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Four Steps for Developing Reliable Processes
Creating and sustaining reliable processes to ensure health care quality and patient safety requires thoughtful planning and execution. This checklist of four steps will help ensure your systems are designed with reliability in mind.
Patient Safety Essentials Toolkit
Download these nine essential tools to guide your organization in improving patient safety and delivering safe, reliable care. Tools include FMEA, SBAR, root cause analysis, daily huddles, and more.
Selected Resources: Improving Opioid and Pain Management
This document offers selected resources for clinicians and health care administrators to take action on opioid and pain management and opioid use disorder (OUD), organized into three categories: Patient Assessment, Intervention, and Treatment; Provider Training and Support; and Strategy and Planning.
Ask Me 3: Good Questions for Your Good Health
Ask Me 3® is an educational program that encourages patients and families to ask three specific questions of their providers to better understand their health conditions and what they need to do to stay healthy.
RCA2: Improving Root Cause Analyses and Actions to Prevent Harm
This document examines best practices for using root cause analysis (RCA) to improve patient safety, and includes guidelines to help health professionals standardize the RCA process and improve the way they investigate medical errors, adverse events, and near misses.
Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance
Team-based collaboration of safety and financial leaders is necessary to successfully create and present business cases to advance safety initiatives. This toolkit includes specific recommendations and practices for a Safety–Finance Team and provides a framework for understanding, framing, and advancing patient and workforce safety.
IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events
The IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events provides an easy-to-use method for accurately identifying adverse events (harm) and measuring the rate of adverse event incidence over time in skilled nursing facilities (SNFs).
ISMP Medication Safety Best Practices
Developed with the help of leading medication safety experts, and patterned after the Joint Commission’s National Patient Safety Goals, the ISMP has issued six 2014-15 Targeted Medication Safety Best Practices for hospitals.
ISHAPED Patient-Centered Approach to Nurse Shift Change Bedside Report
ISHAPED (I=Introduce, S=Story, H=History, A=Assessment, P=Plan, E=Error Prevention, and D=Dialogue) focuses on making bedside shift reports more patient- and family- centered. The goal is to always include patients in the ISHAPED nursing shift-to-shift handoff process at the bedside to add an additional layer of safety by enabling the patient to communicate potential safety concerns.
Always Events Blueprint for Action and Always Events Healthcare Solutions Book
These tools guide organizations in creating a more person- and family-centered culture through the development and implementation of Always Events, defined as aspects of the patient experience that are so important to patients and families that health care providers should always get them right.
Severe Sepsis Bundles
The Severe Sepsis Bundles include the Severe Sepsis 3-Hour Rescuscitation Bundle and the 6-Hour Septic Shock Bundle. The Severe Sepsis Bundles have been revised in conjunction with the updated 2012 International Guidelines for Management of Severe Sepsis and Septic Shock.
Integrated Care Pathway for Total Joint Arthroplasty
This Care Pathway provides recommended ideas to improve care for patients receiving total joint arthroplasty (TJA) and includes safe, effective, efficient, and patient-centered TJA care processes. The Pathway is designed for use by all members of the orthopaedic community who are responsible for the TJA process, including those at surgical practices, hospitals, and other care settings.
CHG Bathing Patient Flyer: Prevent Surgical Site Infection for Hip and Knee Arthroplasty
This customizable, educational poster/flyer can be used to inform patients that you encourage them to bathe or shower with chlorhexidine gluconate (CHG) soap to reduce the risk of surgical site infections from hip and knee arthroplasty.
Flyer of Participation: Prevent Surgical Site Infection for Hip and Knee Arthroplasty
This customizable poster/flyer can be used to communicate to your patients that you are focused on reducing surgical site infections for hip and knee arthroplasty.
The Business Case, A Brief for Hospital Administrators: Prevent Surgical Site Infection for Hip and Knee Arthroplasty
Among surgical procedures, arthroplastic (hip and knee) surgeries are key high-cost, high-volume surgeries targeted for surgical site infection (SSI) prevention. This document describes some of the financial implications of SSIs after hip and knee replacement and makes the business case for prevention.
How-to Guide: Prevent Surgical Site Infection for Hip and Knee Arthroplasty
This How-to Guide describes key evidence-based interventions for preventing surgical site infection for patients undergoing hip and knee replacement surgery, describes how to implement these interventions, and recommends measures to gauge improvement.
One-Pager for Surgeons: Prevent Surgical Site Infection for Hip and Knee Arthroplasty
This one-pager for surgeons provides a summary of the evidence behind the interventions to prevent surgical site infection for hip and knee arthroplasty.
Data Tracker Worksheet: Prevent Surgical Site Infection for Hip and Knee Arthroplasty
This Excel spreadsheet is designed to aid in tracking compliance with implementing the interventions recommended in the IHI How-to Guide: Prevent Surgical Site Infection for Hip and Knee Arthroplasty.
Patient Preparation Checklist for Surgery from University of Tennessee Medical Center: S. aureus Decolonization Prevent Surgical Site Infection
This checklist provides information to staff on Bactroban medication use and body cleansing with an antiseptic agent for patients undergoing Staphylococcus aureus decolonization prior to surgery to lower the risk of surgical site infection.
Patient Instructions from Exempla Lutheran Medical Center: S. aureus Nasal Screening
This instruction sheet provides detailed instructions for nasal Stahlyococcus aureus decolonization using Bactroban and is given to patients with positive nasal screens prior to surgery to lower the risk of surgical site infection.
Medication Checklist from Exempla Lutheran Medical Center: S. aureus Surgical Patients
This checklist provides information to staff on Bactroban medication use for patients undergoing nasal Staphylococcus aureus decolonization prior to surgery to lower the risk of surgical site infection.
Patient and Staff Instructions from Magee Women's Hospital of UPMC: S. aureus Screening in Surgical Patients
This instruction sheet provides detailed instructions for patients and staff on nasal Staphylococcus aureus screening and is given to patients prior to surgery to lower the risk of surgical site infection.
Patient Instructions from Sparrow Hospital: Preoperative S. aureus Decolonization to Prevent Surgical Site Infection
This instruction sheet provides detailed instructions for showering with antiseptic soap and is given to all patients prior to joint replacement surgery to lower the risk of surgical site infection.
Patient Instructions New England Baptist Hospital: Preoperative S. aureus Screening and Decolonization to Prevent Surgical Site Infection
This instruction sheet provides detailed instructions for nasal Staphylococcus aureus decolonization using Bactroban and is given to patients with positive nasal screens prior to surgery to lower the risk of surgical site infection.
Patient Instructions from Canton Potsdam Hospital: Preoperative Skin Preparation to Prevent Surgical Site Infection in Joint Replacement Surgery
This instruction sheet provides detailed instructions for bathing with disposable chlorhexidine gluconate (CHG) antiseptic wipes and is given to all patients prior to joint replacement surgery to lower the risk of surgical site infection.