Quality

Pregnancy and Delivery Care

Guidelines developed by doctors and researchers say it is best to wait until the 39th completed week of pregnancy to deliver your baby because important fetal development takes place in your baby’s brain and lungs during the last few weeks of pregnancy.

Sometimes women go into early labor on their own, and early deliveries cannot be prevented. Sometimes, doctors decide that inducing labor or delivering a baby early by C-section (called “elective delivery”) is in the best interest of the mother and the baby. In these cases, early deliveries are medically necessary.

West Jefferson Medical Center is dedicated to keeping our mothers and babies safe by avoiding early elective deliveries when they are not medically necessary.

By providing care to pregnant women that follows best practices, hospitals and doctors can improve chances for a safe delivery and a healthy baby.

https://www.medicare.gov/hospitalcompare/about/timely-effective-care.html

Percentage of mothers whose deliveries were scheduled too early (1-2 weeks early), when a scheduled delivery was not medically necessary

Note: This data is publicly reported on Hospital Compare at https://www.medicare.gov/hospitalcompare Data as of 7.30.21

Safe Surgery

According to an AHRQ-supported study, wrong-site surgery occurred at a rate of approximately 1 per 113,000 operations between 1985 and 2004. In July 2004, The Joint Commission enacted a Universal Protocol that was developed through expert consensus on principles and steps for preventing wrong-site, wrong-procedure, and wrong-person surgery.

In an effort to prevent these errors from occurring in our operating rooms, West Jefferson Medical Center partnered with the Louisiana Surgical Quality Collaborative (LaSQC) in 2019 and adopted the use of the “Safe Surgery Checklist”.

"The Safe Surgery Checklist is a quality improvement initiative designed to deliver safer patient care by enhancing communication and teamwork in the operating room/procedure room. When used properly, it helps to create an environment in which people can speak up, input is solicited, and information is shared. It is not a form that has to be "checked off”, but is designed for experts by experts to provide meaningful improvements in teamwork and care. It is a structured process that creates a framework for discussing surgical plans, addressing concerns and confirming critical information at key points in the surgical workflow"(Safe Surgery Checklist Implementation Guide. Boston MA: Ariadne Labs; 2015).

Safe Surgery Checklist Outcomes

Safe Blood Administration

Blood transfusions are indicated for the patient who has hypovolemia secondary to hemorrhage, anemia or another disease process that is associated with a deficiency in terms the patient's clotting or another component of blood, for example.

Some blood transfusion reactions and blood transfusion errors occur as the result of inaccurate patient identification. Simply stated, patient misidentification can be prevented by matching the client to the order, ensuring that the blood is accurately matched to the client and the order and by using the two person verification technique that involves two nurses checking the blood, the order and the client's identity using at least two unique identifiers.

At West Jefferson Medical Center, prior to administering blood, two nurses (one being a Registered Nurse or Advanced Practice Nurse) complete patient identification process by matching the blood or blood component to the order and matching the patient to the blood or blood component. A Physician may verify blood with a Registered Nurse.

Additionally, barcode scanning technology is used to ensure that all components match.

Patient death or serious injury associated with unsafe administration of blood products