Patient safety


Implementing the ABCDE Bundle at the Bedside 05/03/13

This toolkit, from the American Association of Critical-Care Nurses (AACN), provides validated, evidence-based clinical knowledge, resources, and guidelines for implementing the ABCDE Bundle to prevent the unintended consequences of critical illness such as delirium, prolonged ventilation, and excessive muscular deterioration. The toolkit simplifies sharing of critical learning and implementation of new initiatives in patient care units. Most tools are available in a customizable format that...

Medical Respite Tool Kit 04/03/13

The purpose of the Medical Respite Tool Kit is to provide information and tools to help organizations and advocates plan, develop, and sustain medical respite programs. Medical respite care is acute and postacute medical care for homeless persons who are too ill or frail to recover from a physical illness or injury on the streets but who are not ill enough to be in a hospital. This approach provides a safe alternative to hospitals and for individuals in need of postdischarge medical care. It...

Reengineered Discharge Toolkit 04/03/13

This toolkit was developed to facilitate the Project Reengineered Hospital Discharge (RED) intervention. Project RED is a randomized controlled trial at Boston Medical Center. This project reengineers the workflow process and improves patient safety for patients from a network of community health centers discharged from a general medical service at an urban hospital serving a low-income, ethnically diverse population.

The toolkit has been expanded to provide complete...

Coordinated-Transitional Care Toolkit 03/26/13

Coordinated-Transitional Care (C-TraC) is a low-resource, telephone-based, protocol-driven program designed to reduce 30-day rehospitalizations and to improve care transitions during the early posthospital period. The goal of this toolkit is to help hospital systems that serve populations with high rates of patient dispersion, cognitive impairment, and vulnerability improve care coordination and postdischarge outcomes such as reduced medication discrepancies.

This toolkit is...

Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care 03/20/13

This toolkit, for hospitals, provides guidance on overcoming the challenges associated with developing, implementing, and sustaining a fall prevention program. It focuses specifically on reducing falls that occur during a patient’s hospital stay.

The toolkit is designed for multiple uses. The core document is an implementation guide organized under six major questions intended to be used primarily by the Implementation Team charged with leading the effort to put the new prevention...

How To Implement Electronic Health Records 03/06/13

This tool provides a six-step approach for providers and physicians to implement an electronic health record (EHR) system in their practice. Each step provides process and outcome goals, and resources to help assess and determine if an EHR will help improve quality of patient care.

The tool is organized by the six steps and includes the following materials:

  • Step 1: Assess your practice readiness
    • Change management for EHR...
Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®) Tools and Materials 02/13/13

Team Strategy and Tools to Enhance Performance and Patient Safety (TeamSTEPPS ®) is an evidence-based teamwork system aimed at optimizing patient outcomes by improving communication and other teamwork skills. This multimedia resource kit helps organizations plan, conduct, and evaluate its team training program. It includes ready-to-use materials and training curricula necessary to integrate teamwork principles into all areas of a health care system.

This kit includes the...

Monmouth Transient Ischemic Attack and Minor Stroke Rapid Evaluation Center Referral Form 02/08/13

This referral form for emergency physicians or other specialists, helps assess a patient who recently experienced a transient ischemic attack (TIA) or a minor stroke. The form is a first step for assessing patients to determine the best stroke prevention strategies, care, and prevention based on individual test results and health needs.

Detoxification Center Evaluation Checklist 02/06/13

The Detoxification Center Evaluation checklist can be used to evaluate intoxicated individuals to determine if they need to go to the emergency department or can safely be transported directly to a county detoxification facility.

The checklist is provided in the report linked below and also includes a followup form.

Pharmacy Survey on Patient Safety Culture 02/05/13

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 Web page provides tools to help assess safety and quality-improvement areas to make changes in the facility. Included is a toolkit and the 2012 preliminary comparative results.

The toolkit includes the following:

  • Survey form
  • Survey composites and items
  • Survey user’s...


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