American Society of Health-System Pharmacists (ASHP)
As the opioid crisis continues to affect the lives of people around the country health-systems most impacted by the crisis have taken a proactive approach in the fight. Recognizing the need for grassroots leadership to guide responsible opioid prescribing the University of Kentucky HealthCare implemented an Opioid Stewardship Program.
The Joint Commission
This 1-hour webinar featured Dr. Jeanmarie Perrone from the University of Pennsylvania Medical Center & Dr. Scott Weiner from Brigham and Women’s Hospital sharing their experiences with setting up programs to encourage safe prescribing of opioids and reducing opioid-related deaths. The speakers shared pearls & lessons learned, with the idea of providing a framework for other systems to implement similar programs as we work towards solutions to the opioid addiction and overdose epidemic.
American Hospital Association (AHA)
Program Materials, Templates, Change Management Resources, Webinars, Tracking Tools, Co-Prescribing, Opioid Use Disorder, Non-Pharmacological Pain Management
American Hospital Association (AHA)
The Guide addresses six critical elements that can support users through a process of implementing a data-driven approach to an opioid stewardship program: 1) developing a leadership strategy; 2) conducting an environmental
scan of available resources, existing efforts and available data; 3) selecting measures; 4) setting goals and developing an improvement plan to drive progress on those measures; 5) creating policies and education for care teams; and 6) providing patient education and engaging patients in shared decision-making. We believe that these elements lay the foundation for driving and measuring progress in opioid stewardship.
National Academies of Sciences, Engineering, and Medicine
Pain is a leading cause of disability globally. The dramatic increase in opioid prescriptions within the past decade in the United States has contributed to the opioid epidemic the country currently faces, magnifying the need for longer term solutions to treat pain. The substantial burden of pain and the ongoing opioid crisis have attracted increased attention in medical and public policy communities, resulting in a revolution in thinking about how pain is managed. This new thinking acknowledges the complexity and biopsychosocial nature of the pain experience and the need for multifaceted pain management approaches with both pharmacological and nonpharmacological therapies.
VHA National Center for Patient Safety
The Toolkit is designed to aid facilities in developing a comprehensive falls prevention program. The Toolkit consists of a wide variety of items, please ensure that you scroll to the bottom of this page to view all the resources, such as; Post Fall Huddles, Case Studies, Falls Decision Trees, Fall Program Self-Assessment, Hip Protector Tools, Podcasts and Balance Assessment Handbook, etc.
Advancing Health Equity (AHE)
Unless specifically measured, disparities in health and healthcare can go unnoticed even as providers, health plans, and governmental organizations (hereafter referred to as healthcare organizations) seek to improve care. Stratifying quality data by patient race, ethnicity, language and other
demographic variables such as age, sex, health literacy, sexual orientation, gender identity, socio-economic status, and geography is an important tool for uncovering and responding to healthcare disparities. This brief is organized into these three topics and recommends strategies that healthcare organizations can use to effectively organize and interpret stratified
quality data to improve health equity for their patients. It is intended for healthcare organizations and collaboratives that already have quality data stratified by one or more demographic variables. However, there are many resources on how to best collect and stratify race, ethnicity, language (R/E/L), sexual orientation, gender identity (SOGI) and other demographic data. Using stratified quality data strategically allows healthcare organizations to:
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:
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:
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.
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).
