing safe and reliable care to patients, Summa Health and its medical staff have partnered to implement the “I’m 4 Safety” training program, bringing successful practices from other highly complex industries like aviation into their everyday health care operations. In addition to an initial comprehensive course, most Summa Health staff members are required to participate in a renewal course every two years, ensuring that they remain up to date on the most sophisticated safety protocols.</p><p><a class="btn btn-primary btn-wide" href="https://www.summahealth.org/medical-staff/orientation/im-4-safety-training-requirement" title="Summa Health System | “I’m 4 Safety” Training Requirement ">Learn More</a></p></div><div class="PSIStates" id="pennsylvania"><h2>Pennsylvania</h2><img src="/sites/default/files/2025-04/PSI-UPMC-Presbyterian-Nursing-PA-700x532.jpg" alt="Medical Staff looking closley at something one is pointing to on a monitor" id="UniversityPittsburgh"><h3>University of Pittsburgh Medical Center</h3><h4>Infection Prevention CAUTI</h4><p>The University of Pittsburgh Medical Center launched a program to reduce or eliminate the number of infections acquired during a hospital stay. Infections caused by urinary catheters are among the most common infections caused by a medical device while a patient is in the hospital. UPMC takes many steps to prevent CAUTIs, including only using urinary catheters when necessary, allowing only nurses and well-trained staff who have been taught sterile techniques to insert and remove catheters, as well as having caregivers wash their hands and wear gloves when working with the catheter.</p><p><a class="btn btn-primary btn-wide" href="https://www.upmc.com/about/why-upmc/quality/patient-safety/avoiding-injuries/infection-prevention/cauti" title="UPMC | Catheter-Associated Urinary Tract Infections (CAUTI)">Learn More</a></p></div><div class="PSIStates" id="south-carolina"><h2>South Carolina</h2><h3 id="MUSCHealth">MUSC Health</h3><h4>Just Culture</h4><p>MUSC Health has achieved remarkable results since instituting a “Just Culture,” or an environment where open reporting of things that are wrong, unsafe or inefficient can be done without fear of major repercussions. Since MUSC put this culture into place a decade ago, they have seen remarkable results. In 2023, MUSC’s reported harm rate (such as medication errors, surgical mistakes and preventable patient falls) was 2.5%, meaning very few incidences resulted in actual harm. With this culture in place, MUSC can quickly identify problems and address issues quickly and efficiently resulting in a positive outcome.</p><p><a class="btn btn-primary btn-wide" href="https://web.musc.edu/about/news-center/2023/11/01/just-culture" title="Medical University of South Carolina | Creating a culture of safety is what’s best for provider and patient">Learn More</a></p></div><div class="PSIStates" id="south-dakota"><h2>South Dakota</h2><h3 id="SanfordHealth">Sanford Health</h3><h4>Accountability for Excellence</h4><p>Sanford Health’s safety program aims to eliminate preventable harm. Everyone is responsible for ensuring safety, not just those who provide direct care to patients. By standardizing training for every single employee, there’s been a change in culture and practice where staff have a shared language and commitment to identifying, reporting, and addressing actual and potential safety events. Through this program, Sanford Health noted a 57% reduction in its serious safety event rate thus far.</p><p><a class="btn btn-primary btn-wide" href="https://news.sanfordhealth.org/podcast/ep-14-sanfords-journey-to-zero-preventable-harm/" title="Sanford Health | Sanford’s journey to zero preventable harm">Learn More</a></p></div><div class="PSIStates" id="virginia"><h2>Virginia</h2><img src="/sites/default/files/2025-03/PSI-Carilion-Clinic_nonsurg3-700x532.jpg" alt="Carilion Clinic patient room" id="CarilionClinic"><h3>Carilion Clinic</h3><h4>Using Data to Drive Mortality Rate Improvements</h4><p>The Roanoke-based hospital saw an opportunity to address mortality outcomes in 2022 and created a real-time mortality review system. The hospital’s leadership gathers weekly to discuss current data, trends and patterns in outcomes to quickly identify areas for investment and improvement. Within two years of establishing this process, Carilion’s mortality rate has improved by more than 50% – remarkable progress over an already high benchmark. These significant achievements led to Carilion Clinic being named a finalist for AHA’s Quest for Quality Prize in 2024.</p><p><a class="btn btn-primary btn-wide" href="/press-releases/2024-07-17-aha-honors-four-hospitals-health-systems-their-dedication-and-commitment-quality" title="AHA Honors Four Hospitals & Health Systems For Their Dedication and Commitment to Quality">Learn More</a></p><hr><img src="/sites/default/files/2025-03/PSI-Mary-Washington-Healthcare-Safety-Team-Photo-700x532.jpg" alt="Mary Washington Healthcare Safety Team Photo" id="MaryWashington"><h3>Mary Washington Healthcare</h3><h4>Unified Quality Governance Drives Incredible Improvements</h4><p>When leaders at Mary Washington Healthcare realized it wasn’t scoring as high it would like on safety and quality measures, they instituted a unified Quality Governance structure to coordinate all efforts within the organization. Projects related to health care-associated infections, patient safety indicators, readmissions, mortality, and NTSV C-sections were integrated into the framework. Physicians were assigned to oversee or “own” the projects. This approach enabled Mary Washington Healthcare to formulate improvement plans with multidisciplinary input, streamline work requests and establish clear lines of accountability. As a result, it significantly improved its performance in preventing infections, mortality and readmissions.</p><p><a class="btn btn-primary btn-wide" href="https://www.marywashingtonhealthcare.com/about-us/" title="Mary Washington Healthcare | About Mary Washington Healthcare">Learn More</a></p></div><div class="PSIStates" id="washington"><h2>Washington</h2><h3 id="VirginiaMason">Virginia Mason Franciscan Health System</h3><h4>Evidence-based practice improvements strengthen a culture of safety</h4><p>Virginia Mason Franciscan Health considers each of its 5,000 staff members to be "safety inspectors" responsible for detecting and preventing potential medical errors before they occur. Each employee completes mistake-proofing training, which empowers them to identify and raise any patient-safety related issues, including hospital-acquired infections. This culture empowers employees to call attention to potential mistakes, without fear of blame or retaliation. As part of its efforts to eliminate avoidable death and injury in its facilities, Virginia Mason Franciscan Health also implements evidence-based practice improvements in 12 clinical areas to continually up the bar on patient safety.</p><p><a class="btn btn-primary btn-wide" href="https://www.vmfh.org/about-vmfh/research-care-quality/quality-patient-safety" title=" Virginia Mason Franciscan Health | Quality & Patient Safety">Learn More</a></p></div><div class="PSIStates" id="wisconsin"><h2>Wisconsin</h2><img src="/sites/default/files/2025-04/PSI-Aurora-Health-Care-Org-700x532.jpg" alt="Aurora Health Care Org Exterior" id="AuroraMedical"><h3 id="">Aurora Medical Center - Manitowoc County, Two Rivers</h3><h4>Implementing a Visual Management Board System to Improve Patient Safety</h4><p>Located in a largely rural county that abuts Lake Michigan, Aurora Medical Center - Manitowoc County, Two Rivers is a cornerstone of the community. The hospital’s patient care units hold regular huddles to discuss ways to improve patient care, quality, and provide other necessary information. An organizational review of huddle practices showed opportunity for standardized huddle practices to consistently promote sensitivity to operations, situational awareness of current concerns and problem resolution. To improve, local hospital leadership standardized the process and implemented a visual management board. As a result, care teams now hold shorter, more efficient huddles at the start of every shift to discuss the unit’s daily goals with the opportunity to customize the discussion based on patient and department need.</p><p><a class="btn btn-primary btn-wide" href="https://wha.org/data-publications/reports/quality/2024/aurora-medical-center-manitowoc-county,-two-rivers" title="Aurora Medical Center | Manitowoc County, Two Rivers, 2024 Quality">Learn More</a></p><hr><img src="/sites/default/files/2025-03/PSI-Tomah-Health-IMG_8169-700x532.jpg" alt="Tomah resident Jackie Flock, left, walked with assistance from Tomah Health certified nursing assistant / Ambulation Aide Vicki Gonzales. Hospital officials say the WHA designed MOVIN program has made a difference for patients and staff." id="TomahHealth"><h3>Tomah Health</h3><h4>Preventing Falls Is Vital</h4><p>Preventing falls is vital to keeping hospitalized patients safe. To help avoid debilitating falls—which are more likely to occur after a period of prolonged bedrest––Tomah Health implemented the Wisconsin Hospital Association’s Mobilizing Older adults Via a systems-based Intervention (MOVIN)® program. By working with patients to set mobility goals and incorporating ambulation into each patient’s care plan, the MOVIN program helps individuals regain strength, prevent injuries, and ease the transition out of the hospital and back into the community.</p><p><a class="btn btn-primary btn-wide ext" href="https://www.tomahhealth.org/wha-movin-program-enhances-tomah-health-care/" target="_blank" title="Tomah Health | WHA MOVIN Program Enhances Tomah Health Care">Learn More</a></p></div><div class="PSIStates" id="dc"><h2>District of Columbia (D.C.)</h2><img src="/sites/default/files/2025-04/PSI-Childrens-National-Hospital-NICU-baby-700x532.jpg" alt="NICU baby holding a finger" id="ChildrensNational"><h3>Children's National Hospital</h3><h4>Reducing Vancomycin Use in the Neonatal Intensive Care Unit (NICU)</h4><p>Children’s National Hospital is pioneering a program to reduce the use of the antibiotic vancomycin in the neonatal intensive care unit (NICU). The assembled multidisciplinary team decreased vancomycin use in the NICU by 60% and recorded no episodes of vancomycin-associated kidney injury in the NICU. The team developed and implemented several interventions, including standardizing the hospital’s approach to treating several types of infections, integrating pharmacists into the antibiotic review process and educating clinicians on antibiotic use. As an added benefit of the program, the use of other antibiotics in the NICU also declined by about 20%.</p><p><a class="btn btn-primary btn-wide" href="https://www.childrensnational.org/about-us/quality-and-safety/for-our-families" title="Children’s National Hospital | For Our Families">Learn More</a></p></div></div></div></div> .ReturnTop { float: right; background-color:; position:relative; left:-0px; top:0px; } .ReturnTop a{ float: right; background-color: ; position: relative; left: -0px; top: 33px; padding: 5px 15px 5px 15px; border-radius: 5px; color: ; font-weight: 700; text-decoration: none; } .ReturnTop a:hover{ background-color: ; } // Finds all of the same Class with name... const elements = document.querySelectorAll('.PSIStates'); // Adds HTML Before each Class elements.forEach(element => { element.insertAdjacentHTML('beforebegin', '<div class="ReturnTop"><a href="#StateList" title="Jump back to the top of the state list">Top ↑</div>'); }); Mon, 17 Mar 2025 16:10:46 -0500 Quality & Patient Safety