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
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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
Selected Serious Events: References
Association for Safe Aseptic Practice (The-ASAP).听Aseptic non touch technique: The ANTT clinical practice framework. London; The-ASAP; 2015.听
Canadian Hemophilia Society.听Commemoration of the tainted blood tragedy.听Retrieved from website April 2021.听
Canadian Institute for Health Information (CIHI), Canadian Patient Safety Institute.听Measuring patient harm in Canadian hospitals. Ottawa, ON: CIHI; 2016.听
Health Quality Ontario, Canadian Patient Safety Institute (CPSI).听Never events for hospital care in Canada: Safer care for patients. Edmonton, AB: CPSI; 2015.
Healthcare Insurance Reciprocal of Canada (HIROC).听Risk reference sheet: Unnecessary/obsolete procedures. Toronto, ON: HIROC; 2016.听听(accessed January 2018; inactive June 2021)
Healthcare Insurance Reciprocal of Canada (HIROC).听Risk reference sheet: Surgical inadequate sterility. Toronto, ON: HIROC; 2012.听听(accessed January 2018; inactive June 2021)
Healthcare Insurance Reciprocal of Canada (HIROC).听Risk reference sheet: Wrong patient/site/procedure. Toronto, ON: HIROC; 2016.听
听(accessed January 2018; inactive June 2021)
Institute for Healthcare Improvement (IHI).听How-to guide: Prevent harm from high-alert medications.听Cambridge, MA: IHI; 2012.听
Health Standards Organization Leading Practices.听Utilization of safety crosses as a quality management tool in sterile processing department Markham Stouffville Hospital Corporation. Ottawa, ON: Health Standards Organization; 2013.听听
Mulloy DF, Huges RG. Chapter 36: Wrong-site surgery: A preventable medical error. In:听Patient safety and quality: An evidence-based handbook for nurses. Rockville, MD: Agency for Healthcare Research and Quality; 2008. 听
National Health and Medical Research Council (NHMRC).听Australian guidelines for the prevention and control of infection in healthcare. Commonwealth of Australia; 2019.
听听听听听听听听听听听 https://www.nhmrc.gov.au/about-us/publications/australian-guidelines-prevention-and-control-infection-healthcare-2019
脰莽g眉der A., Medvecky M. (2018) Failure Modes of Knots and Sutures. In: Akgun U., Karahan M., Randelli P., Espregueira-Mendes J. (eds) Knots in Orthopedic Surgery. Springer, Berlin, Heidelberg.听
Ontario Agency for Health Protection and Promotion, Public Health Ontario, Provincial Infectious Diseases Advisory Committee, Infection Prevention and Control.听Best practices for cleaning, disinfection, and sterilization of medical equipment/devices in all health care settings听(3rd听别诲.)听Toronto, ON: Queen's Printer for Ontario; 2013.听
Pennsylvania Patient Safety Authority. Distractions in the operating room.听Pa Patient Saf Advis.听2014; 11 (2): 45-52.听
Pennsylvania Patient Safety Authority.听Patient safety topics 鈥� Wrong Site Surgery. 2018听
Public Health Agency of Canada (PHAC).听Routine practices and additional precautions for preventing the transmission of infection in healthcare settings. Ottawa, ON: PHAC; 2012.听
Siegel JD, Rhinehart E, Jackson M, Chiarello L, Healthcare Infection Control Practices Advisory Committee.听2007 guideline for isolation precautions: Preventing transmission of infectious agents in healthcare settings.听Centers for Disease Control and Prevention (CDC); 2007.听
Sitzwohl C, Langheinrich A, Schober A, et al. Endobronchial intubation detected by insertion depth of endotracheal tube, bilateral auscultation, or observation of chest movements: randomised trial.听BMJ. 2010; 341: c5943. doi: 10.1136/bmj.c5943.听
Selected Serious Events
