Quality and Safety Measures at CHRISTUS St. Frances Cabrini Hospital
At CHRISTUS St. Frances Cabrini Hospital, we make a special commitment to provide safe, high-quality care for all patients. Our professional staff are at the core of our rigorous dedication to quality and are critical to ensuring the safe care and satisfaction of our patients.
Maximizing our culture of safety is a collaborative effort. All staff take part in planning patient-safety measures for their respective areas and attend annual training. In addition, each clinical department maintains a quality committee that reviews individual cases for issues and identifies opportunities to improve performance.
In our commitment to eliminate preventable patient harm through the detection and correction of system weaknesses, we have implemented high-reliability strategies.
Selected highlights from our comprehensive quality and safety measures include:
- Strict adherence to specific safety protocols for central-line catheters, the special IVs that are often used when treating very sick patients.
- Assessment of patients at risk for self-injury and falls, with checks upon admission as well as at each change of nursing shifts.
- Review of emerging safety findings from medical journals and institutions, helping to identify and implement best practices.
- Regular self-monitoring of our work and progress on patient quality and safety.
- Participation in The Joint Commission’s patient-safety program, which focuses on factors such as hand hygiene. The Joint Commission accredits hospitals and is widely considered the nation’s predominant health standards-setting body.
- Continuous monitoring and review of every case to identify and eliminate all possible causes of hospital-acquired conditions—with the goal of preventing them entirely.
- Formal education for new doctors about proven quality and safety practices.
- Follow-up phone calls with our most vulnerable patients to review discharge instructions and confirm plans for follow-up care—an approach that helps reduce readmissions.
- Self-checking (Stop-Think-Act-Review), peer checking, Leader rounding and daily safety check-ins attest we strive to see things from the patient’s perspective and engage Qualtrics to assist in surveying our patients about their experiences and the care we’ve provided. This information is used to inform improvement activities and to celebrate team members mentioned by patients for their outstanding clinical expertise or compassionate care.
Quality improvement is a continuous process and a team effort. Together, we work daily to ensure that the care we provide is of the highest quality, living out our mission of “Extending the healing ministry of Jesus Christ.”