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Search results for "Policy Makers"
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Journal Article > Commentary
Guenter P, Jensen G, Patel V, et al. Jt Comm J Qual Patient Saf. 2015;41:469-473.
Previous studies have explored safety issues related to parenteral nutrition processes, but problems associated with general nutrition for inpatients have received scant attention. This commentary advocates for promoting awareness around malnutrition as a hospital-acquired condition and outlines 12 actions to improve the safety of nutrition care for hospitalized patients, including use of routine assessments and checklists.
Journal Article > Commentary
Lefebvre G, Calder LA, De Gorter R, Bowman CL, Bell D, Bow M; National Panel on Quality Improvement in Obstetrics. J Obstet Gynaecol Can. 2019;41:653-659.
Obstetrics is a high-risk practice that concurrently manages the safety of mothers and newborns. This commentary describes the importance of standardization, checklist use, auditing and feedback, peer coaching, and interdisciplinary communication as strategies to reduce risks. The discussion spotlights the need for national guidelines and definitions to reduce variation in auditing and training activities and calls for heightened engagement of health care professionals to improve the safety and quality of obstetric care in Canada. An Annual Perspective reviewed work on improving maternal safety.
Audiovisual > Audiovisual Presentation
Washington, DC: Project Hope. November 6, 2018
To Err Is Human was released almost 2 decades ago and continues to influence a growing area of study aimed at improving health care and reducing medical error. This in-person and streaming event covered topics discussed in a special issue that explored progress since the report was released, new challenges, and success stories such as communication-and-resolution programs and the use of checklists.
Aston G. Hosp Health Netw. September 9, 2014.
Perspectives on Safety > Perspective
with commentary by Robert M. Wachter, MD, Safety in the UK, June 2012
This piece examines differences in the patient safety movements in the UK and US, as seen through the eyes of an American safety expert who spent 6 months in England last year.
Web Resource > Multi-use Website
Harvard School of Public Health.
This Web site provides resources for the Safe Surgery initiative to implement the World Health Organization surgical safety checklist in every US hospital by 2015.
Perspectives on Safety > Interview
Checklists, October 2010
Peter J. Pronovost, MD, PhD, is a Professor of Anesthesia, Critical Care, and Health Policy at Johns Hopkins University and Director of the Johns Hopkins Quality and Safety Research Group. He may be best known for having led the Michigan Keystone project, which used checklists and other interventions to markedly reduce catheter-associated bloodstream infections in ICUs throughout the state. For this work and more, he received a MacArthur Foundation Fellowship, and Time Magazine named him as one of the 100 most influential people in the world. We asked him to speak with us about checklists and other thoughts about the science of improving patient safety.
Journal Article > Review
Woodward HI, Mytton OT, Lemer C, et al. Annu Rev Public Health. 2010;31:479-497.
This narrative review provides a broad perspective on the current understanding of medical errors and the evidence behind commonly adopted prevention strategies. The authors then highlight a series of recommendations to improve patient safety.
Tools/Toolkit > Multi-use Website
Geneva, Switzerland: WHO World Alliance for Patient Safety; June 25, 2008.
This initiative provides a surgical safety checklist and related educational and training materials to encourage international adoption of a core set of safety standards. Implementation of this World Health Organization's checklist has resulted in dramatic reductions in surgical mortality and complications across diverse international hospitals. Surgical checklists have now become one of the clearest success stories in the patient safety movement, although some have described challenges to effective implementation. Dr. Atul Gawande discussed the history of checklists as a quality and safety tool in his book, The Checklist Manifesto: How to Get Things Right.