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.
Jhpiego, Johns Hopkins University Affiliate
Patient Safety Movement
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:
Centers for Disease Control (CDC)
Clinical Resources for Each COVID-19 Vaccine
Find information for COVID-19 vaccination administration, storage and handing, reporting, and patient education for each specific vaccine
Centers for Disease Control (CDC)
Presentation Overview:
Agency for Healthcare Research and Quality (AHRQ)
You can redesign your care system through technical and adaptive work to improve patient safety and eliminate preventable harm. Technical work focuses on procedural aspects of care that can be explicitly defined, such as the evidence to support a specific intervention or the definition for a ventilator-associated event (VAE). Adaptive work targets the attitudes, values, beliefs, and behaviors of the people who deliver care. The five-step CUSP process brings adaptive work into the change process and helps your team improve your unit’s safety culture. By integrating CUSP with technical interventions, your team can achieve real and sustainable improvements in safety.
Centers of Medicare and Medicaid Services (CMS), Office of Minority Health (OMH)
Get an overview of key issues related to readmissions for racially and ethnically diverse Medicare beneficiaries, as well as useful resources for hospital leaders to take action to address readmission.
Centers of Medicare and Medicaid Services (CMS), Office of Minority Health (OMH)
Across the country, health care organizations are using innovative approaches to provide language assistance services to individuals with limited English proficiency. This resource discusses a number of approaches used by these organizations to provide language assistance services to persons with limited English proficiency based on the findings of case studies conducted with a variety of health care organizations.
