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Washington, DC: American Society of Hematology; 2018.
The American Society of Hematology released new guidelines on prophylaxis for venous thromboembolism, which can be a patient safety problem among hospitalized patients. Key recommendations include low-molecular-weight heparin as the preferred agent when medication prophylaxis is indicated and screening of all hospitalized patients for venous thromboembolism risk and bleeding.
Kane-Gill SL, Dasta JF, Buckley MS, et al. Crit Care Med. 2017;45:e877-e915.
Although technology has helped decrease medication errors, adverse drug events remain a significant source of harm. Patients in the intensive care unit (ICU) may be particularly vulnerable to medication errors due to the complex nature of their care. Prior research has shown that medication errors occur more frequently in the ICU and are more likely to cause serious patient harm or death. This clinical practice guideline highlights environmental changes and prevention strategies that can be employed to improve medication safety in the ICU. The authors also describe components of active surveillance that may augment detection of medication errors and adverse drug events. A previous WebM&M commentary discussed a case involving a serious medication error in the ICU setting.
Busse JW, Craigie S, Juurlink DN, et al. CMAJ. 2017;189:E659-E666.
Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017.
Berríos-Torres SI, Umscheid CA, Bratzler DW, et al. JAMA Surg. 2017;152:784-791.
Surgical site infections are a common hospital-acquired condition. This clinical guideline reviews the literature and gathers expert opinion to identify generalizable evidence-based strategies to reduce surgical site infections. The authors highlight antimicrobial, preoperative hygiene, glycemic control, and skin preparation procedures to prevent infection.
Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist by the Safety and Health Committee.
Rafiei P, Walser EM, Duncan JR, et al; Society of Interventional Radiology Health and Safety Committee. J Vasc Interv Radiol. 2016;27:695-699.
Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012.
Dellinger RP, Levy MM, Rhodes A, et al; Surviving Sepsis Campaign Guidelines Committee including the Pediatric Subgroup. Crit Care Med. 2013;41:580-637.
This guideline reviews recommendations from an international consensus committee on sepsis treatment and management to guide safe care for patients with sepsis.
Prevention and treatment of bile duct injuries during laparoscopic cholecystectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES).
Eikermann M, Siegel R, Broeders I, et al. Surg Endosc. 2012;26:3003-3039.
This guideline reports on recommendations from an expert panel to prevent bile duct injuries during laparoscopic cholecystectomy, despite limited evidence on this rare complication.
Primary care–relevant interventions to prevent falling in older adults: a systematic evidence review for the U.S. Preventive Services Task Force.
Michael YL, Whitlock EP, Lin JS, Fu R, O'Connor EA, Gold R; US Preventive Services Task Force. Ann Intern Med. 2010;153:815-825.
Falls are a major source of preventable morbidity and mortality for elderly patients in both the ambulatory care and hospital setting. However, efforts to prevent falls have been limited by a lack of high quality evidence supporting specific prevention strategies. This AHRQ-funded systematic review identified several focused interventions, including physical therapy, exercise, and vitamin D supplementation, that appeared to reduce the risk of falls in outpatients. The evidence base in this area has also been strengthened by recent studies showing that patient education and individualized interventions can prevent falls in hospitalized patients.
Lee JS, Curley AW, Smith RA. J Oral Maxillofac Surg. 2007;65:1793-1799.
This article discusses strategies to prevent wrong-site tooth extraction including education, improving referral forms, and standardizing preoperative procedures. A prior AHRQ WebM&M commentary also discussed this topic.
ASA Task Force on Intraoperative Awareness and Brain Function Monitoring. Park Ridge, IL: American Society of Anesthesiologists; July 2005.
This clinical guideline on minimizing intraoperative awareness through appropriate monitoring has been approved as a standard by the American Society of Anesthesiologists. They have crafted a patient advisory to inform consumers on the issue.
Kanal E, Borgstede JP, Barkovich AJ, et al; American College of Radiology. Reston, VA: ACR; 2004.
This white paper combines two reports from the ACR Blue Ribbon Panel on MR Safety. Experts developed safe practice guidelines to be used by practitioners in developing magnetic resonance safety programs.
Stucky ER. Pediatrics. 2003;112:431-436.
Key areas of recommendations to improve medication safety are reviewed: hospital-wide system actions and guidelines, prescriber actions and guidelines, and education and communication for prescribers, nurses, pharmacists, patients, and families.
ECRI. Health Devices. 2003;32:5-24.
This article describes information about surgical fires, including instigating factors and prevention strategies for all team members.
Eichhorn JH, Cooper JB, Cullen DJ, Philip JH, Maier WR, Seeman RG. JAMA. 1986;256:1017-1020.
To proactively devise a patient safety strategy for anesthesia, the authors of this article summarized a series of mandatory standards implemented at Boston's nine component teaching hospitals. The authors discuss the detailed process that led to the highlighted standards, including the need to balance physician autonomy with the larger goal of improving patient care. One of the objectives from their efforts was to demonstrate the applicability of the process and to counter increases in anesthesia-related malpractice claims. They suggest the need for both a strong commitment to leadership and the development of a process to foster similar standards and improvements throughout the country.