The Joint Commission has introduced the Targeted Solutions Tool, which is a Web-based application that walks hospitals through step-by-step processes to improve persistent quality and safety problems.

The first process being offered is to improve hand hygiene. Subsequent processes will cover hand-off communications, wrong site surgery and surgical site infections.

The Joint Commission Center for Transforming Healthcare, established last year, created the tool with the aid of eight major hospitals. Another 19 hospitals of various sizes tested the work of the original eight facilities.

The tool includes software to enter and analyze data and report results. At the start of the project in April 2009, the eight original hospitals found their hand hygiene compliance rate averaged 48 percent. By June 2010, they had sustained an 82 percent rate for eight months.

More information is available at

--Joseph Goedert


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