Zero Harm Awards


Do no harm.

The phrase is at the core of the Hippocratic Oath, the commitment made by physicians and healthcare workers across the world as they embark on their careers practicing medicine. Put it another way: zero harm is the goal.

The precept has been around since Ancient Greece, and each epoch of medicine has practiced a version of it. In our modern healthcare world though, accomplishing zero harm has become a much more complicated enterprise. “Medicine has become the art of managing extreme complexity — and a test of whether such complexity can, in fact, be humanly mastered,” writes Atul Gawande, MD, in his critically acclaimed book The Checklist Manifesto. Gawande, a surgeon by training, sees this struggle daily in the operating room, where a team of people have to act in precise concert with one another without missing a dizzying array of crucial steps. Thus, he argues, healthcare providers need to focus not just on expertise and knowledge, but also on delivering highly reliable care that mitigates against the realities of increasingly complex systems.

Over the last few years, South Carolina hospitals have fully embraced this new approach towards improving quality of care and are now a national model for how to implement high reliability programs. It all starts with our SC Safe Care Commitment, a collaboration with our partners at The Duke Endowment and The Joint Commission Center for Transforming Health that has championed a statewide effort at creating a culture of high reliability and reduce harm in our hospitals. Borrowing from the approaches in the aviation and construction industries that Gawande describes in his book, hospitals commit to changing their culture to deliver exceptionally safe and consistently high quality results over long periods of time in complex, high-risk environments.

Since 2013, we’ve recognized these efforts through our Certified Zero Harm Awards program. The goal of this program is to publicly recognize the progress South Carolina hospitals have made in targeting and eliminating areas of harm, like bloodstream and post-surgery infections through the kind of system and procedural improvement fostered by a culture of learning and accountability. Thanks to those improvements, hospital units across the state are boasting 12, 18, 24, 48 and even as much as 58 months of harm-free stretches, successes which are validated by South Carolina’s Department of Health and Environmental Control.

After five years of dedicated effort, 46 hospitals—two-thirds of our members—have now won at least one Zero Harm Award. We presented roughly 75 awards each of the first two years. In the third year, the number of award winners jumped by almost 50%, to a total of 110. In 2017, that number climbed to 119 and in 2018 that number climbed yet again to 172. That makes for 549 Zero Harm Awards in the first five years of the program.

This year’s award winners alone amassed some impressive numbers:

  • 96,860 central line days without an infection,
  • 519,849 patient days with no harm
  • 13,842 harm-free surgical procedures,
  • 3,218 hospital days avoided,
  • and a projected savings of over $8.05 million saved.

 

“This early success—expressed in lives saved and the resulting economic impact—strengthens our resolve to focus on safety, raise the bar of expectations, and challenge our hospitals to pursue zero harm,” says SCHA President and CEO Thornton Kirby.

“We’re in the business, after all, of saving lives. And that’s what the Zero Harm Awards are all about.”


Below is a complete list of our 2018 award recipients, listed by hospital:

Abbeville Area Medical Center
C. diff • Hospital Wide • 24 Months
MRSA  • Hospital Wide • 42 Months
CLABSI • ICU • 58 Months
SSI Knee  • Hospital Wide • 58 Months
SSI Hip  • Hospital Wide • 58 Months

Aiken Regional Medical Center
SSI Abdominal Hysterectomy • Hospital Wide • 30 Months

Anmed Health
CLABSI • NSICU • 12 Months
CLABSI • CVICU • 36 Months
SSI Knee • Hospital Wide • 42 Months
SSI Abdominal Hysterectomy • Hospital Wide • 58 Months

Anmed Health Cannon
SSI Colon • Hospital Wide • 18 Months
MRSA • Hospital Wide • 54 Months
CLABSI • ICU • 58 Months
SSI Knee • Hospital Wide • 58 Months
SSI Hip • Hospital Wide • 58 Months

Baptist Easley
SSI Knee • Hospital Wide • 12 Months

Beaufort Memorial Hospital
SSI Colon • Hospital Wide • 12 Months
SSI Abdominal Hysterectomy • Hospital Wide • 12 Months
MRSA • Hospital Wide •36 Months
CLABSI•ICU • 58 Months

Bon Secours St Francis Downtown
SSI Hip • Hospital Wide • 18 Months
SSI Abdominal Hysterectomy • Hospital Wide •18 Months
SSI Knee • Hospital Wide • 30 Months

Bon Secours St Francis Eastside
MRSA • Hospital Wide • 12 Months
SSI Colon  • Hospital Wide • 12 Months
CLABSI • 3rd Medical Surgical • 30 Months

Carolina Pines Regional Medical Center
CLABSI•ICU • 18 Months
SSI Hip • Hospital Wide • 30 Months
SSI Abdominal Hysterectomy • Hospital Wide • 36 Months
SSI Knee • Hospital Wide • 58 Months

Carolinas Hospital System - Florence
CLABSI • CVICCU • 12 Months
CLABSI • SICU • 12 Months
SSI Colon • Hospital Wide • 12 Months
CLABSI • MICU • 18 Months
SSI Abdominal Hystorectomy  • Hospital Wide • 18 Months
SSI Hip • Hospital Wide • 36 Months
SSI Knee • Hospital Wide • 58 Months

Carolinas Hospital System - Marion
MRSA • Hospital Wide • 18 Months
SSI Colon  • Hospital Wide • 18 Months
MRSA • Hospital Wide • 24 Months
SSI Colon • Hospital Wide • 30 Months
SSI Abdominal Hysterectomy • Hospital Wide • 36 Months
CLABSI • Hospital Wide • 58 Months

Chester Regional Medical Center
SSI Hip • Hospital Wide • 48 Months
SSI Abdominal Hysterectomy • Hospital Wide • 48 Months
CLABSI • ICU • 54 Months
SSI Colon • Hospital Wide • 54 Months
MRSA • Hospital Wide • 54 Months

Coastal Carolina Hospital
SSI Knee • Hospital Wide • 18 Months
SSI Abdominal Hysterectomy • Hospital Wide • 24 Months
MRSA • Hospital Wide • 24 Months
SSI Hip • Hospital Wide • 30 Months
SSI Colon • Hospital Wide • 36 Months
CLABSI • Medical Surgical ICU • 58 Months

Colleton Medical Center
SSI Hip • Hospital Wide • 30 Months
SSI Knee • Hospital Wide • 36 Months
SSI Abdominal Hysterectomy • Hospital Wide • 36 Months

Conway Medical Center
SSI Abdominal Hysterectomy • Hospital Wide • 12 Months
SSI Hip • Hospital Wide • 18 Months
SSI Colon  • Hospital Wide • 30 Months

GHS Greenville Memorial Hospital
CLABSI • CVICU • 24 Months
CLABSI • Neurological Trauma ICU • 24 Months

GHS Greer Memorial Hospital
SSI Knee • Hospital Wide • 48 Months
SSI Colon • Hospital Wide • 48 Months
MRSA • Hospital Wide • 54 Months
CLABSI • ICU • 58 Months

GHS Hillcrest Memorial Hospital
CLABSI Medical Surgical • ICU • 18 Months
MRSA • Hospital Wide • 18 Months
SSI Hip • Hospital Wide • 48 Months
SSI Knee • Hospital Wide • 54 Months
SSI Colon • Hospital Wide • 58 Months

GHS Laurens County Memorial Hospital
SSI Hip • Hospital Wide • 18 Months
SSI Abdominal Hysterectomy • Hospital Wide • 18 Months
SSI Colon • Hospital Wide • 58 Months

GHS Patewood Memorial Hospital
C. diff • Hospital Wide • 30 Months
SSI Abdominal Hysterectomy • Hospital Wide • 54 Months
MRSA • Hospital Wide • 54 Months

Grand Strand Medical Center
SSI Abdominal Hysterectomy • Hospital Wide • 30 Months
CLABSI • Neurosurgical Critical Care • 18 Months

Hampton Regional Medical Center
MRSA • Hospital Wide • 24 Months
C. diff • Hospital Wide • 18 Months
CLABSI • ICU • 58 Months
SSI Hip  • Hospital Wide • 58 Months
SSI Colon  • Hospital Wide • 58 Months

Hilton Head Hospital
CLABSI Medical Surgical • ICU • 18 Months
MRSA  • Hospital Wide • 18 Months
SSI Abdominal Hysterectomy • Hospital Wide •  48 Months
SSI Knee • Hospital Wide • 58 Months

KershawHealth
CLABSI • ICU • 12 Months
CLABSI • ICU • 18 Months
SSI Hip • Hospital Wide • 18 Months
SSI Abdominal Hysterectomy • Hospital Wide • 24 Months
SSI Knee • ICU • 48 Months

Mary Black Health System - Gaffney
SSI Abdominal Hysterectomy • Hospital Wide • 30 Months
CLABSI • ICU • 30 Months
MRSA • Hospital Wide • 30 Months

Mary Black Health System - Spartanburg
SSI Abdominal Hysterectomy  • Hospital Wide • 12 Months
SSI Knee • Hospital Wide • 12 Months
SSI Hip • Hospital Wide • 12 Months
CLABSI • ICU • 58 Months

McLeod Health Cheraw
CLABSI • ICU • 18 Months
SSI Abdominal Hysterectomy • Hospital Wide • 18 Months
SSI Colon • Hospital Wide • 18 Months

McLeod Loris
C. diff • Hospital Wide • 12 Months
CLABSI • ICU • 18 Months
CLABSI • ICU • 24 Months
SSI Colon • Hospital Wide • 24 Months
SSI Abdominal Hysterectomy • Hospital Wide • 42 Months

McLeod Medical Center Dillon
SSI Hip  • Hospital Wide • 24 Months
MRSA • Hospital Wide • 42 Months

McLeod Regional Medical Center
CLABSI • NICU • 12 Months
CLABSI • NICU • 12 Months
CLABSI • CVICU • 12 Months
CLABSI • TSCU • 12 Months
CLABSI • TSCU • 12 Months
CLABSI • CCU • 24 Months
CLABSI • PICU • 36 Months

McLeod Seacoast Hospital
SSI Hip • Hospital Wide • 12 Months
C. diff  • Hospital Wide • 12 Months
MRSA  • Hospital Wide • 18 Months
SSI Knee • Hospital Wide • 30 Months
CLABSI • ICU • 30 Months
SSI Abdominal Hysterectomy • Hospital Wide • 54 Months

MUSC Medical Center
CLABSI • MICU • 12 Months
CLABSI • U8NI • 12 Months

Newberry County Memorial Hospital
C. diff • Hospital Wide • 18 Months
SSI Hip  • Hospital Wide • 18 Months
SSI Colon • Hospital Wide • 30 Months
CLABSI • ICU • 42 Months
MRSA • Hospital Wide • 48 Months
SSI Abdominal Hysterectomy • Hospital Wide • 58 Months

Palmetto Health Baptist
CLABSI • IICU • 18 Months
CLABSI • NICU • 18 Months

Palmetto Health Baptist Parkridge
MRSA  • Hospital Wide • 12 Months
SSI Abdominal Hysterectomy • Hospital Wide • 24
CLABSI • Hospital Wide • 36 Months
SSI Knee • Hospital Wide • 36 Months

Palmetto Health Richland
SSI • Hip  • 12 Months
CLABSI • SSU • 12 Months
CLABSI • CVICU • 12 Months
CLABSI • MSU • 18 Months

Palmetto Health Tuomey
SSI Knee  • Hospital Wide • 18 Months
SSI Abdominal Hysterectomy  • Hospital Wide • 18 Months
SSI Hip • Hospital Wide • 36 Months

Pelham Medical Center
CLABSI • 3BI • 42 Months
SSI Abdominal Hysterectomy • Hospital Wide • 58 Months

Piedmont Medical Center
SSI Knee • Hospital Wide • 12 Months
SSI Colon • Hospital Wide • 18 Months
CLABSI • CVICU • 24 Months
SSI Abdominal Hysterectomy • Hospital Wide • 30 Months

Ralph H. Johnson VAMC
MRSA • Hospital Wide • 12 Months
CLABSI • Dialysis • 18 Months
SSI Abdominal Hysterectomy • Hospital Wide • 30 Months
CLABSI  • SICU • 42 Months
CLABSI  • MICU • 42 Months
SSI Hip  • Hospital Wide • 58 Months

Self Regional Healthcare
SSI Hip • Hospital Wide • 12 Months
SSI Knee • Hospital Wide • 18 Months

Springs Memorial Hospital
SSI Abdominal Hysterectomy  • Hospital Wide • 18 Months
SSI Colon  • Hospital Wide • 18 Months
CLABSI • CCU • 18 Months
CLABSI • ICU • 24 Months
SSI Knee • Hospital Wide • 30 Months

Tidelands Georgetown Memorial Hospital
SSI Colon • Hospital Wide • 12 Months
CLABSI • ICU • 30 Months
SSI Hip • Hospital Wide • 42 Months

Tidelands Waccamaw Community Hospital
SSI Abdominal Hysterectomy  • Hospital Wide • 12 Months
CLABSI • ICU • 58 Months

Williamsburg Regional Hospital
MRSA  • Hospital Wide • 42 Months
SSI Colon • Hospital Wide • 42 Months
CLABSI • ICU • 54 Months

Wm. Jennings Bryan Dorn VAMC
SSI Hip • Hospital Wide • 24 Months

The Duke Endowment Logo

This work is made possible by the generosity of The Duke Endowment. South Carolina’s hospitals are grateful for the vision of James B. Duke, who established The Duke Endowment in December of 1924. For more information on the legacy of Mr. Duke and the work of The Duke Endowment, visit www.dukeendowment.org.

Documents and Resources