For Providers

MEDICATION RECONCILIATION

AHRQ has released a new toolkit to help hospitals improve their medication reconciliation processes to reduce adverse drug events. The Medications at Transitions and Clinical Handoffs (MATCH) Toolkit provides step-by-step instructions on how to improve a medication reconciliation process, from planning—including how to get leadership support—to pilot testing, implementation, and evaluation.


MEASUREMENT

ABC's of Measurement: How can measures make a difference in health care quality? What makes a good measure? What does it mean to be NQF endorsed?
Learn the ABC's of Measurement

Quality Positioning System:  QPS is a new tool to help you find National Quality Forum-endorsed measures quickly and easily.
 http://www.qualityforum.org/QPS/


IMMUNIZATION

APIC Position Paper:  Influenza Vaccination Should be a Condition of Employment for Healthcare Personnel, Unless Medically Contraindicated Download paper here

Immunization Action Coalition - Honor Roll for Patient Safety:  View position statements from champions endorsing strong mandates for influenza vaccination of health care workers.  http://www.immunize.org/honor-roll/

CENTRAL LINE ASSOCIATED BLOOD STREAM INFECTIONS (CLABSI)

CUSP reduces nursing turnover rates.  From the Joint Commission Journal on Quality and Patient Safety - "Impact of the Comprehensive Unit-Based Safety Program (CUSP) on Safety Culture in a Surgical Inpatient Unit" Download Journal article here

Keystone ICU project significantly reduces hospital mortality in Michigan compared with surrounding area.  From the British Medical Journal - "Impact of a Statewide Intensive Care Quality Improvement Initiative on Hospital Mortality and Length of Stay:  Retrospective Comparative Analysis"  Download Journal article here

Keystone ICU Project sustains reductions in rates of catheter related blood stream infections.  From the British Medical Journal - "Sustaining Reductions in Catheter-Related Bloodstream Infections in Michigan Intensive Care Units: Observational Study" Download Journal article here

An evidence-based intervention results in large and sustained reduction in rates of catheter related blood stream infection.  From the New England Journal of Medicine - "An Intervention to Decrease Catheter-Related Bloodstream Infections in the ICU" Download Journal article here

CMS Quality Reporting Program Requirements - CMS Memorandum on Healthcare Associated Infection (HAI) measure, Central Line Associated Blood Stream Infection (CLABSI) Requirement.  Download Memorandum here


CATHETER ASSOCIATED URINARY TRACT INFECTIONS (CAUTI)

Guideline for Prevention of Catheter-Associated Urinary Tract Infections - From the CDC Healthcare Infection Control Practices Advisory Committee  http://www.cdc.gov/hicpac/cauti/001_cauti.html

Effect of Nurse-Led Multidisciplinary Rounds on Reducing the Unnecessary Use of Urinary Catheterization in Hospitalized Patients - From the Infection Control and Hospital Epidemiology Journal Download Journal article here

2012 National Patient Safety Goal – Catheter-Associated Urinary Tract Infection (CAUTI) - From the Joint Commission  http://www.jointcommission.org/topics/hai_cauti.aspx


PREVENTING PRESSURE ULCERS

Preventing Pressure Ulcers in Hospitals – A Toolkit for Improving Quality of Care - From the Agency for Healthcare Research and Quality http://www.ahrq.gov/research/ltc/pressureulcertoolkit/


HEALTH REFORM

Partnership for Patients Resources.  Find resources that can help hospitals and providers begin to tackle some of the most common and preventable types of harm that affect patients in hospitals.  http://www.ihi.org/explore/CMSPartnershipForPatients/Pages/default.aspx

National Quality Strategy - The United States Department of Health and Human Services releases the National Quality Strategy indicating that it provides a detailed road map to guide future efforts to make care safer, more patient-centered and more affordable. http://www.cms.gov/Medicare/Coverage/CouncilonTechInnov/downloads/qualityroadmap.pdf


HEALTHCARE ASSOCIATED INFECTIONS

Partnering to Heal: is a computer-based, video-simulation training program on infection control practices for clinicians, health professional students, and patient advocates. www.hhs.gov/partneringtoheal

Guide to Infection Prevention for Outpatient Settings: Minimum Expectations for Safe Care - from the CDC http://www.cdc.gov/HAI/pdfs/guidelines/standatds-of-ambulatory-care-7-2011.pdf and companion Infection Prevention Checklist for Outpatient Settings http://www.cdc.gov/HAI/pdfs/guidelines/ambulatory-care-checklist-07-2011.pdf

Using a Comprehensive Unit-based Safety Program to Prevent Healthcare-Associated Infections - From the Agency for Healthcare Research and Quality (AHRQ) -  http://www.ahrq.gov/qual/cusp.htm

On the CUSP: Stop HAI – A national implementation of the Comprehensive Unit-based Safety Program to eliminate health care acquired infections. www.onthecuspstophai.org


REDUCING READMISSIONS

Health Care Leader Action Guide to Reduce Avoidable Readmissions - From the Commonwealth Fund http://www.commonwealthfund.org/Content/Publications/Fund-Manuals/2010/Jan/Health-Care-Leader-Action-Guide.aspx


 IMPROVE PATIENT EDUCATION MATERIALS

Use AHRQ's Patient Education Materials Assessment Tool (PEMAT) and User's Guide to systematically evaluate and compare the understandability and actinability of patient education materials. By selecting brochures, medical instructions and audiovisual aids that score better on the PEMAT, you can be more confident that people of varying levels of health literacy will be able to process and explain key messages, and identify what they can do based on the information presented.  To access the PEMAT, go to: www.ahrq.gov/pemat/.
 
Additional tools for improving health literacy at AHRQ's website, include:

 

IMPROVE OFFICE TESTING PROCESSES

Improving Your Office Testing Process:  A Toolkit for Rapid-Cycle Patient Safety and Quality Improvement

This AHRQ toolkit provides information and resources to help physicians' offices, clinics, and other ambulatory care facilities assess and improve the testing process in their offices. This free resource helps improve processes for tracking, reporting, and following up with patients after medical laboratory tests and avoiding diagnostic errors.