Patient Safety Movement
Ten minute video from an organization who has created a foundation of safe reliable care, specifically in pressure injury prevention, using two high reliability principles (sensitivity to operations and deference to expertise).
American Association of Colleges of Nursing (AACN)
On demand free webinars on numerous COVID-19 nursing related topics. to include:
- Decision Making
- Clinical and Simulation Alternatives
- Teaching and Online Education
- Public Health
- Mental Health and Culture
- Student Issues
Co-authored by Deloitte & Joint Commission Resources
The whitepaper catalogues a broad array of lessons learned identified during the period of March through August 2020. These lessons learned are based on discussions with a diverse group of health care leaders; assessments of readiness/preparedness efforts across national, regional and local stakeholders; and a review of public documents. The considerations in this whitepaper include observed best practices adopted by organizations throughout the COVID-19 response. For each health care domain and associated issues, it lays out specific actions that organizations have taken to address them and provides access to guidance and tools that health care leaders can use to create and enact their own plan to address these challenges. Some of the wide array of health care domains covered in this in-depth resource include:
- Emergency readiness and crisis response
- Infection control
- Patient safety and high reliability
- Communications and change management
Agency for Healthcare Research and Quality
Research shows that when patients are engaged in their health care, it can lead to measurable improvements in safety and quality. To promote stronger engagement, the Agency for Healthcare Research and Quality (AHRQ) developed a guide to help patients, families, and health professionals work together as partners to promote improvements in care. This guide focuses on four primary strategies for promoting patient/family engagement in hospital safety and quality of care:
- Encourage patients and family members to participate as advisors.
- Promote better communication among patients, family members, and health care professionals from the point of admission.
- Implement safe continuity of care by keeping the patient and family informed through nurse bedside change-of-shift reports.
- Engage patients and families in discharge planning throughout the hospital stay.
American College of Healthcare Executives and Institute for Healthcare Improvement (IHI)/National Patient Safety Foundation (NPSF) Lucian Leape Institute
Leading a Culture of Safety: A Blueprint for Success was developed to bridge this gap in knowledge and resources by providing chief executive officers and other health care leaders with a useful tool for assessing and advancing their organization’s culture of safety. This guide can be used to help determine the current state of an organization’s journey, inform dialogue with the board and leadership team, and help leaders set priorities.
The high-level strategies and practical tactics in the guide are divided into two levels:
- The foundational level provides basic tactics and strategies essential for the implementation of each domain.
- The sustaining level provides strategies for spreading and embedding a culture of safety throughout the organization.
- London School of Hygiene and Tropical Medicine
- Department of Hygiene and Public Health Catholic University of the Sacred Heart Rome Italy
- The Society to Improve Diagnosis in Medicine.
- Italian Network for Safety in Healthcare
Implementing safety practices in healthcare saves lives and improves the quality of care: it is therefore vital to apply good clinical practices, such as the WHO surgical checklist, to adopt the most appropriate measures for the prevention of assistance-related risks, and to identify the potential ones using tools such as reporting & learning systems.
The culture of safety in the care environment and of human factors influencing it should be developed from the beginning of medical studies and in the first years of professional practice, in order to have the maximum impact on clinicians’ and nurses’ behavior. Medical errors tend to vary with the level of proficiency and experience, and this must be taken into account in adverse events prevention. Human factors assume a decisive importance in resilient organizations, and an understanding of risk control and containment is fundamental for all medical and surgical specialties.
This open access book offers recommendations and examples of how to improve patient safety by changing practices, introducing organizational and technological innovations, and creating effective, patient-centered, timely, efficient, and equitable care systems, in order to spread the quality and patient safety culture among the new generation of healthcare professionals, and is intended for residents and young professionals in different clinical specialties.
Institute for Healthcare Improvement (IHI)
Safer Together: A National Action Plan to Advance Patient Safety provides clear direction that health care leaders, delivery organizations, and associations can use to make significant advances toward safer care and reduced harm across the continuum of care. This resource also includes a Self-Assessment Tool & Implementation Resource Guide. Resource also includes case examples on engaging patients and families in safety.
U.S. Department of Veteran Affairs
Engaging Healthcare Teams to Eliminate Health Inequities (Video)
Strategies that healthcare systems can use to identify and eliminate health inequities affecting their patients.
Michigan Health & Hospital Association, Illinois Health and Hospital Association, Wisconsin Hospital Association, Minnesota Hospital Association
Purpose: The Reliability Culture Implementation Guide combines the five principles of high reliability organizations (HROs) with elements of safety culture. This guide is broadly intended for executive level to frontline staff. Tools are available throughout this guide to support and advance the work done within high reliability.
American Institutes for Research (AIR)/IPRO HQIC
This PFE Roadmap provides practical guidance to help hospitals implement five PFE best practices:
- Implementation of a planning checklist for patients who have a planned admission
- Implementation of a discharge planning checklist
- Conducting shift change huddles and bedside reporting with patients and families
- Designation of a PFE leader in the hospital
- Active Person and Family Engagement Committee or other committees where patients are represented and report to the board
This resource explains what All-Cause Harm is, why it is important and then dives into each of the processes it takes to prevent All-Cause Harm. Eight priority focus areas for the Hospital Quality Improvement Contract (HQIC) are illuminated and strategies to monitor compliance are provided.
All-Cause Harm Resource, Recording and Slides from the IPRO HQIC All-Cause Harm “launch” on March 29th, 2021.
MHA Keystone Center
The MHA Keystone Center encourages organizations to use this guide to assess the current level of hospital implementation around key strategies aimed at reducing disparities to achieve equity and improving quality. This resource will guide organizations to prioritize and act on identified gaps so that deliberate and purposeful action is taken to ensure that the outcomes across all patient populations are equitable. Sections of the guide include:
Section 1: Understanding Key Terms
Section 2: Why Equity in Care Matters
Section 3: Strategic Pillars on the Journey Toward Equity
Section 4: Recommendations for Action
Section 5: Levels of Implementation
Section 6: The MHA Keystone Center’s Dedication to
Achieving Health Equity
Section 7: Resource Compendium
American Hospital Association (AHA) Institute for Diversity and Health Equity (IFDHE)
To support hospitals and health systems starting from different points on their journey to achieve health equity, the AHA’s Institute for Diversity and Health Equity (IFDHE) is releasing a series of toolkits to share evidence-based practices to inform organizational next steps for the following topics:
- Data collection, validation, stratification and application of patient information to address disparate outcomes
- Cultural humility and implicit bias training and education
- Diversity and inclusion in leadership and governance roles
- Sustainable community partnerships focused on improving equity
Each toolkit is designed to be informative, whether organizations have already deployed health equity tactics and strategies or if they are at the early stages of implementation. Each helps lay the groundwork for an in-development equity roadmap to support hospitals’ and health systems’ efforts toward achieving high-quality, equitable care for all. This toolkit focuses on training and education strategies and approaches to encourage cultural humility and overcome implicit bias.
Centers for Disease Control (CDC)
Provides information on the basic principles and interventions recommended for the prevention of Clostridioides (formerly known as Clostridium) difficile infection (CDI) in acute care facilities. The strategies are intended to facilitate implementation of CDI prevention efforts by state and local health departments, quality improvement organizations, hospital associations, and healthcare facilities. Core strategies for the prevention of CDI in acute care facilities include:
1. Isolate & Initiate Contact Precautions
2. Confirm CDC in Patients
3. Perform Environmental Cleaning
4. Develop Infrastructure
5. Engage the Facility Antibiotic Stewardship Program