Mayo Clinic Health System in Mankato, Fairmont and New Prague reported a combined total of ten adverse health events including 6 falls, retention of 2 foreign objects, 2 Bedsores and one death at MCHS Mankato as a result of a fall according to this report. However, the patient was correctly identified a as low fall risk.
Steve Campbell, M.D. says, "I'd like to think we're always striving for improvement, so no I'm not happy for the result but I'm happy with the transparency and what we as health care teams can do with the information and learn from it."
In the Southwest MN region Mayo Clinic Health System has taken proactive steps to further prevent adverse health events. For example, a patient who is more at risk of falling would have signs, a bed alarm and a specific bracelet that they wear so anyone who is involved with that patient's care can take the appropriate preventative action."
Dr. Steve Campbell says, "At Mayo Clinic our highest priority is care and safety of our patients. Adverse events are not just statistics, but they impact the lives of real people and families."
Another helpful tool to prevent adverse health events is a scanning device, called Surgi Count.
It was implemented last year during surgical procedures at Mayo Clinic Health System Mankato.
It scans each bar code found on the surgical sponges. Health officials say it reduces human error that can occur from manual counting.
Nine years ago, Minnesota hospitals joined with the Minnesota Department of Health to become the first state to publicly report adverse health events. The report says a total of 314 adverse health events occurred in Minnesota hospitals and ambulatory surgical centers last year.
There were 14 deaths and 89 serious injuries that resulted from the reported events.
Overall there was a decrease in medication errors, retained foreign objects and pressure ulcers while the number of falls did increase.