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Health Management and Policy Research Guide: Patient
Safety

A guide to support programs in health systems management at the Tulane University School of Public Health and Tropical Medicine

eBooks

Healthcare-associated Infections

New Fontiers in Patient Safety

Searching the Literature..Use multiple databases and research sources in your literature search for injury prevention and safety literature.

cover of Injury Prevention

Conclusion: A literature search performed in only one database will, on average, lead to a loss of more than half of the available literature on a topic.

Comparing

Projects

Lucian Leape Institute

 patient safety logo

Hospital Safety

Every healthcare facility can immediately begin to eliminate infections, like MRSA.
...
1. Use hand-hygiene precautions for all patient contacts.
2. Make antimicrobial soap and alcohol sanitizer readily available where needed.
3. Use antimicrobial soap or alcohol sanitizer in intensive care units.
4. Identify colonized and infected patients through surveillance cultures.
5. Isolate colonized patients.
6. Use disposable gowns, gloves, and masks when caring for isolated patients.
7. Clean the patient care environment thoroughly.
8. Use disposable or dedicated equipment. Clean all shared equipment with 70% isopropyl alcohol swabs.
9. Flag colonized patients' medical records to ensure isolation if re-admitted.
10. Control antibiotic use.

Sources: Centers for Disease Control and Prevention, Society for Healthcare Epidemiology of America,
and Pittsburgh Regional Healthcare Initiative

Computerized Physician Orders

Harvard Medical Practice Study (HMPS)

Brennan TA, Leape LL, Laird NM, et al. Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I. N Engl J Med 1991;324:370-7.

Leape L, Brennan T, Laird N, et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. N Engl J Med 1991;324:377-84.

HMD - Health IT and Patient Safety

The Joint Commission Standards

http://www.jointcommission.org/standards_information/jcfaq.aspx

AAMC - Association of American Medical Colleges

https://www.aamc.org/initiatives/quality/

Paul O'Neill, The Role of Patient Safety in Improving Healthcare in America, Tulane Speaker Feb. 21st, 2013

Paul O'Neill

Paul O’Neill, Secretary of the Treasury 2001-02, Former Chairman and CEO of Alcoa, LLI Member

A few points - Strive toward perfect - Leadership from the top down - Teaching & respect/dignity  for all workers - Eliminate non-value added work - open electronic data in real time  (its okay to learn from things gone wrong - power of recognition).

Organizations

Patient Safety Network (PSNet) Resources

http://www.psnet.ahrq.gov/default.aspx 

Patient Safety Campaigns

Patient Safety Videos

HospitalInspections.org

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