" Minnesota hospitals have taken very intentional steps to prevent all adverse events, not just those that result in serious harm as reflected in this report," Massa said. The Minnesota Hospital Association's call-to-action framework has been a successful model to prevent adverse health events. For example:
- Data collected by MHA is showing a 31 percent decrease in falls across all levels of patient harm.
- The reporting system identified that pressure ulcers were happening under devices such as cervical collars and oxygen tubing and masks. In early 2011, MHA expanded its SAFE SKIN campaign to provide best practices for hospitals to prevent device-related pressure ulcers. This year, the most serious pressure ulcers declined 8 percent. Overall, hospitals have experienced a 45 percent reduction in stage II – unstageable pressure ulcers .