The patient safety awards
program, launched in 2002, honors the late John M. Eisenberg, MD, MBA, former
administrator of the Agency for Healthcare Research and Quality (AHRQ). An impassioned
advocate for healthcare quality improvement, Eisenberg was a member of NQF’s
founding board of directors, chaired the federal government’s Quality
Interagency Coordination Task Force, and personally led AHRQ’s grant program to
support patient safety research.
The honorees for
individual, national, and local recognition for their work in the field of
patient safety and quality of care are:
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Individual Achievement: Thomas H. Gallagher, MD, professor and associate chair, Department of
Medicine, and professor, Department of Bioethics and Humanities, University of
Washington School of Medicine, Seattle.
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Innovation in Patient Safety and Quality at the National
Level: Children’s Hospitals’ Solutions for Patient
Safety, a network of more than 130 children’s hospitals in the United States
and Canada.
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Innovation in Patient Safety and Quality at the Local
Level: LifePoint Health’s National Quality Program, Brentwood,
Tennessee.
Dr. Gallagher is
honored for his work to improve transparency in disclosure of injury to
patients who have been harmed during their medical treatment. His contributions
include creating and directing the Collaborative for Accountability and
Improvement, which has implemented communication
and resolution programs at healthcare organizations across the country. He
played an integral role in the national release of an AHRQ toolkit to help
organizations develop communication and resolution programs, and he served on
the National Academy of Medicine’s committee to improve diagnosis in
healthcare. His work includes empirical research on patient preferences for
error disclosure and disclosure practice, analysis of how state and federal
policy impacts disclosure, implementation of disclosure training programs, and
state-level demonstration projects designed to overcome barriers to the
disclosure of adverse events. He has also been instrumental in using adverse
events as a learning opportunity to improve clinical practice.
Children’s
Hospitals’ Solutions for Patient Safety, honored for its focus on advancing the culture of safety across a network
of more than 130 children’s hospitals, spares an estimated nearly 10,000 children from harm while
hospitalized. Members of the network share data about 11 types of patient harm
such as surgical site infections, catheter-associated urinary tract infections,
adverse drug events, and pressure injuries and falls. The members also hold more
than 100 virtual learning events annually and host two conferences each year as
part of their commitment to education. In addition to working with senior
leadership in their hospitals, they engage patients’ families in their work to
identify leading practices. Participants have reported sustainable change in
their organizations through the collective efforts of the network, including an
improved safety culture at the organizational level.
LifePoint Health’s National Quality Program is
honored for its system-wide learning laboratory that consists of a data-driven
program to improve the safety culture in its hospitals and decrease
hospital-associated patient harm across more than 70 facilities in 22 states.
Through these efforts, aggregate patient harm has decreased 62 percent.
Successes include 12 months of zero central-line infections at 73 percent of
the company’s hospitals from January to December 2017 (National Healthcare
Safety Network-reported measure). From 2010 to 2017, hospital-acquired
infections decreased by 78 percent for urinary tract infections, 58 percent for
sepsis infection, and 73 percent for pneumonia (based on administrative claims
data).
“Congratulations to Dr. Gallagher, LifePoint Health,
and Children’s Hospitals’ Solutions for Patient Safety for their achievements
in the relentless pursuit of patient safety and quality improvement,” said Mark
R. Chassin, MD, FACP, MPP, MPH, president and CEO, The Joint Commission. “All
three recipients are committed to providing highly reliable healthcare—care
that is consistently excellent and safe across all services and settings. It is
through innovative work like theirs that we can make great strides in achieving
zero patient harm.”
“The
2017 Eisenberg Award winners inspire all of us to continue our collective
efforts to make healthcare better and safer for every patient,” said Shantanu
Agrawal, MD, MPhil, president and CEO, National Quality Forum. “Through data,
collaboration, transparency, education, and patient engagement, the Eisenberg
winners’ innovative approaches move us closer toward our universal goal to
eliminate patient harm.”
The achievements of each
award recipient will be featured in the July 2018 issue of The Joint Commission Journal on Quality and
Patient Safety.