The Truax Group Patient Safety Solutions
Healthcare Consulting Services
471 Fort Gray Drive
Lewiston, NY 14092
ph: 1-866-9PSAFETY
fax: 716-285-4327
alt: 716-285-0012
admin
Patient Safety Tools & Resources
Patient Safety Tools
and
Patient Safety Resources
in our
Patient Safety Tip of the Week
or
What's New in Patient Safety
Columns
General Patient Safety Tools
"Nine Patient Safety Solutions" through the WHO Collaborating Centre for Patient Safety Solutions
VHA National Patient Safety Improvement Handbook
Bed Rail Tools
Clinical Guidance For the Assessment and Implementation of Bed Rails In Hospitals, Long Term Care Facilities, and Home Care Settings
UK National Patient Safety Agency of the National Health Service safer practice notice on “Using bedrails safely and effectively”
UK National Patient Safety Agency of the National Health Service literature review Bedrails – Reviewing the Evidence (Systematic Literature Review)
FDA guidance “Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment”
A Guide for Modifying Bed Systems and Using Accessories to Reduce the Risk of Entrapment
FDA Brochure on Bedrail Safety
Catheter Misconnection Tools
Joint Commission Sentinel Event Alert on Tubing Misconnections
Wisconsin State Journal Series Case of Tubing Misconnection
FDA Patient Safety Video on Misconnection of Tubes and Ports
FDA Patient Safety News update on tubing/catheter misconnections
Color-Coded Wristbands
Pennsylvania Patient Safety Authority Advisory on Color-Coded Wristbands
Colorado Foundation for Medical Care Wristband Color Standardization Project Implementation Toolkit
Minnesota Hospital Association Standardized Colored Wristbands for Patients
Communication Tools
Culture of Safety Assessment Tools
Dana Farber Patient Safety Organizational Assessment Tool
The Safety Attitudes Questionnaire
ECRI Patient Safety Culture Self-Assessment Questionnaire
Delirium Prevention Tools
The Hartford Institute for Geriatric Nursing at ConsultGeriRN.org
Australian “Clinical Practice Guidelines For The Management Of Delirium In Older People”
Vanderbilt University’s ICU Delirium and Cognitive Impairment Study Group website
National Guideline Clearinghouse “Delirium: prevention, early recognition, and treatment. In: Evidence-based geriatric nursing protocols for best practice.”
Yale Hospital Elder Life Program (HELP)
Fall Prevention Tools
VA National Center for Patient Safety Falls Toolkit
IHI Reducing Harm from Falls Program
Health Care Association of New Jersey Fall Management Guideline
Minnesota Hospital Association SAFE from Falls Toolkit
Prevention of Falls Network Europe (ProFaNE)
Heparin Flush Resources
ISMP September 21, 2006 Newsletter
ISMP November 29, 2007 Newsletter
UK NPSA’s alert “Risks with Intravenous Heparin Flush Solutions”
UK NPSA root cause analysis of heparin flush cases
UK NPSA evidence base on the utility (or lack thereof) of heparin flushes
Hospital-Acquired Infections
MRSA intervention by Evanston Northwestern Healthcare (article from December 2007 issue of The Joint Commission Journal on Quality and Patient Safety)
Eliminating Hospital Acquired Infections: Is it Possible? Is it Sustainable? Is it Worth it? (Presentation by Richard Shannon, M.D. at NYSDOH 2007 Patient Safety Conference)
NICE guidance on surgical site infections
Hospital Acquired Infections Compendium. In supplement to October issue of Infection Control & Hospital Epidemiology 2008; 29: 901-994
Medication Safety Tools
ISMP List of High-Alert Medications
Massachusetts Coalitions for the Prevention of Errors Ambulatory MedList
Massachusetts Coalition for the Prevention of Errors
Medication Reconciliation Toolkit
IHI Medication Reconciliation Toolkit
Canadian “Safer Healthcare Now! Campaign” Medication Reconciliation Toolkit
WHO Collaborative Centre for Patient Safety Solutions - Solution6 Medication Reconciliation
IMSP Designing Effective Medication Label Warnings
Look-Alike/Sound-Alike Drug List from JCAHO
Look-Alike/Sound-Alike Drug List from ISMP
WHO Collaborating Centre for Patient Safety Safety Solution on Look Alike/Sound-Alike Drugs
Neuromuscular Blocking Agents (NMBA’s)
Office-Based Patient Safety Tools
MGMA Office Patient Safety Assessment
Kentucky Medical Association Tracking Test Results Within a Physician Practice
Patient-Oriented Tools
Utah C3 Patient Surgery Safety Brochure
Joint Commission Speak Up Campaign Brochures
AHRQ’s www.healthcare411.org
Radiology Safety Tools
ACR Guidance Document for Safe MR Practices: 2007
Joint Commission Sentinel Event Alert “Preventing accidents and injuries in the MRI suite”
Rapid Response Teams
IHI’s initiatives on rapid response teams
NICE (National Institute for Health and Clinical Excellence) has just released its clinical guideline “Acutely ill patients in hospital. Recognition of and response to acute illness in adults in hospital”
Root Cause Analysis/FMEA
VA National Center for Patient Safety RCA Tools
Canadian Patient Safety Institute Root Cause Analysis Framework
NHS National Patient Safety Agency RCA Learning Toolkit
VA National Center for Patient Safety FMEA Tools
Pennsylvania Patient Safety Authority patient safety advisory supplement “Alarm Interventions During Medical Telemetry Monitoring: A Failure Mode and Effects Analysis”
Safe Site Protocols and Tools
New York State Surgical and Invasive Procedure Protocol (NYSSIPP)
Pennsylvania Patient Safety Authority 2007 Patient Safety Advisory on wrong-site surgery
Pennsylvania Patient Safety Authority Preventing Wrong-Site Surgery Toolkit
American Academy of Ophthalmology Avoiding Wrong Site Surgery Bulletin
American Academy of Ophthalmology Minimizing Wrong Intraocular Lens Placement Bulletin
American Academy of Orthopedic Surgeons Patient Safety Resources
Minnesota Hospital Association SAFE SITE Toolkit
WHO Safe Surgery Saves Lives website (includes the WHO Surgical Safety Checklist and also an implementation manual and videos on how to use the checklist and how not to use it)
Serious Incident Response Checklists
Serious Incident Response Checklist
Surgical Fires Tools
ECRI publication “The Patient is on Fire! A Surgical Fires Primer”
ECRI poster “Only You Can Prevent Surgical Fires”
ECRI poster: "Airway Files during Surgery"
Pennsylvania Patient Safety Authority Advisory on Airway Fires
AORN Perioperative Fire Safety Tool Kit”
Joint Commission FAQ’s for the National Patient Safety Goal on Surgical Fires
Joint Commission 2003 Sentinel Event Alert on Surgical Fires
ASA Practice Advisory for the Prevention and Management of Operating Room Fires
Test Results Tracking Tools
Tracking Test Results Within a Physician Practice
Kentucky Medical Association Tracking Test Results Within a Physician Practice
Trigger Tools
IHI’s Global Trigger Tool for Measuring Adverse Events
Trigger Tool for Identifying Possible Adverse Events in Obstetric Care
Urinary Catheter-Associated UTI’s: Bladder Bundle
Michigan Health & Hospital Association Keystone: Hospital-Associated Infection Initiative: Catheter-Associated UTI (CAUTI) Prevention Bundle [aka Bladder Bundle]
Workarounds
Pennsylvania Patient Safety Authority article on workarounds
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471 Fort Gray Drive
Lewiston, NY 14092
ph: 1-866-9PSAFETY
fax: 716-285-4327
alt: 716-285-0012
admin
