Patient Safety: At the Heart of All We Do | Johns Hopkins Bayview Medical Center

November 3, 2019 posted by

About 20 after nine, a police officer
showed up at our door and, said that, you know, there have
been an accident. And that Aubrey was taken priority one to,
to John Hopkins Bayview. She was burned 30% of her body from the
her arms, chest, neck, face. So, we knew, at that time that it was bad.>>Our burn unit patients come from all
over the state, to Baltimore for some of the best care in
the world. But, not only do we have sick patients in the burn unit, we have sick patients
throughout our hospital. And so our focus on patient safety is
critical across the medical center.>>Johns Hopkins’ Bayview of choice has its history to before the Revolutionary
War. We were founded in 1773 to help the sick
in Baltimore. In the middle of the 20th century, Peter
Saphur began one of the multidisciplinary ICUs, perhaps the
first multidisciplinary ICU in the United
States. We’ve built upon that legacy over the
succeeding decades with the first kidney transplant
in Maryland. One of some of the earliest bone marrow
transplants in the country. We’re very proud of this history, but
we’re looking to the future, and we’re trying to make sure that our
care becomes safer and safer.>>All of our initial Initiatives, the
major initiatives of patient safety, of service excellence, of diversity and inclusion, and employee engagement all
roll together. They are all interrelated and can impact
patient safety.>>Safety is the background, the
platform, and the framework for everything that we do in
healthcare. And it’s important to frame it from a
patient perspective, but also in the environment in which we practice
and those who deliver the care.>>We recognize that we need to have
engaged employees who feel part of the teams, to take the best care
of our patients. We focused increasingly on this culture of
collaboration.>>Patient safety turns out to be a
team sport, not an individual activity. And the only way you get teams to work
together is when they respect each other and listen
to each other.>>It allows us to transfer information
We have executive patient safety rounds.>>Staff will be able to come into the forum and discuss events or concerns that
they have.>>We have the advantage of having an
executive in the room and their role is to eliminate barriers or be able to
provide resources in order to make changes in
patient care.>>We have always had a very
paternalistic approach in medicine where we know what’s
best. Dr Hellmen has brought the Aliki Initiative here, which is a different
mindset. It’s partnering with the patients and have
them take an active role in their health care.>>The essence of the Aliki Initiative
Initiative is to imbue in everyone, the importance of
knowing their patients as people. And when you know someone as a person, and
the Aliki Initiative really facilitates this, it allows our residents
to go visit their patients in their homes. Then you have a much better idea of how
they’re functioning, and in this exchange you develop the capacity
to both listen and communicate.>>Over the last decade there’s been an
increasing focus on the technology in taking care of
our patients. We’ve installed new IV pumps. We brought new equipment to our operating
rooms, and to our imaging suites.>>We have opened a very technically
advanced dual operating room that provides a significant improvement in the
accuracy of our operations. But also an immediate verification of a
lot of things that we do during the operation, before the
patient leaves the operating rooms. And this is done through the placement of
a CT scan in between the two rooms.>>Patient safety has improved. When I started nursing there wasn’t
simulation at all. We didn’t have simulators. Now we are able to use the technology, the
simulator. It has a computer system attached to it
so, we are able to practice high risk scenarios on a mannequin, as opposed to an actual
patient. And then we can learn from that, and improve systems and improve our
technical skills. So when we take care of patients, we do it
in a safer way.>>Technology is extremely important in
what we do, in helping us provide very safe care. But, our employees are our back bone.>>So the innovated spirit it at
Bayview is one of it’s, our greatest strengths in
improving safety. And our faculty nurses, and staff, have come up with novel ways of improving
safety.>>We have Pyramid Grants, on the
units, and these are grants from Dr. Hillman our vice dean
of medicine. And these are ideas, generated from staff,
to make sure that the patient experience is a great one, and
also that patients feel safe.>>One of simplest examples of how
we’re improving patient safety has been our
focus on handwashing. We’ve established, what I believe, is one of the most rigorous definitions for hand
washing. Which means that every person that walks
into a room, uses a gel to, before they walk into a
room. And gels when they walk out of the room. And using secret observers. We’re seeing that we’re being compliant
with those definitions more the 90% of the
time.>>If we don’t ask about, safety
concerns, we really don’t know about it. One of the processes that we have is our
patient safety net. It is a database and the staff is able to
enter events online. Then what happens, our patient safety
department, every day reviews the patient safety events that
have been submitted. Based on the event, we appropriately
either refer out, or follow up, to see if we need to make some system
wide changes. That staff who entered the events actually
gets some feedback tha, yes it made a
difference.>>Johns Hopkins Bayview has unique
assets it can bring to patients safety. Number one, we care, and secondly, we have
fabulous people>>As we look to the future, I’m very
optimistic about our ability to make patient care at
Bayview even safer. At Johns Hopkins Bayview, we have all the
tools we need to become a leader in patient
safety.>>Last year I was diagnosed with
leukemia. And when I was in the hospital it became
very apparent to me how vulnerable I was. I mean, I always had an appreciation of how vulnerable patients were, but until you’ve lived through it, you never really appreciate

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4 Replies to “Patient Safety: At the Heart of All We Do | Johns Hopkins Bayview Medical Center”

  1. cynthia purviance says:

    Very good video.

  2. Kelly says:

    They live up to this! I had surgery there in 2010 that had complications. My surgeon was there everyday, and students surrounded my bed! The surgeon asked if the students could be there first before they could come in. It's bad enough to have to be in the hospital. To be treated with respect and dignity is ALWAYS important!They do that! Good job Johns Hopkins Bayview!!!!!

  3. Katherine Caruso says:


  4. Brad Johnson says:

    God bless her it looks like she has a lot of support thank God.

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