Narrow Results Clear All
- Communication Improvement 2
- Culture of Safety 1
- Education and Training 1
- Error Reporting and Analysis 1
- Human Factors Engineering 1
- Quality Improvement Strategies 11
- Specialization of Care 1
- Technologic Approaches 1
- Device-related Complications 1
- Diagnostic Errors 1
- Identification Errors 1
- Medical Complications 3
- Medication Safety 4
- Surgical Complications 2
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O'Grady NP, Alexander M, Burns LA, et al; Healthcare Infection Control Practices Advisory Committee. Am J Infect Control. 2011;52:e162-e193.
This article discusses strategies to prevent catheter-related infections.
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.
Medication errors in acute cardiovascular and stroke patients. A scientific statement from the American Heart Association.
Michaels AD, Spinler SA, Leeper B, et al; American Heart Association Acute Cardiac Care Committee of the Council on Clinical Cardiology, Council on Quality of Care and Outcomes Research, Council on Cardiopulmonary, Critical Care, Perioperative, and Resuscitation, Council on Cardiovascular Nursing, Stroke Council. Circulation. 2010;121:1664-1682.
Patients hospitalized with acute coronary syndromes or strokes are particularly vulnerable to medication errors, as many of these patients are elderly, have complex medication regimens, or are administered high-risk medications such as anticoagulants. This position paper from the American Heart Association reviews the specific types of medication errors in these patients, including dosing errors, administration of contraindicated medications, and errors of omission (failure to prescribe recommended therapies). The authors make specific, evidence-based recommendations for preventing medication errors in this patient population, including integrating pharmacists into inpatient teams and using computerized provider order entry and medication reconciliation to detect and prevent errors. A medication error in an acute coronary syndrome patient is illustrated in this AHRQ WebM&M commentary.
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.
Recommendations from the British Committee for Standards in Haematology and National Patient Safety Agency.
Baglin TP, Cousins D, Keeling DM, Perry DJ, Watson HG. Br J Haematol. 2006;136:26-29.
The authors provide guidelines to help manage risks and ensure the safe administration of oral anticoagulant therapy in the United Kingdom.
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.
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.
This website is a practical resource to review existing clinical practice guidelines in a centralized location. Key components of the site include links to full-text guidelines and an assessment function that explores the rigor and trustworthiness of each document. This website was built by the team that developed and maintained the AHRQ National Guideline Clearinghouse, which is no longer available.
Polovich M, Blecher CS, Glynn-Tucker EM, McDiarmid M, Newton SA. Pittsburgh, PA: Oncology Nursing Society (ONS); 2003.
This guideline provides recommendations to enhance the safe delivery of high-risk medications. Topics include assessing occupational exposure risks, engineering controls, work practice controls, safety measures, drug administration, and postadministration practices.
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.