![]() Barriers to adherence of treatment regimens and management recommendations are often a recognized problem in the adolescent patient population 12, 13 and may contribute to the survival differences in younger and older lung transplant recipients. With adolescent lung transplant recipients having worse long-term survival compared with older adult patients, 9– 11 the mechanisms contributing to this age-related disparity are not completely understood. 5 Subsequently, individual programs at our hospital have instituted initiatives using a Clinical Index to evaluate and improve their performance. 2– 4 Over time, experts at our institution have realized that the Preventable Harm Index is a component of a more comprehensive and encompassing Clinical Index, which is a longitudinal metric that totals the number of elements with the goal being a lower score compared with the previous period. ![]() Upon implementation of this index system, there was an immediate decrease in medical errors, improvement in patient safety and mortality, and initiation of cost savings at our hospital. With a higher Preventable Harm Index being undesirable, a lower value represents a better performance with fewer elements. 1 With this new tool, our hospital had the means to track preventable elements which allowed for the implementation of quality improvement (QI) initiatives. ![]() With the introduction of the Preventable Harm Index in 2010, a standard was established at our institution to strive for a goal of zero preventable harm.
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