Botsford News Release
Farmington Hills, Mich. (May 26, 2009)---How does a hospital get various health caregivers who were involved in a sentinel event to collaborate on root causes and corrective actions to increase safety for future patients?
An employee at Botsford Hospital in Farmington Hills, Mich., has the answer. In fact, establishing and leading the review process for sentinel events has earned Diane Trinks, R.N., a 2009 Safety Excellence Award from the hospital where she directs the Patient Advocacy and Risk Management Departments. Under her process, an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof, is followed by immediate investigation and review by a multidisciplinary team. The hospital’s focus on this is part of a broad national effort in accordance with the federal Patient Safety Quality Act of 2005.
Trinks, a resident of Farmington Hills, facilitates the meetings with frontline caregivers to identify contributing factors in an open, non-accusatory fashion. She emphasizes that the focus of the review is primarily on systems and processes, not individuals. The process does not blame and is used to prevent recurrence. Reviews involve educational follow-up and monitoring to ensure changes have been successfully implemented.
“Botsford is one of few hospitals to bring all staff members together who were directly involved in a sentinel event,” says Marge Hasler, R.N., Botsford’s vice president and chief nursing officer and chair of the hospital’s Safety Board. “Diane’s professional approach and unbiased handling of the facts helps increase patient safety.”
Clinicians at Botsford Hospital now have an increased awareness and understanding of the sentinel event review process. Feeling a newfound comfort with the process, they speak up sooner to proactively make reports. Botsford’s environment of safety supports improved outcomes for patients, provides information about underlying causes of errors in health care delivery and disseminates this information to speed the pace of improvement.
ABOUT BEAUMONT HEALTH
Beaumont Health is Michigan's largest health care system, based on inpatient admissions and net patient revenue. A not-for-profit organization, it was formed in 2014 by Beaumont Health System, Botsford Health Care and Oakwood Healthcare to provide patients with the benefit of greater access to extraordinary, compassionate care, no matter where they live in Southeast Michigan. Beaumont Health consists of eight hospitals with 3,337 beds, 168 outpatient sites, nearly 5,000 physicians and 35,000 employees and about 3,500 volunteers. In 2015, the organization had $4.1 billion in net revenue with 177,934 inpatient admissions, 17,151 births and 530,860 emergency visits. For more information, visit beaumont.org.
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