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Making Healthcare Safer III Patient Safety Practices

Below is a list of the 47 patient safety practices examined in Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices. The practices are listed among the report’s 17 chapters, which represent harm areas researched. Select a chapter to review the patient safety practice(s) within that chapter. Each practice links to an HTML version. 

List of Patient Safety Practices

Diagnostic Errors (PDF, 2.3 MB)

  1. Clinical Decision Support
  2. Result Notification Systems
  3. Education and Training
  4. Peer Review

Failure To Rescue (PDF, 1.8 MB)

  1. Patient Monitoring Systems
  2. Rapid Response Teams

Sepsis Recognition (PDF, 2.1 MB)

  1. Screening Tools
  2. Patient Monitoring Systems

Clostridioides difficile Infection (PDF, 3.6 MB)

  1. Antimicrobial Stewardship
  2. Hand Hygiene
  3. Environmental Cleaning and Decontamination
  4. Surveillance
  5. Testing
  6. Multicomponent Prevention Interventions

Infections Due to Other Multidrug-Resistant Organisms (PDF, 5 MB)

  1. Chlorhexidine Bathing
  2. Hand Hygiene
  3. Active Surveillance
  4. Environmental Cleaning and Disinfection
  5. Minimize Use of Devices
  6. Communication of MDRO Status

Carbapenem-Resistant Enterobacteriaceae (PDF, 1.4 MB)

  1. Contact Precautions

Harms Due to Anticoagulants (PDF, 1.9 MB)

  1. Anticoagulation Management Service
  2. Use of Dosing Protocols or Nomograms
  3. Safe Transitions

Harms Due to Diabetic Agents (PDF, 1.5 MB)

  1. Standardized Insulin Protocols
  2. Teach-Back

Reducing Adverse Drug Events in Older Adults (PDF, 2.6 MB)

  1. Deprescribing
  2. Use of STOPP Criteria

Harms Due to Opioids (PDF, 1.8 MB)

  1. Opioid Stewardship
  2. Medication-Assisted Treatment

Patient Identification Errors in the Operating Room (PDF, 1.2 MB)

  1. Operating Room/Surgery-Specific Practices

Infusion Pumps (PDF, 1.5 MB)

  1. Structured Process Changes/Workflow Redesign
  2. Staff Education and Training

Alarm Fatigue (PDF, 1.5 MB)

  1. Safety Culture
  2. Alarm Risk Assessment

Delirium (PDF, 1.7 MB)

  1. Screening and Assessment
  2. Staff Education and Training
  3. Nonpharmacologic Interventions

Care Transitions (PDF, 1.7 MB)

  1. Transitions of Care Models

Venous Thromboembolism (PDF, 1.4 MB)

  1. Postsurgical Prophylaxis Using Aspirin

Cross-Cutting Patient Safety Topics/Practices (PDF, 4.6 MB)

  1. Patient and Family Engagement
  2. Safety Culture
  3. Clinical Decision Support
  4. Cultural Competency
  5. Monitoring, Auditing, and Feedback
  6. Teamwork and Team Training
  7. Education and Training Through Simulation
Page last reviewed April 2020
Page originally created March 2020

Internet Citation: Making Healthcare Safer III Patient Safety Practices. Content last reviewed April 2020. Agency for Healthcare Research and Quality, Rockville, MD.
https://www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/practices.html

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