Protocol Development and Quality Improvement
Patient safety–endorsed measures notable for ICU care (2015)
ADEs
ii.
Catheter-associated urinary tract infections
iii.
Central line–associated bloodstream infections
iv.
Surgical site infections
Ventilator-associated pneumonia
vi.
Ventilator-associated events
vii.
Stroke
viii.
Acute myocardial infarction
ix.
Falls
Pressure ulcer rate
Health information technology–related safety events (2016)
| d. | Harmonizing accountability in reporting and monitoring (2024). |
|---|
Aims to reduce preventable harm by first modernizing criteria for what constitutes a serious
reportable event
The Leapfrog Group – Launched in 2000
Hospital quality and safety survey is a voluntary survey of hospitals rating themselves on quality
and safety practices
Reported at www.leapfroggroup.org
ICU-related measures
CPOE
ii.
Bar code medication administration
iii.
ICU physician staffing
iv.
Hand hygiene
Air embolism
vi.
Falls and Trauma
vii.
Central line–associated bloodstream infection
viii.
Catheter-associated urinary tract infection
ix.
Health-care associated infections including surgical site infection: Colon, methicillin-resistant
Staphylococcus aureus, Clostridioides difficile
The Joint Commission (TJC) – Founded in 1951
One of three CMS accreditation organizations, TJC is an independent, not-for-profit organization
that sets the standards for accreditation in health care
Tracer methodology – Method of evaluation done during an on-site survey that traces the health
care experiences of a patient while in the hospital
Identifies, tests, and specifies standardization of performance measures
| d. | 2024 National Patient Safety Goals |
|---|
Identify patients correctly (NPSG.01.01.01).
| (a) | Use at least two ways to identify patients. For example, use the patient’s name and date |
|---|
of birth. This is done to make sure that each patient receives the correct medication and
treatment.
ii.
Improve staff communication (NPSG.02.03.01).
| (a) | Send important test results to the right staff person on time. |
|---|
iii.
Use medications safely.
| (a) | Before a procedure, label medications that are not labeled (e.g., medications in syringes, |
|---|
cups, and basins). Do this where medications and supplies are set up (NPSG.02.03.01).