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Joint Commission Accreditation

As part of our ongoing commitment to patient safety, Bay Regional Medical Center has set a single organizational goal: Ensuring the safety of our patients by eliminating avoidable death and injury. Bay Regional Medical Center is focusing on this goal because the best clinical outcomes cannot be achieved without establishing the safest possible environment for patients. Caring for patients safely is the foundation for living up to VM's vision of becoming the Quality Leader. That means zero defects in the care that is provided and 100 percent performance on critical safety policies.

Evidence-based practice improvements

Bay Regional Medical Center is implementing evidence-based practice improvements in 12 clinical areas proven to dramatically improve safety in hospitals. The Institute for Healthcare Improvement (IHI) recently initiated the 100,000 Lives Campaign, which aims to eliminate 100,000 needless deaths from America's health care system by June 2006. Bay Regional Medical Center is implementing the practice changes recommended by the IHI, as well as additional evidence-based practice changes proven to have a dramatic impact on enhancing patient safety.

Patient involvement

Bay Regional Medical Center has developed a brochure for all patients that provides practical information to help them take an active role in ensuring their own safety. Patients as a key member of their safety team. Just as all 5,000 VM staff members are considered "safety inspectors" - on the lookout for potential medical errors before they occur - VM is asking patients to be safety inspectors in their own care. As part of this, VM's staff is receiving training on how to be proactive in welcoming and encouraging participation from patients.

Mistake-proofing training

All VM staff will be provided with mistake-proofing training this year. This training will help every staff member in their individual efforts to achieve defect-free care.

Improving communications

New communication tools and methods will be developed to help make the work culture of VM truly a culture of safety - for patients as well as staff.

Developing a culture of safety

To achieve the goal of eliminating avoidable death and injury, all VM staff are called to be "safety inspectors" - empowered to "stop the line" when potential sources of mistakes are discovered, without fear of blame.

The fact is that the best clinical outcomes cannot be achieved without establishing the safest possible environment in which to deliver care. That is the reason for Bay Regional Medical Center's focus on patient safety. Our patients deserve no less.Patient Rights and Responsibilities Medication Safety: How you can help keep yourself safe when taking medications Patient Safety Starts with You Preventing Infections in the Hospital: What You Can Do

To register a complaint regarding services provided at Bay Regional Medical Center, contact the Joint Commission on Accreditation of Health Care Organizations toll free at 1-800-994-6610 or email complaint@jointcommission.org



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