Summary
Since To Err is Human was published in 1999, the patient safety evidence-base has expanded exponentially in alignment with continued maturity of the field. This publication is the third in a series of reports from the Agency for Healthcare Research and Quality (US-based), that reviews research supporting patient safety practices in place to reduce patient harms. The report provides recommendations and shares strategies highlighted in the literature to drive implementation of the 47 practices discussed in areas such as:
- diagnostic errors
- failure to rescue
- sepsis recognition
- healthcare-associated infections
- medication safety
- patient identification errors in the operating room
- infusion pumps
- alarm fatigue
- delirium
- care transitions
- venous thromboembolism
- overarching patient safety practices.
Making Healthcare Safer III: A critical analysis of existing and emerging patient safety practices (March 2020)
https://www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/index.html
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