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Safe Practices at Baystate Medical Center



Baystate Medical Center fully satisfies all safety practices recommended by the National Quality Forum, including:

1.  Creating and Sustaining a Culture of Safety

                a. Leadership Structures and Systems

                b. Culture Measurement and Interventions

                c. Team Training and Team Interventions

                d. Identification and Mitigation of Risks and Hazards

2.  Informed Consent, Life-Sustaining Treatment, Disclosure, Care of Caregiver

                a. Informed Consent

                b. Life-Sustaining Treatment

                c. Disclosure

                d. Care of Caregiver

3.  Matching Healthcare Need with Service Delivery Capability

                a. Nursing Workforce

                b. Direct Caregiver Workforce

                c. Intensive Care Unit Workforce

4.  Facilitating Information Transfer and Clear Communication

                a. Patient Care Information

                b. Order Read-Back and Abbreviations

                c. Labeling Studies

                d. Discharge Planning

                e. Safe Adoption of Computerized Physician Order Entry (CPOE)

5.  Medication Management

                a. Medication Reconciliation

                b. Pharmacist Leadership Structures and Systems

6.  Healthcare Associated Infections

                a. Hand Hygiene

                b. Influenza Prevention

                c. Central Venous Line-Blood Stream Infection (CVL-BSI)

                d. Surgical Site Infection (SSI)

                e. Care of Ventilated Patients

                f. Multi-Drug Resistant Organism (MDRO) infections

                g. Catheter-Related Urinary Tract Infection (CR-UTI)

7.  Condition and Site Specific Practices

                a. Wrong Site Surgery Prevention

                b. Pressure Ulcer Prevention

                c. Venous Thromboembolism (VTE) Prevention

                d. Anticoagulation Therapy

                e. Contrast Media-Induced Complication Prevention

                f. Organ Donation

                g. Glycemic Control

                h. Fall Prevention

                i. Pediatric CT Imaging