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Clinical Quality & Professional Affairs

UMC Governing Board Clinical Quality and Professional Affairs Committee

-0.30 Sentiment
0.40 Spin (VADER − DeepSeek)
5 Agenda Items
1 Employee-Relevant

Summary

Hand hygiene compliance at 66-68%, below Leapfrog targets.

quality safety staffing patient access

🔔 What Matters to Employees 1 items

staffing +0.20 topic=staffing

Exceeding Magnet thresholds, document submission by June 2.

All Agenda Items 7 items
quality safety -0.40

358 incidents in 2024; increase due to better reporting.

quality safety -0.40

Hand hygiene rate 68%, only 7/21 units met Leapfrog metric.

quality safety -0.30

29 sentinel events in 2024; RCAs completed.

quality safety -0.30

Hand hygiene dropped to 66%, PPE use declined to 83%.

governance 0.00

75 policies approved, 12 retired.

quality safety 0.00

Hand hygiene declined, other measures met goals.

governance 0.00

130 approved, 14 retired.