Hospital harm is everyone’s concern
Hospital Harm Improvement Resource
How to Use the Hospital Harm Measure for Improvement
Learning from Harm
General Patient Safety Quality Improvement and Measurement Resources
Hypoglycemia: Introduction
Hypoglycemia: Discharge Abstract Database
Hypoglycemia: Importance to Patients and Families
Hypoglycemia: Clinical and System Reviews, Incident Analyses
Hypoglycemia: Measures
Hypoglycemia: Success Stories
Hypoglycemia: References
Aspiration Pneumonia: Introduction
Aspiration Pneumonia: Discharge Abstract Database
Aspiration Pneumonia: Importance to Patients and Families
Aspiration Pneumonia: Clinical and System Reviews, Incident Analyses
Aspiration Pneumonia: Measures
Aspiration Pneumonia: Success Stories
Aspiration Pneumonia: References
Delirium: Introduction
Delirium: Discharge Abstract Database
Delirium: Importance to Patients and Families
Delirium: Clinical and System Reviews, Incident Analyses
Delirium: Measures
Delirium: Prevention Success Stories
Delirium: References
Infusion, Transfusion and Injection Complications: Introduction
Infusion, Transfusion and Injection Complications: Discharge Abstract Database
Infusion, Transfusion and Injection Complications: Importance to Patients and Families
Infusion, Transfusion and Injection Complications: Clinical and System Reviews, Incident Analyses
Infusion, Transfusion and Injection Complications: Measures
Infusion, Transfusion and Injection Complications: Success Stories
Infusion, Transfusion and Injection Complications: References
Medication Incidents: Introduction
Medication Incidents: Discharge Abstract Database
Medication Incidents: Importance to Patients and Families
Medication Incidents: Clinical and System Reviews, Incident Analyses
Medication Incidents: Measures
Medication Incidents Prevention Success Stories
Medication Incidents: References
Obstetric Hemorrhage: Introduction
Obstetric Hemorrhage: Discharge Abstract Database
Obstetric Hemorrhage: Importance to Patients and Families
Obstetric Hemorrhage: Clinical and System Reviews, Incident Analyses
Obstetric Hemorrhage: Measures
Obstetric Hemorrhage: Success Stories
Obstetric Hemorrhage: References
Patient Trauma: Introduction
Patient Trauma: Discharge Abstract Database
Patient Trauma: Importance to Patients and Families
Patient Trauma: Clinical and System Reviews, Incident Analyses
Patient Trauma: Measures
Patient Trauma: Success Stories
Patient Trauma: References
Pneumonia: Introduction
Pneumonia: Discharge Abstract Database
Pneumonia: Importance to Patients and Families
Pneumonia: Clinical and System Reviews, Incident Analyses
Pneumonia: Measures
Pneumonia: Success Stories
Pneumonia: References
Pneumothorax: Introduction
Pneumothorax: Discharge Abstract Database
Pneumothorax: Importance to Patients and Families
Pneumothorax: Clinical and System Reviews, Incident Analyses
Pneumothorax: Measures
Pneumothorax: Success Stories
Pneumothorax: References
Post Procedural Infections: Introduction
Post Procedural Infections: Discharge Abstract Database
Post Procedural Infections: Importance to Patients and Families
Post Procedural Infections: Clinical and Systems Reviews, Incident Analyses
Post Procedural Infections: Measures
Post Procedural Infections: Success Stories
Post Procedural Infections: References
Pressure Ulcer: Introduction
Pressure Ulcer: Discharge Abstract Database
Pressure Ulcer: Importance to Patients and Families
Pressure Ulcer: Clinical and System Reviews, Incident Analyses
Pressure Ulcer: Measures
Pressure Ulcer: Success Stories
Pressure Ulcer: References
Sepsis: Introduction
Sepsis: Discharge Abstract Database
Sepsis: Importance to Patients and Families
Sepsis: Clinical and System Reviews, Incident Analyses
Sepsis: Measures
Sepsis: Success Stories
Sepsis: References
UTI: Introduction
UTI: Discharge Abstract Database
UTI: Importance to Patients and Families
UTI: Clinical and System Reviews, Incident Analyses
UTI: Measures
UTI: Success Stories
UTI: References
Venous Thromboembolism: Introduction
VTE: Discharge Abstract Database
VTE: Importance to Patients and Families
VTE: Clinical and System Reviews, Incident Analyses
VTE: Measures
VTE: Prevention Success Stories
VTE: References
Wound Disruption: Introduction
Wound Disruption: Discharge Abstract Database
Wound Disruption: Importance to Patients and Families
Wound Disruption: Clinical and System Review, incident analysis
Wound Disruption: Measures
Wound Disruption: Success Stories
Wound Disruption: References
Obstetric Trauma: Introduction
Obstetric Trauma: Discharge Abstract Database
Obstetric Trauma: Importance to Patients and Families
Obstetric Trauma: Clinical and System Reviews, Incident Analyses
Obstetric Trauma: Measures
Obstetric Trauma: Success Stories
Obstetric Trauma: References
Procedure-Associated Shock: Introduction
Procedure-Associated Shock: Discharge Abstract Database
Procedure-Associated Shock: Importance to Patients and Families
Procedure-Associated Shock: Clinical and System Review, Incident Analysis
Procedure-Associated Shock: Measures
Procedure-Associated Shock: Success Stories
Procedure-Associated Shock: References
Selected Serious Events: Introduction
Selected Serious Events: Discharge Abstract Database
Selected Serious Events: Importance to Patients and Families
Selected Serious Events: Clinical And System Reviews, Incident Analyses
Selected Serious Events: Measures
Selected Serious Events: Success Stories
Selected Serious Events: References
Electrolyte and Fluid Imbalance: Introduction
Electrolyte and Fluid Imbalance: Discharge Abstract Database
Electrolyte and Fluid Imbalance: Importance to Patients and Families
Electrolyte and Fluid Imbalance: Clinical and System Reviews, Incident Analyses
Electrolyte and Fluid Imbalance: Measures
Electrolyte and Fluid Imbalance: Success Stories
Electrolyte and Fluid Imbalance: References
Anemia – Hemorrhage (Health Care / Medication Associated Condition): Introduction
Anemia – Hemorrhage (Health Care / Medication Associated Condition): Discharge Abstract Database
Anemia – Hemorrhage (Health Care / Medication Associated Condition): Importance to Patients and Families
Anemia – Hemorrhage (Health Care / Medication Associated Condition): Clinical and System Reviews, Incident Analyses
Anemia – Hemorrhage (Health Care / Medication Associated Condition): Measures
Anemia – Hemorrhage (Health Care / Medication Associated Condition): Success Stories
Anemia – Hemorrhage (Health Care / Medication Associated Condition): References
Anemia – Hemorrhage (Procedure-Associated Conditions): Introduction
Anemia – Hemorrhage (Procedure-Associated Conditions): Discharge Abstract Database
Anemia – Hemorrhage (Procedure-Associated Conditions): Importance to Patients and Families
Anemia – Hemorrhage (Procedure-Associated Conditions): Clinical and System Reviews, Incident Analyses
Anemia – Hemorrhage (Procedure-Associated Conditions): Measures
Anemia – Hemorrhage (Procedure-Associated Conditions): Success Stories
Anemia – Hemorrhage (Procedure-Associated Conditions): References
Birth Trauma: Introduction
Birth Trauma: Discharge Abstract Database
Birth Trauma: Importance To Patients And Families
Birth Trauma: Clinical and System Reviews, Incident Analyses
Birth Trauma: Measures
Birth Trauma: Success Stories
Birth Trauma: References
Device Failure: Introduction
Device Failure: Discharge Abstract Database
Device Failure: Importance to Patients and Families
Device Failure: Clinical and System Reviews, Incident Analyses
Device Failure Measures
Device Failure: Success Stories
Device Failure: References
Infections due to Clostridium difficile, MRSA or VRE: Introduction
Infections due to Clostridium difficile, MRSA or VRE: Discharge Abstract Database
Infections due to Clostridium difficile, MRSA or VRE: Importance to Patients and Families
Infections due to Clostridium difficile, MRSA or VRE: Surveillance, Outbreak Management
Infections due to Clostridium difficile, MRSA or VRE: Clinical and System Reviews, Incident Analyses
Infections due to Clostridium difficile, MRSA or VRE: Measures
Infections due to Clostridium difficile, MRSA or VRE: Success Stories
Infections due to Clostridium difficile, MRSA or VRE: References
Laceration: Introduction
Laceration: Discharge Abstract Database
Laceration: Importance to Patients and Families
Laceration: Clinical and System Review Incident Analyses
Laceration: Measures
Laceration: Success Stories
Laceration: References
Retained Foreign Body: Introduction
Retained Foreign Body: Discharge Abstract Database
Retained Foreign Body: Importance to Patients and Families
Retained Foreign Body: Clinical and System Reviews, Incident Analyses
Retained Foreign Body: Measures
Retained Foreign Body: Success Stories
Retained Foreign Body: References
Viral Gastroenteritis: Introduction
Viral Gastroenteritis: Discharge Abstract Database
Viral Gastroenteritis: Importance to Patients and Families
Viral Gastroenteritis: Surveillance, Outbreak Management
Viral Gastroenteritis: Clinical and System Reviews, Incident Analyses
Viral Gastroenteritis: Measures
Viral Gastroenteritis: Success Stories
Viral Gastroenteritis: References
Hospital Harm Figure 1 Transcript

In this section :

  • Hospital harm is everyone’s concern
    • Hospital Harm Improvement Resource
      • How to Use the Hospital Harm Measure for Improvement
      • Learning from Harm
      • General Patient Safety Quality Improvement and Measurement Resources
      • Hypoglycemia: Introduction
      • Aspiration Pneumonia: Introduction
      • Delirium: Introduction
      • Infusion, Transfusion and Injection Complications: Introduction
      • Medication Incidents: Introduction
      • Obstetric Hemorrhage: Introduction
      • Patient Trauma: Introduction
      • Pneumonia: Introduction
      • Pneumothorax: Introduction
      • Post Procedural Infections: Introduction
      • Pressure Ulcer: Introduction
      • Sepsis: Introduction
      • UTI: Introduction
      • Venous Thromboembolism: Introduction
      • Wound Disruption: Introduction
      • Obstetric Trauma: Introduction
      • Procedure-Associated Shock: Introduction
      • Selected Serious Events: Introduction
      • Electrolyte and Fluid Imbalance: Introduction
      • Anemia – Hemorrhage (Health Care / Medication Associated Condition): Introduction
      • Anemia – Hemorrhage (Procedure-Associated Conditions): Introduction
      • Birth Trauma: Introduction
      • Device Failure: Introduction
      • Infections due to Clostridium difficile, MRSA or VRE: Introduction
      • Laceration: Introduction
      • Retained Foreign Body: Introduction
      • Viral Gastroenteritis: Introduction
      • Hospital Harm Figure 1 Transcript

Procedure-Associated Shock: References

Broussard D, Ural K.  Cardiovascular problems in the post-anesthesia care unit (PACU). UpToDate. 2018 June 5, last update.

Gaieski DF, Mikkelsen ME. Evaluation of and initial approach to the adult patient with undifferentiated hypotension and shock. UpToDate. 2018 October, last updated.

HIROC. Risk reference sheet: Failure to appreciate status changes/deteriorating patients. Acute care. Toronto, ON: HIROC; 2016. https://www.hiroc.com/getmedia/ab1d0552-af52-4b71-b4c1-4ba8b643b27e/2_Failure-to-Appreciate-Status-Change.pdf.aspx?ext=.pdf

Institute for Healthcare Improvement (IHI). How-to guide: Prevent harm from high-alert medications. Cambridge, MA: IHI; 2012. http://www.ihi.org/resources/Pages/Tools/HowtoGuidePreventHarmfromHighAlertMedications.aspx

Laporta D. Types of shock encountered in the peri-procedure period. Personal communication; 2018 Marc.

Nichol A, Ahmed B. Shock: causes, initial assessment, and investigations. Anesth Intens Care Med. 2014: 15 (2): 64-67. https://doi.org/10.1016/j.mpaic.2013.12.008

Procter LD. Shock. Merck Manuals Professional Edition. Merck Manuals Professional Edition. Published October 2020. Accessed March 2021. https://www.merckmanuals.com/professional/critical-care-medicine/shock-and-fluid-resuscitation/shock

Singer M, et. al. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). Journal of the American Medical Association. 2016; 315 (8): 801-810.

Vincent JL, De Backer D. Circulatory shock. N Engl J Med. 2013; 369 (18): 1726-1734. doi: 10.1056/NEJMra1208943. Available at: https://www.nejm.org/doi/10.1056/NEJMra1208943?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub%3Dwww.ncbi.nlm.nih.gov&

 

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