SafetyShare® newsletter brought to you by the Premier Safety Institute ®
Gina Pugliese, RN, MS, editor
Did you see these fifteen safety tools?
Many terrific tools and resources are continuously being developed for patient safety.
The Premier Safety Institute highlights fifteen
of these from the past year for use in a variety of settings and patient populations. For additional tools and other resources on specific safety topics,
visit our Safety Topics A-Z .
. Clostridioides difficile reduction
This AHRQ* toolkit for reduction of Clostridioides difficile through antimicrobial stewardship
includes resources for assessing staff attitudes, practices, risks, the business case, antimicrobial use, forms for case control studies, environmental
cleaning checklists, UTI guidelines, medication use template, Pipercililan/Tazobactam de-escalation form and measuring impact.
Collaboration: patient and worker safety
This Joint Commission monograph,
Improving patient and worker safety: opportunities for synergy, collaboration and innovation,
provides strategies to integrate patient safety/quality improvement and occupational health and safety using case studies, management principles, tools and
action steps to improve safety and build high reliability.
Comprehensive unit-based safety program (CUSP)
The AHRQ CUSP toolkit includes teaching tools and resources from the CUSP model to improve collaboration
among clinical team members and support change at the unit level to address safety issues such as preventing central line associated blood stream
Dialysis protocols: scrub the hub
to protect dialysis patients from infections includes
to implement CDC recommendations, including hand hygiene, hemodialysis catheter connection and disconnection, hemodialysis catheter exit site care
observations, arteriovenous fistuala/graft cannulation and decannulation observations.
Empowering patients and families
This Empowered Patient® hospital guide toolkit, written by patient advocates,
helps patients and families prepare for hospitalization and work effectively
with providers about treatment options.
Two toolkits provide helpful resources. The ISCI* falls prevention
cites work done by many and offers a best practice protocol. The MHA*Roadmap to a Comprehensive Fall Protection Program includes guidance related to each letter in the moniker SAFE FALLS. Download the 2-page PDF and click
on the tab “Toolkit for Hospital Staff” for more online resources.
This comprehensive workbook, Improving Glycemic Control, Preventing Hypoglycemia and Optimizing Care of the Inpatient with Hyperglycemia and Diabetes, was developed by the SHM*
Glycemic Control Task Force and helps redesign process and work flow to optimize glycemic control.
Injection safety – educating patients and providers
CDC and SIPC* One & Only campaign of the CDC and SIPC* to teach “one needle, one syringe, one time” to patients and providers to prevent
infection offers the
Healthcare Provider Toolkit
with slides, checklists, videos, posters, brochures and an animated training video
Injection Safety: Every Provider’s Responsibility. A new
bloodborne pathogen worker training video on sharps injury prevention and patient safety is among these tools.
AHRQ’s has updated its popular “Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation,” to
improve medication reconciliation and includes guidelines, flowcharts, modifiable templates and lessons learned.
Obstetrical adverse event prevention
This IHI* How-to Guide includes strategies for safe
use of oxytocin and evidence-based care components in the IHI Perinatal Bundles and measures to gauge improvement.
Pharmacy – patient safety culture
This AHRQ* tool is the latest in AHRQ’s series of culture surveys. It
includes a 36 item survey form that measures 11 areas of patient safety culture, such as physical space and environment, patient counseling, communication
about prescriptions across shifts, and teamwork, as well as a survey user’s guide and results from 55 pharmacies from a 2012 pilot study.
Pressure ulcer prevention
The AHRQ’s pressure ulcer prevention toolkit, contains forms, surveys, checklists and
tools to assess the business case, resources needed, staff roles, family education and program components. AHRQ also has a best practices tool for prevention of pressure ulcers that includes measure
specifications and recommended practices and is just one of the tools found at AHRQ Quality Indicators™ Toolkit Roadmap, that addresses AHRQ’s 17 Patient Safety
Indicators (PSIs) and 28 Inpatient Quality Indicators (IQIs).
Picker Institute has released a Tool Box
to implement Always Events® to meet patient and family-centered care goals. Discharge planning to reduce readmissions is one of the tools.
Reporting errors-protecting staff
The NAHQ* Call to Action : Safeguarding the Integrity of Healthcare Quality and Safety Systems, provides best practices to enhance quality, improve ongoing safety
reporting and protect staff. It addresses accountability, protection of those who report quality and safety concerns, and accurate reporting and response.
Teamwork and culture for long-term care
The successful DOD* and AHRQ’s TeamSTEPPS®
toolkit, a teamwork system to improve
collaboration, communication and safety culture in healthcare settings, has been revised for nursing homes and other long-term care settings, such as
assisted living and continuing care retirement communities.
*Agency for Healthcare Research and Quality (AHRQ), American Society for Healthcare Risk Management (ASHRM), Centers for Disease Control and Prevention
(CDC), Department of Defense (DoD), Institute for Clinical Systems Improvement (ISCI), Institute for Healthcare Improvement (IHI), Minnesota Hospital
Association, (MHA), National Association for Healthcare Quality (NAHQ), Safe Injection Practices Coalition (SIPC), Society for Hospital Medicine (SHM).
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