Patient Safety

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Improving patient safety has always been the top priority for hospitals and is fundamental to delivering quality health services. Hospitals should assess their processes, identify optimization opportunities, and implement evidence-based practices to create a culture of safety. Please note: on some web browsers, document links may automatically download to your computer rather than open up on your screen.

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Limestone Medical Improves Hand Hygiene Rates with Electronic Monitoring System
According to the Centers for Disease Control and Prevention, health care providers on average clean their hands less than half of the times they should. Limestone Medical Center in Groesbeck, Texas, sought to improve its employee hand hygiene compliance rate, and did, by 96.01 percent.
Web link    Date Added: 07/20/2022    Date Last Modified: Jul 20 2022 5:11PM  
National Action Plan to Advance Patient Safety
Preventable harm in health care remains a major concern in the United States, despite substantial effort to improve over the past 20 years. This report from the Institute for Healthcare Improvement provides clear direction for health care leaders, delivery organizations, and associations to make significant advances toward increased safety and reduced harm across the continuum of care.
Web link    Date Added: 07/06/2022    Date Last Modified: Jul 6 2022 1:04PM  
What Kind of Quality Department Best Supports Whole System Quality?
Research by the Institute for Healthcare Improvement Innovation Team has identified some of the keys to successfully organizing quality departments. By bringing the right people together, building connections across different functions, and distinguishing among different types of quality activities, health care systems can build strong and balanced teams.
Web link    Date Added: 07/06/2022    Date Last Modified: Jul 6 2022 12:57PM  
2022 NHSN Training – Videos and Slides
View presentations from the 2022 annual National Healthcare Safety Network (NHSN) live training on how to identify, report, and analyze VAE, PedVAE, CAUTI, CLABSI, Secondary Bloodstream Infection (BSI) and Site-Specific Infections, SSI, MRSA Bacteremia and C. difficile LabID events, as well as presentations on validation of healthcare-associated infection data, and reporting and analysis of antibiotic use and resistance data.
Web link    Date Added: 07/05/2022    Date Last Modified: Jul 5 2022 6:32PM  
Hand Hygiene Observation Tool
Hospitals can use this guide to the effective and consistent monitoring and reporting of hand hygiene compliance for the purposes of improving patient safety.
Adobe PDF    Date Added: 04/08/2022    Date Last Modified: Apr 8 2022 12:43PM  
Hand Hygiene Toolkit
A toolkit from the John Hopkins Hospital with tools and resources to promote hand hygiene.
Adobe PDF    Date Added: 04/07/2022    Date Last Modified: Apr 7 2022 6:27PM  
Hand Hygiene Data Collection Tool
This tool allows health care providers to document and monitor hand hygiene before and after patient contact and after removal of gloves.
Web link    Date Added: 04/05/2022    Date Last Modified: Apr 5 2022 2:05PM  
StAT Learning Series for Hospital Clinical Staff and Leaders
The new StAT (Standards, Approaches and Tactics for Infection Control & Prevention) Learning Series includes a variety of interactive, self-paced learning modules on infection prevention and control in the hospital setting. The series of 15-minute learning modules is produced by the Centers for Medicare & Medicaid Services (CMS) and is tailored to teams leading hospital infection prevention programs and care teams.
Web link    Date Added: 08/19/2021    Date Last Modified: Aug 19 2021 9:54PM  
Update on Short Stay and HWDRG Reviews
Livanta was recently awarded a national contract for Short Stay and Higher Weighted Diagnosis-Related Group (HWDRG) reviews. They will perform these reviews for all 50 states, five U.S. territories, and Washington, DC. Please note that this national contract does not change your state Beneficiary and Family Centered Care Quality Improvement Organization for quality of care reviews and appeals.
Web link    Date Added: 08/18/2021    Date Last Modified: Aug 18 2021 10:04PM  
Ventilator-Associated Events Tracer Tool
Hospitals can use this Tracer Tool to survey and evaluate their processes for reducing ventilator-associate events, with the goal of providing safe, high-quality patient care.
Microsoft Word    Date Added: 07/09/2021    Date Last Modified: Jul 9 2021 2:44PM  
Tracer Tool Action Plan
Hospitals can use this Tracer Tool companion document to track quality improvement progress.
Microsoft Word    Date Added: 06/21/2021    Date Last Modified: Jun 21 2021 2:02PM  
Quality Improvement Worksheet for Testing Change
Hospitals can use this worksheet to track organizational improvement changes through the Plan, Do, Study, Act cycle.
Adobe PDF    Date Added: 05/27/2021    Date Last Modified: May 27 2021 5:52PM  
Surgical Site Infection Reduction Tracer
Hospitals can use this tracer tool to survey and evaluate their processes for surgical site infections (SSI), with the goal of providing safe, high-quality patient care.
Microsoft Word    Date Added: 05/17/2021    Date Last Modified: Jun 7 2021 3:21PM  
Catheter-Associated Urinary Tract Infection Tracer
Hospitals can use this Tracer Tool to survey and evaluate their processes for catheter-associated urinary tract infections, with the goal of providing safe, high-quality patient care.
Microsoft Word    Date Added: 05/14/2021    Date Last Modified: May 18 2021 5:22PM  
Central Line-Associated Bloodstream Infection (CLABSI) Tracer
Hospitals can use this tracer tool to survey and evaluate their processes for central line-associated bloodstream infections (CLABSI).
Microsoft Word    Date Added: 05/14/2021    Date Last Modified: Jun 7 2021 2:11PM  
Hospital Readmissions Tracer Tool
Hospitals can use this Tracer Tool to survey and evaluate their processes for reducing patient readmissions, with the goal of providing safe, high-quality patient care.
Microsoft Word    Date Added: 05/12/2021    Date Last Modified: Apr 14 2022 4:12PM  
Adverse Drug Event Tracer: Hypoglycemic Agents
Hospitals can use this Tracer Tool to survey and evaluate their processes for adverse drug events regarding hypoglycemic agents, with the goal of providing safe, high-quality patient care.
Microsoft Word    Date Added: 05/10/2021    Date Last Modified: May 18 2021 5:12PM  
Practice Guidelines for Administration of Buprenorphine for Treating Opioid Use Disorder
In an effort to get evidenced-based treatment to more Americans with opioid use disorder, the Department of Health and Human Services (HHS) is releasing new buprenorphine practice guidelines that remove a requirement tied to certain training certification, which some practitioners have cited as a barrier to treating more people.
Web link    Date Added: 05/10/2021    Date Last Modified: May 10 2021 8:30PM  
Adverse Drug Event Tracer: Opioids
Hospitals and other health care facilities can download this tool from TMF Health Quality Institute to help them assess their readiness to prevent or react to an adverse drug event.
Microsoft Word    Date Added: 04/14/2021    Date Last Modified: May 18 2022 8:39AM  
Ventilator-associated Events (VAE) Process Improvement Discovery Tool
The Process Improvement Discovery Tool helps hospitals provide safer patient care by identifying process improvement opportunities for ventilator-associated events.
Adobe PDF    Date Added: 03/24/2021    Date Last Modified: Jun 7 2021 3:07PM  
Venous Thromboembolism (VTE) Process Improvement Discovery Tool
The Process Improvement Discovery Tool helps hospitals provide safer patient care by identifying improvement opportunities to reduce harm from venous thromboembolism.
Adobe PDF    Date Added: 03/09/2021    Date Last Modified: Jun 7 2021 3:10PM  
Venous Thromboembolism (VTE) Top Ten Checklist
A checklist for hospitals to assess current practices to prevent harm from VTE-associated events in your facility.
Adobe PDF    Date Added: 03/09/2021    Date Last Modified: Jun 21 2021 1:11PM  
Ventilator-Associated Events (VAE) Top Ten Checklist
A checklist for hospitals to review current interventions, or initiate new ones, for VAE reduction in your facility.
Adobe PDF    Date Added: 03/09/2021    Date Last Modified: Jun 21 2021 1:06PM  
Hospital Quality Improvement Program Updates
QualityNet, from the Centers for Medicare & Medicaid Services (CMS), provides health care quality improvement news, resources, and data reporting tools and applications for providers and others.
Web link    Date Added: 02/22/2021    Date Last Modified: Feb 22 2021 11:09AM  
Tips and Tools for Reporting CY 2020 eCQMs: On-demand Webinar
This event will provide information for successful submission of CY 2020 electronic clinical quality measure (eCQM) data to the Hospital Inpatient Quality Reporting (IQR) Program and Promoting Interoperability Program.
Web link    Date Added: 12/23/2020    Date Last Modified: Dec 23 2020 10:12AM  
Quarter 3 (Q3) 2020 Hospital Inpatient Quality Reporting (IQR) Program Checklist
The Q3 2020 Hospital IQR Program Checklist, available on the Quality Reporting Center website, will assist you in meeting your Q3 2020 Hospital IQR Program requirements.
Adobe PDF    Date Added: 12/23/2020    Date Last Modified: Dec 23 2020 12:35PM  
National Action Plan for Combating Antibiotic-Resistant Bacteria
The National Action Plan for Combating Antibiotic-Resistant Bacteria (CARB), 2020-2025, presents actions that the United States Government will take in the next five years to improve the health and wellbeing of all Americans by changing the course of antibiotic resistance.
Web link    Date Added: 12/16/2020    Date Last Modified: Dec 16 2020 7:00PM  
Engaging Patients and Families as Safety Champions and Change Leaders
Improving safety culture in any health care setting involves engaging all team members. This webinar helps established team leaders from the bedside to the board room and across the care continuum discover how to use evidence-based teamwork tools to engage patients and family member as safety champions.
Video    Date Added: 12/16/2020    Date Last Modified: Dec 16 2020 8:02PM  
AHRQ 10 Patient Safety Tips for Hospitals
The Agency for Healthcare Research and Quality (AHRQ) shares 10 patient safety tips hospital staff can implement to prevent medical errors and adverse events.
Adobe PDF    Date Added: 12/16/2020    Date Last Modified: Dec 16 2020 8:23PM  
Pneumococcal Vaccine Timing for Adults
Make sure your patients are up-to-date with pneumococcal vaccination with this CDC guidance on pneumococcal vaccine timing for adults.
Adobe PDF    Date Added: 12/16/2020    Date Last Modified: Dec 16 2020 8:13PM  
What is Patient Safety?
Watch this brief video from the Leapfrog Hospital Group that highlights the two most common harms patients experience in a hospital setting and how to prevent them.
Video    Date Added: 12/16/2020    Date Last Modified: Dec 16 2020 8:29PM