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
-
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
-
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
-
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 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
-
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
Retained Foreign Body: Success Stories
Hopital Charles LeMoyne, Quebec, 2009
The surgical instruments management program at H么pital Chalres LeMoyne is effective and provides the highest level of safety. There is a well鈥揺stablished, efficient tracking system. All instruments are identified with a unique number. When trays are prepared, instruments are logged using a scanner system. Trays are then identified with a barcode. During surgery, all instruments and devices are logged in a computer databank referenced to the patient's name. This system makes it possible to identify every instrument used in a specific operation (H么pital Charles LeMoyne, 2009).
Surgical error inspires doctor to champion the safety of all patients
Peter Pisters, [former] President and CEO of University Health Network also saw himself as the Chief Patient Safety Officer鈥� a duty he takes very seriously, fuelled by the painful memory of a single surgical sponge left behind in one of his patients (CPSI, 2016b)
Retained Foreign Body
