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
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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
- Obstetric Hemorrhage: Introduction
- Patient Trauma: Introduction
- Pneumonia: Introduction
- Pneumothorax: Introduction
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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
- Sepsis: Introduction
- UTI: Introduction
- Venous Thromboembolism: Introduction
- Wound Disruption: Introduction
- Obstetric Trauma: Introduction
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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
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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
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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
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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
- Device Failure: Introduction
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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
- Retained Foreign Body: Introduction
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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
Wound Disruption: References
AHRQ PDI 11 - Selected Best Practices and Suggestions for Improvement PDI 11: Postoperative Wound Dehiscence [in children]. Toolkit for using the AHRQ quality indicators: How to Improve Hospital Quality and Safety. AHRQ, 2016 #5
https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4w_combo_pdi11-dehiscence-bestpractices.pdf
AHRQ PSI 14 - Selected Best Practices and Suggestions for Improvement PSI 14: Postoperative Wound Dehiscence [in adults] Toolkit for using the AHRQ quality indicators: How to Improve Hospital Quality and Safety. AHRQ, 2016 #6.
https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
Butcher M, White R. Factors affecting cost-effectiveness in wound care decision making. Nurs Stand. 2014; 28 (35): 51-58. doi: 10.7748/ns2014.04.28.35.51.e7671.
Canadian Institute for Health Information. Hospital Harm Results, 2014–2015 to 2019–2020. Ottawa, ON: CIHI; 2020.
Demidova-Rice T, Hamblin M, Herman IM. Acute and impaired wound healing: pathophysiology and current methods for drug delivery, part 1: normal and chronic wounds: biology, causes, and approaches to care. Adv Skin Wound Care. 2012; 25 (7): 304-314. doi: 10.1097/01.ASW.0000416006.55218.d0. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3428147/
Harris CL, Kuhnke J, Haley J, Cross K, Somayaji R, Dubois J, et al. Best practice recommendations for the prevention and management of surgical wound complications. In: Foundations of Best Practice for Skin and Wound Management. A supplement of Wound Care Canada; 2017. 66 pp. Retrieved from: www.woundscanada.ca/docman/public/health-care-professional/bpr-workshop/555-bpr-prevention-and-management-of-surgical-wound-complications-v2/file
Health Standards Organization, 2009 , Leading Practices Library, Wound Care Distance Consulting. https://healthstandards.org/leading-practice/wound-care-distance-consulting/
Health Standards Organization, 2010 , Leading Practices Library. Pixalere Incision Module. https://healthstandards.org/leading-practice/pixalere-incision-module/
Institute for Healthcare Improvement (IHI). How-to Guide: Prevent surgical site infections. Cambridge, MA: IHI; 2012. http://www.ihi.org/resources/pages/tools/howtoguidepreventsurgicalsiteinfection.aspx
Kamel A, Khaled M. Episiotomy, and obstetric perineal wound dehiscence: Beyond soreness. J Obstet Gynaecol. 2014; 34 (3): 215-217. doi: 10.3109/01443615.2013.866080.
Kenig J, Richer P, Lasek A, Zbierska K, Zurawska S. The efficacy of risk scores for predicting abdominal wound dehiscence: a case – controlled validation study. BMC Surg. 2014; 14: 65. doi: 10.1186/1471-2482-14-65. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4159378/
Moghadamyeghaneh Z, Hanna MH, Carmichael JC, et al. Wound disruption following colorectal operations. World J Surg. 2015; 39(12): 2999-3007. doi: 10.1007/s00268-015-3208-0.
Ousey K, Djohan R, Dowsett C, Ferreira F, Hurd T, Romanelli M, Sandy-Hodgetts K. World Union of Wound Healing Societies (WUWHS) Consensus Document. Surgical wound dehiscence: improving prevention and outcomes. Wounds International, 2018.
Sorensen L, Hemmingsen U, Kallehave F, et al. Risk factors for tissue and wound complications in gastrointestinal surgery. Ann Surg. 2005; 241 (4): 654-658. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1357070/
Taylor A. Principles of pain assessment. Wound Essentials. 2010; 5: 104-110. https://www.wounds-uk.com/download/resource/1155
van Ramshorst G, Nieuwenhuizen J, Hop WC, et al. Abdominal wound dehiscence in adults: Development and validation of a risk model. World J Surg. 2010; 34 (1): 20-27. doi: 10.1007/s00268-009-0277-y. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2795859/
Woo KY. Wound-related pain: anxiety, stress, and wound healing. Wounds UK. 2010; 6 (4): 92-98.