America’s Safest Hospitals

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[Behind the Numbers]

[By Staff Reporters]56382989

Did you know that at Missouri Baptist Medical Center in St. Louis, it only takes 90 seconds to save a life? While all hospitals keep staff on-call for emergencies, Missouri Baptist has implemented a rapid response program through which anyone, even family members, can call a team of clinicians to the bedside of a distressed patient within 90 seconds.

An Idea from Down-Under

As seen in Forbes, January 27, 2009, Missouri Baptist imported the idea from Australia, with an overall emphasis on safety that is evident not only in its innovative programs, but also in its numbers.

The Internal Data

According to reported internal data, only 48% of patients die as would be expected given their diagnoses. With outcomes like these, it’s no surprise that Missouri Baptist was designated by HealthGrades, a private hospital rating company in Golden, Colo., as one of the safest in the country. In its seventh annual study of “quality and clinical excellence”, known as Behind the Numbers, HealthGrades identified 270 hospitals out of 5,000 that collectively had a 28% lower mortality rate and 8% lower complication rate than the national average. The list reflects the top 5% of hospitals nationwide.

About HealthGrades

The HealthGrades [NASDAQ: HGRD] site promotes the firm as a leading healthcare ratings organization, providing ranking and profiles of hospitals, nursing homes and physicians to consumers, corporations, health plans and other hospitals. Millions of consumers and hundreds of the nation’s largest employers, health plans and hospitals rely on HealthGrades’ independent ratings, consulting and products to make healthcare decisions based on the quality of care. Founded in 1999, the firm has over 160 employees


Now, what ever happened to governmental reporting, the Joint Commission, etc? Of course, after the IOM Report on Crossing the Quality Chasm in 2001, this type of service may be more important than ever.

Link: quality-chasm3


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7 Responses

  1. ME-P Readers and Subscribers,

    Here is the chilling [un]safety experience of journalist Dan Walter, and his wife Pam, while she was a patient at Johns Hopkins Hospital [JHU] in Baltimore, Maryland.


    It was sent in anonymously by a subscriber. Read it and you will understand why!

    Ann Miller; RN, MHA
    [Executive Director]


  2. Medical Mistakes

    According to the Institute of Medicine, almost 100,000 patients die from medical mistakes each year.

    Unfortunately, only 30 percent of these errors are disclosed even though saying “sorry” is ethically proper and some hospitals have instituted full error disclosure programs.

    Still, it may not be advisable for doctors to fully disclose mistakes as lawyers often dictate a strategy of “deny and defend”. So, it’s not clear whether saying “I’m sorry” is in a doctors’ best interest.

    Sam via Kevin Pho; MD


  3. Hi Sam and Kevin,

    You may recall that back in November, 2008, the Times ran an article describing the sad case of the ALLHAT trial, the 2002 JAMA hypertension study that found that diuretics, costing pennies a day, worked better than 3 other classes of drugs (ACE inhibitors, calcium channel blockers, and alpha blockers) that cost up to 20 times more.

    Since then, the study has been largely ignored. Why?

    Big Pharam drug money – drug money – drug money?

    Dr. Jay


  4. Greetings all ME-P Subscribers,

    According to Kevin B. O’Reilly, in the AMNews on 2/16/09, the rate of patients entering the hospital with methicillin-resistant Staphylococcus aureus increased eightfold between 1999 and 2006. Politicians in statehouses around the country say hospitals need to take a more active approach to stopping MRSA’s spread.

    Since 2007, four states — California, Illinois, New Jersey and Pennsylvania — have enacted laws requiring hospitals to screen high-risk patients for MRSA infection or colonization and follow precautions to prevent other patients from becoming infected. Eight states considered similar legislation last year, and as of late January, new bills had been filed in Washington and Kentucky.

    No doubt America’s Safest Hospitals will comply; ASAP

    Beth via Ann Miller; RN, MHA


  5. Ratings

    Now, for the first time, Consumer Reports will provide patient satisfaction ratings for more than 3,400 hospitals across the United States.

    PS: I love that this is by Consumer Reports, and not the JCAHO or HIA, etc [biased?].



  6. ‘Top’ hospitals aren’t always tops

    A new report finds.



  7. Hospital Ratings Fatigue – Part II
    [Reporting on the Report Cards]

    As top ranking groups get grades, the nation’s fore most accrediting commission nearly doubles the number of hospitals named “top performers.”

    What’s it all mean?

    Ann Miller RN MHA


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