Safety culture

QualityTools

Becoming a High Reliability Organization: Operational Advice for Hospital Leaders 06/04/08

This document is written for hospital leaders interested in providing patients with safer and higher quality care. It presents the thoughts, successes, and failures of hospital leaders who have used concepts of high reliability to make patient care better. Creating an organizational culture and set of work processes that reduce system failures and effectively respond when failures do occur is the goal of high reliability thinking.

This tool addresses the following topics:

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Making Strides in Safety 03/19/08

The Making Strides in Safety program encourages physician leadership and involvement in improving patient care. The Making Strides in Safety Web site includes downloadable tools to engage and support physicians in national safety and quality initiatives and campaigns in the settings in which they provide care. They include toolkits on participation, implementation, and health delivery systems improvement as well as a tip sheet on communication effectiveness.

10 Patient Safety Tips for Hospitals 12/17/07

Medical errors can occur at many points in the health care system, particularly in hospitals. This 2-page fact sheet provides the following 10 tips that hospitals can implement to improve patient safety:

  • Assess and improve patient safety culture (by surveying unit staff)
  • Build teamwork (by improving staff communication)
  • Limit shifts for hospital staff, if possible
  • Insert chest tubes safely
  • Prevent central line-related bloodstream infections...
National Institute for Occupational Safety and Health (NIOSH) Safety Checklist Program for Schools 12/17/07

A safety checklist program can help administrators, coordinators, and teachers bring their schools into compliance with Federal or State Occupational Safety and Health Administration (OSHA) regulations. This information can also be used by colleges and universities with occupational safety and health programs. The checklists in this guide are based primarily on the regulations and standards of OSHA, the U.S. Environmental Protection Agency, and other Federal agencies.

This tool...

The Leapfrog Hospital Quality and Safety Survey Results 12/17/07

Each year, Leapfrog gathers and reports information on hospital quality and patient safety efforts to help patients make informed decisions about where to receive hospital care. This tool provides a search function that patients can use to obtain information about hospitals in their area and to compare hospitals. Hospitals voluntarily submit the information shown on this site.

This tool provides the following information about hospitals:

  • Computerized physician order...
A Systems Approach to Quality Improvement in Long-Term Care: Safe Medication Practices Workbook 12/17/07

This 200-page resource manual outlines a systems approach to medication management in long-term care. It is designed to provide nursing home staff with a step-by-step guide through the key processes of a comprehensive medication management system and address areas that can lead to the reduction of medication errors. In addition, tools are offered as strategies to reduce the incidence and harm of errors.

The topics addressed in this manual include the following:

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SBAR Technique for Communication: A Situational Briefing Model 11/29/07

The SBAR (Situation-Background-Assessment-Recommendation) technique and tools provide a framework for communication between members of the health care team about a patient’s condition. SBAR is an easy-to-remember, concrete mechanism for framing any conversation requiring a clinician’s immediate attention and action. Free registration and login are required to download the tool.

This tool includes two components:

  • SBAR report to physician about a critical situation:...

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