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AAMC Receives an ‘A’ for Patient Safety by the Leapfrog Group
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Anne Arundel Medical Center (AAMC) is meeting the highest safety standards in the U.S., according to the Leapfrog Group’s Hospital Safety Grades. AAMC is one of only 12 Maryland hospitals to receive an ‘A’ in the spring 2020 report.
The Leapfrog Group is an independent national watchdog organization committed to health care quality and safety. The Safety Grade is a letter grade assigned to all hospitals across the country and updated every six months, assessing how well the hospital prevents medical errors and other harms to patients.
“Patient safety is always a top priority for us, especially now as our country faces the COVID-19 pandemic,” said Sherry B. Perkins, president of AAMC. “During this unprecedented time, our hospitals play a key role in keeping our patients, workforce and community safe from harm. It is our priority to safely staff, equip and supply our hospitals now and in the future so that we can continue to provide the best care possible for COVID and non-COVID related illnesses or injuries. We encourage our community to seek care if they are in need – we are safe, ready, and waiting for them.”
“As the nation copes with a challenging pandemic, our gratitude extends to hospital leadership and health care workers everywhere for their tremendous dedication,” said Leah Binder, president and CEO of The Leapfrog Group. “We hope this ‘A’ helps to thank the people who work and volunteer for Anne Arundel Medical Center. They are role models in putting patients first, and their service has been extraordinary in our country’s time of need.”
“As our country observes National Hospital Week, it is more than befitting to recognize our entire workforce,” Perkins continued. “Achieving this top safety rating is due in large part to our incredible team that is tirelessly devoted to meeting the needs of our patients and community.”
The Leapfrog Hospital Safety Grade uses 28 measures of publicly available hospital safety data to assign grades to approximately 2,600 U.S. hospitals twice per year. Hospitals are graded based on their record of patient safety, helping consumers protect themselves and their families from errors, injuries, accidents and infections.
To see AAMC’s full grade details and access patient tips for staying safe in the hospital, visit hospitalsafetygrade.org.
Infectious Disease
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Prone and Mobility team works to improve COVID-19 patient outcomes
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A physical therapist by training, Kelly Rund is used to working in the outpatient world, without the lines, tubes and monitors that are fixtures of a hospital room.
The coronavirus (COVID-19) pandemic has changed things.
Kelly is one of 36 physical therapists, physical therapy assistants, occupational therapists and rehabilitation aides redeployed to work with COVID-19 patients on Anne Arundel Medical Center’s (AAMC) medical/surgical units as part of the new Prone and Mobility team.
Six members of the team are working in AAMC’s Intensive Care Unit.
The program has two components. Staff members are trained to “prone” patients, or place them on their stomach. The process takes about an hour and helps mitigate COVID-19 symptoms and increase the amount of oxygen they are getting into their lungs. They are also trained to assist with patients’ mobility, helping them walk around their rooms and do other activities to keep them moving.
Kelly, who normally is based at AAMG Physical Therapy’s Edgewater office, says the program has given her an opportunity to support patients emotionally as well as medically. It’s nice for them to see a friendly face, even if it’s hidden behind masks and face shields, she adds.
“I feel very thankful just to be someone who can be in there and sit with them,” Kelly says.
Christy Wu, AAMC’s inpatient physical therapy manager, says the program began at the start of the pandemic. Clinic staff members were originally redeployed to help patients with their mobility, which decreases their fall risk and the likelihood that they’ll have to return to the hospital. But there was a growing need to have clinical staff on hand to prone position patients.
Studies have shown that prone positioning could lead to improved outcomes for patients who are on ventilators. Doctors at hospitals in New York and Massachusetts have seen improvements when COVID-19 patients are placed in the prone position.
“You definitely see a difference when you get these patients off of their backs,” says Clarisse Labor, a physical therapist with AAMG Physical Therapy’s Bowie North office.
Each team member is trained to do both prone positioning and mobility – it just depends on what and where the need is. AAMC already had mobility training in place for nursing staff and has adapted prone positioning training from Massachusetts General Hospital.
“They have amazing clinical skills, and we are putting them where they are needed and helping to support the nursing units,” Christy says. “We’ve had really great feedback from the nursing directors.”
Since the beginning of May, the team has prone positioned 150 COVID-19 patients, Christy says. Mobility numbers aren’t yet available.
Kelly and Clarisse say their colleagues in the hospital have been supportive and eager to show them the ropes.
“It’s been several years since I worked in acute care, and it’s definitely different than outpatient,” Clarisse says. “But the nurses and therapists have been very helpful and I definitely felt welcomed. I feel fortunate that I am still able to help in these times.”
Elizabeth Bailey, clinical supervisor on the Observation Unit, added that the team has gone above and beyond their assigned duties.
“Today I watched a special needs patient on our unit just beam with pride as they encouraged her, telling her how well she was doing,” she says. “They assisted other patients with ambulation to the commode, and even changed briefs and bed linens as they worked with the patients. This was not expected or even asked of them – they wanted to do it.”
Christie Thibeault, nursing manager on the Observation Unit, praised team members for providing an extra set of hands in an extremely busy time. Thanks to the team, nurses can stay focused on other aspects of care.
“They have just been phenomenal support for our nursing staff, and have improved the quality of patient care tremendously,” Christie says.
A former ICU and trauma nurse, Christie has long been familiar with the benefits of prone positioning and says she’s eager to dive more deeply into how it’s improved COVID-19 patient outcomes post-pandemic.
“There’s so much that should come out of this,” she says. “Did it decrease their length of stay? Did it prevent them from going on a ventilator?” Christie is excited to see the impact of this important work.
Infectious Disease
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President’s Message: Thank You, AAMC Nurses
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On Florence Nightingale’s 200th birthday, President and nurse Sherry Perkins praises today’s nurses for the incredible work they are doing.
Today is the 200th anniversary of Florence Nightingale’s birthday and the end of Nurses Week. The World Health Organization (WHO) named 2020 the Year of the Nurse in recognition of Nightingale – the founder of modern nursing. The WHO could not have predicted what nurses and their teammates would see this year with COVID-19, nor the new definitions of health care heroism. In a recent interview with the media about our nurses and the AAMC team, I was proud to tell our community, “They aren’t just heroes; they’re superheroes.”
I am often asked to describe patient care; how to do that? In contemplating Nurses Week, I can think about important life events: emergency room visits, a parent in an ICU, the birth of a baby – a nurse is there with a team. A nurse is there knowing and caring, linking tenderness and mastery. Nurses know what it means for humans to be old, sick, weak, complex, and vulnerable. Nurses know how to prevent and treat infections, manage pain, teach, rescue, heal, console, and see problems before they occur. Nightingale was quoted as saying, “Live life when you have it. Life is a splendid gift – there is nothing small about it.”
On my first day of work less than four months ago, I described the AAMC team this way – “the unique mixture of science and caring…progressive expertise of our physicians, the dedication of our nurses, the excellence of our interprofessional clinical support partners, the acumen of our leadership and administrative team, the compassion of our auxilians and volunteers, the devotion of our patient and family advisors, and the governance of our board.” Each of you makes AAMC a unique place for our patients and our community. Even more I am awed by what a team you are.
Florence Nightingale would be proud. I know I am. Thank you for what you do for each other and for our patients and families.
Infectious Disease
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CEO Message: Honoring May, Honoring You
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In honor of Nurses Week and Hospital Week, Victoria Bayless, CEO of Luminis Health, expresses her appreciation for our health care heroes during these uncertain times.
In the world of health care, May is typically a major month for celebration. It is the moment each year when we honor our nursing staff during Nurses Week and follow with an even larger gathering to honor all staff members during Hospital Week.
But this is not a typical year, and no one knows that better than you. Like health care workers across the nation, we are witnessing how every facet of our lives has been dramatically altered by this virus.
We know that communities need us now more than ever. While this is a point of pride, it also is a heavy responsibility. You answer the call every day to help patients and support their families, all the more challenging because no one knows when the ferocious hold of this pandemic will subside.
So it hardly feels like a time to celebrate.
This May will stand out like no other in the chronicle of modern health care. As you each take your rightful place in this historic moment, there is no greater time to acknowledge the extraordinary commitment of each of you – for your unselfish duty to your profession, your compassion for those who are suffering, and your unparalleled commitment to one another. And you do all this while bearing concerns about your families and your own well-being.
In past years this month would prompt a “theme” to play out across each of our campuses. If we had a “theme” this year, it would be a short, simple, two words. You would hear it when you go into every patient room, from every corner of every ICU, every nursing station, supply room or underground hallway – and we would say it over and over again.
Thank you.
Thank you for showing up each day. Thank you for wearing the protective gear that sometimes feels cumbersome or worrisome to your patients. Thank you for working with uncertainty, for not knowing if or how you can help the next patient, for accepting that despite all your remarkable skills and best training, no one has seen what you are seeing now. Thank you for demonstrating care and concern not just for our patients, but for each other.
We see you and all that you are doing. You’re doing a good job. Take a look for yourselves.
Whether you are doctor, nurse, therapist, pharmacist, dietitian, aide, housekeeper or volunteer, we know that your compassion for our patients – and the extraordinary acts of courage and compassion you show for each other – is what will see us through these coming days.
As the famed American author, poet and civil rights activist Maya Angelou wrote, “We need joy as we need air. We need love as we need water. We need each other as we need the earth we share.”
You are what brings joy to this month of May.
Thank you,
Tori Bayless, Chief Executive Officer, Luminis Health
Men's Health, Women's Health, Heart Care
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Life After a Heart Attack
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A heart attack sounds scary, and with good reason. Heart disease is the leading cause of death in the United States.
But life after a heart attack doesn’t have to be fraught with fear. Chuck Raines, who survived a heart attack in August thanks to the cardiac catheterization team at Anne Arundel Medical Center, is discovering that life goes on.
Life-Saving Intervention
In August 2015, Chuck, a 53-year-old experienced marathoner, felt some chest pain after a routine run. The next morning, the pain returned with sweating and nausea. His wife Trang called 911.
An ambulance rushed Chuck from his home in Owings to AAMC, where the cardiac catheterization team was ready. The team was ready because Chuck’s electrocardiogram (EKG) results arrived wirelessly from the ambulance directly to the emergency room. Interventional cardiologist Elizabeth Reineck, MD, placed a catheter through Chuck’s wrist to the blocked artery in his heart and inserted a stent, opening the artery and ending Chuck’s heart attack.
“They saved my life, so I was pretty excited,” says Chuck, who returned home after a week in the critical care unit. But at the same time, the shock of what had happened led to a sense of depression. “I thought, ‘I’m never going to be able to do the things I like again,’” he says.
A Common Feeling
“A lot of people can develop depression after a heart attack,” says Baran Kilical, MD, Chuck’s cardiologist. In fact, studies show that up to 33 percent of heart attack patients develop some degree of depression.
“Patients typically were doing something when the heart attack happened, so now they’re afraid that their heart is delicate and they’re afraid to do common activities,” says Dr. Kilical. “I tell them, ‘You’re going to go back to your usual life, as long as you take the right steps.’”
Those steps include faithfully taking prescribed medications, eating a healthy diet and exercising. All these steps can be aided by cardiac rehabilitation.
Cardiac rehab provides a safe, monitored environment to begin increasing physical fitness. AAMC’s Outpatient Cardiopulmonary Rehabilitation Program includes counseling to help patients improve their health and reduce the risk of future heart problems.
“Patients who choose to participate in cardiac rehab do better than those who don’t,” says Dr. Kilical.
A Healthy Future
Chuck is motivated to take the right steps by Trang, who is his marathon partner, and his three young children. “Now I’m running again,” says Chuck. “Not as much as before, but I’ll get there.” He hopes to run the Big Sur Marathon with Trang in April.
“Don’t feel like your life is over just because you had a heart attack,” Chuck advises. “You can get back.”
Read more about Chuck in Quick Heart Attack Treatment Saves Runner.
Find out your heart age and heart disease risk factors with our free online heart health profiler.
Learn more about AAMC’s commitment to quick heart attack treatment.
Contributor
Baran Kilical, MD, is a cardiologist and cardiac electrophysiologist with Anne Arundel Medical Center.