Using Electronic Clinical Quality Measures (eCQMs) to Perform a Venous Thromboembolism Prophylaxis Rapid Cycle Quality Improvement Initiative

2019 ◽  
Vol 45 (11) ◽  
pp. 750-756
Author(s):  
Ala Mohsen ◽  
Ethan Kuperman ◽  
Jennifer McDanel ◽  
Sarah Hacker ◽  
Mary Duffy ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Venous Thromboembolism ◽  
Quality Measures ◽  
Quality Improvement Initiative ◽  
Thromboembolism Prophylaxis ◽  
Clinical Quality ◽  
Venous Thromboembolism Prophylaxis

Using Safety Barrier Analysis to Facilitate Quality Improvement in Health Care: Improving Venous Thromboembolism Prophylaxis as a Proof of Concept

2019 ◽  
Vol 35 (2) ◽  
pp. 147-154 ◽  
Author(s):  
Carlton Moore ◽  
G. Cameron Coleman ◽  
Jamison Chang ◽  
Max Nagle ◽  
May-Britt Sten
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Venous Thromboembolism ◽  
Six Sigma ◽  
Lean Six Sigma ◽  
Hospitalized Patients ◽  
Thromboembolism Prophylaxis ◽  
Venous Thromboembolism Prophylaxis ◽  
Safety Barrier ◽  
Barrier Analysis

Effective quality improvement is a key factor in optimizing the care of hospitalized patients. Unfortunately, the US health care system has a poor safety record when compared to other major industries. For example, at 250 000 per year, medical errors are the third leading cause of death in the United States. Safety barrier management, a widely used methodology in high-risk industries such as commercial airline transportation and oil drilling, has not been widely used in traditional quality improvement efforts in health care, which rely more on standard lean Six Sigma quality approaches. The authors describe a quality improvement project that uses safety barrier analysis to help inform solutions to improve venous thromboembolism prophylaxis in hospitalized patients. This study found that safety barrier analysis helped inform solutions to improve venous thromboembolism prophylaxis at the study institution and can be a useful adjunct to standard lean Six Sigma methodologies for quality improvement in health care.

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