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- Quality and Safety Professionals
Audiovisual > Meeting/Conference Proceedings
Ideas to Innovation: Stimulating Collaborations in the Application of Resilience Engineering to Healthcare.
Medstar Healthcare and University-Industry Demonstration Partnership. June 13–14, 2013; Keck Center of the National Academies, Washington, DC.
Audiovisual > Multi-use Website
Handover: Improving the Continuity of Patient Care Through Identification and Implementation of Novel Handover Processes in Europe.
University Medical Centre Utrecht.
This Web site offers information and resources for a project to improve care transitions.
Oakbrook Terrace, IL: Joint Commission Center for Transforming Health Care. Chicago, IL: American College of Surgeons. November 2012.
Some of the most prominent successes in the patient safety field have been achieved in preventing health care–associated infections. Sponsored by The Joint Commission Center for Transforming Healthcare and the American College of Surgeons, this effort used rigorous quality improvement methodology and a collaborative approach across seven participating hospitals to tackle the problem of surgical site infections (SSIs) in patients undergoing colorectal surgery. The project was a remarkable success, achieving a 32% reduction in SSIs during the study period. The Center for Transforming Healthcare is also sponsoring efforts to prevent wrong-site surgery and improve hand hygiene and handoff communications.
Audiovisual > Slideset
Utter GH, Zrelak PA, Baron R, et al. Ann Surg. 2009;250:1041-1045.
The AHRQ Patient Safety Indicator accurately identified accidental injuries due to medical care, but many cases identified were clinically inconsequential.