title: 2011 John M. Eisenberg Patient Safety and Quality Awards. The Henry Ford Health System No Harm Campaign: a comprehensive model to reduce harm and save lives. innovation in patient safety and quality at the local level.
abstract: BACKGROUND
  In 2008 Henry Ford Health System launched its "No Harm Campaign," designed to integrate harm-reduction interventions into a systemwide initiative and, ultimately, to eliminate harm from the health care experience.
  
  
  METHODS
  The No Harm Campaign aims to decrease harm events through enhancing the system's culture of safety by reporting and studying harm events, researching causality, identifying priorities, and redesigning care to eliminate harm. The campaign uses a comprehensive set of 27 measures for harm reduction, covering infection-, medication-, and procedure-related harm, as well as other types of harm, all of which are combined to comprise a unique global harm score. The campaign's objective is to reduce all-cause harm events systemwide by 50% by 2013. A wide range of communication processes, from systemwide leadership retreats to daily e-mail news sent to all employees and physicians, is used to promote the campaign. In addition, the campaign is on the intranet "Knowledge Wall," where monthly dashboards, meeting minutes, and best practices and the work of our teams and collaboratives are documented and shared.
  
  
  RESULTS
  From 2008 through 2011, a 31% reduction in harm events and an 18% reduction in inpatient mortality occurred systemwide.
  
  
  CONCLUSIONS
  Building infrastructure, creating a culture of safety, providing employee training and education, and improving work process design are critical to systemwide implementation of harm-reduction efforts. Key actions for ongoing success focus on leadership, disseminating performance, putting everyone to work, and stealing ideas through national and local collaborations. A financial model was created to assess cost-savings of reducing harm events; early results total nearly $10 million in four years.
authors.affiliation: Henry Ford Health System, Henry Ford Hospital, Detroit, USA. wconway@hfhs.org
authors.forename: William A
authors.initials: WA
authors.lastname: Conway
authors.forename: Susan
authors.initials: S
authors.lastname: Hawkins
authors.forename: Jack
authors.initials: J
authors.lastname: Jordan
authors.forename: Mary J
authors.initials: MJ
authors.lastname: Voutt-Goos
mesh_terms: D001363:Awards and Prizes; D003142:Communication; D006801:Humans; D007400:Interprofessional Relations; D007591:Joint Commission on Accreditation of Healthcare Organizations; D007857:Leadership; D017146:Models, Organizational; D015279:Organizational Culture; D009936:Organizational Innovation; D061214:Patient Safety; D019984:Quality Indicators, Health Care; D011787:Quality of Health Care / Q000191:economics / Q000458:organization & administration*; D017751:Safety Management / Q000458:organization & administration; D014481:United States