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
-
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
Pressure Ulcer: References
Accreditation Canada. Required Organizational Practices Handbook. Ottawa, ON: Accreditation Canada. Published 2020. https://store.accreditation.ca/products/required-organizational-practices-handbook-2017-version-2
AHS Channel. Jessie - Pressure Injury Story. November 2019. Accessed January 2021. https://www.youtube.com/watch?v=crh9ALyiC5Y
Canadian Patient Safety Institute. Never Events for Hospital Care in Canada: Safer Care for Patients. Canadian Patient Safety Institute; 2015
Canadian Patient Safety Institute (CPSI). Global Patient Safety Alerts. Published n.d. Accessed January 1, 2021. https://www.patientsafetyinstitute.ca/en/NewsAlerts/Alerts/Pages/default.aspx
Chan B, Ieraci L, Mitsakakis N, Pham B, Krahn M. Net costs of hospital-acquired and pre-admission PUs among older people hospitalised in Ontario. J Wound Care. 2013;22(7):341-346. doi:10.12968/jowc.2013.22.7.341
European Pressure Ulcer Advisory Panel, National Pressure Injury, Advisory Panel, Pan Pacific Pressure Injury Alliance. Prevention and Treatment of Pressure Ulcers/Injuries: Quick Reference Guide. (Emily Haesler, ed.). EPUAP/NPIAP/PPPIA; 2019. http://www.internationalguideline.com/static/pdfs/Quick_Reference_Guide-10Mar2019.pdf
Healthcare Insurance Reciprocal of Canada. Healthcare Acquired Pressure Injuries. Risk Reference Sheets. Published September 2020. Accessed January 2021. https://www.hiroc.com/resources/risk-reference-sheets/healthcare-acquired-pressure-injuries
Health Standards Organization. Implementation of Turning Clocks for Pressure Ulcer Prevention and Management. HSO Leading Practices Library. Published January 8, 2015. Accessed January 1, 2021. https://healthstandards.org/leading-practice/implementation-of-turning-clocks-for-pressure-ulcer-prevention-and-management/
Institute for Healthcare Improvement. How-to Guide: Prevent Pressure Ulcers. Cambridge, MA: IHI; 2011. http://www.ihi.org:80/resources/Pages/Tools/HowtoGuidePreventPressureUlcers.aspx
Institute for Healthcare Improvement. IHI Improvement Map: Prevention of Pressure Ulcers. Cambridge, MA: IHI; 2012. Accessed 2016. http://app.ihi.org/imap/tool/#Process=cbe9c419-f6ae-49ed-8bb5-5d17844796e2 (out of print)
Institute for Healthcare Improvement. Pressure Ulcers. Published n.d. Accessed January 1, 2021. http://www.ihi.org:80/Topics/PressureUlcers/Pages/default.aspx
NHS Midlands and East. The Swans' Story.; 2012. Accessed January 1, 2021. https://www.youtube.com/watch?feature=player_embedded&v=IJ8FEhE561Y
Norton L, Parslow N, Johnston D, et al. Chapter 3: Best Practice Recommendations for the Prevention and Management of Pressure Injuries. In: Foundations of Best Practice for Skin and Wound Management. Wounds Canada; 2018:31-43. Accessed February 17, 2021. https://www.woundscanada.ca/docman/public/health-care-professional/bpr-workshop/172-bpr-prevention-and-management-of-pressure-injuries-2/file
Registered Nurses' Association of Ontario (RNAO). Risk Assessment and Prevention of Pressure Ulcers. Toronto, ON: RNAO; 2011. https://rnao.ca/bpg/guidelines/risk-assessment-and-prevention-pressure-ulcers
Woodbury MG, Houghton PE. Prevalence of pressure ulcers in Canadian healthcare settings. Ostomy Wound Manage. 2004;50(10):22-38. https://www.o-wm.com/content/prevalence-pressure-ulcers-canadian-healthcare-settings