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WIHI: A New Emergency Checklist for Office-Based Surgery
October 26, 2017 | While serious harm remains uncommon for outpatient surgeries, adverse events do occur, particularly when anesthesia is involved. A new safety checklist can help clinical teams be better prepared for what to do if something goes wrong.
Project JOINTS: What Factors Affect Bundle Adoption in a Voluntary Quality Improvement Campaign?
This article examines how hospital adherence to quality improvement (QI) methods and hospital engagement with a large-scale QI campaign — Project JOINTS, an IHI-led initiative — could facilitate the adoption of an enhanced prevention bundle designed to reduce surgical site infection (SSI) rates after orthopaedic surgery (hip and knee arthroplasty).
Preventing Infection After Hip and Knee Replacements
IHI's Project JOINTS initiative is helping to speed the adoption of proven practices to prevent surgical site infections (SSIs) after hip and knee replacement surgery. This article describes simple, affordable, evidence-based practices organizations can put into place to reduce such infections.
Author in the Room: Bariatric Surgery Complications Before vs After Implementation of a National Policy Restricting Coverage to Centers of Excellence
May 2013 | A discussion with the author of the JAMA article "Bariatric Surgery Complications Before vs After Implementation of a National Policy Restricting Coverage to Centers of Excellence."
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.
One Is Too Many: Viewing Infection Data from the Patient's Perspective
A surgical patient who contracted MRSA following knee replacement surgery describes the effects of the surgical site infection (SSI) on her life, and how her experience led her health care providers to make changes to prevent SSIs.
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.
Percent of Clean Surgery Patients with Surgical Infection
Care teams seeking to prevent surgical site infection are encouraged to collect data on this outcome measure and other measures recommended in the How-to Guide: Prevent Surgical Site Infection.
Author in the Room: Medical Team Training and Surgical Mortality
December 2010 | A discussion with the author of the JAMA article "Implementation of a Medical Team Training Program and Surgical Mortality."
Author in the Room: Disclosure and Communicating with Patients after Medical Errors
September 2009 | A discussion with the author of the JAMA article "A 62-Year-Old Woman With Skin Cancer Who Experienced Wrong-Site Surgery."
World Health Organization (WHO) Surgical Safety Checklist and Getting Started Kit
The Starter Kit, Implementation Manual, and other resources are intended to help hospitals implement the WHO Surgical Safety Checklist, a tool for use by clinicians interested in improving the safety of their operations and reducing unnecessary surgical deaths and complications.
A surgical safety checklist to reduce morbidity and mortality in a global population
This study demonstrated that implementation of a 19-item surgical safety checklist designed to improve team communication and consistency of care was successful in reducing complications and deaths associated with surgery.
Profiles in Improvement: Gerald Healy, MD, IHI Senior Fellow
IHI Senior Fellow Gerry Healy talks about the role of improving the quality and safety of surgery and the focus of his work at IHI.
How-to Guide: Reduce Surgical Complications — Pediatric Supplement
This How-to Guide tailored specifically for pediatrics describes key evidence-based care components for reducing surgical complications, describes how to implement these interventions, and recommends measures to gauge improvement.
How-to Guide: Reduce Surgical Complications
This How-to Guide describes key evidence-based care components for reducing surgical complications, describes how to implement these interventions, and recommends measures to gauge improvement.
How-to Guide: Prevent Surgical Site Infections
This How-to Guide describes key evidence-based care components for preventing surgical site infections, describes how to implement these interventions, and recommends measures to gauge improvement.
Recommendations for Infection Control for the Practice of Anesthesiology (2nd edition)
The first portion of this booklet covers prevention of nosocomial infections in patients, and the latter is devoted to prevention of occupationally acquired infections in anesthesiologists.
Quality and Patient Safety on the Radio
This series of downloadable podcasts on XM Radio's ReachMD taps into the thinking and activity of the quality improvement movement and features IHI experts and leaders.
Medication List and Perioperative Patient Instructions
A sample medication list to be used with patients pre- and postoperatively.
Geisinger Medical Center: Where a Warranty on Coronary Artery Bypass Surgery Signals a Commitment to Excellence
John Podgursky, 62, did not know there was a warranty on the bypass surgery he had in the summer of 2007 at Geisinger Medical Center in Danville, Pennsylvania. But even if he had, he would not have needed it. His surgery and recovery went just fine.
Pausing for Safety
Imagine you're about to undergo a minor medical procedure. You've already read and signed an informed consent form that describes unfortunate things that could happen in the course of the procedure. Now a member of the medical team pauses, and announces your name and the nature of what's going to happen next to everyone gathered. Unnerving? Perhaps, but you should be reassured.
Reducing Surgical Complications for Elective Surgery Inpatients
Sioux Falls VA Medical Center decreased the surgical complication rate in the elective surgery inpatient population by 50 percent in less than 12 months by focusing on improved perioperative teamwork and communication and increasing compliance with the infection, venous thromboembolism, and SCIP cardiac measures.
Building Rapid Response Teams
Two hospitals successfully implemented Rapid Response Teams — teams that can quickly respond to a patient and assess or even transfer the patient in minutes rather than hours — and reduced adverse events and mortality rates in both hospitals as a result.
Reducing Healthcare-Associated MRSA Infections on a Surgical Unit
St. John's Regional Health Center (Springfield, Missouri, USA) reduced hospital-acquired infections through their work in an IHI Learning and Innovation Community
Risk Priority Number (from Failure Modes and Effects Analysis)
The Risk Priority Number, or RPN, is a numeric assessment of risk assigned to a process, or steps in a process, as part of Failure Modes and Effects Analysis (FMEA), in which a team assigns each failure mode numeric values that quantify likelihood of occurrence, likelihood of detection, and severity of impact.