HVA: Critical Control Benchmarks

HVA (Hospital Video Auditing) can monitor a wide range of clinical and non-clinical processes spanning the following critical control benchmarks:

Infection Safety:
• Compliance with hand-hygiene policies and protocols
• Consistent use of isolation procedures
• Use of sterile barriers and other infection control steps during invasive procedures
• 'Traffic' flow through high-risk areas (OR rooms, reverse isolation rooms)

Critical Care/ICU Safety:
• Central line insertion safety procedures (IHI 'central line bundle')
• Processes to prevent ventilator-acquired pneumonias
(IHI 'ventilator bundle')
    – Optimal management of ventilator circuits
    – Positioning of Head-of-bed
    – Performance of daily ventilator 'wake up'
    – Performance of daily RISB-rapid-shallow breathing index
• Rotation of patients to limit skin breakdown
• Correct and continuous use of Sequential Compression Devices (effectiveness of DVT prophylaxis interventions)

Timing and Responsiveness to Alarms and Events:
• Telemetry alarms
• Infusion pump alarms
• Code Team and Rapid Response Team (Medical Emergency Team) response times

Fall Reduction and Prevention:
• Adherence to fall-reduction strategies/protocols
• Response times to bed alarms
• Screen for inactivation or 'silencing' of bed alarms
• Performance of "sitters"
• Compliance with restraint policies

OR and Surgical Safety:
• Timing of peri-operative antibiotic prophylaxis (CMS Quality Improvement Program)
• 'Traffic' in OR rooms during procedures
• Turnover times and room readiness
• Pre-procedure anesthesia equipment and circuit checks
• Tissue specimen transfers and specimen 'chain-of-custody'

Pharmacy Process Safety:
• Safety and protocol compliance for batch processing (e.g., TPN, CVVH solutions)
• Safe performance of serial dilutions in high-risk drugs