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patient safety
Also see cost effectiveness.
Management:
- wash your hands
- use barrier precautions to prevent healthcare-associated infections
- avoid easily confused abbreviations
- assess regularly for pressure ulcers
- improve prophylaxis for venous thromboembolism
- reduce usage of urinary catheters
- guide central-line placement with real-time ultrasonography
- be methodical about preventing central line-associated infection
- adopt bundles of strategies, including head-of-bed elevations & sedation holidays, to prevent ventilator-associated pneumonia
- use surgical checklists
Notes:
- encouraging patients to report safety concerns in hospital is feasible, but does improve safety outcomes [4]
- medication safety issues are the most prevalent concerns of hospitalized patients [5]
- physician practices identified productivity pressures & work pace as safety hazards [6]
Related
cost effectiveness; high-value care; cost-conscious care
References
- Shekelle PG et al
The Top Patient Safety Strategies That Can Be Encouraged for
Adoption Now.
Annals of Internal Medicine. March 5, 2013, Vol. 158. No. 5
PMID: 23460091
http://annals.org/issue.aspx?journalid=90&issueid=926462
- Wachter R et al
Strategies to Improve Patient Safety: The Evidence Base Matures
Annals of Internal Medicine. March 5, 2013, Vol. 158. No. 5
PMID: 23460060
http://annals.org/article.aspx?articleID=1656416
- Agency for Healthcare Research and Quality (AHRQ)
An Updated Critical Analysis of the Evidence for Patient
Safety Practices
http://www.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
- Agency for Healthcare Research and Quality (AHRQ)
An Updated Critical Analysis of the Evidence for Patient Safety
Practices
This evidence report updates the 2001 report, Making Health
Care Safer: A Critical Analysis of Patient Safety Practices.
http://www.ahrq.gov/research/findings/evidence-based-reports/ptsafetyuptp.html
- Ranji S
Treat the System, Not the Error: Patient Safety in 2013.
deprecated reference - National Guideline Clearinghouse. Expert Commentary,
- Lawton R, O'Hara JK, Sheard L et al
Can patient involvement improve patient safety? A cluster
randomised control trial of the Patient Reporting and Action
for a Safe Environment (PRASE) intervention.
BMJ Qual Saf. 2017 Feb 3
PMID: 28159854 Free Article
https://psnet.ahrq.gov/resources/resource/30428
- O'Hara JK, Reynolds C, Moore S, et al.
What can patients tell us about the quality and safety of
hospital care? Findings from a UK multicentre survey study.
BMJ Qual Saf. 2018 Mar 15
PMID: 29545325 Free Article
https://psnet.ahrq.gov/resources/resource/31932
- Famolaro T, Yount N, Hare R, et al.
Rockville, MD: Agency for Healthcare Research and Quality;
April 2018. AHRQ Publication No. 18-0030-EF.
https://psnet.ahrq.gov/resources/resource/32106
- AHRQ Medical Office Survey on Patient Safety Culture.
Rockville, MD: Agency for Healthcare Research and Quality;
March 2018.
https://psnet.ahrq.gov/resources/resource/9797