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Sinai Patient Quality Care

Our Top Priority - Patient Safety and Quality Care

At Sinai Hospital of Baltimore, nothing is more important to us than providing quality care to our patients in a safe and nurturing environment. It is our reason for being. In every encounter with every patient at Sinai Hospital, our focus is on achieving the highest level of clinical quality and safety.

We are proud of our staff for the compassionate and personalized care they provide. This is a hallmark of Sinai Hospital. Ultimately, however, we know that it is the quality of care and a safe environment that best serve our patients and our community. That is why everything we do is driven by our commitment to quality and safety.

Our standards for clinical quality flow from the evidence-based best practices of medical facilities nationwide. These best-practice guidelines are designed to minimize variation in our clinical processes and improve outcomes for our patients.

Working in conjunction with our administration and board, we set yearly patient safety goals and create plans at both the LifeBridge corporate and local levels to meet or exceed these goals. But reaching our performance goals are not ends in themselves; we do this because of our unwavering commitment to providing the highest-quality service and safest possible environment for our patients and visitors.

Certified Quality

Sinai Hospital is accredited by The Joint Commission. An independent, not-for-profit organization that is among the most prominent accrediting bodies in the health care industry.

Our most recent on-site survey by The Joint Commission occurred in----. During the four-day visit, a team consisting of an RN lead surveyor, a second RN surveyor, an engineer and a physician surveyor from the Institute for Medical Quality conducted a thorough examination of our records and interviewed a number of hospital staff members. As a result of that visit, we received the organization’s maximum three-year accreditation. (This is a draft as we are awaiting our survey)

Safety Tips and Tools for Patients and Families

As our patient, you are the most important member of the health care system, we all work together to make your care safe. Here is how you can participate:

• Ask questions. Questions help you stay informed.
• Ask a trusted family member or friend to be your advocate.
• If you don't understand something, ask again-it's your body and
• "Speak up" if something doesn't seem right.
• Review instructions with your doctor, nurse or pharmacist. You can say, "I want to make sure I know how to care for myself at home."
• Repeat the instructions given to you as you understood them

What we are doing to improve

Sinai Hospital Pre-Procedure Checklist is a process to ensure that wrong-person, wrong-procedure, wrong-site surgery never happens at Sinai Hospital of Baltimore. For your safety, you will be asked your name, your date of birth, what procedure you are having, and what site is being operated on multiple times before your surgery or procedure.Then a patient identification bracelet will be placed on your wrist.

What you can do to help

• Bring an up-to-date list of all medication you take with you to the hospital. The list should include over-the-counter (OTC) medicines, vitamins, and dietary supplements you take.
• Do NOT shave near your surgical site. Shaving can cause irritation, which may contribute to infection.
• Remove all jewelry, including rings and body piercing before you come to the hospital.
• Make sure your surgeon, nurse and anesthesia provider are asking your name, date of birth, what procedure you are having, and what site is being operated on. Please speak up if someone forgets to ask you.

Preventing Infections

What we are doing to improve

Handwashing

To protect yourself and your family, especially during cold and flu season, use soap and water or hand sanitizer. Below are the steps you should take when washing your hands with-

Soap:

1. Turn on water to a lukewarm temperature.
2. Hot water is not recommended as it dries the skin and increases the risk for contact dermatitis.
3. Rings, watches and other hand jewelry should be removed.
4. Wet hands with running water and apply soap and spread over all surfaces of the hands.
5. Hold hands and forearms lower than the elbows during the procedure.
6. Wash hands and wrists vigorously for at least 15 or more seconds, paying particular attention to areas between fingers, thumbs and around and under fingernails.
7. Rinse hand thoroughly under running water to remove soap.
8. Pat dry hands thoroughly with paper towel.
9. Use paper towel to turn off faucet to avoid re-contaminating the hands.
10. Discard towel in a regular trash can.

Waterless Alcohol-Based Hand Sanitizer:

1. Apply to intact, dry hands that are free of visible debris and/or organic matter.
2. Apply sufficient amount into palms to cover all surfaces of hands, fingers and thumb thoroughly.
3. Rub hands together, covering the entire surface of the hands and fingers, including nails until dry.
4. Allow the alcohol to totally evaporate from the skin to maximize effectiveness and decrease irritation.
5. Do not wipe off with a paper towel or rinse off with water or fan the hands to speed
6. If there is no running water, remove visible soil with a wipe, then use the alcohol based hand rub.

What you can do to help

Preventing Falls

Sinai hospital is committed to reducing patient falls and educating patients and their families/caregivers about fall risk reduction strategies.

What we are doing to improve

As part of the Sinai hospital fall prevention program, the nursing staff assesses each patient every day for risk of falling. If you are identified as being at risk, the nurses will implement a variety of interventions to decrease the risk of falling.

These interventions include thing like:

• A yellow wristband and yellow slippers. These things remind you, your family and hospital staff that you may need help walking or getting out of bed.
• Using an alarm system that will notify staff if you get out of bed without help.
• Offering you the chance to use the bathroom regularly.

What you can do to help

In the hospital, you are in unfamiliar surroundings. Getting around is not the same as it is at home. You may be taking medications that make you sleepy or disoriented. You may be connected to IVs or other medical equipment.

Please take the following precautions:

• Ask for assistance from the nursing staff as needed
• Ask a staff member to make sure your call button, telephone and other personal items are near you,
• Ask your nurse to make sure that your bed is in the lowest position
• Sit at the edge of the bed for a few minutes before getting up to avoid feeling dizzy
• Wear non-skid footwear
• Make sure you have adequate light to see
• Ask a staff member to assist you with, or move, any equipment before you get out of bed
• Use your hearing aid, glasses, walker or cane
• Report any spills or objects that are on the floor