In this section :
- Hospital harm is everyone’s 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
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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 – Hemorrhage (Health Care / Medication Associated Condition): Introduction
- Anemia – Hemorrhage (Health Care / Medication Associated Condition): Discharge Abstract Database
- Anemia – Hemorrhage (Health Care / Medication Associated Condition): Importance to Patients and Families
- Anemia – Hemorrhage (Health Care / Medication Associated Condition): Clinical and System Reviews, Incident Analyses
- Anemia – Hemorrhage (Health Care / Medication Associated Condition): Measures
- Anemia – Hemorrhage (Health Care / Medication Associated Condition): Success Stories
- Anemia – Hemorrhage (Health Care / Medication Associated Condition): References
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Anemia – Hemorrhage (Procedure-Associated Conditions): Introduction
- Anemia – Hemorrhage (Procedure-Associated Conditions): Discharge Abstract Database
- Anemia – Hemorrhage (Procedure-Associated Conditions): Importance to Patients and Families
- Anemia – Hemorrhage (Procedure-Associated Conditions): Clinical and System Reviews, Incident Analyses
- Anemia – Hemorrhage (Procedure-Associated Conditions): Measures
- Anemia – Hemorrhage (Procedure-Associated Conditions): Success Stories
- Anemia – Hemorrhage (Procedure-Associated Conditions): References
- Birth Trauma: Introduction
- Device Failure: Introduction
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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
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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
Device Failure: References
Canadian Institute for Health Information. Appendix A. In: Hospital Harm Indicator: General Methodology Notes. Canadian Institute for Health Information; 2019. https://indicatorlibrary.cihi.ca/display/HSPIL/Hospital+Harm?preview=/10453027/15564910/Hospital%20Harm%20Indicator%20General%20Methodology%20Notes.pdf
Canadian Institute for Health Information. Implantable Medical Devices in Canada Insights into High-Volume Procedures and Associated Costs. CIHI; 2020a. https://www.cihi.ca/sites/default/files/document/implantable-medical-devices-report-en.pdf
Canadian Institute for Health Information. Hospital Harm Project Data Tables: Hospital Harm Results, 2014-2015 to 2019-2020. Published online 2020b. https://www.cihi.ca/en/hospital-harm-project
Canadian Patient Safety Institute (CPSI). 'If something doesn't feel right, you have to ask the question.' CPSI. Published October 30, 2014. Accessed April 2021.
Canadian Patient Safety Institute (CPSI). Global Patient Safety Alerts. Published n.d. Accessed 2021.
Health Canada. About medical device problems. Government of Canada. Published January 24, 2020. Accessed April 2021. https://www.canada.ca/en/health-canada/services/drugs-health-products/medeffect-canada/adverse-reaction-reporting/medical-device-problems.html
Health Canada, Institute for Safe Medication Practices Canada, Health Standards Organization, Canadian Patient Safety Institute. Educational Support for Mandatory Reporting of Serious ADRs and MDIs by Hospitals. CPSI. Published n.d. Accessed April 2021.
Health Standards Organization. Reporting of Adverse Events in Reprocessing of Medical Devices. HSO Leading Practices Library. Published 2011. https://healthstandards.org/leading-practice/reporting-of-adverse-events-in-reprocessing-of-medical-devices/
Health Standards Organization. The Development of an Interdisciplinary Smart Pump Working Group reporting to Safe Medication Practices for the Management of Parenteral Administration using Smart Pump Technology. HSO Leading Practices Library. Published 2019. https://healthstandards.org/leading-practice/development-interdisciplinary-smart-pump-working-group-reporting-safe-medication-practices-management-parenteral-administration-using-smart-pump-technology/
Institute for Healthcare Improvement (IHI). How-to Guide: Prevent Harm from High-Alert Medications. IHI; 2012. http://www.ihi.org/resources/Pages/Tools/HowtoGuidePreventHarmfromHighAlertMedications.aspx
McLean J, Cribb R. Faulty and unproven medical devices implanted in Canadian patients despite known risks. Toronto Star. Published 2018. Accessed April 2021. https://www.thestar.com/news/investigations/2018/11/25/faulty-and-unproven-medical-devices-from-vaginal-mesh-to-hip-replacements-implanted-in-canadian-patients-despite-known-risks.html.
Medical Devices Regulations (1998) SOR/98-282. Retrieved from https://laws-lois.justice.gc.ca/eng/regulations/sor-98-282/FullText.html
Medicines & Healthcare products Regulatory Agency (MHRA). Managing Medical Devices: Guidance for Health and Social Care Organisations. MHRA; 2021. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/965010/Managing_medical_devices022021.pdf
Patients for Patient Safety Canada, Institute for Safe Medication Practices Canada, Canadian Patient Safety Institute. Vanessa's Law Protecting Canadians from Unsafe Drugs Act: Serious Adverse Drug Reaction and Medical Device Incident Reporting. Published online n.d. Accessed April 20, 2021.
Polisena J, Jutai JW, Chreyh R. A proposed framework to improve the safety of medical devices in a Canadian hospital context. Med Devices (Auckl). 2014;7:139-147. doi:10.2147/MDER.S61728
Polisena J, Gagliardi A, Urbach D, Clifford T, Fiander M. Factors that influence the recognition, reporting and resolution of incidents related to medical devices and other healthcare technologies: a systematic review. Systematic Reviews. 2015a;4(1):37. doi:10.1186/s13643-015-0028-0
Polisena J, Gagliardi A, Clifford T. How can we improve the recognition, reporting and resolution of medical device-related incidents in hospitals? A qualitative study of physicians and registered nurses. BMC Health Services Research. 2015b;15(1):220. doi:10.1186/s12913-015-0886-0