Wednesday, 2 October 2013
Top 10 patient safety strategies that can be adopted now (AHRQ)
After analyzing 41 patient safety practices, an international panel of patient safety experts identified 22 strategies ready for adoption based on the strength and quality of evidence:. Enough evidence exists that health systems and institutions can move forward in implementing these strategies to improve the safety and quality of health care.
Of the 22 strategies identified in Making Health Care Safer II, 10 are "strongly encouraged" for adoption based on the strength and quality of evidence:
1.Preoperative checklists and anesthesia checklists to prevent operative and postoperative events.
2.Bundles that include checklists to prevent central line-associated bloodstream infections.
3.Interventions to reduce urinary catheter use, including catheter reminders, stop orders, or nurse-initiated removal protocols.
4.Bundles that include head-of-bed elevation, sedation vacations, oral care with chlorhexidine, and subglottic-suctioning endotracheal tubes to prevent ventilator-associated pneumonia.
6."Do Not Use" list for hazardous abbreviations.
7.Multicomponent interventions to reduce pressure ulcers.
8.Barrier precautions to prevent healthcare-associated infections.
9.Use of real-time ultrasound for central line placement.
10.Interventions to improve prophylaxis for venous thromboembolisms.
Links to resources and further information.