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This Center project aims to improve patient safety and reduce costs by reducing the rates of CDIs. Clostridium difficile infections (CDI) are an increasingly prevalent and expensive type of healthcare-associated infection (HAI) that can cause medical complications ranging from painful diarrhea to death.

Learn about the Reducing C. Diff Infections project

This Center project, whose solutions are the basis for the widely used Hand Hygiene Targeted Solutions Tool, represents a broad collaboration with leading providers that led to the discovery of 41 barriers to hand hygiene and validated solution sets. With health care workers typically washing their hands less than 50 percent of the time, this project’s findings can help you discover your organization’s most important causes of failure and the right solutions to overcome them.

Learn about the Hand Hygiene project

Patient hand-offs happen hundreds of times a day within and between health care organizations. Any gaps between the sender of the information and the receiver can result in sub-optimal care, and even adverse events. Ten hospitals and health care systems partnered with the Center to validate and address root causes of hand-off communications problems. Read about their experiences or use the Hand-Off Communications Targeted Solutions Tools to find out how you can improve your organization’s hand-off communications process.

Learn about the Hand-off Communications project

Hospital acquired pressure ulcers/injuries (HAPU/I) result in significant patient harm, cost as much as $70,000 to treat, cause increased length of stay and even premature mortality. Each year more than 2.5 million patients in U.S. acute-care facilities suffer from pressure ulcer/injuries and 60,000 die from their complications.

Learn about the HAPU/I Project

In partnership with the American College of Physicians and leading hospital systems, this Center project addressed preventable factors that worsen the status of heart failure patients  a leading cause for admission. Learn more about specific strategies that led to fewer readmissions and emergency room visits for these patients.

Learn about the Preventing Avoidable Heart Failure Hospitalizations project

Keeping patients safe from falls is a persistent challenge in health care hundreds of thousands of patients fall annually, with up to 35 percent of them likely to sustain an injury. The Center partnered with seven hospitals and health care systems to examine why patients fall and created solutions to mitigate those unsafe conditions. Organizations using the Preventing Falls Targeted Solutions Tool have commonly seen dramatic and sustained reductions in their falls and falls with injury rates.

Learn about the Preventing Falls project

Every year, 750,000 Americans are diagnosed with sepsis and of those, 220,000 die. Sepsis is also the most expensive disease to treat, costing approximately $17 billion dollars annually. Sepsis mortality can be reduced, even with scarce resources, through early detection and the rapid initiation of appropriate treatment. Find out how you can reduce sepsis mortality in your organization.

Learn about the Reducing Sepsis Mortality project

Glycemic control is not only fundamental to the management of diabetes, but is also essential to prevent hyper- or hypoglycemic events induced by critical illness, stress and medical treatment. With a goal of reducing insulin-related medication errors in the hospital setting, the Center partnered with five leading hospitals and health systems to identify and mitigate root causes that lead to poor glycemic control related to insulin administration and other factors.

Learn about the Safe and Effective Use of Insulin project

According to best estimates, there are approximately 50 wrong site surgeries per week in the United States. Preventing wrong-site, wrong patient or wrong procedure surgeries requires a critical look at the entire perioperative process, from scheduling until the completion of the operation. In this project, the Center and its partners examine how risks for wrong site surgery can be introduced at every stage of the surgical process. Assess your current processes with the Safe Surgery Targeted Solutions Tool.

Learn about the Safe Surgery project

Trust is the foundation of a safety culture leading concerned employees to report unsafe events and identify opportunities for improvement. When leadership responds positively, employees are further motivated to report, building greater levels of trust and resulting in more improvement ultimately transforming an organization. This Center project focuses on what helps and hinders reporting within health care organizations, and can help you learn how to build trust within your organization.

Learn about the Safety Culture project

Surgical site infections (SSIs) are the second most common type of healthcare-associated infections (HAIs), accounting for 22 percent of all HAIs among hospital patients. The Center partnered with the American College of Surgeons and six hospitals and health systems to find ways to reduce the risk of SSIs. The team chose to focus on patients having colorectal surgery and colorectal procedures due to significant complications and high variability. Project participants reported reductions in SSIs and lengths of stay, as well as significant cost savings.

Learn about the Surgical Site Infections project

Venous thromboembolism (VTE) is a major cause of morbidity and mortality in the United States with up to 900,000 VTEs occurring annually, resulting in approximately 100,000 deaths and enormous direct costs estimated at $8-10 billion each year. The Center partnered with the Centers for Disease Control and Prevention and with 5 leading health systems to discover the barriers to consistent, successful implementation of preventative measures, and to develop solutions to these barriers.

Learn about the Venous Thromboembolism Prevention project