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
Hypoglycemia: References
American Diabetes Association (ADA). Diabetes care in the hospital, nursing home, and skilled nursing facility. Diabetes Care. 2015; 38 (Suppl): S80-S85. doi: 10.2337/dc15-S016. http://care.diabetesjournals.org/content/38/Supplement_1/S80.long
Canadian Diabetes Association (CDA) Clinical Practice Guidelines Expert Committee, Clayton D, Woo V, Yal JF. Canadian Diabetes Association 2013 Clinical Practice Guidelines. Hypoglycemia. Can J Diabetes. 2013; 37 (suppl 1): S69-S71. doi: 10.1016/j.jcjd.2013.01.022. http://www.canadianjournalofdiabetes.com/article/S1499-2671(13)00023-3/pdf
Canadian Diabetes Association (CDA) Clinical Practice Guidelines Expert Committee, Houlden R, Capes S, Clement M, Miller D. Canadian Diabetes Association 2013 Clinical Practice Guidelines. In-hospital management of diabetes. Can J Diabetes. 2013; 37 (suppl 1): S77-S81. doi:10.1016/j.jcjd.2013.01.024. http://www.canadianjournalofdiabetes.com/article/S1499-2671(13)00025-7/pdf
Cryer PE. Hypoglycemia. In: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. Williams Textbook of Endocrinology. 12th ed. Philadelphia, PA: Elsevier Saunders; 2011: chap 34.
Desimone ME, Weinstock RS. Non-diabetic hypoglycemia. In: De Groot LJ, Beck-Peccoz P, Chrousos G, et al. ed. Endotext. South Dartmouth (MA): MDText.com, Inc.; 2016. http://www.ncbi.nlm.nih.gov/books/NBK355894/
Farrokhi F, Klindukhova O, Chandra P, et al. Risk factors for inpatient hypoglycemia during subcutaneous insulin therapy in non-critically ill patients with type 2 diabetes. J Diabetes Sci Technol. 2012; 6 (5): 1022-1029. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3570835/
Health Standards Organization (HSO). Toolkit for safe implementation of insulin pens. Health Standards Organization; 2015. https://healthstandards.org/leading-practice/toolkit-for-safe-implementation-of-insulin-pens/
Institute for Healthcare Improvement (IHI). Reduce adverse drug events involving insulin. Cambridge, MA: IHI; 2012. http://www.ihi.org/resources/Pages/Changes/ReduceAdverseDrugEventsInvolvingInsulin.aspx
Institute for Safe Medication Practices (ISMP). List of high-alert medications in acute care settings. Horsham, PA: ISMP; 2016. https://www.ismp.org/tools/institutionalhighAlert.asp
Murad MH, Coto-Yglesias F, Wang AT, et al. Drug-induced hypoglycemia: a systematic review. J Clinic Endocrin Metab. 2009; 94 (3): 741-745. doi: 10.1210/jc.2008-1416. http://press.endocrine.org/doi/full/10.1210/jc.2008-1416
Nirantharakumar K, Marshall T, Kennedy A, Narendran P, Hemming K, Coleman JJ. Hypoglycaemia is associated with increased length of stay and mortality in people with diabetes who are hospitalized. Diabet Med. 2012; 29 (12): e445-e448. doi: 10.1111/dme.12002.
Rubin DJ, Golden SH. Hypoglycemia in non-critically ill, hospitalized patients with diabetes: evaluation, prevention, and management. Hosp Pract. 2013; 41 (1): 109-116. doi: 10.3810/hp.2013.02.1016.
Suzuki Y, Watanabe J, Fukui N, Ozdemir V, Someya T. Hypoglycaemia induced by second generation antipsychotic agents in schizophrenic non-diabetic patients. BMJ. 2009; 338: a1792. doi: 10.1136/bmj.a1792.