Conway William A, Hawkins Susan, Jordan Jack, Voutt-Goos Mary J
Henry Ford Health System, Henry Ford Hospital, Detroit, USA.
Jt Comm J Qual Patient Saf. 2012 Jul;38(7):318-27. doi: 10.1016/s1553-7250(12)38042-2.
In 2008 Henry Ford Health System launched its "No Harm Campaign," designed to integrate harm-reduction interventions into a systemwide initiative and, ultimately, to eliminate harm from the health care experience.
The No Harm Campaign aims to decrease harm events through enhancing the system's culture of safety by reporting and studying harm events, researching causality, identifying priorities, and redesigning care to eliminate harm. The campaign uses a comprehensive set of 27 measures for harm reduction, covering infection-, medication-, and procedure-related harm, as well as other types of harm, all of which are combined to comprise a unique global harm score. The campaign's objective is to reduce all-cause harm events systemwide by 50% by 2013. A wide range of communication processes, from systemwide leadership retreats to daily e-mail news sent to all employees and physicians, is used to promote the campaign. In addition, the campaign is on the intranet "Knowledge Wall," where monthly dashboards, meeting minutes, and best practices and the work of our teams and collaboratives are documented and shared.
From 2008 through 2011, a 31% reduction in harm events and an 18% reduction in inpatient mortality occurred systemwide.
Building infrastructure, creating a culture of safety, providing employee training and education, and improving work process design are critical to systemwide implementation of harm-reduction efforts. Key actions for ongoing success focus on leadership, disseminating performance, putting everyone to work, and stealing ideas through national and local collaborations. A financial model was created to assess cost-savings of reducing harm events; early results total nearly $10 million in four years.
2008年，亨利·福特医疗系统发起了“无伤害运动”，旨在将减少伤害的干预措施纳入全系统的倡议中，并最终消除医疗体验中的伤害。
“无伤害运动”旨在通过报告和研究伤害事件、研究因果关系、确定优先事项以及重新设计护理以消除伤害，来增强系统的安全文化，从而减少伤害事件。该运动采用了一套全面的27项减少伤害措施，涵盖与感染、药物和手术相关的伤害以及其他类型的伤害，所有这些措施综合起来构成一个独特的全球伤害评分。该运动的目标是到2013年将全系统的全因伤害事件减少50%。通过从全系统领导力务虚会到发送给所有员工和医生的每日电子邮件新闻等广泛的沟通流程来推动该运动。此外，该运动还在内部网的“知识墙”上，在那里每月的仪表盘、会议记录、最佳实践以及我们团队和协作组织的工作都有记录和分享。
从2008年到2011年，全系统的伤害事件减少了31%，住院死亡率降低了18%。
建立基础设施、营造安全文化、提供员工培训和教育以及改进工作流程设计对于全系统实施减少伤害的努力至关重要。持续成功的关键行动集中在领导力、传播绩效、让每个人都投入工作以及通过国家和地方合作借鉴想法。创建了一个财务模型来评估减少伤害事件的成本节约；早期结果显示四年内总计节省近1000万美元。
