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  • PMID: 24001267 was deleted because it is a duplicate of PMID: 26247072
J Healthc Qual. 2015 Mar-Apr;37(2):117-25.

Multifocal Clinical Performance Improvement Across 21 Hospitals.


Improving quality and safety across an entire healthcare system in multiple clinical areas within a short time frame is challenging. We describe our experience with improving inpatient quality and safety at Kaiser Permanente Northern California. The foundations of performance improvement are a “four-wheel drive” approach and a comprehensive driver diagram linking improvement goals to focal areas. By the end of 2011, substantial improvements occurred in hospital-acquired infections (central-line–associated bloodstream infections and Clostridium difficile infections); falls; hospital-acquired pressure ulcers; high-alert medication and surgical safety; sepsis care; critical care; and The Joint Commission core measures.

[Indexed for MEDLINE]

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