Patient/medication safety


Improving on Transitions of Care: How to Implement and Evaluate a Plan 06/10/09

This guide helps health care institutions develop and implement processes for sending and receiving patients from one care setting to another. The information and plans provided allow institutions to measure their performance in transitions of care and identify areas for improvement.

Topics covered are:

  • Introduction
  • Background
  • Evaluating and improving transitions of care in your institution
  • Nursing home to emergency department (ED)/...
Your Discharge Planning Checklist: For Patients and Their Caregivers Preparing to Leave a Hospital, Nursing Home, or Other Care Setting 06/10/09

This patient handout can help patients, caregivers and medical staff communicate as they prepare to leave a hospital, nursing home, or other health care setting. The booklet provides many questions and prompts for patients and caregivers so they can gather information to assure a safe discharge.

Hospital Survey on Patient Safety Culture 06/07/09

In 2004, the Agency for Healthcare Research and Quality (AHRQ) released the Hospital Survey on Patient Safety Culture, a staff survey designed to help hospitals assess the culture of safety in their institutions. Since then, hundreds of hospitals across the United States and internationally have implemented the survey.

In response to requests from hospitals interested in comparing their safety culture survey results to other hospitals, AHRQ funded the development of a comparative...

Virtual Integrated Practice (VIP) Toolkit 06/05/09
The Virtual Integrated Practice (VIP) toolkit is part of the VIP program, which is designed to develop effective team building and ongoing collaboration among health care providers who do not work together in practice in the same locations or even organizations. It replaces the logistical obstacles of having clinicians meet in person to discuss patient cases with a system of communicating and meeting “virtually” using an appropriate variety of readily available technologies.

Stroke Toolkit 05/25/09

This toolkit can guide physicians in the acute management of stroke patients. The kit includes forms and documentation to assist in critical decisionmaking. Designated forms that must accompany the patient upon transfer are identified.

The toolkit includes:

  • Stroke packet cover
  • Possible IV recombinant tissue plasminogen activator (rt-PA) (Activase) candidate (inside 3-hour window or less than 180 minutes from symptom onset)
  • IV t-PA inclusion/...
For Women With Diabetes: Your Guide to Pregnancy 05/20/09

This illustrated, 44-page booklet includes information about checking and controlling blood glucose–also called blood sugar–maintaining a healthy diet, staying physically active, and taking tests and diabetes medications during pregnancy.

Topics and resources include:

  • Introduction
  • Taking care of your baby and yourself
  • Your diabetes, before and during your pregnancy
  • Checking your baby’s health during pregnancy
  • About labor and...
Institute for Healthcare Improvement Global Trigger Tool for Measuring Adverse Events 05/11/09

The use of “triggers” or clues to identify adverse events is an effective method for measuring the overall level of harm in a health care organization. The Institute for Healthcare Improvement’s (IHI) Global Trigger Tool for Measuring Adverse Events provides instructions for training reviewers in this methodology and conducting a retrospective review of patient records using triggers to identify possible adverse events. This tool includes a list of known triggers as well as instructions for...

Medication Reconciliation Review 05/08/09

The Medication Reconciliation Review tool provides step-by-step instructions for conducting a review of closed patient records to identify errors related to unreconciled medications. Organizations that are considering creating a medication reconciliation process can use this tool to establish a baseline of errors from unreconciled medications and to build a case for the importance of having a reconciliation process in place.

This tool contains:

  • Overview
  • ...
Practicing Safety 05/08/09

Practicing Safety focuses on expanding anticipatory guidance on seven “new morbidities” that, if discussed by the pediatric staff and implemented by the parent, can help to reduce child abuse and neglect.

The site offers guidance on the following:

  • Coping with crying
  • Parenting
  • Safety in other’s care
  • Family environment
  • Effective discipline
  • Sleeping and eating
  • Toilet training Resources for Health Care Providers 04/28/09

AirNow is a Web site that provides national air quality information including air quality forecasts and condition maps. A dedicated page for health care providers provides information about air quality and its impacts on humans. This information can be used to help patients protect their health by reducing their exposure to air pollution.

The provider page includes the following resources and materials:

  • Asthma and outdoor air pollution fact sheet
  • Ozone and your...


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