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Tools/Toolkit > Measurement Tool/Indicator
2017 ISMP Medication Safety Self Assessment® for Antithrombotic Therapy in Hospitals.
Horsham, PA: Institute for Safe Medication Practices; 2017.
This tool provides institutions with the capacity to assess use of antithrombotic agents, submit data to the Institution for Safe Medication Practices for self-assessment scores, compare practices with other hospitals, and allow the development of an ongoing progress report.
Tools/Toolkit > Measurement Tool/Indicator
2017 ISMP Medication Safety Self Assessment for Community/Ambulatory Pharmacy.
Horsham, PA: Institute for Safe Medication Practices; 2017.
This community pharmacy measurement tool can be used to review processes for 10 elements that affect the safety of medication delivery and administration.
Tools/Toolkit > Measurement Tool/Indicator
ISMP Medication Errors Reporting Program.
Institute for Safe Medication Practices.
The Institute for Safe Medication Practices (ISMP) and Quantros collaborate to administer this national reporting program, which collects confidential reports of medication errors and near misses directly from practitioners. Information is forwarded to the U.S. Food and Drug Administration and product manufacturers. The program was formally co-administered by United States Pharmacopeia (USP).
Tools/Toolkit > Database/Directory
AHRQ Quality Indicators.
Agency for Healthcare Research and Quality.
The Agency for Healthcare Research and Quality (AHRQ) Quality Indicators (QIs) represent quality measures that make use of a hospital's available administrative data to inform improvement. This Web site provides access to four modules of indicators: prevention, inpatient, pediatric, and patient safety.
Book/Report
IHI Global Trigger Tool for Measuring Adverse Events. 2nd Edition.
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Griffin FA, Resar RK. IHI Innovation Series white paper. Cambridge, MA: Institute for Healthcare Improvement; 2009.
This white paper describes a tool that employs triggers to identify adverse events and measure their rate of occurrence. The authors discuss the development and methodology of the tool, suggestions for training, and the experiences of organizations that have used it.
Tools/Toolkit > Government Resource
Is Our Pharmacy Meeting Patients' Needs? A Pharmacy Health Literacy Assessment Tool User's Guide.
Jacobson KL, Gazmararian JA, Kripalani S, McMorris KJ, Blake SC, Brach C. Rockville, MD: Agency for Healthcare Research and Quality; 2007. AHRQ Publication No. 07-0051.
This AHRQ-funded publication provides a tool to help organizations identify health literacy issues, as well as methods for implementing an action plan drawn from assessment results.
Tools/Toolkit > Government Resource
Surveys on Patient Safety Culture.
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Rockville, MD: Agency for Healthcare Research and Quality.
The National Quality Forum's Safe Practices for Healthcare and the Leapfrog Group both mandate hospitals to regularly assess their safety culture. This AHRQ Web site provides validated safety culture survey tools and user guides. Hospitals can also use the AHRQ database to compare their Patient Safety Culture Survey results. In addition, an annual report summarizes the benchmarking data across more than 1000 hospitals nationwide. Poor staff perception of safety culture has been linked to increased error rates in hospitals. Culture has also been described as a key to establishing high reliability organizations. An AHRQ WebM&M perspective discussed how to establish a safety culture.
Newspaper/Magazine Article
Reducing patient harm from opiates.
ISMP Medication Safety Alert! Acute Care Edition. February 22, 2007;12:1-3.
This article lists common risks associated with opiates, a high-alert medication, as well as recommended safety improvements to reduce these risks.
Press Release/Announcement
AORN Evaluation of the Universal Protocol.
Association of PeriOperative Registered Nurses.
This survey will gather comments from the field regarding The Joint Commission's Universal Protocol to help eliminate wrong site surgeries.
Tools/Toolkit > Measurement Tool/Indicator
The Physician Practice Patient Safety Assessment.
Medical Group Management Association Center for Research, Health Research and Educational Trust, Institute for Safe Medication Practices. 2005.
This tool facilitates assessment of activities that support safe care in outpatient settings.
Tools/Toolkit > Measurement Tool/Indicator
Sentinel Event Statistics 1995–2017.
The Joint Commission.
This website provides sentinel event data reported to The Joint Commission, which includes information on 805 sentinel events reported in 2017. Unintended retained foreign bodies, falls and wrong–patient, wrong-site, wrong-procedures were the most frequently submitted incidents in this time period. The data and graphs are updated quarterly and include specific analysis associated with event type by year and root causes by event type from 1995 through the close of 2017.
Tools/Toolkit > Measurement Tool/Indicator
NRCPR Project Information: Medical Emergency/Rapid Response Teams (MET/RRT).
National Registry of CPR.
These forms provide standardized mechanisms for collecting data on the effectiveness of medical emergency teams.
Tools/Toolkit > Government Resource
Prevention Quality Indicators Overview.
AHRQ Quality Indicators. Rockville, MD: Agency for Healthcare Research and Quality.
The Agency for Healthcare Research and Quality (AHRQ) Prevention Quality Indicators use hospital admissions data to screen for potential quality lapses on conditions that generally don't require hospitalization if managed effectively at the primary care level.
Tools/Toolkit > Measurement Tool/Indicator
National Survey of Safety Features with Pharmacy Computer Systems.
Huntingdon Valley, PA: Institute for Safe Medication Practices; 2005.
To assess important safety features of pharmacy computer systems, this online survey asks respondents to test examples of "unsafe orders" and report how their computer system handles them. Completed surveys were due to the Institute for Safe Medication Practices by July 22, 2005 and a link to the results is provided.
Tools/Toolkit > Government Resource
Patient Safety Indicators Overview.
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AHRQ Quality Indicators. Rockville, MD: Agency for Healthcare Research and Quality.
The AHRQ Patient Safety Indicators (PSIs) represent quality measures that make use of a hospital's available administrative data. The PSIs reflect the quality of inpatient care but also focus on preventable complications and iatrogenic events. Investigators have found PSIs to be a useful tool for understanding adverse events and identifying possible areas of improvement within health care delivery systems. Although relying on administrative data has clear limitations, select PSIs have been shown to accurately identify certain accidental inpatient injuries. The AHRQ Web site offers publicly available comparative data, along with resources and tools. Patient safety measurement methods are discussed in an AHRQ WebM&M perspective.
Tools/Toolkit > Measurement Tool/Indicator
Inpatient Quality Indicators.
AHRQ Quality Indicators. Rockville, MD: Agency for Healthcare Research and Quality; September 2005.
The Agency for Healthcare Research and Quality's (AHRQ) Quality Indicators (QIs) represent quality measures that make use of a hospital's available administrative data. The Inpatient Quality Indicators include inpatient mortality for certain procedures and medical conditions; utilization of procedures for which there are questions of underuse, overuse, and misuse; and volume of procedures for which evidence suggests that a higher volume is associated with lower mortality.
Tools/Toolkit > Measurement Tool/Indicator
Frontline assessments of healthcare culture: Safety Attitudes Questionnaire norms and psychometric properties.
Sexton JB, Thomas EJ, Helmreich RL, et al. Technical Report 04-01. The University of Texas Center of Excellence for Patient Safety Research and Practice.
This collection of surveys seeks to assess the attitudes toward safety in a variety of clinical settings. This project was supported by Agency for Healthcare Research and Quality (AHRQ) Grant # 1PO1HS1154401. The use of this survey instrument is discussed by Pronovost in a 2003 article.
Tools/Toolkit > Measurement Tool/Indicator
The Safety Climate Survey: Psychometric and Benchmarking Properties.
Sexton JB, Thomas EJ. Technical Report 03-03. The University of Texas Center of Excellence for Patient Safety Research and Practice (AHRQ grant # 1PO1HS1154401 and U18HS1116401).
This survey instrument is used by the University of Texas to assess safety culture in hospitals. The use of this survey instrument is discussed by Pronovost and colleagues in a 2003 article.
Tools/Toolkit > Measurement Tool/Indicator
Medication Safety Best Practices Guide for Ambulatory Care Use.
Galt KA, Rule AM. Omaha, NE: Creighton Health Services Research Program; 2004.
This guide was designed to help outpatient providers rate their safety practices and identify areas that need improvement.
Tools/Toolkit > Measurement Tool/Indicator
2004 ISMP Medication Safety Self Assessment® for Hospitals.
Huntingdon Valley, PA: Institute for Safe Medication Practices; 2004.
ISMP designed this survey to help hospitals assess the safety of medication practices in their own facilities, identify areas for improvement, and compare their results with demographically similar organizations.