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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.
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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.
Inflammation and the Host Response to Injury, a Large-Scale Collaborative Project: patient-oriented research core—standard operating procedures for clinical care. II. Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma patient.
Minei JP, Nathens AB, West M, et al. J Trauma. 2006;60:1106-1113.
The investigators used existing data and guidelines to develop this standard operating procedure for the diagnosis and treatment of ventilator-associated pneumonia.