TMIT is driving production of multimedia development of stories to improve patient safety in hospitals. Certain broadcast programs will be shown globally, and then will be made available to hospital leadership and front-line performance teams. Stories will include consumers, front-line caregivers, clinical and non-clinical leaders of hospitals, and international subject matter experts. The series of "arc to action" stories will be told to inspire both community and hospital leaders to act locally.
The goal is to save lives, save money, and deliver value to the community through extraordinary impact by improving ordinary things.
Chasing Zero: Winning the War on Healthcare Harm trailer.
Click on the image above to play the documentary trailer.
Click hereto view the entire 53-minute documentary.
Click hereto download a complete version of the documentary transcript.
National Press Club: April 12, 2010: Dennis Quaid referred to the documentary in his speech.Click here to view the video of the National Press Club speech.
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Vanderbilt Medical Center Two Questions
Julie Morath, RN, MS, is the Chief Quality and Safety Officer of the Vanderbilt Medical Center. Her transition from the bedside to the boardroom gives her tremendous insight into delivering safe care. Her message to boards and senior leaders is that they must be able to answer two questions: is this a safe place for care, and can caregivers speak up if it is not?
The Cleveland Clinic Intensive Care and Intensive Leadership
Dr. Nicholas Smedira, leading cardiothoracic surgeon, gave us a tour of the CardioThoracic Intensive Care Unit. Cleveland Clinic's focus on leadership has made it one of the top institutions in the country. He shared his surprise at the adoption of the surgical checklist.
Mayo Clinic, Rochester, Minnesota A New National Standard in Surgical Care
Dr. Robert Cima, Head of Quality for Surgical Services at the Mayo Clinic, Rochester, shared his insights on the latest evidence-based practice to reduce surgical-site infections. A recent study published in the New England Journal of Medicine shows that using Chlorhexadine with alcohol prep in type 2 wounds reduces infections by 40 percent.
A Message to Consumers
Dr. Michael Henderson, Chairman of the Quality and Patient Safety Institute at Cleveland Clinic, gave some great advice for consumers seeking safe healthcare.
Engaging Future Leaders with Technology Laguna Beach Quality Roundtable
At a recent meeting of the minds on quality improvement in healthcare, we heard a great story from James Dilling. A friend of his family was in a car accident that he learned about several hours after it happened. His kids, through Twitter, knew of the accident ten minutes after it happened. We can engage future leaders by leveraging technology available today and use this technology to solve problems in primary care and beyond.
Our inspiration: The Braxton Rel Family
Two people who have inspired this documentary are Steve and Lorna Rel of Albuquerque, New Mexico. They lost their son, Braxton, and are giving back to prevent other parents from losing their children. They are giving the gift of life and patient advocacy through the loss of their son.
Mayo Clinic, Rochester, Minnesota – Innovation, Iris, and the Mayo Mission
When we came to Rochester, we didn’t plan to shoot a segment on the environmental services, but then we found out that they were really great innovators. When they found out there were high bacterial counts on the contact surfaces in the rooms, they developed a checklist without being asked to, and are now cleaning the rooms more effectively than before. We met Iris Cowger, who clearly articulated the Mayo mission of "The Needs of the Patient Come First," and put it in the context of her job: making a clean environment for the patients. This was a great blessing to Dr. John Noseworthy, President and CEO of Mayo Clinic, Rochester, Minnesota, when he heard that even the cleaning staff could espouse the mission.
Iris Cowger, Mayo Clinic, Rochester, Minnesota
Mayo Clinic, Rochester, Minnesota – Learning from Other Industries: Clean Rooms and Clean Food Have a Lot In Common
Another surprise came out of this story that keeps giving during a collaboration with Dr. Cima, who gave us further insight into the environmental services at Mayo. Andy Kolengoode, another Mayo employee, who used to work in the food industry, recommended taking bacterial counts in patient rooms the same way staff would measure bacteria in food processing plants. By taking bacterial cultures of the surfaces in patient rooms with an overnight test, they discovered that colony counts were higher on the remote control than they were on the toilet. This led to a change in the way the rooms were cleaned, and, as Iris remarked, If we clean differently and better, we can save lives.
Mayo Clinic, Rochester, Minnesota – Could This Happen at Mayo?
One of the unanticipated video shoots was at the Dan Abraham Healthy Living Center. Dr. Swensen recanted to us that, when he first saw the news story of Dennis Quaid‘s twins medication accident, he was on an elliptical trainer. Even though he was hot and sweaty from his workout, he felt a cold chill run down his spine. As Dr. Swensen told us, "I asked myself, ‘Could this happen at Mayo?’ and the answer was yes. This wake-up call for Dr. Swensen led to several initiatives at Mayo to ensure that a medication error of that type would not happen.
Dr. Steve Swensen, Mayo Clinic, Rochester, Minnesota
Mayo Clinic, Rochester, Minnesota – Share Rounds
A big surprise to us was the innovation created by the nurses at Mayo, called "Share Rounds," in which nurses do their shift change and report hand-offs in front of their patients. Not only did it increase patient safety and satisfaction, it also improves nursing satisfaction ... and it saves time and money.
Mayo Clinic, Rochester, Minnesota – A Guide Through the Tunnels
A special thank-you goes out to our gracious guide, Rebecca Finseth. It was amazing that not only did she keep us from getting lost in the myriad buildings and floors at Mayo, but she kept introducing us to great people. We felt welcomed and honored to be a part of the Mayo system. We even got a tour of the underground tunnels a great way to travel with 200 pounds of video equipment.
Rebecca Finseth, Mayo Clinic, Rochester, Minnesota
Mayo Clinic in Florida – It Wouldn‘t Be Florida Without NASCAR
Bob Brigham, Chief Administrative Officer for Mayo Clinic in Florida, gave us a great example of using other industries to improve performance. We were surprised and excited by the story of Mayo Clinic in Florida bringing a NASCAR pit crew chief into the OR to get tips on improving efficiency. Bob told us how the NASCAR suggestions helped dramatically turn around times and efficiency. His takeaway message: "Administrators need to look outside of their industries."
Bob Brigham, Mayo Clinic in Florida
Mayo Clinic in Florida – The Barrier Buster
When we were at Jacksonville, we learned the very appropriate nickname that the nurses gave Dr. Bill Rupp, CEO of Mayo Clinic in Florida. He‘s affectionately known as "The Barrier Buster." Of the 72 initiatives adopted in the recent improvement efforts at Mayo Clinic in Florida, 71 came from the front-line staff. As Dr. Rupp told us, "Ask your staff. They already have the answers."
Dr. Bill Rupp, CEO of Mayo Clinic in Florida
Safety Leaders and Documentary Sponsor Attend VIP Reception at National Press Club
Leaders of NQF, government leaders, and documentary sponsor meet with Dennis Quaid one-on-one and then attend announcement of release of NQF Safe Practices 2010 Update by Mr. Quaid.
Safety Leaders Affirm the Specificity of Safe Practices Requirements
Dr. Peter Pronovost of Johns Hopkins (04-05-10 and 10-19-11) and Dr. David Hunt (12-13-11) of the ONC, both NQF Safe Practices committee members, affirm the importance of specificity of safe practices for action.
NQF Patient Safety Advisory Committee Report December 2010
Dr. Denham and Dan Ford a member of the TMIT advisory team participated into the last quarter of 2010 on development of the Patient Safety Advisory Committee report published Dec. of 2010.
Helen Burstin, MD, MPH, is a Champion for Families December 2010
Dr. Helen Burstin of NQF originally approved the chapter in the Safe Practices, and in December 2011 explored opportunities for evaluating imaging practices that can reduce ionizing radiation to children.
AIIMS Report - December 2009
A TMIT project funded by CareFusion was focused on Automated Infection Identification and Mitigation Systems with a plan to convene all supplier companies to synchronize their measures. The report was presented at the IHI Forum.
Janet Corrigan, PhD, and Howard Koh, MD, MPH Share Vision April 4, 2010
These leaders share important views that are in the films and some that were not able to be shown.
Nancy Conrad speaks on The Pete Conrad Story
Pete Conrad was one of only 12 men to walk on the moon. His visionary footsteps have led us on a path of exploration continuing to this day.
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