In this section :
- Hospital harm is everyone鈥檚 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
- 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 鈥� Hemorrhage (Health Care / Medication Associated Condition): Introduction
- Anemia 鈥� Hemorrhage (Health Care / Medication Associated Condition): Discharge Abstract Database
- Anemia 鈥� Hemorrhage (Health Care / Medication Associated Condition): Importance to Patients and Families
- Anemia 鈥� Hemorrhage (Health Care / Medication Associated Condition): Clinical and System Reviews, Incident Analyses
- Anemia 鈥� Hemorrhage (Health Care / Medication Associated Condition): Measures
- Anemia 鈥� Hemorrhage (Health Care / Medication Associated Condition): Success Stories
- Anemia 鈥� Hemorrhage (Health Care / Medication Associated Condition): References
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Anemia 鈥� Hemorrhage (Procedure-Associated Conditions): Introduction
- Anemia 鈥� Hemorrhage (Procedure-Associated Conditions): Discharge Abstract Database
- Anemia 鈥� Hemorrhage (Procedure-Associated Conditions): Importance to Patients and Families
- Anemia 鈥� Hemorrhage (Procedure-Associated Conditions): Clinical and System Reviews, Incident Analyses
- Anemia 鈥� Hemorrhage (Procedure-Associated Conditions): Measures
- Anemia 鈥� Hemorrhage (Procedure-Associated Conditions): Success Stories
- Anemia 鈥� Hemorrhage (Procedure-Associated Conditions): References
- Birth Trauma: Introduction
- Device Failure: Introduction
-
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
-
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
Anemia 鈥� Hemorrhage (Procedure-Associated Conditions): References
鈥婥levenger B, Mallett SV, Klein AA, Richards T. Patient blood management to reduce surgical risk.听Br J Surg. 2015;102(11):1325-1337. doi:10.1002/bjs.9898
Ferraris VA, Davenport DL, Saha SP, Austin PC, Zwischenberger JB. Surgical Outcomes and Transfusion of Minimal Amounts of Blood in the Operating Room.听Arch Surg. 2012;147(1):49-55. doi:10.1001/archsurg.2011.790
Gombotz H. Patient Blood Management: A Patient-Orientated Approach to Blood Replacement with the Goal of Reducing Anemia, Blood Loss and the Need for Blood Transfusion in Elective Surgery.听Transfus Med Hemother. 2012;39(2):67-72. doi:10.1159/000337183
Institute for Healthcare Improvement (IHI).听How-to Guide: Prevent Harm from High-Alert Medications. Cambridge, MA: IHI; 2012.听.
Mazer CD. Blood conservation in cardiac surgery: Guidelines and controversies.听Transfus Apher Sci. 2014;50(1):20-25. doi:10.1016/j.transci.2013.12.008
Mu帽oz M, G贸mez-Ram铆rez S, Kozek-Langeneker S. Pre-operative haematological assessment in patients scheduled for major surgery.听Anaesthesia. 2016;71(S1):19-28. doi:10.1111/anae.13304
Musallam KM, Tamim HM, Richards T, et al. Preoperative anaemia and postoperative outcomes in non-cardiac surgery: A retrospective cohort study. Lancet. 2011;378(9800):1396-1407. doi:10.1016/S0140-6736(11)61381-0
National Institute for Health and Care Excellence (NICE). NICE Publishes Draft Guidance on Tests for Bleeding Problems during and after Cardiac Surgery. London, UK: NICE; 2014. .
National Patient Safety Agency (NPSA), National Reporting and Learning Service (NRLS). Haemorrhage after Liver Biopsy. London, UK: National Health Service; 2009. https://www.patientsafetyinstitute.ca/en/NewsAlerts/Alerts/Pages/AlertDetail.aspx?AlertID=NPSA013.
National Patient Safety Agency (NPSA), National Reporting and Learning Service (NRLS). Early Detection of Complications after Gastrostomy. London, UK: National Health Service; 2010a. https://www.patientsafetyinstitute.ca/en/NewsAlerts/Alerts/Pages/AlertDetail.aspx?AlertID=NPSA089.
National Patient Safety Agency (NPSA), National Reporting and Learning Service (NRLS). Haemorrhage Following Removal of Femoral Catheters. London, UK: National Health Service; 2010b. https://www.patientsafetyinstitute.ca/en/NewsAlerts/Alerts/Pages/AlertDetail.aspx?AlertID=NPSA014.
National Patient Safety Agency (NPSA), National Reporting and Learning Service (NRLS). Haemorrhages from Arteriovenous Fistula. London, UK: National Health Service; 2011.听.
Oregon Patient Safety Commission.听Patient Safety Alert: Colonoscopies and Red Dot Alerts for Anticoagulants. Portland, OR: Oregon Patient Safety Commission; 2015.听.
Ottawa Hospital Research Institute (OHRI). From blood transfusions, to heart surgery, to lung infections, Dr. Paul H茅bert is doing research to improve the way we care for the sickest patients in the hospital.听OHRI Newsroom.听. Published June 1, 2006.
Spahn D. Anemia and Patient Blood Management in Hip and Knee Surgery: A Systematic Review of the Literature.听Anesthesiology.听2010;113(2):482-495. doi:10.1097/ALN.0b013e3181e08e97
Sunnybrook Health Sciences Centre.听Leading Practices: Best Practice in Patient Blood Management in a Surgical Patient Population. Ottawa, ON: Health Standards Organization; 2013.听.
Theusinger OM, Kind SL, Seifert B, Borgeat L, Gerber C, Spahn DR. Patient blood management in orthopaedic surgery: A four-year follow-up of transfusion requirements and blood loss from 2008 to 2011 at the Balgrist University Hospital in Zurich, Switzerland.听Blood Transfus.听2014;12(2):195-203. doi:10.2450/2014.0306-13
Theusinger OM MD, Leyvraz P-F MD, Schanz U MD, Seifert B PhD, Spahn DR MD,FRCA. Treatment of Iron Deficiency Anemia in Orthopedic Surgery with Intravenous Iron: Efficacy and Limits: A Prospective Study.听Anesthesiology. 2007;107(6):923-927. doi:10.1097/01.anes.0000291441.10704.82
Veterans Affairs Central Office, National Center for Patient Safety. Bleeding Episodes DuringDialysis. Washington, DC: Veterans Affairs Central Office; 2008.
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Anemia 鈥� Hemorrhage (Procedure-Associated Conditions)
