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100k Lives Campaign "How-To Guides"-- There are four hospitals in Colorado that are participating in this campaign as of May 2005: Montrose Memorial Hospital, Community Hospital in Grand Junction, Memorial Hospital in Colorado Springs, and Sky Ridge Medical Center in Lone Tree.  The guides include: Rapid Response Teams, ADE Prevention, AMI Care, Surgical Site Infections, Central Line Infections, Ventilator Associated Pneumonia.

Defining Reportable Adverse Events-- A guide for states tracking medical errors.

Doctor's Office Quality Information Technology (DOQ-IT) --A CMS program, administered in Colorado by the Colorado Foundation for Medical Care.  DOQ-IT promotes the adoption of clinical information systems in physician practices with a vision of enhancing access to patient information, decision support, and reference data, as well as improving patient-clinician communication.

Falls Toolkit-- In an effort to help facilities prevent the number and severity of falls that occur the National Center for Patient Safety has created this toolkit.

FDA Patient Safety News-- A video news show for health professionals sponsored by the U.S. Food and Drug Administration. Professionals who subscribe to this monthly broadcast receive an email at the beginning of the month with a list of the new programs headlines and links to the stories.

Guidelines for Verbal and Telephone Orders--Guidelines developed to help ensure that verbal and telephone orders are issued, received, and processed in a manner designed to reduce the risk of error and enhance patient safety.  The Colorado Health and Hospital Association developed these guidelines.

Healthcare Failure Mode Effect Analysis-- A proactive approach to identifying and preventing problems

Improving Patient Safety in Hospitals: Turning Ideas Into Action-- This patient safety toolkit comes from the University of Michigan Health System

"National Voluntary Consensus Standards for Hospital Care: An Initial Performance Measure Set," National Quality Forum, 2003.
This report details 39 voluntary consensus standards for hospital care quality endorsed by NQF. It represents the first-ever set of nationally standardized performance measures to assess the quality of care provided by the more than 6,000 acute care hospitals in the United States. 

The Physician Practice Patient Safety Assessment--A new tool developed by the MGMA Center for Research, the Institute for Safe Medication Practices, and the Hospital Research and Educational Trust. The instrument is now being tested through self-assessments by several hundred randomly selected physician practices.  For more information, click here.

Prevent Antimicrobial Resistance in Healthcare Settings--This campaign sponsored by the CDC includes tools for clinicians with the intention of preventing antimicrobial resistance in healthcare setting, such as hospitals and long-term care facilities.

"Safe Practices for Better Healthcare," National Quality Forum, 2003.
This report details 30 healthcare safe practices that should be universally utilized in applicable clinical care settings to reduce the risk of harm to patients.  Although this set of safe practices is not intended to capture all activities that might reduce adverse healthcare events, it has been carefully reviewed and endorsed by a diverse group of stakeholders.

Safety Attitude Questionnaire and Safety Climate Survey-- A collection of surveys to assess attitudes and climate concerning patient safety issues in a number of clinical settings developed at the University of Texas Center of Excellence for Patient Safety Research and Practice

Speak Up Initiatives-- The aim of this campaign is to encourage patients to become informed and active members of the health care team. 

    Surgery

Correct Site Surgery Best Practices-- Provided by the Georgia Hospital Association Research and Education Foundation, Partnership for Health and accountability, Atlanta GA:
  Essential Elements to Ensuring Compliance with Correct Site Surgery Procedures
Essential Elements for Culture Change
Essential Elements for Patient Identification Policies and Procedures
Essential Elements for Policies and Procedures for Marking the Surgical or Procedure Site
Essential Elements for Policies and Procedures for the Surgical/Procedure “Time Out”

Guidelines for Verification of Patient/Procedure and Site of Procedure/Surgery-- Provided by the Colorado Hospital Association

Patient Safety Checklists-- Pre and Post-Surgery Checklists provided by the American Academy of Orthopaedic Surgeons.

Sign Your Site-- A slideshow from the American Academy of Orthopaedic Surgeons regarding Wrong Site Surgery Prevention.

Universal Protocol for Preventing Wrong Site, Wrong Procedure, and Wrong Person Surgery and Guidelines for Implementing the Universal Protocol for Preventing Wrong Site, Wrong Procedure, and Wrong Person Surgery-- This protocol was approved by the Joint Commission Board of Commissioners and became effective July 1, 2004 for all accredited hospitals, ambulatory care and office based surgery facilities.

    Medication Safety

Maximizing Patient Safety in the Medication Use Process-- Practice guidelines and best demonstrated practices provided by the Wisconsin Patient Safety Institute, Inc.

Medication Safety Videos-- The FDA and Institute for Safe Medication Practices compiles recent patient safety events and solutions pertaining to medication use via video or text

Model High-Alert Medications Policy and Procedures--This document includes a list of high alert medications provided by the Wisconsin Patient Safety Institute, Inc.

Partnering with Patients and Families in the Medication Reconciliation Process

 

    Error and Near Miss Reporting Systems


Institute for Safe Medical Practices (ISMP) Medication Error Reporting System-- This site is operated by the United States Pharmacopeia (USP) in cooperation with the Institute for Safe Medication Practices (ISMP) and is a confidential national voluntary reporting program that provides expert analysis of the system causes of medication errors and disseminates recommendations for prevention.

Medical Event Reporting System - Transfusion Medicine-- An event reporting system that strives for the continued improvement of blood product safety through the systematic collection, analysis, and interpretation of information about events occurring at transfusion medicine sites.

Medication Error Reporting System of the Institute for Safe Medication Practices-- This site is operated by the United States Pharmacopeia (USP) in cooperation with the Institute for Safe Medication Practices (ISMP) and is a confidential national voluntary reporting program that provides expert analysis of the system causes of medication errors and disseminates recommendations for prevention.

Medwatch Online Voluntary Reporting Form (3500)-- The FDA Medical Products Reporting online form is available for the voluntary reporting of serious adverse events, potential and actual medical product errors, and product quality problems associated with the use of FDA-regulated drugs, biologics, devices, and dietary supplements.

Patient Safety Reporting System (PSRS)-- A voluntary, confidential, non-punitive program available to all VA employees for the reporting of events and concerns related to patient safety.

SafetyNet-- A near-miss on-line reporting tool sponsored by the Association of Perioperative Registered Nurses 

Vaccine Adverse Event Reporting System (VAERS)--A cooperative program for vaccine safety of the Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA). VAERS is a post-marketing safety surveillance program, collecting information about adverse events (possible side effects) that occur after the administration of US licensed vaccines.

 
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