Author: IPRO

Patient Safety Movement

Failures of airway management (e.g., inability to mask ventilate or oxygenate, unplanned extubation, failure to intubate) are major causes of inpatient morbidity and mortality. The following steps will establish an institutional,
team-based, comprehensive and sustainable system for reliability in airway management.

Authors:

1. London School of Hygiene and Tropical Medicine
2. Department of Hygiene and Public Health Catholic University of the Sacred Heart Rome Italy
3. The Society to Improve Diagnosis in Medicine.
4. 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.

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.

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.

Jhpiego, Johns Hopkins University Affiliate

• Introduction to Health Care-Associated Infections
• Standard and Transmission-Based Precautions
• Basic Microbiology for Infection Prevention and Control