A panel of international experts in patient safety has published the output of four years work into an evidence-based assessment of patient safety strategies.
The analysis recommends ten patient safety strategies which are “ready for adoption” and strongly encouraged. A further twelve strategies have ‘encouraged’ by the panel and include fall prevention and reducing adverse drug events.
Patient Safety Strategies which are ready for adoption and strongly encouraged:
- Preoperative checklists and anaesthesia checklists to prevent operative and postoperative events
- Bundles that include checklists to prevent central line-associated bloodstream infections
- Interventions to reduce urinary catheter use, including catheter reminders, stop orders, or nurse-initiated removal protocols
- Bundles that include head-of-bed elevation, sedation vacations, oral care with chlorhexidine, and subglottic suctioning endotracheal tubes to prevent ventilator-associated pneumonia
- Hand hygiene
- The do-not-use list for hazardous abbreviations
- Multicomponent interventions to reduce pressure ulcers
- Barrier precautions to prevent healthcare associated infections
- Use of real-time ultrasonography for central line placement
- Interventions to improve prophylaxis for venous thromboembolisms
The work was carried out by Agency for Healthcare Research and Quality, the RAND Corporation, Stanford University, the University of California, San Francisco, Johns Hopkins University, ECRI Institute and an international panel of 21 stakeholders and evaluation methods experts.
The analysis has been published in the Annals of Internal Medicine with further analysis being published shortly in BMJ Quality and Safety.