Quality & Patient Safety - Ascension Wisconsin

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Committed to Quality & Patient Safety

At Ascension Wisconsin, we are committed to delivering high quality and safe patient care. We participate in a number of state and national quality reporting initiatives, including:

  • Centers for Medicare and Medicaid (CMS) - Displays results for measures that show if hospitals provide the highest standard of care for heart attacks, heart failure, pneumonia or surgery. The website also shows how Ascension compares to 4,500 other U.S. hospitals.
  • Wisconsin Hospital Association CheckPoint® - Measures reported on the voluntary CheckPoint website include the CMS measures for heart attack, heart failure, pneumonia, and patients having surgery, and error prevention measures such as surgical site marking and medication reconciliation.
  • Wisconsin Collaborative for Healthcare Quality (WCHQ) - A voluntary consortium of organizations learning and working together to improve the quality and cost-effectiveness of health care in Wisconsin. Both Ascension Medical Group and our hospitals are included. Medical Group quality measures are focused on chronic care conditions and preventive care.

Setting the Standard for Patient Safety

Patient safety is a key part of our commitment to quality. We have many initiatives that focus on patient safety.

Ascension follows the recommendations and best practices identified to save lives and reduce patient injuries. The following goals are the result of the Institute for Healthcare Improvement’s 5 Million Lives Campaign, a voluntary initiative to protect patients from five million incidents of medical harm starting in 2006. While the campaign is over, these best practice recommendations continue to be the guiding principles for patient safety in our organization:

  • Deploy rapid response teams at the first sign of patient decline
  • Deliver reliable, evidence-based care for Acute Myocardial Infarction to prevent deaths from heart attack
  • Prevent adverse drug events (ADEs) by implementing medication reconciliation
  • Prevent central line infections by implementing a series of interdependent, scientifically grounded steps
  • Prevent surgical site infections by reliably delivering the correct perioperative antibiotics at the proper time
  • Prevent ventilator-associated pneumonia by implementing a series of interdependent, scientifically grounded steps
  • Prevent harm from high-alert medications starting with a focus on anticoagulants, sedatives, narcotics and insulin
  • Reduce surgical complications by reliably implementing all of the changes in care recommended by SCIP, the Surgical Care Improvement Project
  • Prevent pressure ulcers by reliably using science-based guidelines for their prevention
  • Reduce methicillin-resistant staphylococcus aureus (MRSA) infection by reliably implementing scientifically proven infection control practices
  • Deliver reliable, evidence-based care for congestive heart failure to avoid readmissions
  • Get boards on board by defining and spreading the best-known leveraged processes for hospital Boards of Directors, so that they can become far more effective in accelerating organizational progress toward safe care

Other Patient Safety Initiatives

  • We use germ-fighting robots at several of our hospitals that pulse UVC light to eliminate the microorganisms that can cause hospital-acquired infections. The light fractures the walls of those microorganisms and kills bacteria, viruses and spores without any contact or chemicals.
  • We implemented standardized colors for patient alert wristbands within all of our hospitals based on a best practice recommended by the American Hospital Association.
  • All Ascension Wisconsin hospitals follow the Universal Protocol for prevention of wrong site, wrong procedure, and wrong person surgery. The Universal Protocol is a best practice recommended by The Joint Commission and consists of conducting a pre-procedure verification process, marking the procedure site, and performing a time-out before the procedure.
  • We use bar code scanning for medication administration to reduce opportunity for errors.


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Contact Us

Ascension Wisconsin Main Office

400 W. River Woods Parkway
Glendale, WI 53212
Phone: 414-465-3000

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