MERCI’s Best Practices Training

MERCI’s primary objective is to improve patient safety through best practice-based and validated methods. This is achieved through three primary focus areas:

  • Turnkey training course implementation for system-wide standardization of training
  • Safety data systems and metrics development for objective evaluation
  • Site in-service and auditing services to reinforce performance standards and verify compliance

Cost Effective Solutions

MERCI’s secondary objective is to implement programs that pay for themselves. A natural result of investing in a MERCI patient safety program will be a positive return on investment through a reduction in direct expenses associated with medical errors, including  non-reimbursable procedures (never events, return visits, etc.); reduced insurance premiums; and reduced litigation expenses.

Why are MERCI’s Services Necessary?

  • Medical errors kill approximately 220,000 to 440,000 people per year in the United States
  • Errors cost the American medical system $27 billion per year
  • The publication of “To Err is Human” in 1999 resulted in dramatically increased awareness of medical errors, and yet there has been very little overall reduction in hospital error rates


Each year mechanical errors that occur during the insertion of central lines exceed 5% of insertions. In addition, central line associated blood stream infection (CLABSI) rates average 5.3 per 1,000 catheter days and an attributed mortality rate of 18%.1 In 2008, the Centers for Medicare and Medicaid Services (CMS) announced that it would no longer pay for adverse events that a hospital can prevent by following evidence-based guidelines. CMS focused on the reduction of 10 adverse events that are widespread and high-cost—medical errors and infections such as the retention of foreign objects after surgery and vascular catheter-associated infections, which includes CLABSI.2  These errors have been labeled “Never Events” and could have been prevented.

A partnership with MERCI in the implementation of your central line error reduction program will save time and money and, more importantly, insure that your program is a success.  MERCI can help your program get from Better to Best by outlining a facility-specific plan and supporting the achievement of increasingly more ambitious goals for error reduction, including mechanical and CLABSI errors. The savings from the additional error reductions would more than pay for the cost of the MERCI Central Line Program implementation.