About 20 after nine, a police officer showed up at our
door and, said that, you know, there have been an accident.
And that Aubrey was taken priority one to, to John Hopkins Bayview.
She was burned 30% of her body from the her arms, chest, neck, face.
So, we knew, at that time
that it was bad.
>> Our burn unit patients come from all over the state,
to Baltimore for some of the best care in the world.
But, not only do we have sick patients in
the burn unit, we have sick patients throughout our hospital.
And so our focus on patient safety is critical across the medical center.
>> Johns Hopkins' Bayview of choice has
its history to before the Revolutionary War.
We were founded in 1773 to help the sick in Baltimore.
In the middle of the 20th century, Peter Saphur began one of
the multidisciplinary ICUs, perhaps the first
multidisciplinary ICU in the United States.
We've built upon that legacy over the succeeding
decades with the first kidney transplant in Maryland.
One of some of the earliest bone marrow transplants in the country.
We're very proud of this history, but we're looking to the future,
and we're trying to make sure that our care becomes safer and safer.
>> All of our initial Initiatives, the major initiatives of patient safety,
of service excellence, of diversity and
inclusion, and employee engagement all roll together.
They are all interrelated and can impact patient safety.
>> Safety is the background, the platform, and
the framework for everything that we do in healthcare.
And it's important to frame it from a patient perspective, but also
in the environment in which we practice and those who deliver the care.
>> We recognize that we need to have engaged employees who feel
part of the teams, to take the best care of our patients.
We focused increasingly on this culture of collaboration.
>> Patient safety turns out to be a team sport, not an individual activity.
And the only way you get teams to work together
is when they respect each other and listen to each other.
>> It allows us to transfer information We have executive patient safety rounds.
>> Staff will be able to come into the
forum and discuss events or concerns that they have.
>> We have the advantage of having an executive in the room and their role is
to eliminate barriers or be able to provide
resources in order to make changes in patient care.
>> We have always had a very paternalistic
approach in medicine where we know what's best.
Dr Hellmen has brought the Aliki
Initiative here, which is a different mindset.
It's partnering with the patients and have them
take an active role in their health care.
>> The essence of the Aliki Initiative Initiative is to
imbue in everyone, the importance of knowing their patients as people.
And when you know someone as a person, and the Aliki Initiative really
facilitates this, it allows our residents to go visit their patients in their homes.
Then you have a much better idea of how they're functioning, and
in this exchange you develop the capacity to both listen and communicate.
>> Over the last decade there's been an increasing
focus on the technology in taking care of our patients.
We've installed new IV pumps.
We brought new equipment to our operating rooms, and to our imaging suites.
>> We have opened a very technically advanced dual operating room that
provides a significant improvement in the accuracy of our operations.
But also an immediate verification of a lot of things that
we do during the operation, before the patient leaves the operating rooms.
And this is done through the placement of a CT scan in between the two rooms.
>> Patient safety has improved.
When I started nursing there wasn't simulation at all.
We didn't have simulators.
Now we are able to use the technology, the simulator.
It has a computer system attached to it so, we are able to
practice high risk scenarios on a
mannequin, as opposed to an actual patient.
And then we can learn from that,
and improve systems and improve our technical skills.
So when we take care of patients, we do it in a safer way.
>> Technology is extremely important in what we
do, in helping us provide very safe care.
But, our employees are our back bone.
>> So the innovated spirit it at Bayview is
one of it's, our greatest strengths in improving safety.
And our faculty nurses, and staff, have
come up with novel ways of improving safety.
>> We have Pyramid Grants, on the units, and these
are grants from Dr. Hillman our vice dean of medicine.
And these are ideas, generated from staff, to make sure that the
patient experience is a great one, and also that patients feel safe.
>> One of simplest examples of how we're
improving patient safety has been our focus on handwashing.
We've established, what I believe, is one
of the most rigorous definitions for hand washing.
Which means that every person that walks into a room,
uses a gel to, before they walk into a room.
And gels when they walk out of the room.
And using secret observers.
We're seeing that we're being compliant with
those definitions more the 90% of the time.
>> If we don't ask about, safety concerns, we really don't know about it.
One of the processes that we have is our patient safety net.
It is a database and the staff is able to enter events online.
Then what happens, our patient safety department, every day
reviews the patient safety events that have been submitted.
Based on the event, we appropriately either refer out, or follow
up, to see if we need to make some system wide changes.
That staff who entered the events actually gets
some feedback tha, yes it made a difference.
>> Johns Hopkins Bayview has unique assets it can bring to patients safety.
Number one, we care, and secondly, we have fabulous people
>> As we look to the future, I'm very optimistic
about our ability to make patient care at Bayview even safer.
At Johns Hopkins Bayview, we have all the tools
we need to become a leader in patient safety.
>> Last year I was diagnosed with leukemia.
And when I was in the hospital it became very apparent to me how vulnerable I was.
I mean, I always had an
appreciation of how vulnerable
patients were, but until
you've lived through it,
you never really appreciate