March 6, 2013 | Mark Paradies

Proven Ideas to Improve Patient Safety

The Agency for Healthcare Research and Quality published a research product that suggested proven ways to improve patient safety. Here were the best methods (strongly encouraged) from the study:

  • Preoperative checklists and anesthesia checklists to prevent operative and post-operative events.
  • Bundles that include checklists to prevent central line-associated bloodstream infections.
  • Interventions to reduce urinary catheter use, including catheter reminders, stop orders, or nurse-initiated removal protocols.
  • Bundles that include head-of-bed elevation, sedation vacations, oral care with chlorhexidine, and subglottic-suctioning endotracheal tubes to prevent ventilator-associated pneumonia.
  • Hand hygiene.
  • “Do Not Use” list for hazardous abbreviations.
  • Multicomponent interventions to reduce pressure ulcers.
  • Barrier precautions to prevent healthcare-associated infections.
  • Use of real-time ultrasound for central line placement.
  • Interventions to improve prophylaxis for venous thromboembolisms.

For the complete study, see:

http://www.ahrq.gov/research/findings/evidence-based-reports/ptsafetyII-full.pdf

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Root Cause Analysis
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