KRMC Quality and Safety
Quality and safety inspire everything we do at Kingman Regional Medical Center – that is part of our mission. We are committed to quality both as an institution and individually. To us, quality means: doing the right thing at the right time, for the right person, and having the best possible result. Patient safety—preventing harm to patients—underlies all aspects of our healthcare culture.
We continually strive to improve the quality of our services and the safety of our patients. We evaluate our performance using industry-wide quality standards and measures. These measures serve as vital tools to identify where improvements are needed and allow us to focus on the areas that require the most attention. We actively work to identify root causes and implement corrective actions that lead to sustained quality and safety.
For example, we are focusing on reducing surgical site infections related to colon surgeries. Colon surgical site infections are associated with:
- Increased length of stay
- Increased hospital costs
- Increased morbidity and mortality
- Increased readmissions
In 2016, we had four colon surgical site infections, which placed our performance per the Centers for Medicare & Medicaid Services (CMS) at “no different than national benchmark.” Even though KRMC met the average as compared to national benchmarks; in 2017, we set a goal of zero infections and implemented the following “colon bundle” interventions. Since then, we have not had a single colon surgical site infection (e.g., no reportable infections for over 17 months from February, 2017 through June 2018).
Our “colon bundle” initiative involves evidence-based interventions proven to reduce infections. These interventions include:
- Standardized warming interventions
- Maintaining glucose control
- Administering antibiotics in a timely manner prior to surgery and discontinuing within 24 hours after surgery
- Increased perioperative oxygenation
- Skin preparation prior to surgery
- Changing gown and gloves and using sterile surgical instruments prior to closure of fascia
- Standardizing wound management strategies