Innovations
Safety Mentors Create Culture To Reduce Adverse Events and Increase Error Reporting 5/15/2013
Safety mentors at Christiana Care Health System help staff implement best-practice safety behaviors and reporting of errors and near-misses, leading to a reduction in serious adverse events and increased identification and/or reporting of near-misses.
Children's Hospital–Based Safety Store Offers Low-Cost and Free Child Safety Products, Leading to Reports of Lives Saved, Injuries Prevented 5/8/2013
A children's hospital–based, nonprofit store offers low-cost and/or free child safety products, including products specifically designed for children with special needs; anecdotal evidence suggests that the program has saved lives and prevented injuries.
Collaborative Supports Hospitals in Sharing and Implementing Best Practices, Leading to 33-Percent Decline in Urinary Tract Infections 5/8/2013
A 1-year collaborative program; in which 21 Pennsylvania hospitals set target goals for urinary tract infection prevention, developed strategies to meet these goals, and shared best practices, tools, and resources; led to a 32-percent decline in hospital-acquired urinary tract infections.
Comprehensive Program to Promote “Fair and Just Principles" Improves Employee Perceptions of How a Health System Responds to Errors 5/8/2013
A comprehensive program to promote adoption of a "fair and just" culture improves employee perceptions of how a health system responds to errors.
Encouraging Solicitation and Supporting Implementation of Employee-Generated Ideas Leads to Significant Reduction in Incidence of Common Hospital-Acquired Infection 5/8/2013
MedStar Franklin Square Medical Center in Baltimore, MD, set up a program in which all employees are encouraged to use their own experiences to devise and implement successful solutions for reducing hospital-acquired, methicillin-resistant Staphylococcus aureus infections.
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QualityTools
Door-to-Doc Patient Safety Toolkit 5/15/2013
"Door to Doc" is a patient flow redesign process that improves the safety of care for patients in the emergency department (ED) by reducing the time patients wait to be seen, and by expediting admission to the most appropriate hospital unit.
Safe Critical Care Project: Testing Improvement Strategies 5/15/2013
This toolkit focuses on two interventions to improve critical care—reduction of catheter-related bloodstream infections and ventilator-associated pneumonia.
Pharmacy Survey on Patient Safety Culture 5/8/2013
The Pharmacy Survey on Patient Safety Culture is designed specifically for community pharmacy staff and asks for their opinions about the culture of patient safety in their pharmacy. This tool for community pharmacy staff gathers thoughts about patient safety in pharmacies.
Reengineered Discharge Toolkit 4/24/2013
This toolkit was developed to facilitate the Project RED intervention.
How-to Guide: Improving Hand Hygiene 4/10/2013
This how-to guide helps organizations reduce health care-associated infections, including infections due to antibiotic-resistant organisms, by improving hand hygiene practices and use of gloves among health care workers.
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