Connecting PFE Best Practices to All-Cause Harm Reduction

Prepared by AIR for IPRO

This tool provides a crosswalk of the five Person and Family Engagement Best Practices being implemented by HQIC hospitals with the eight all-cause harms that HQIC hospitals are working to reduce. This tool provides a table of examples demonstrating how each PFE Best Practice can be used to engage patients in actions that contribute to the reduction or prevention of each of the eight all-cause harm areas. Not every hospital may need to apply all five PFE Best Practices to every all-cause harm. Hospitals can identify patients at greatest risk of any harm to prioritize partnership at the point of care (PFE Best Practices 1, 2, & 3). Additionally, harm measurements of concern for the hospital may be the focus of partnership in hospital operations (PFE Best Practices 4 & 5). For user convenience, each Row of the table (showing how a single PFE Best Practice can be applied to all eight all-cause harms) has been separated in Appendices A – H, and each Column of the table (showing how each all-cause harm can be applied to the five PFE Best Practices) has been separated in Appendices I – M.

Connecting PFE Best Practices to All-Cause Harm Reduction

APPENDIX A: SEPSIS

APPENDIX B: CAUTI

APPENDIX C: CLABSI

APPENDIX D: C DIFFICILE AND ANTIBIOTIC STEWARDSHIP

APPENDIX E: ADVERSE DRUG EVENTS

APPENDIX F: UNPLANNED READMISSION

APPENDIX G: PRESSURE INJURY

APPENDIX H: OPIOID STEWARDSHIP/BEHAVIORAL HEALTH

APPENDIX I: PFE 1

APPENDIX J: PFE 2

APPENDIX K: PFE 3

APPENDIX L: PFE 4

APPENDIX M: PFE 5

IPRO HQIC PFE LAN: Reducing Harms Through the Five PFE Best Practices – March 16 @ 12:00 pm – 1:00 pm

Prepared by AIR for IPRO HQIC

This learning event focuses on how the PFE Best Practices can be used to partner with patients and designated family caregivers to avoid harms during their hospital stay. Guest speakers share their personal experiences using PFE Best Practices to avoid harms. The event also introduces a new tool to help hospitals apply the five PFE best practices to reducing all-cause harms.

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Stop Sepsis Now

Prepared by IPRO

Sepsis is the body’s extreme response to an infection. It is a life-threatening medical emergency.  According to the Centers for Disease Control and Prevention, at least 1.7 million adults in America develop sepsis each year. Nearly 270,000 Americans die as a result of sepsis.

The IPRO QIN-QIO developed the following materials for patients, both in English and Spanish, along with provider-facing resources and training materials.

Guide for Hospitals to Complete the Person and Family Engagement Assessment for the IPRO Hospital Quality Improvement Contract

Prepared by AIR for IPRO HQIC

Hospitals leaders and staff who are either providing information for, or completing the PFE Assessment, can use this guide to determine if they are implementing the five PFE Best Practices, and understand how best to choose survey responses about the five PFE Best Practices.

Surgical Site Infection Investigation Tool

(AHRQ) Agency for Healthcare Research and Quality

This tool will help your safety program team understand lapses in infection prevention processes that may have contributed to the surgical site infection case. It can help your team identify practice patterns and inconsistencies in practice, so you can more easily pinpoint opportunities for intervention

WHO Global Guidelines for the Prevention of Surgical Site Infection

World Health Organization

The 2016 World Health Organization (WHO) Global guidelines for the prevention of surgical site infection (SSI) are evidence-based and unique in that they are the first global guidelines of this sort, are based on systematic reviews and present additional information in support of actions to improve practice. They were developed by international experts adhering to WHO’s Guideline Development Process and overall aim to achieve standardization.

AORN Comprehensive Surgical Checklist

AORN

The AORN Comprehensive Surgical Checklist can be downloaded and customized to meet a facility’s needs. The checklist includes key safety checks as outlined in the World Health Organization (WHO) Surgical Safety Checklist and The Joint Commission Universal Protocol. It is designed for use in all types of facilities (eg, hospital ORs, ambulatory surgery settings, physician offices)

Toolkit for Decolonization of Non-ICU Patients with Devices

Prepared by the Agency for Healthcare Research and Quality (AHRQ)

This toolkit will provide hospital infection prevention programs with instructions for implementing targeted decolonization in adult patients with medical devices in hospital units outside of intensive care (i.e., non-ICUs).