Fig. 10.1 Severity index for categorizing medication errors from NCC MERP (Used with permission. © 2001 National Coordinating Council for Medication Error Reporting and Prevention) Classification of Processes Involved in…
Author Year Location TTA before QI process (Min) TTA after QI process (Min) Percent decrease Amado [7] 2011 PICU 164 55 66% Pakakasam [14] 2011 ED 180 75 58% Burry…
Disincentives for reporting adverse events Poor education about what constitutes an event Concern over legal or credentialing consequences Personal shame Fear of implicating others Time-consuming processes Systems that are difficult…
Presence of complex chronic or life-limiting condition Difficult pain or physical symptom management Emotional or social distress Unable to perform activities of daily living resulting in poor quality of life…
Location Overall pooled mean CLABSI Pooled mean CLABSI—permanent central line days Pooled mean CLABSI—temporary central line days Adult general medical/surgical inpatient 0.8 NA NA Adult medical/surgical ICU 0.8–1.1a NA NA…
© Springer International Publishing AG 2017Christopher E. Dandoy, Joanne M. Hilden, Amy L. Billett and Brigitta U. Mueller (eds.)Patient Safety and Quality in Pediatric Hematology/Oncology and Stem Cell Transplantation10.1007/978-3-319-53790-0_20 20. Quality Improvement and Patient Safety Resources Christopher E. Dandoy1 ,…
Research investigation Quality improvement Purpose To develop or contribute to generalizable knowledge Designed to implement knowledge, assess a process or program as judged by established/accepted standards Motivation for the…
Fig. 4.1 QI team members should include all members throughout the spectrum of the care process and allow for facile communication between all members. *Additional staff: advanced practice providers, pharmacists,…
Fatigue Lack of sleep Illness Drugs or alcohol Boredom, frustration Cognitive shortcuts Fear Stress Shift of work Reliance on memory Reliance on vigilance Interruptions and distractions Noise Heat Clutter Motion…
Safe Avoiding injuries to patients from the care that is intended to help them Effective Providing services based on scientific knowledge to all who could benefit and refraining from providing…
