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					                                                                                          Premier Safety Share


Each issue of Safety Share Newsletter contains four to five
popular and frequently used safety tools and resources on
patient, worker and environmental safety. This safety tool
archive is a compiliation of all the safety tools and
resources from Premiers Safety Share issue January 2002
                                                                                                                                                                 IHI
  Month       Year                Topic by Tab                        Tool                                         Description                                   Tool                Location



                                                                                   Changes in four key elements of the service delivery system are
                                                                                   described in the IHI white paper. The changes include the care team,
                                                                                   patient activation, clinical information system, and leadership. IHI
                                                                                   identifies the challenges faced in the current system, introduces a new              http://www.premierinc.com/quality-
                                                              IHI white paper –    design for the delivery of primary care, and encourages office practices             safety/tools-services/safety/safety-
                                                              Planning a primary   and clinics to move ahead with their own efforts to strive for better                share/06-06-downloads/14-
IHI                  Patient Safety                           care delivery system patient outcomes.                                                              √     planned-care-white-paper-2006.pdf
                                                                                  A tool for conducting brief, ad hoc staff meetings focused on sharing                 Word;Patient Safety/Medication
                                                              Device Use – Safety observations and concerns about safety hazards related to the use of                  Systems/Tools; Under: Culture of
IHI                  Patient Safety                           Briefing Model      medical devices and equipment                                                   √     Safety
                                                                                                                                                                        Word;Improvement
                                                              Executive Review of   A guide for executives on how to channel senior management attention                Methods/Tools; Under: Information
IHI                  Patient Safety                           Projects (IHI Tool)   to quality projects                                                           √     Gathering Tools
                                                                                                                                                                        Excel;Improvement
                                                                                    Sampling is used to simplify the gathering of data for improvement and              Methods/Tools; Under: Information
IHI                  Patient Safety                           Sampling (IHI Tool)   to prevent unnecessary data collection.                                       √     Gathering Tools
                                                              Checklist for
                                                              Assessing                                                                                                 Word;Patient Safety/Medication
                                                              Institutional         A short self-assessment survey for use by any health care organization              Systems/Tools; Under: Culture of
IHI                  Patient Safety                           Resilience            wishing to gauge its patient safety climate                                   √     Safety
                                                              Decision Tree for                                                                                         Patient Safety/Medication
                                                              Unsafe Acts           A decision tree that can be followed when analyzing an error or adverse             Systems/Tools; Under: Culture of
IHI                  Patient Safety                           Culpability           event; developed by Partners HealthSystem                                     √     Safety
                                                                                                                                                                        Patient Safety/Medication
                                                              Patient Safety                                                                                            Systems/Tools; Under: Culture of
IHI                  Patient Safety                           Tracking Database     Example of a database for tracking patient safety issues                      √     Safety
                                                                                  The tool was developed by safety administrators at Iowa Health System
                                                                                  (IHS) to help front-line staff initiate Device Use – Safety Briefings, which
                                                                                  provide a forum for shared observations and concerns related to the                   Word;Patient Safety/Medication
                                                              Device Use – Safety use of medical devices, equipment, and complex software in the                        Systems/Tools; Under: Culture of
IHI                  Patient Safety                           Briefing Model      institution.                                                                    √     Safety




      Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
                                                                                        Premier Safety Share



                                                                                                                                                              IHI
  Month       Year                Topic by Tab                     Tool                                          Description                                  Tool                Location


                                                                                   A simple, easy-to-use tool that front-line staff can use to share                 Adobe;Patient Safety/Medication
                                                           Safety Briefings (IHI   information about potential safety problems and concerns on a daily               Systems/Tools; Under: Culture of
IHI                  Patient Safety                        Tool)                   basis, to promote safety consciousness and learning                         √     Safety

                                                           Safety Huddle           The tool enumerates data elements to collect during a test of Safety              Word;Patient Safety/Medication
                                                           Results Collection      Briefings, including medication safety issues and "near miss"                     Systems/Tools; Under: Culture of
IHI                  Patient Safety                        Tool                    medication errors that are identified before they cause harm.               √     Safety


                                                                                   The RFID Resource Center includes an implementation guide
                                                                                   describing the use of HIBC (Health Industry Bar Code) Standards with
                                                           RFID – Web-based        RFID, an overview of RFID technology (including its potential
                                                           resource center         applications and costs), a white paper, "RFID In Healthcare: Benefits,            http://www.hibcc.org/AUTOIDUPN/
May           2007 Bar Coding                              available               Limitations & Recommendations," and other related articles.                       RFID.htm


                                                                                   Catheter-related blood stream infections (BSI) are a significant source
                                                                                   of morbidity and mortality associated with a variety of devices used to
                                                                                   access the vascular system. Meticulous aseptic technique is both
                                                                                   required and effective to prevent BSI. Faculty share their observations,
                                                           Webcast – Best          best practices, and outcome data as they discuss this important topic.
                                                           practices to reduce     This free webcast is a replay from the original August 17, 2007,
                                                           catheter-related        webcast provided by Cardinal Health's Center for Safety and Clinical
                                                           blood stream            Excellence and will remain available for one full year. Continuing                http://www.cardinal.com/clinicalcent
September 2007       Bundling - evidence based practice    infections              education credit is also provided.                                                er/materials/webcasts/index.asp


                                                                               A recent AHRQ audio newscast series featured an interview with Peter
                                                                               Pronovost, M.D., Ph.D., of The Johns Hopkins University School of
                                                                               Medicine. Dr. Pronovost discussed his research about interventions to
                                                                               reduce bloodstream infections in hospital ICUs caused by central
                                                                               venous catheters. Patients in the United States spend about 18 million
                                                                               days in the intensive care unit per year and in more than 50 percent of
                                                                               the cases, an ICU patient will have a central venous catheter inserted.
                                                           AHRQ tools –        Unfortunately, approximately 80,000 patients each year develop                        AHRQ podcast:
                                                           Podcast on reducing catheter-related bloodstream infections, and about 28,000 of them will                http://www.healthcare411.org/podc
May           2007 Bundling - evidence based practice      BSI                 die from the infection.                                                               ast.aspx?id=197




      Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
                                                                                         Premier Safety Share



                                                                                                                                                                  IHI
  Month        Year               Topic by Tab                      Tool                                           Description                                    Tool                 Location


                                                                                    The recommendations include the assessment of the electromagnetic
                                                            Recommendations         environment of the facility, identification of areas where critical medical          http://my.premierinc.com/all/safety/
                                                            for Electromagnetic     devices are used, coordination of the purchase and management of all                 publications/01-
                                                            Compatibility in        electronic equipment, and the reporting of problems to FDA MedWatch                  02_downloads/CDRH-%20EMC-
January        2002 Cell Phones and EMC                     Healthcare Facilities   program.                                                                             12-01.doc


                                                                                   A free interactive video module that will help identify and treat C.
                                                                                   difficile is available from the British Medical Journal (BMJ) and the
                                                                                   Department of Health. Titled "How you can reduce C. difficile
                                                                                   infections," the video demonstrates how a major UK hospital
                                                                                   successfully managed an outbreak and introduced measures that can
                                                                                   be applied to prevent infections. The module discusses how to
                                                                                   diagnose and treat patients with C. diffcile infections, the importance of
                                                                                   hand hygiene in preventing infection, the cautious use of prescribing
                                                              Online learning      antibiotics, and understanding the patient experience. To begin the
September      2007 C. difficile associated disease          module – C. difficile module, go to http://bmjlearning.com/cdifficile.                                      http://bmjlearning.com/cdifficile
                                                                               Community hospitals implementing computerized physician order entry
                                                                               are succeeding in gaining physician participation and addressing the                      http://my.premierinc.com/all/safety/
                                                                               gaps in safety and quality they were targeting, according to a new                        publications/07-
                                                                               report by the California HealthCare Foundation and First Consulting                       03_downloads/10_CPOE_comm_h
July           2003 Computerized physician order entry      CPOE Report & Tips Group.                                                                                    osp.pdf

                                                                                                                                                                         http://www.hospitalconnect.com/ah
                                                            CPOE evaluation         The report explores CPOE implementation, costs, challenges, benefits,                a/key_issues/patient_safety/resour
March          2003 Computerized physician order entry      and case studies        and lessons learned.                                                                 ces/index.html#patientsafety


                                                                                    Advances in technology are making it easier to improve patient safety.
                                                                                    The September/October issue of Patient Safety and Quality Healthcare
                                                                                    focuses on recent technology designed to reduce the risk of medical
                                                            On-line resources –     errors. Among the topics featured in this issue are bar coding to reduce
                    Computers and electronics in            bar coding, RFID        medication errors, electronic medical records (EMR) and radio                        http://www.psqh.com/sepoct05/tocc
November       2005 healthcare                              and patient safety      frequency identification (RFID) systems.                                             .html




       Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
                                                                                        Premier Safety Share



                                                                                                                                                               IHI
  Month        Year               Topic by Tab                      Tool                                          Description                                  Tool                Location


                                                                                   Premier, the first GPO to win Hospitals for a Healthy Environment's
                                                            Web-based resource     (H2E) Champions of Change Award (in 2003) and again in 2004, has
                                                            to assist healthcare   launched a new Web-based resource to assist healthcare organizations
                                                            organizations with     with environmentally friendly selection, recycling and disposal of
                                                            environmentally        computers and electronics. These resources are also being used to
                                                            friendly selection,    guide the selection of electronic device manufacturers for Premier
                                                            recycling and          members and for recycling of electronics in Premier's corporate offices.
                                                            disposal of            The Web-based resource was produced by Premier's Safety Institute
                    Computers and electronics in            computers and          with assistance and support from Health Care Without Harm and the                  http://www.premierinc.com/all/safet
March          2005 healthcare                              electronics.           Computer Take Back Campaign.                                                       y/resources/computers/index.jsp


                                                                                   This manual was written to assist hospitals in developing strategies for
                                                                                   temporary negative pressure isolation and provides instruction on the
                                                                                   use of equipment used for airborne infectious disease management. In               Download the manual from the
                                                                                   addition to graphic "how to" portrayals, the guide includes tools such as          Safety Institute's Construction,
                                                            Minnesota manual –     preventative maintenance schedules and a sample log for measuring                  ICRA, risk assessment web site,
                                                            Methods for            particle counts for performance improvement planning. Additional                   or go to:
                                                            temporary negative     information, including education/training slides, are located at the Web           http://www.health.state.mn.us/oep/t
Mar            2007 Construction - ICRA                     pressure isolation     site below.                                                                        raining/bhpp/isolation.html


                                                                                   Created by the University of Minnesota, InformeDesign®
                                                                                   www.informedesign.umn.edu brings research and practice aspects of
                                                                                   the design professions together. Designers face a multitude of complex
                                                                                   challenges that are environmental, behavioral, and design in nature.
                                                                                   This Web site focuses on providing the design community with
                                                                                   reputable research sources that address those challenges. A monthly
                                                                                   publication, Implications, addresses the issues facing practitioners and
                                                                                   researchers who focus on design and human behavior. Under the links,
                                                            Inform eDesign –       "SPACE," then "Healthcare," there is a wide variety of healthcare
                                                            Healthcare design      related articles and research summaries on topics from ambulatory                  http://www.informedesign.umn.edu/
Feb            2007 Construction - ICRA                     implications           care to wellness centers.                                                          Rs.aspx?s=space&tId=664
                                                                                   The construction and ICRA concept and matrix as described and                      For more information on and
                                                                                   promoted by the Association for Professionals in Infection Control and             resources about construction on
                                                                                   Epidemiology (APIC) and the American Society for Healthcare                        Premiers Web site:
                                                                                   Engineering (ASHE) are available in two training videos. One is                    www.premierinc.com/quality-
                                                                                   directed to healthcare professionals (20 minutes) and one to                       safety/tools-
                                                            Construction; ICRA     construction personnel (eight minutes), with availability in English and           services/safety//resources/construc
Sept           2006 Construction - ICRA                     training               Spanish. Go to www.EnvisionInc.net.                                                tion/.




       Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
                                                                                   Premier Safety Share



                                                                                                                                                          IHI
  Month     Year               Topic by Tab                      Tool                                       Description                                   Tool                Location


                                                                              This model program engages nurses and leaders at all levels of the
                                                                              organization to improve the quality and safety of patient care on
                                                                              medical and surgical units. Ten hospitals graduated from the third
                                                                              phase of the five-year program in May. TCAB is not a traditional quality
                                                                              improvement program; one primary characteristic that sets it apart is its
                                                                              focus on engaging frontline staff and unit managers. Ideas for
                                                                              transforming the way care is delivered on medical/surgical units come
                                                         Transforming Care    from the nurses and other care team members who spend the most                     http://www.rwjf.org/pr/product.jsp?i
September   2008 Culture - Safety - Tool                 at the Bedside       time with patients and their families.                                             d=30051&c=EMC-CA137


                                                                              To assist institutions in making the business case for quality programs,
                                                                              the Institute for Healthcare Improvement (IHI) is unveiling the Adverse
                                                                              Events Prevented Calculator. This tool helps model the financial
                                                                              implications of reductions in adverse event rates in an organization and
                                                                              assists in translating actual and potential improvement results into
                                                                              projected lives and dollars saved. The tool allows one to track the
                                                                              change in rate of any one type of adverse event over time and, when
                                                                              appropriate additional data are added, the consequent change in
                                                                              unnecessary deaths ("lives saved"), real and additional potential cost
                                                         IHI tool – Adverse   savings ("dark green dollar" savings and "light green dollar" savings,             http://www.ihi.org/IHI/Topics/Patien
                                                         Events Prevented     respectively), and the return on investment of quality improvement work            tSafety/SafetyGeneral/Tools/advers
September   2008 Culture - Safety - Tool                 Calculator           targeting those adverse events.                                              √     eeventspreventedcalculator.htm


                                                                              The Joint Commission offers an Internet-based collaborative forum to
                                                                              help frontline workers; healthcare administrators, researchers and other
                                                                              healthcare professionals collaborate on developing performance
                                                                              improvement solutions. One feature currently being test piloted allows
                                                                              registered users to discuss solutions, edit existing solutions and create
                                                                              new solutions that will then be available to the entire healthcare                 The site, titled WikiHealthCareTM,
                                                                              community. The first quality improvement topics posted to the site                 can be accessed through a link on
                                                                              address smoking cessation counseling programs and smoke-free                       The Joint Commission's home
                                                                              hospital campuses. Development of the site was funded, in part,                    page, or directly at
                                                                              through a research grant from the Smoking Cessation Leadership                     http://wikihealthcare.jointcommissio
October     2007 Culture - Safety - Tool                 WikiHealthCareTM     Center at the University of California, San Francisco.                             n.org.




    Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
                                                                                       Premier Safety Share



                                                                                                                                                                 IHI
  Month        Year               Topic by Tab                       Tool                                        Description                                     Tool                Location


                                                                                  Now AHRQ is providing a new tool developed for small and critical
                                                                                  access hospitals to benchmark and compare their results from the
                                                                                  AHRQ Hospital Survey on Patient Safety Culture. However, the tool can
                                                                                  be used by any size hospital because it allows the addition of any
                                                                                  benchmarking data. The tool is from Statis Health and the Oklahoma
                                                            Small hospital        Foundation for Medical Quality and the Hospital Interventions Quality                 http://www.premierinc.com/quality-
                                                            benchmarking tool     Improvement Organization Support Center (HIQIOSC) and is adapted                      safety/tools-
                                                            for AHRQ hospital     with permission for a benchmarking tool developed by the Nebraska                     services/safety/topics/culture/benc
July           2007 Culture - Safety - Tool                 survey                Center for Rural Health Research.                                                     hmarking-data.jsp#cah-tool


                                                                               The Premier Performance Suite is a comprehensive offering of hospital                    For more information on the
                                                                               performance tools to integrate quality and safety, labor management,                     Premier Performance Suite, visit
                                                                               and supply chain channels for a global approach to improving overall                     the home page at:
                                                                               quality and cost. The Performance Suite provides Web-based                               http://www.premierinc.com/quality-
                                                            Premier – New      performance measurement and benchmarking, real time surveillance,                        safety/tools-services/performance-
Mar            2007 Culture - Safety - Tool                 Performance Suite™ and best practices to allow hospitals to make better decisions.                          suite/.


                                                                                  The first monograph, "Are You Rolling the Dice on CEO Succession?"
                                                                                  is designed to help trustees navigate the CEO selection process. The
                                                                                  monograph contains a Leadership Continuity Risk Management Model                      To order any of the monographs,
                                                                                  to help trustees understand how to effectively define the requirements                contact the Center at
                                                                                  for a new CEO, assess candidates and approach the final selection                     888.540.6111 or e-mail at:
                                                                                  process. The second, "The Board's Fiduciary Role: Legal                               info@americangovernance.com.
                                                                                  Responsibilities of Health Care Governing Boards," describes the basic                Access the tool at:
                                                                                  legal duties and obligations of the boards of not-for-profit hospitals. This          http://www.americangovernance.co
                                                            CEO assessment        guidance can be used to support trustee recruitment and orientation,                  m/americangovernance/ctool/welco
Feb            2007 Culture - Safety - Tool                 tool for leadership   and as a reference tool for existing board members.                                   me.html.




       Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
                                                                                      Premier Safety Share



                                                                                                                                                             IHI
  Month       Year                Topic by Tab                      Tool                                        Description                                  Tool                Location




                                                                                 The Center for Healthcare Governance has provided the first tool in a
                                                                                 series of Collaborative Leadership Tools. "Collaborative Leadership: A
                                                                                 New Model for Developing Truly Effective Relationships Between CEOs
                                                                                 and Trustees" explores the board/CEO relationship in the context of
                                                                                 governance reform, which calls for boards in all sectors to raise the bar
                                                                                 on their performance and accountability. This CEO resource discusses
                                                                                 what governance reform means in terms of how boards and CEOs work
                                                                                 together to lead their healthcare organizations. It also provides an
                                                                                 assessment tool and process that CEOs can use to take the lead in
                                                                                 diagnosing their current relationship with their board, and to work                Access the tool at:
                                                                                 together with board leaders to re-energize and strengthen the                      http://www.americangovernance.co
                                                           CEO assessment        relationship to achieve maximum effectiveness and value. If completed              m/americangovernance/ctool/welco
Jan           2007 Culture - Safety - Tool                 tool for leadership   online, all responses are confidential.                                            me.html


                                                                               The tool is for physician practices to use to enhance awareness of
                                                                               patient safety issues, heighten awareness of characteristics that make
                                                                               a practice safer, and create a new reference point and baseline for                  There is a $200 per practice fee to
                                                                               practices to enhance and support patient safety. The tool can be                     complete the assessment online
                                                                               completed electronically so users can receive a feedback report                      and access the comparative report
                                                                               comparing themselves to other practices (percentile rankings on each                 site. Download the file or use
                                                           Assessing physician question). Users also can receive a workbook with information and                    online at
Nov          2006    Culture - Safety - Tool               practices           resources on how the practice can improve their performance.                         http://www.physiciansafetytool.org.


                                                           Collaborative         The tool is designed to help hospital CEOs and their boards forge a
                                                           Leadership: A New     stronger relationship. This CEO resource discusses what governance
                                                           Model for             reform means in terms of how boards and CEOs work together to lead
                                                           Developing Truly      their healthcare organizations. It also provides an assessment tool and
                                                           Effective             process that CEOs can use to take the lead in diagnosing their current
                                                           Relationships         relationship with their board, and to work together with board leaders to          Access the tool at:
                                                           Between CEOs and      re-energize and strengthen the relationship to achieve maximum                     http://www.americangovernance.co
Nov          2006    Culture - Safety - Tool               Trustees              effectiveness and value.                                                           m/americangovernance/




      Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
                                                                                        Premier Safety Share



                                                                                                                                                                 IHI
   Month        Year                Topic by Tab                     Tool                                          Description                                   Tool                Location




                                                                                   The consensus statement is intended to provide a deeper
                                                                                   understanding of preventable adverse events, their impact on patients,
                                                                                   families, and providers, and how to manage such events. The report
                                                                                   provides detailed guidelines based on the premise that all care should
                                                                                   be safe and patient-centered and proposes a full disclosure when
                                                                                   adverse events or medical errors occur, including an apology to the
                                                                                   patient. The report is divided into three major sections: the patient and
                                                                                   family experience, the caregiver experience, and the management of
                                                                                   the event. Each section contains a summary of the expert consensus of
                                                                                   the issue, including the reasoning and evidence behind the consensus,
                                                                                   and recommendations. The report also offers appendices that include                  Go to:
                                                             When Things Go        recommendations, a case study on communicating with patients and                     http://www.premierinc.com/all/safet
                                                             Wrong: Responding     families, elements of emotional support of caregivers, and a                         y/publications/04-06-downloads/07-
April          2006    Culture - Safety - Tool               to Adverse Events     bibliography on medical disclosure.                                                  responding-adverse-events.pdf


                                                                                   A recent directive from the U.S. Veterans Health Administration
                                                                                   provides background information on the disclosure of adverse events
                                                                                   related to clinical care to patients or their representatives. VA Directive
                                                                                   2005-049 (.pdf) (163 KB), "Disclosure of Adverse Events to Patients,"
                                                                                   is consistent with the Joint Commission on Accreditation of Healthcare
                                                             Directive on          Organizations requirements, and includes key definitions and a policy                http://www.premierinc.com/all/safet
                                                             disclosure of         statement on disclosure for all VA hospitals.                                        y/publications/12-05-downloads/09-
December       2005    PSS News                              adverse events                                                                                             va-adverse-events.pdf



                                                                                   A leadership guide offering eight steps for senior health care leaders to
                                                                                   help their organizations achieve patient safety and high reliability is
                                                                                   available from the Institute for Healthcare Improvement (IHI). "The
                                                             The Leadership        Leadership Guide to Patient Safety: Resources and Tools for
                                                             Guide to Patient      Establishing and Maintaining Patient Safety" introduces the concept of
                                                             Safety: Resources     "reliability," defined as patients getting the intended tests, medications,
                                                             and Tools for         information, and procedures at the appropriate time and in accordance
                                                             Establishing and      with their values and preferences. Strategies for redesign of healthcare             http://www.premierinc.com/all/safet
                                                             Maintaining Patient   systems are presented using examples that IHI has gleaned from its                   y/publications/11-05-full-
November       2005    PSS News                              Safety                experience in guiding organizations in improving patient safety.               √     txt.jsp#story-06-downloads




        Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
                                                                                        Premier Safety Share



                                                                                                                                                                IHI
  Month        Year                Topic by Tab                     Tool                                          Description                                   Tool                Location
                                                                                   Premier's Safety Institute has developed a Spanish version of the
                                                                                   Agency for Healthcare Research and Quality's (AHRQ) Hospital Survey                 The survey tool can be accessed
                                                            Hospital Survey on     on Patient Safety Culture survey tool, as well as a customized                      at
                                                            Patient Safety         Microsoft® Excel data tool for easy entry and rapid display of survey               http://www.premierinc.com/all/safet
August        2005    Culture - Safety - Tool               Culture                results.                                                                            y/culture/
                                                                                The long awaited Patient Safety and Quality Improvement Act (P.L.109-
                                                                                41) was signed into law on July 29, 2005, to encourage a culture of
                                                                                safety in healthcare organizations by providing legal protection of
                                                                                information on medical errors and adverse events voluntarily reported
                                                            Patient Safety and  to patient safety organizations (PSOs). Lawmakers intend the                           http://thomas.loc.gov/cgi-
                                                            Quality Improvement information to be used to improve patient safety and reduce medical                    bin/bdquery/z?d109:SN00544:|TO
August         2005 PSS News                                Act (P.L.109-41)    errors.                                                                                M:/bss/d109query.html


                                                                                   Reconciling medications across the continuum of care is a new 2005
                                                                                   JCAHO safety goal. Experience has shown that poor communication of
                                                                                   medical information at transition points is responsible for as many as 50
                                                                                   percent of all medication errors in the hospital and up to 20 percent of
                                                                                   adverse drug events. A Massachusetts Coalition Web site describes                   Go to http://www.macoalition.org
                                                                                   how a group of hospitals in Massachusetts implemented a medication                  and look under ―Coalition
                                                            Medication strategy    reconciliation strategy and provides various tools and forms for others             Initiatives,‖ then ―Reconciling
July           2005 Culture - Safety - Tool                 tools                  to adopt or adapt.                                                                  Medications.‖

                                                                                                                                                                       Copies of "5 Steps to Safer Health
                                                                                                                                                                       Care" and the public service
                                                                                   A campaign designed to help distribute valuable information about                   announcement are available on
                                                                                   improving patient safety to healthcare providers and patients across the            the AHRQ's Web site: English
                                                                                   country has been initiated by the Agency for Healthcare Research and                version:
                                                                                   Quality (AHRQ), the American Hospital Association (AHA). The                        http://www.ahrq.gov/consumer/5ste
                                                                                   campaign, called "5 Steps to Safer Health Care," includes posters and               ps.htm
                                                                                   fact sheets that offer evidence-based, practical tips on the role patients          Spanish version:
                                                            5 Steps to Safer       can play to help avoid errors related to prescription medicines,                    http://www.ahrq.gov/consumer/cinc
June          2005    Culture - Safety - Tool               Health Care            laboratory tests, procedures, and surgery.                                          orec.htm


                                                                                   The Agency for Healthcare Research and Quality (AHRQ) has                           View entire document at
                                                                                   published a new fact sheet entitled "30 Safe Practices for Better Health            http://www.premierinc.com/all/safet
                                                                                   Care" (.doc) (42 KB). These are AHRQ-supported, evidence-based                      y/publications/05-05-downloads/07-
                                                                                   practices from the National Quality Forum (NQF) that demonstrate they               fact-sheet-30-practices.doc; An
                                                                                   can work to reduce or prevent adverse events and medical errors. The                executive summary (.pdf) (495 KB)
                                                                                   safe practices were endorsed by the NQF member organizations, which                 of the report is available from
                                                            30 safe practices in   strongly urge that these 30 safe practices be universally adopted in all            AHRQ and contains information on
May           2005    Culture - Safety - Tool               healthcare             applicable healthcare settings to reduce the risk of harm to patients.              how to obtain copies of the com




       Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
                                                                                       Premier Safety Share



                                                                                                                                                                 IHI
  Month        Year                Topic by Tab                     Tool                                         Description                                     Tool                Location


                                                                                  Most hospital leaders are concerned that mandatory, non-confidential
                                                                                  public reporting would discourage internal reporting of patient incidents             http://www.premierinc.com/all/safet
                                                                                  and encourage lawsuits while failing to provide substantial benefits to               y/publications/05-05-downloads/04-
                                                            Error Reporting and   patient safety, according to a recent survey of hospital executives in the            abst-error-report-disclosure-
May            2005 PSS News                                Disclosure Systems    Journal of the American Medical Association.                                          systems.doc


                                                                                  Premier has developed a customized data collection and analysis tool
                                                                                  that provides immediate feedback on the results of the hospital culture
                                                            Premier -             survey tool released by the Agency for Healthcare Research and
                                                            customized data       Quality (AHRQ). The customized Excel™ data tool was developed for                     http://www.premierinc.com/all/safet
                                                            collection and        easy entry and rapid display of the results from the surveys to provide               y/publications/03-05-full-
March         2005    PSS News                              analysis tool         immediate internal review and feedback.                                               txt.jsp#story-08-downloads


                                                                                  A new tool to assess the safety culture of a hospital as a whole, or in
                                                                                  specific units within hospitals, as well as to track changes in patient
                                                                                  safety over time and evaluate the impact of patient safety interventions.
                                                                                  Premier's Safety Institute is providing the complete tool kit, which                  All components may be
                                                            Hospital Survey on    includes the survey, detailed user's guide for administration of paper or             downloaded at
                                                            Patient Safety        web-based methods, data collection and analysis, customizable                         www.premierinc.com/all/safety/cult
November      2004    Culture - Safety - Tool               Culture               templates for reporting results, references, and results of the pilot study.          ure.
                                                                                  The video discusses how best to inform patients and their families in
                                                            Discussing            the event of a medical error that causes harm. The video includes
                                                            Unanticipated         clinical scenarios and comments from a medical ethicist, a hospital risk              For information on how to obtain
                                                            Outcomes and          manager, and two healthcare attorneys. The comments offer                             the videotape, go to:
                                                            Disclosing Medical    suggestions on how to effectively disclose adverse events to patients                 http://www.gha.org/pha/video/index
October       2004    Culture - Safety - Tool               Errors                and their families.                                                                   .asp.
                                                                                                                                                                        http://www.ihi.org/IHI/Topics/Patien
                                                            Patient Safety                                                                                              tSafety/MedicationSystems/Tools/P
                                                            Leadership            Collects data and then keeps track of how the information is used, what               atientSafetyLeadershipWalkRound
July            2004 Culture - Safety - Tool                WalkRounds            actions are taken, and generate feedback and reports.                           √     sDatabase.htm



                                                                                                                                                                        http://www.premierinc.com/safety/r
                                                                                  The majority of hospitals responding to a Premier survey have formal,                 esources/disclosure/downloads/Pre
                                                                                  board approved policies to disclose medical errors to patients,                       mier-disclosure-survey-results.pdf;
                                                                                  according to a survey conducted by Premier, Inc. The survey                           survey discussion:
                                                            Premier Patient       uncovered some promising trends in medical error disclosure practices.                http://www.premierinc.com/all/safet
                                                            Safety Culture        A full discussion of the survey may be downloaded.                                    y/publications/08-04-downloads/02-
June           2004 PSS News                                Survey results                                                                                              disclosure-release.doc




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                                                                                       Premier Safety Share



                                                                                                                                                               IHI
  Month        Year                Topic by Tab                      Tool                                        Description                                   Tool                Location


                                                                                  Michigan Hospital Association toolkit is a series of recommendations
                                                                                  based on current research and best practices. It was developed by a                 http://my.premierinc.com/all/safety/
                                                                                  nine-member volunteer workgroup of health professionals experienced                 publications/06-04-downloads/09-
June            2004 Culture - Safety - Tool                ICU toolkit           in leading ICUs and improving patient safety and quality of care.                   icu-toolkit.pdf
                                                                                  An institution-wide policy regarding non-punitive reporting, this brochure
                                                                                  reinforces the non-punitive reporting policy and encourages all co-                 http://www.premierinc.com/all/safet
                                                            Living a Culture of   workers to report errors, it was signed by the hospital president and               y/publications/02-04-downloads/10-
 February      2004 Culture - Safety - Tool                 Patient Safety        mailed to all co-worker homes.                                                √     st-john-nonpunitive-brochure.pdf
                                                                                  Improvements in medication list accuracy, allergy list accuracy, and
                                                                                  safe prescription writing practices that were observed by Gundersen
                                                            Ambulatory Patient    Lutheran Medical Center.
December       2003 Culture - Safety - Tool                 Safety - Toolkit                                                                                          http://www.gundluth.org/SCOPE
                                                                                  ―Disclosure of unanticipated events: Creating an effective patient
                                                                                  communication policy," the monograph covers considerations for
                                                                                  developing policies and procedures in specific settings such as acute
                                                                                  care, long-term care and pediatric care. It also examines the effect of             http://my.premierinc.com/all/safety/
                                                            Disclosure policy     disclosure policies on litigation.                                                  publications/12-03-downloads/09-
December       2003 Culture - Safety - Tool                 guide                                                                                                     disclosure-part2-1-policy.pdf
                                                                                  In a report released by the Institute of Medicine, a panel recommends
                                                                                  work hour limits and other changes to the work environment for nurses
                                                            Keeping Patients      to strengthen patient safety. The panel also noted that regulators and
                                                            Safe: Transforming    healthcare leaders should work to reduce workplace inefficiencies, such
                                                            the Work              as excessive paperwork and documentation, which reduce the time                     Purchase the report online at
                                                            Environment of        nurses have to spend with patients.                                                 http://books.nap.edu/catalog/10851
November       2003 PSS News                                Nurses                                                                                                    .html?onpi_newsdoc110403
                                                                                                                                                                      http://www.qualityhealthcare.org/Q
                                                                                                                                                                      HC/Topics/PatientSafety/Medicatio
                                                            Safety Climate        Organizations working to develop or improve a culture of safety need a              nSystems/Tools/Safety+Climate+S
July           2003 Culture - Safety - Tool                 Survey Tool           reliable measure to monitor the success of their initiatives.                 √     urvey+(IHI+Tool).htm
                                                            Disclosure of
                                                            Unanticipated         Focus on three aspects of the disclosure process: 1.The initial impact
                                                            Events: The Next      of the Joint Commission for Accreditation of Healthcare Organizations               http://my.premierinc.com/all/safety/
                                                            Step in Better        (JCAHO) Patient Safety Standards 2.Psychological and legal barriers                 publications/06-
                                                            Communication with    that can impede disclosure, and 3.Successful models used by                         03_downloads/07_disclosure_ASH
June           2003 Culture - Safety - Tool                 Patients              organizations to manage the disclosure process.                                     RM_part1of3.pdf




       Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
                                                                                          Premier Safety Share



                                                                                                                                                                   IHI
   Month        Year               Topic by Tab                      Tool                                           Description                                    Tool                Location


                                                                                     The Agency for Healthcare Research and Quality (AHRQ) PSIs are a
                                                                                     tool to help health system leaders identify potential adverse events
                                                                                     occurring during hospitalization. They are a set of indicators providing
                                                             AHRQ Patient            information on potential in-hospital complications and adverse events                http://www.qualityindicators.ahrq.go
April           2003 PSS News                                Safety Indicators       following surgeries, procedures, and childbirth.                                     v/psi_download.htm
                                                                                     Senior leaders conduct weekly WalkRounds™ in different areas of the
                                                             Creating a Culture of   hospital, to have informal conversations with front-line staff about safety
                                                             Safety Through          issues and to demonstrate their support of an organizational culture                 http://www.premierinc.com/safety/p
                                                             Executive               that promotes nonpunitive reporting of errors, adverse events, near                  ublications/03-
March           2003 Culture - Safety - Tool                 WalkRoundsTM            misses, and unsafe conditions                                                        03_downloads/01_b.pdf
                                                                                                                                                                          http://www.premierinc.com/all/safet
                                                             Medication System       A sample medication error reporting form designed to collect and                     y/publications/03-
March           2003 Culture - Safety - Tool                 Analyze-ERRTM           analyze actual and potential medication errors.                                      03_downloads/01_d.pdf

                                                             Checklist/Action
                                                             Plan for the                                                                                                 http://www.premierinc.com/all/safet
                                                             Management of High-                                                                                          y/publications/03-
March           2003 Culture - Safety - Tool                 Alert Medications   A checklist/action plan for the safe use of high-alert medications.                      03_downloads/01_g.pdf
                                                             Policy for Non-
                                                             punitive, System-
                                                             based Adverse Drug                                                                                           http://www.premierinc.com/all/safet
                                                             Event Reporting    A sample policy detailing a blame-free adverse drug event reporting                       y/publications/03-
March           2003 Culture - Safety - Tool                 Program            program.                                                                                  03_downloads/01_h.pdf
                                                                                                                                                                          http://www.premierinc.com/all/safet
                                                             Medication Safety       A patient safety tool helping patients understand their rights and                   y/publications/03-
March           2003 Culture - Safety - Tool                 Pledge for Patients     responsibilities regarding safe medication use.                                      03_downloads/01_j.pdf



                                                                                     The video provides step-by-step instructions on how to disclose
                                                                                     medical errors, why disclosure is important, and how open
February        2003 Culture - Safety - Tool                 Let's Talk              communication can strengthen the patient-provider relationship.                      http://www.npsf.org/
                                                                                 Participating organizations will work to create a system of safety,
                                                             Breakthrough Series including changing organizational culture and attitudes of leadership
                                                             Collaborative on    and front line staff, improving critical core processes, encouraging                     http://www.ihi.org/collaboratives/bre
                                                             Improving Patient   appropriate use of technology, and establishing an effective system for                  akthroughseries/PatientSafety/inde
August          2002 Culture - Safety - Tool                 Safety              measuring harm.                                                                    √     x.asp




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                                                                                                                                                                 IHI
  Month    Year                Topic by Tab                          Tool                                           Description                                  Tool                Location


                                                             Patient Safety          A job description for a safety officer, an organization-wide safety plan,
                                                             Program Resource        Power Point slides of program elements and key committees, sample
June       2002 Culture - Safety - Tool                      Guide                   grids for documenting interdisciplinary components, and other tools.               Download at Safety Store.
                                                                                                                                                                        http://my.premierinc.com/all/safety/
                  Patient Safety Topics - Patient safety -   Patient Safety          The intent of the sample Patient Safety Program is to provide tools to             resources/patient_safety/patient_sa
HSOPSC            downloads (*.doc)                          Program                 assist organizations in implementation of a patient safety program.                fety_downloads.htm
                                                                                 The ED is part of a larger, complex system. Given the complexity of the
                                                                                 system, for the thousands of patients treated each day, there are many
                                                                                 opportunities for medical errors, as well as opportunities to reduce such              http://www.premierinc.com/all/safet
                                                                                 errors. This document includes the recommendations of the Patient                      y/resources/patient_safety/downloa
                  Patient Safety Topics - Patient safety -   ACEP Patient Safety Safety Task Force and the Principles of Patient Care in the Emergency                  ds/24_ACEP_patient_safety_progr
HSOPSC            downloads (*.doc)                          Program             Care Environment.                                                                      am.doc

                                                             ECRI Disclosure of      Reviews the JCAHO's disclosure standard, discusses how to develop a                http://www.premierinc.com/all/safet
                  Patient Safety Topics - Patient safety -   unanticipated           disclosure policy and what the policy should address, and analyzes the             y/resources/patient_safety/downloa
HSOPSC            downloads (*.pdf)                          outcomes                impact of the standard on medical malpractice claims.                              ds/disclosure_ecri.pdf


                                                             ASHRM:
                                                             Perspective on
                                                             Disclosure of       A perspective paper on the disclosure of information involving                         http://www.premierinc.com/all/safet
                  Patient Safety Topics - Patient safety -   Unanticipated       unanticipated outcomes of diagnostic tests, medical treatments, and                    y/resources/patient_safety/downloa
HSOPSC            downloads (*.pdf)                          Outcome Information surgical interventions.                                                                ds/ASHRM_disclosure_05-01.pdf
                                                                                                                                                                        http://www.premierinc.com/all/safet
                                                                                     Provides guidance for minimizing the chance of the occurance of                    y/resources/patient_safety/downloa
                  Patient Safety Topics - Patient safety -   VA Patient Safety       untoward outcomes consequent to medical care. This handbook                        ds/25_VA_patient_safety_handboo
HSOPSC            downloads (*.pdf)                          Handbook                incorporates Root Cause Analysis.                                                  k.pdf


                                                             Disclosure: What
                                                             works now & what
                                                             can work even better
                                                             of unanticipated
                                                             events: the next step   ASHRM Monograh addresses the components of effective
                  Patient Safety Topics - Patient safety -   in better               communication of unanticipated outcome, considerations for each of                 http://www.premierinc.com/all/safet
                  sample policies - disclosure resources     communication with      the components and the unique perspectives to be taken in various                  y/resources/patient_safety/downloa
HSOPSC            and policies                               patients                clinical settings.                                                                 ds/disclosure-part3-02-04.pdf




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                                                                                                                                                               IHI
  Month     Year                Topic by Tab                          Tool                                        Description                                  Tool                Location


                                                              Disclosure of         ASHRM American Society of Healthcare Risk Management: Disclosure
                                                              Medical Errors:       of Medical Errors: Demonstrated Strategy to Enhance Communication,
                                                              Demonstrated          a one-hour video produced by ASHRM, focuses on practical risk                     http://www.ahaonlinestore.com/Pro
                   Patient Safety Topics - Patient safety -   Strategy to Enhance   management strategies to approach disclosure. The video is available              ductDisplay.asp?ProductID=555&c
HSOPSC             Education & training - ASHRM               Communication         for $50 to ASHRM members, $60 to non-members. Catalog #169520.                    artID=163827&PCatID=25


                                                        Strategies for                                                                                                http://www.ihi.org/IHI/Topics/Patien
                                                        Leadership: Hospital                                                                                          tSafety/MedicationSystems/Tools/S
                   Culture - Safety -Tool Adobe;Patient Executives and Their                                                                                          trategiesforLeadershipHospitalExec
                   Safety/Medication Systems/Tools;     Role in Patient                                                                                               utivesandTheirRoleinPatientSafety.
HSOPSC             Under: Culture of Safety             Safety               A compilation of leadership strategies for enhancing patient safety                √     htm

                                                                                    Walk-throughs enable providers to better understand the experience of             http://www.ihi.org/IHI/Topics/Improv
                                                              Walk-through (IHI     care from the patient’s and family’s points of view — by going through            ement/ImprovementMethods/Tools/
HSOPSC             Patient Safety                             Tool)                 the experience themselves                                                   √     Walk-through.htm




                                                                                   The Emergency Preparedness Atlas includes maps showing the
                                                                                   location of hospitals and nursing homes in each state, and case studies
                                                                                   for six states that show bed capacity and the emergency management
                                                                                   and bioterrorism preparedness regions for each facility. The Atlas is
                                                                                   intended to help nursing homes plan how they may be used to handle a
                                                                                   surge of patients in response to emergency situations; it is not a review
                                                                                   of the quality or adequacy of preparedness efforts in any area. The
                                                                                   Atlas can help explain the state-specific regulatory environment of
                                                                                   nursing homes with respect to surge capacity and illustrate nursing
                                                                                   home geographic distribution in the United States. A separate report,
                                                              AHRQ – Emergency "Nursing Homes in Public Health Emergencies – Special Needs and
                                                              prep guide to locate Potential Roles," addresses the role that nursing homes could play in
                                                              healthcare sites     regional preparedness, and is based on focus groups with nursing                   http://www.ahrq.gov/prep/nursingho
August      2007 Emergency Preparedness                       during disaster      homes in the case study states.                                                    mes/atlas.htm




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                                                                                       Premier Safety Share



                                                                                                                                                                IHI
  Month       Year               Topic by Tab                      Tool                                          Description                                    Tool               Location



                                                                                  The Department of Health & Human Services' (HHS) Agency for
                                                                                  Healthcare Research and Quality (AHRQ) has released a DVD titled,
                                                                                  "Cross Training Respiratory Extenders for Medical Emergencies
                                                                                  (Project XTREME)," that trains healthcare professionals who are not
                                                                                  respiratory care specialists to provide basic respiratory care and
                                                                                  ventilator management to adult patients in any mass casualty event.
                                                                                  The DVD includes six training modules with interactive quizzes to test
                                                                                  viewers' knowledge. Meant for physicians, physician assistants, nurses
                                                                                  and others, the modules cover topics such as infection control,
                                                           AHRQ DVD –             respiratory care terms and definitions, manual ventilation (using hand-              A free, single copy of the DVD and
                                                           Training for           held bags), mechanical ventilation (using the two types of ventilators               a CD-ROM with the report may be
                                                           respiratory            included in the federal government's Strategic National Stockpile of                 ordered by calling 800.358.9295 or
                                                           care/vents in          medicines and medical supplies for emergencies), airway maintenance,                 by sending an e-mail to
June          2007 Emergency Preparedness                  disasters              and airway suctioning.                                                               ahrqpubs@ahrq.hhs.gov.


                                                                                  AHRQ has released a questionnaire that hospitals and other healthcare
                                                                                  facilities can use to plan and evaluate their readiness for a public health
                                                                                  emergency involving a chemical, biological, radiological, nuclear or
                                                                                  explosive event. The 43-question document is divided into eight
                                                                                  categories: administration and planning; education and training;
                                                           Emergency              communication and notification; patient (surge) capacity; staffing and
                                                           response planning      support; isolation and decontamination; supplies, pharmaceuticals, and
May           2007 Emergency Preparedness                  tool                   laboratory support; and surveillance.                                                http://www.ahrq.gov/prep/cbrne/


                                                                                  The CDC has provided advance data from vital and health statistics
                                                                                  demonstrating wide variations in terrorism preparedness training. A                  The report and many updates on
                                                           CDC – QuickStats       study by Niska et al., "Training for terrorism-related conditions in                 Emergency Preparedness may be
                                                           on training ER staff   hospitals: United States, 2003-04; No. 380," used data to determine                  downloaded from the Safety
                                                           for emergency          which hospital characteristics are associated with providing terrorism               Institute's Emergency
May           2007 Emergency Preparedness                  preparedness           preparedness training to clinical staff.                                             Preparedness Web site.




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                                                                                                                                                               IHI
  Month       Year               Topic by Tab                      Tool                                         Description                                    Tool                Location



                                                                                 Two courses designed to help hospital personnel implement the
                                                                                 National Incident Management System (NIMS) are available from the
                                                                                 Federal Emergency Management Agency (FEMA). NIMS was
                                                                                 developed so responders from different jurisdictions and disciplines can
                                                                                 better collaborate to respond to natural disasters and other
                                                                                 emergencies. Course IS-100. HC, "Introduction to the Incident
                                                                                 Command System for Healthcare/Hospitals," describes the history,
                                                                                 features, principles and organizational structure of ICS. FEMA notes
                                                                                 that the course is for hospital personnel who would have a direct role in
                                                                                 emergency preparedness, incident management, and/or emergency
                                                                                 preparedness. Course IS-200. HC, "Applying ICS to Healthcare                         http://www.training.fema.gov/EMIW
                                                                                 Organizations," is designed to enable healthcare personnel to operate                eb/IS/is100HC.asp;
                                                           FEMA –                efficiently during an incident or event within the ICS and is for personnel          http://www.training.fema.gov/EMIW
                                                           Implementing the      whose primary responsibility is emergency management. FEMA's Web                     eb/IS/is200HC.asp;
                                                           National Incident     site has additional information on NIMS implementation activities for                http://www.fema.gov/emergency/ni
                                                           Management            hospitals. Other professional groups such as the American Society for                ms/compliance/assist_non_govt.sh
Feb           2007 Emergency Preparedness                  System (NIMS)         Healthcare Engineering also offer similar training courses for ICS.                  tm


                                                                                 Providing Mass Medical Care with Scarce Resources: A Community
                                                                                 Planning Guide (.pdf) (1.1 MB) is the product of a collaborative effort
                                                                                 between AHRQ and the Office of Public Health Emergency
                                                                                 Preparedness. Experts in the areas of mass casualty care, including
                                                                                 pre-hospital care, hospital and acute care, alternative care sites,
                                                                                 palliative care, ethical issues, and legal considerations, contributed to
                                                                                 this guide. It describes shortages (such as of hospital beds and
                                                                                 ambulances) healthcare workers may face and gives planners specific
                                                                                 recommendations, such as providing off-site care and using taxis,                    http://www.premierinc.com/quality-
                                                           AHRQ emergency        buses, and private cars to transport sick or injured patients. The report            safety/tools-services/safety/safety-
                                                           planning – Mass       provides planning checklists and tips for making wise use of limited                 share/12-06-downloads/08-ahrq-
Dec           2006 Emergency Preparedness                  casualty care guide   medical resources.                                                                   mce-guide.pdf




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                                                                                                                                                                IHI
   Month        Year               Topic by Tab                      Tool                                         Description                                   Tool                Location


                                                                                 A Web-based interactive decision tool designed to assist emergency
                                                                                 preparedness and recovery planners is available from the Department
                                                                                 of Health and Human Services. The new tool helps determine how to
                                                                                 access and use health information about various populations such as
                                                             HIPAA Privacy Rule: the elderly and those with disabilities, and is consistent with the Health
                                                             Disclosures for     Insurance Portability and Accountability Act's privacy rule in emergency
                                                             Emergency           preparedness situations. The tool should help planners organize their                 Go to:
                                                             Preparedness - A    activities, and provide useful information to a range of potential                    http://www.hhs.gov/ocr/hipaa/decisi
July            2006 Emergency Preparedness                  Decision Tool       programs.                                                                             ontool/.


                                                                                   The 27-minute training video teaches hospital personnel how to
                                                                                   decontaminate children after being exposed to hazardous chemicals
                                                                                   during a bioterrorist attack or other type of disaster. It reviews
                                                                                   strategies, tools and key preparedness planning issues. The training
                                                                                   video is intended for hospitals and emergency and pediatric
                                                             The                   professionals because it explains the unique needs of children versus
                                                             Decontamination of    adults during public health emergencies. The video also covers three
                                                             Children:             main areas: a step-by-step presentation of the decontamination
                                                             Preparedness and      process; a real-time demonstration of the decontamination of children               To obtain a free single copy,
                                                             Response for          from infancy to adolescence, and; a section for administrators that                 contact the AHRQ Publications
                                                             Hospital Emergency    outlines the steps involved in establishing and maintaining a pediatric             Clearinghouse at 800.358.9295, or
April           2006 Emergency Preparedness                  Departments           decontamination facility in any emergency department.                               via email at ahrqpubs@ahrq.gov.


                                                                                   The Joint Commission on Accreditation of Healthcare Organizations
                                                                                   (JCAHO) has issued a guide, "Surge Hospitals: Providing Safe Care in
                                                                                   Emergencies". A "surge hospital" is designed to treat a surge in the
                                                                                   number of patients needing care, triage, treatment, and even surgical
                                                                                   interventions. They are temporary facilities, such as shuttered hospitals,
                                                                                   closed wards in existing hospitals, and mobile facilities designed to               Go to:
                                                                                   serve as a stopgap measure to provide medical care until an area's                  http://www.premierinc.com/all/safet
                                                             Surge Hospitals:      healthcare organizations can reopen. The guide also includes case                   y/resources/disaster_readiness/do
                                                             Providing Safe Care   studies that describe how surge hospitals were established during the               wnloads/surge-hospitals-jcr-12-08-
January         2006 Emergency Preparedness                  in Emergencies        recent hurricanes on the Gulf Coast.                                                05.pdf




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                                                                                                                                                          IHI
  Month    Year               Topic by Tab                      Tool                                          Description                                 Tool                Location


                                                                           The Centers for Disease Control and Prevention's (CDC) National
                                                                           Institute for Occupational Safety and Health (NIOSH) has released its
                                                                           2005 NIOSH Pocket Guide to Chemical Hazards. Key general industrial
                                                                           hygiene information is included on several hundred chemicals and
                                                                           substances groups such as cyanides, fluorides, and manganese
                                                                           compounds. The information includes a physical description, exposure
                                                                           limits, substances with which the chemical is incompatible or will react,
                                                                           and recommended personal protection equipment. The booklet also
                                                                           provides information on sanitation measures, first aid procedures,
                                                        NIOSH pocket guide respirator recommendations, exposure routes and symptoms, target                      http://www.cdc.gov/niosh/npg/defau
December   2005 Emergency Preparedness                  - Chemical hazards organs, and cancer sites.                                                             lt.html


                                                        Mold: Prevention       Mold: Prevention Strategies and Possible Health Effects in the
                                                        Strategies and         Aftermath of Hurricanes Katrina and Rita and a mold table includes
                                                        Possible Health        population specific recommendations for protection from exposure to
                                                        Effects in the         mold in buildings flooded after hurricanes by specific activity and risk
                                                        Aftermath of           factors, as well as information on how to identify and prevent mold-              http://www.premierinc.com/all/safet
                                                        Hurricanes Katrina     related health effects. The documents include recommendations for                 y/resources/disaster_readiness/do
November   2005 Emergency Preparedness                  and Rita               control of mold exposure.                                                         wnloads/2005-mold-report.pdf




                                                                                                                                                                 http://www.premierinc.com/all/safet
                                                                                                                                                                 y/public-health/downloads/03-
                                                                                                                                                                 reoccupancy-post-hurricane-10-18-
                                                                               A fact sheet and checklist were recently developed by the Centers for             05.pdf,
                                                                               Disease Control and Prevention to assist healthcare facilities with the           http://www.premierinc.com/all/safet
                                                                               tasks involved during clean-up and reopening following extensive water            y/public-health/downloads/02-ic-
                                                                               damage. "Remediation and Infection Control Considerations for                     checklist-reoccupancy-post-
                                                                               Reopening Healthcare Facilities Closed due to Extensive Water and                 hurricane-10-18-05.doc, and
                                                                               Wind Damage" notes that implementation of these measures is meant                 http://www.premierinc.com/all/safet
                                                                               to be followed in accordance with state and local certification                   y/public-health/downloads/01-ic-
                                                                               requirements, completion of building and fire inspections, and other              checklist-reoccupancy-post-
November   2005 Emergency Preparedness                  Reopening a facility   relevant state or local regulations.                                              hurricane-10-18-05.pdf




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                                                                                                                                                         IHI
  Month     Year               Topic by Tab                      Tool                                       Description                                  Tool                Location


                                                                               The Joint Commission on Accreditation of Healthcare Organizations
                                                                               (JCAHO) has issued a step-by-step guide, "Standing Together: An
                                                                               Emergency Planning Guide for America's Communities," for small, rural
                                                                               and suburban communities to both prepare for and successfully
                                                                               respond to major local and regional emergencies such as hurricanes,
                                                         Standing Together:    floods, terrorist attacks, major infectious outbreaks, hazardous
                                                         An Emergency          materials spills, or other catastrophic occurrences. This comprehensive
                                                         Planning Guide for    planning guide provides 13 essential steps that local government and             http://www.premierinc.com/all/safet
                                                         America's             public health leaders can use to establish an effective community-               y/publications/10-05-downloads/10-
October     2005 Emergency Preparedness                  Communities           based emergency management planning and response process.                        emergency-planning-guide.pdf




                                                                               A recently released Archives of Internal Medicine article describes
                                                                               improvements in a physician's ability to diagnose and manage diseases
                                                                               caused by bioterrorism agents. Such improvements were documented
                                                                               after the completion of an online pre-test that assessed physicians'
                                                                               baseline knowledge and ability to diagnose and manage potential cases
                                                                               of smallpox, anthrax, botulism, and plague. An educational module
                                                                               following the pre-test reviewed diagnosis and decision-making for
                                                                               patients presenting with anthrax, botulism, plague, smallpox, or a
                                                                               common disorder that has clinical overlap with these diseases. The
                                                                               educational module was followed by a post-test, which measured the
                                                                               module's effectiveness. Extra cases were presented to the physicians             The bioterrorism-education module
                                                                               between the pre- and post-tests on each of the four potential                    is available for registered users on
                                                         Educational module    bioterrorism agents. Improvement in results led the study's authors to           the Johns Hopkins Medicine's
                                                         for physicians –      conclude that the online education module may improve physician's                Internet Learning Center at:
October     2005 Emergency Preparedness                  Bioterrorism agents   diagnosis and management of diseases caused by these agents.                     http://www.hopkinsilc.org.
                                                         Premier Safety
                                                         Institute's
                                                         Emergency and         The Premier Safety Institute's Emergency and Public Health
                                                         Public Health         Preparedness page also contains relevant and timely news and                     http://www.premierinc.com/all/safet
September   2005 Emergency Preparedness                  Preparedness          resources related to the disaster.                                               y/public-health/
                                                                              During clean up and recovery operations following hurricanes, OSHA
                                                                              issues alerts on the dangers associated with cleanup and recovery from            http://www.osha.gov/OshDoc/hurric
September   2005 Emergency Preparedness                  Keeping workers safe hurricanes.                                                                       aneRecovery.html




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                                                                                    Premier Safety Share



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  Month     Year              Topic by Tab                      Tool                                          Description                                     Tool                Location


                                                                               Increased incidence of acute diarrhea may occur in post-disaster
                                                        Acute diarrhea -       situations where access to electricity, clean water, and sanitary facilities          http://www.premierinc.com/all/safet
                                                        guidelines for         are limited. In addition, usual hygiene practices may be disrupted and                y/publications/09-05-downloads/14-
September   2005 Emergency Preparedness                 management             healthcare seeking behaviors may be altered.                                          guide-acute-diarrhea.pdf

                                                                               Food may not be safe to eat during and after a natural disaster or                    http://www.premierinc.com/all/safet
                                                                               power outage. Safe water guidelines provide guidance for using bottled,               y/publications/09-05-downloads/13-
September   2005 Emergency Preparedness                 Safe food and water    boiled, or treated water for drinking, cooking, and personal hygiene.                 food-water-safety.pdf
                                                                               Information on water supply disruptions excerpted from the CDC
                                                                               Guidelines for Environmental Infection Control in Health-Care Facilities,             http://www.premierinc.com/all/safet
                                                                               2003 - Recommendations of CDC and the Healthcare Infection Control                    y/publications/09-05-downloads/12-
September   2005 Emergency Preparedness                 Water system repair    Advisory Committee (HICPAC).                                                          water-system-repair.pdf


                                                                               Community shelters provide housing for persons displaced from their
                                                                               homes following natural disasters such as hurricanes, floods, and
                                                                               earthquakes. In these settings, individuals share living space. Some
                                                                               individuals may have health problems, including acute or chronic
                                                        Community shelter      infectious diseases. These recommendations provide basic infection                    http://www.premierinc.com/all/safet
                                                        guidance following     control information that will help to prevent exposure to or transmission             y/publications/09-05-downloads/11-
September   2005 Emergency Preparedness                 disasters              of infectious agents.                                                                 community-shelters.pdf


                                                                             Immunization recommendations (.pdf) (85 KB) are available for
                                                                             individuals displaced by Hurricane Katrina. Although measles and
                                                                             rubella are no longer endemic to the United States, introductions do
                                                                             occur, and crowded conditions may facilitate their spread. Although
                                                                             Hepatitis A incidence is low in the affected areas, post-exposure
                                                                             prophylaxis in these settings would be logistically difficult.
                                                                             Consequently, vaccination is recommended. In addition, the influenza                    http://www.premierinc.com/all/safet
                                                        Interim immunization season will begin soon and influenza can spread easily under crowded                    y/publications/09-05-downloads/09-
September   2005 Emergency Preparedness                 after hurricane      conditions. Interim recommendations are provided.                                       cdc-advisory-interim-immun.pdf


                                                                                                                                                                     http://www.premierinc.com/all/safet
                                                                                                                                                                     y/publications/09-05-downloads/06-
                                                                             After an emergency, it can be difficult to find running water. However, it              handwashing-emergencies.pdf
                                                                             is still important to wash your hands (.pdf) (75 KB) to avoid illness. It is            and
                                                                             best to wash your hands with soap and water but when water isn't                        http://www.premierinc.com/all/safet
                                                        Hand hygiene in      available, you can use alcohol-based products (.pdf) (34 KB) made for                   y/publications/09-05-downloads/21-
September   2005 Emergency Preparedness                 emergency situations washing hands.                                                                          clean-hands-cards.pdf




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  Month     Year              Topic by Tab                      Tool                                            Description                                      Tool                Location


                                                                                This summary addresses preventing electrocutions associated with
                                                                                generators plugged into household circuits. Homeowners should not
                                                                                attempt to install any generator that requires hard-wiring into an existing             http://www.premierinc.com/all/safet
                                                        Electrical safety and   electrical circuit or that requires a trained, qualified electrician to hard-           y/publications/09-05-downloads/05-
September   2005 Emergency Preparedness                 generators              wire any generator into a household circuit.                                            electrical-safety.pdf


                                                                                After a natural disaster, snakes may have been forced from their
                                                                                natural habitats and move into areas where they would not normally be
                                                                                seen or expected. When you return to your home, be cautious of                          http://www.premierinc.com/all/safet
                                                        Snake bite - How to     snakes that may have sought shelter in your home. If you see a snake                    y/publications/09-05-downloads/08-
September   2005 Emergency Preparedness                 prevent or respond      in your home, immediately call the animal control agency in your county.                snake-bite.pdf

                                                        Animal disposal         Most states have guidelines on disposal of dead animals so people with                  http://www.premierinc.com/all/safet
                                                        following an            questions regarding the specific situation in their state are encouraged                y/publications/09-05-downloads/07-
September   2005 Emergency Preparedness                 emergency               to contact local or state health and agricultural officials for clarification.          animal-disposal.pdf


                                                                                ASHE's Hurricane Relief Resources provides a link to the University of
                                                                                Minnesota, "Managing Water Infiltration into Buildings: A Systematized                  See also CDC's "Healthcare Water
                                                                                Approach for Remediating Water Problems in Buildings due to Floods,                     System Repair" at
                                                                                Roof Leaks, Potable Water Leaks, Sewage Backup, Steam Leaks and                         http://www.dehs.umn.edu/iaq/flood.
September   2005 Emergency Preparedness                 Flood remediation       Groundwater Infiltration."                                                              html.




                                                                                                                                                                        The information is available at
                                                                                                                                                                        http://www.ahrq.gov/research/shutt
                                                                                The new report from the Agency for Healthcare Research and Quality                      ered/. Related: Use of shuttered
                                                                                (AHRQ) entitled "Use of Former (Shuttered) Hospitals to Expand Surge                    hospitals report
                                                                                Capacity" that gives emergency responders and public health officials                   http://www.premierinc.com/all/safet
                                                                                useful, practical tools for opening shuttered hospitals when an                         y/publications/09-05-downloads/02-
                                                                                emergency is underway. The information is available at                                  ahrq-shutreport.pdf, Tool kit to
                                                                                http://www.ahrq.gov/research/shuttered/. The report gives surrounding                   open a facility
                                                                                communities that aren't immediately affected by the hurricane a way to                  http://www.premierinc.com/all/safet
                                                                                assess their existing facilities to meet future needs. It includes lists of             y/publications/09-05-downloads/03-
                                                                                supplies and medications needed by stable medical/surgical patients                     ahrq-toolkit.pdf, and Checklist to
                                                        Use of Former           and checklists to assess facility readiness, staffing needs and levels,                 open a facility found at
                                                        (Shuttered)             and patient transport readiness. The report also contains a tool kit with               http://www.premierinc.com/all/safet
                                                        Hospitals to Expand     a list of supplies and equipment needed for operation of a reopened                     y/publications/09-05-downloads/04-
September   2005 Emergency Preparedness                 Surge Capacity          facility.                                                                               ahrq-checklist.pdf.




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  Month     Year               Topic by Tab                       Tool                                          Description                                    Tool                Location


                                                                                  Although terrorists use a variety of methods to inflict harm and create
                                                                                  fear, bombs are used most frequently. According to the FBI, bombings
                                                                                  accounted for nearly 70 percent of all terrorist attacks in the United
                                                                                  States and its territories between 1980 and 2001. This practical
                                                                                  summary focuses on common sense principles that will be useful in a
                                                                                  bombing event. It describes how every person, family or organization
                                                                                  should prepare for an emergency or disaster, including knowledge of
                                                                                  work, school and community disaster plans. If you are not familiar with
                                                                                  the plans, contact your supervisor, school administrators, or your local
                                                         Preparing for a          fire department for more information. This document details what
August      2005 Emergency Preparedness                  terrorist bombing        should be done if a bomber is suspected.                                            This CDC document can be downloaded at http:

                                                                                The Occupational Safety and Health Administration (OSHA) has
                                                                                released a best practices document (.pdf) (1.9 MB) for hospital-based
                                                                                first receivers of victims of chemical, biological, and radiological events.
                                                                                The "Hospital-Based First Receivers of Victims from Mass Casualty
                                                                                Incidents Involving the Release of Hazardous Substances" document
                                                                                will assist hospitals in developing and implementing emergency
                                                                                management plans that address the protection of emergency
                                                                                department personnel, while receiving contaminated victims from mass
                                                         OSHA 'best practice' casualty incidents. It also includes information on victim                              http://www.premierinc.com/all/safet
                                                         guidance for hospital- decontamination, personal protective equipment (PPE), and employee                    y/publications/01-05-downloads/08-
January     2005 Emergency Preparedness                  based first receivers training                                                                               first-receivers-hosp.pdf


                                                                                  The Department of Homeland Security has released a new National
                                                                                  Response Plan. The Department of Health and Human Services will
                                                                                  lead the federal government in providing public health and medical
                                                                                  services during major disasters and emergencies. The National                       The Plan can be downloaded at:
                                                         National Response        Response Plan establishes a comprehensive all-hazards approach to                   http://www.dhs.gov/dhspublic/intera
January     2005 Emergency Preparedness                  Plan                     enhance the ability of the United States to manage domestic incidents.              pp/
                                                                                                                                                                      To register: Go to:
                                                         Clinician Registry for                                                                                       www.bt.cdc.gov/coca and follow
                                                         Terrorism and                                                                                                the links to ―Clinician Resources‖
                                                         Emergency                The registry provides real-time information to help healthcare providers            and ―Registry.‖ The direct
                                                         Response Updates         prepare for (and possibly respond to) emerging diseases and terrorism               registration link is:
                                                         and Training             events. CDC also uses the registry to announce new clinician training               http://www.bt.cdc.gov/clinregistry/in
October     2004 Emergency Preparedness                  Opportunities            opportunities related to terrorism and emergency response topics.                   dex.asp.




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  Month        Year               Topic by Tab                      Tool                                            Description                                    Tool                Location


                                                                                                                                                                          http://my.premierinc.com/all/safety/
                                                            Minnesota's surge                                                                                             publications/08-04-downloads/08-
August        2004    Emergency Preparedness                capacity plan            Minnesota's surge capacity plan                                                      surge-amacdc-email.ppt
                                                            Healthcare Facility
                                                            and Community            A study conducted by several disaster medicine experts on strategies                 The plan is available from the
                                                            Strategies for           to manage patient surges in healthcare facilities following a biological or          Annals of Emergency Medicine
                                                            Patient Care Surge       chemical terrorist attack, provides sample response plans for                        (contact Colleen Hughes at
August        2004    Emergency Preparedness                Capacity                 communities in Colorado, Massachusetts, Minnesota, and Virginia.                     202.728.0610, Ext. 3010).
                                                                                     The tool helps regional planners locate and rank potential alternative               To view the full report and tool, go
                                                                                     sites such as stadiums, schools and recreation centers based on                      to:
                                                            Surge capacity           whether they have adequate ventilation, plumbing, food supply, kitchen               http://www.ahrq.gov/research/altsit
August        2004    Emergency Preparedness                planning                 facilities and other factors.                                                        es.htm.


                                                                                     The Centers for Disease Control and Prevention (CDC) has established
                                                                                     partnerships with national clinician organizations for the purpose of
                                                                                     disseminating timely information on disease outbreaks and terrorism
                                                                                     events. COCA's Web site was successfully launched July 20. The site
                                                            Clinician Outreach       offers many resources for COCA members, including past COCA
                                                            and Communication        conference call summaries and slides, listings of COCA members,                      Visit the COCA Web site at
August        2004    Emergency Preparedness                Activity (COCA)          information on future conference calls and training updates.                         www.bt.cdc.gov/coca/index.asp.

                                                                                     The Centers for Disease Control and Prevention has a Web-based                       The module can be completed at
                                                            Plague training          module designed to teach the natural epidemiology of plague and how                  http://www.bt.cdc.gov/agent/plague
July          2004    Emergency Preparedness                module                   to manage it as both a natural disease and an intentional attack.                    /trainingmodule/.
                                                                                                                                                                          The full report, Evidence
                                                                                                                                                                          Report/Technology Assessment
                                                                                                                                                                          No. 95, Training of Hospital Staff
                                                            Training of Clinicians   This evidence report updates the evidence report "Training of Clinicians             to Respond to a Mass Casualty
                                                            for Public Health        for Public Health Events Relevant to Bioterrorism Preparedness" and                  Incident, may be obtained free
                                                            Events Relevant to       focuses on the effectiveness of hospital disaster drills, computer                   from the AHRQ Publications
                                                            Bioterrorism             simulations, and tabletop or other exercises used in training hospital               Clearinghouse by calling
June            2004 Emergency Preparedness                 Preparedness             staff to respond to a mass casualty incident.                                        800.358.9295.




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  Month        Year               Topic by Tab                      Tool                                          Description                                    Tool               Location


                                                                                  The tool, developed by the Evidence-based Practice Center at the
                                                                                  Johns Hopkins University, helps hospitals identify their strengths and
                                                                                  weaknesses during a disaster drill and improve their ability to meet
                                                                                  required emergency management plans. Areas assessed include pre-
                                                                                  drill planning, incident command, decontamination, triage and
                                                            Evaluation of         treatment. The tool also includes checklists to help hospitals tailor drills
                                                            Hospital Disaster     to specific health threats, such as a biological or radiation incidents,
                                                            Drills: A Module-     and a spreadsheet to track and compare drill performance among
June          2004    Emergency Preparedness                Based Approach        hospital units or hospitals.


                                                                               The plan calls for specialized response teams, an emergency
                                                                               preparedness executive steering committee, and regional emergency
                                                                               response plans during a national emergency. The agency recently
                                                                               published its National Emergency Management Plan that details the
                                                                               agency's roles and responsibilities during responses to national
                                                            National Emergency emergencies and outlines procedures to ensure assistance is in place                     http://www.osha.gov/SLTC/emerge
March          2004 Emergency Preparedness                  Management Plan    for responder and recovery workers' health and safety.                                   ncypreparedness/index.html


                                                                                 The report, HHS bioterrorism preparedness programs: States reported
                                                                                 progress but fell short of program goals for 2002, examines the extent
                                                                                 to which states completed 2002 cooperative agreement requirements
                                                                                 and whether they identified any factors that hindered implementation of
                                                                                 the Centers for Control and Prevention (CDC) and Health Resources               http://www.premierinc.com/all/safet
                                                                                 and Services Administration’s (HRSA) cooperative agreement                      y/publications/03-04-downloads/04-
March           2004 Emergency Preparedness                                      programs.                                                                       d04360r.pdf
                                                            HHS bioterrorism preparedness programs: States reported progress but fell short of program goals for 2002
                                                                                                                                                                        An Excel program version (1.4
                                                            Computer staffing    A new computer model is available to help hospitals and health                         MB) may be downloaded from:
                                                            model - Bioterrorism systems plan antibiotic dispensing and vaccination campaigns to                        http://www.ahrq.gov/research/biom
July           2003 Emergency Preparedness                  Response             respond to bioterrorism or large-scale natural disease outbreaks.                      odel.htm.
                                                                                                                                                                        The Evacuation Planning Matrix,
                                                                                                                                                                        available at
                                                            Evacuation Planning                                                                                         http://www.osha.gov/dep/evacmatri
June           2003 Emergency Preparedness                  Matrix              Online tool to help employers with emergency planning.                                  x/index.html




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                                                                                                                                                                  IHI
   Month        Year               Topic by Tab                       Tool                                           Description                                  Tool                Location


                                                             Guidance for
                                                             Protecting Building
                                                             Environments from        A new federal guidance is now available to help facility specialists in            http://my.premierinc.com/all/safety/
                                                             Airborne Chemical,       business and government strategically select and use air-filtration and            publications/06-
                                                             Biological, or           air-cleaning systems for protecting occupants in buildings from                    03_downloads/08_NIOSH_2003-
June            2003 Emergency Preparedness                  Radiological Attacks     chemical, biological, or radiological attacks.                                     136.pdf
                                                             Disaster
                                                             Preparedness and
                                                             Response in Texas                                                                                           http://www.healthpolicyinstitute.org/
                                                             Hospitals: Part I,                                                                                          projects/disaster_response/dis_res
May             2003 Emergency Preparedness                  Bioterrorism             A bioterrorism disaster preparedness guide for hospitals.                          p.asp
                                                                                Information on agents likely to be used in a chemical terrorist attack.
                                                                                This resource highlights agent-specific identification, medical
                                                                                symptoms, personal protective equipment, and decontamination
                                                             Emergency          considerations for responding to events involving cyanide, sarin, and                    http://www.cdc.gov/niosh/topics/em
May             2003 Emergency Preparedness                  Response Resources nitrogen mustard.                                                                        res/chemagent.html
                                                                                      Disaster drills are most effective when designed by an interdisciplinary
                                                                                      team that clearly establishes goals before the drill begins. A
                                                             Planning and             teleconference on disaster drills and readiness assessment asserts that            http://www.hsrnet.net/ahrq-
                                                             executing disaster       the drills should also include a plan to evaluate whether the goals were           ulp/bioterrorism/events/0415/materi
May             2003 Emergency Preparedness                  drills                   reached.                                                                           als.htm
                                                             Addressing the
                                                             Smallpox Threat:                                                                                            http://www.hsrnet.net/ahrq-
                                                             Issues, Strategies,      Copies of a 90-minute audiotape may be purchased for $10 from the                  ulp/bioterrorism/events/0218/materi
May             2003 Emergency Preparedness                  and Tools                AHRQ Publications Clearinghouse                                                    als.htm



                                                             Clinician Registry for
                                                             E-mail Updates on        Clinician's registry to provide real-time information to help prepare for
                                                             Terrorism and            and respond to terrorism and emergency situations. As participants,
                                                             Emergency                physicians will receive regular updates on terrorism and emergency
April           2003 Emergency Preparedness                  Response                 response issues targeted to clinicians.                                            http://www.bt.cdc.gov/

                                                             Smallpox Vaccine     A guide addressing legal and risk management issues for hospitals                      http://biotech.law.lsu.edu/blaw/bt/s
March           2003 Emergency Preparedness                  Injury and Law Guide related to the smallpox vaccine.                                                       mallpox/svlaw.htm




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  Month     Year               Topic by Tab                      Tool                                          Description                                Tool                Location

                                                         Risk Management
                                                         Guidance for Health,
                                                         Safety and
                                                         Environmental          The report covers several issues related to infrastructure and
                                                         Security under         environmental risks during disaster events, including food, mail, and            http://my.premierinc.com/all/safety/
                                                         Extraordinary          personnel security and safety; transportation; childcare; and building           publications/03-
March       2003 Emergency Preparedness                  Incidents              access                                                                           03_downloads/11_extraordinary.pdf



                                                                                The chart presents a concise summary of signs and symptoms to
                                                         Chemical terrorism     assist with early recognition, as well as to alert healthcare workers
February    2003 Emergency Preparedness                  agents                 about the potential for chemical terrorism agents.                               http://www.unc.edu/depts/spice/
                                                                              The program provides basic information required to implement a
                                                         Bioterrorism Update: smallpox vaccination preparedness program. Presented in a series of
                                                         Smallpox             modules, it is directed at state and local health department and clinical          http://bookstore.phf.org/prod250.ht
February    2003 Emergency Preparedness                  Preparedness         personnel.                                                                         m



                                                                                                                                                                 http://my.premierinc.com/all/safety/
                                                         Vaccine Information    The smallpox VIS must be used with a separate consent form that                  publications/01-
January     2003 Emergency Preparedness                  Statement (VIS)        requires a signature.                                                            03_downloads/11_small02.pdf



                                                                                This comprehensive module addresses the vaccine, methods of
                                                         Smallpox training      inoculation, prevention of contact transmission, laboratory testing and
December    2002 Emergency Preparedness                  module                 use of vaccinia immunoglobulins (VIGs).                                          http://www.bt.cdc.gov/


                                                                              More than 70 metropolitan hospital executives heard how hospitals near
                                                                              "Ground Zero" in lower Manhattan and the Pentagon responded to the
                                                         National Symposium immediate tragedies of September 11, 2001, as well as strategies                     http://www.hospitalconnect.com/ah
                                                         on Hospital Disaster related to ongoing disaster readiness preparations against possible                a/key_issues/disaster_readiness/E
December    2002 Emergency Preparedness                  Readiness            future biological, and chemical, and natural disasters.                            mWhatsNew.html
                                                                                                                                                                 Go to
                                                         Emergency                                                                                               http://www.premierinc.com/all/safet
                                                         preparedness           On-line catalogs provide emergency preparedness supplies available               y/resources/disaster_readiness/pro
November    2002 Emergency Preparedness                  materials              from several companies                                                           d_equip.htm.




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  Month       Year               Topic by Tab                      Tool                                           Description                                 Tool                Location




                                                           AHRQ's Bioterrorism
                                                           Emergency Planning                                                                                        http://my.premierinc.com/all/safety/
                                                           and Preparedness      Biological weapons training for personnel, procedures to permit rapid               publications/09-
                                                           Questionnaire for     recognition of credentialed staff from other facilities, on-call nursing            02_downloads/11_AHRQ_bioterror
October       2002 Emergency Preparedness                  Healthcare Facilities policies, and designated areas of emergency overflow for patients                   _checklist.pdf

                                                           Disaster kit — Tools
                                                           to meet children’s       To aid pediatricians, community leaders, parents, and others in
October       2002 Emergency Preparedness                  needs                    preparing for and meeting children's needs during a disaster.                    http://www.aap.org/terrorism/
                                                           Preparing for
                                                           Terrorism: Tools for
                                                           Evaluating the           A set of measurement tools and a process for evaluating the extent to
                                                           Metropolitan Medical     which communities have implemented the disaster preparedness plans
                                                           Response System          required by the Department of Health and Human Services’                         http://www.nap.edu/catalog/10412.
August        2002 Emergency Preparedness                  Program                  Metropolitan Medical Response System program.                                    html


                                                           Guidance for
                                                           Protecting Building
                                                           Environments from                                                                                         http://my.premierinc.com/all/safety/
                                                           Airborne Chemical,   The guidelines address the physical security of ventilation systems,                 publications/06-
                                                           Biological, or       airflow and filtration, systems maintenance, program administration,                 02_downloads/05_36_2002_niosh_
June          2002 Emergency Preparedness                  Radiological Attacks and maintenance staff training.                                                      ventilation_139.pdf
                                                                                    Resources on bioterrorism – including an evidence report on training
                                                           Training of Clinicians   clinicians, a summary of a workshop on strengthening the nation's
                                                           for Public Health        response capabilities, the results of a survey noting the gaps and
                                                           Events Relevant to       resources needed by local public health agencies to respond effectively
                                                           Bioterrorism             to bioterrorism, and a report from ECRI on personal protective
May           2002 Emergency Preparedness                  Preparedness             equipment.                                                                       http://www.ahrq.gov/
                                                                               A training course originally developed by the World Health Organization
                                                                               and Centers for Disease Control and Prevention for training smallpox
                                                                               response teams, these presentations help planners and first                           Order at
                                                                               responders prepare for the possibility of the use of smallpox as a                    http://www.bt.cdc.gov/agent/smallp
January       2004 Emergency Preparedness                  CDC Training Slides terrorist weapon.                                                                     ox/training/overview/index.asp




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  Month     Year               Topic by Tab                      Tool                                          Description                                   Tool                Location


                                                                                OSHA has a Web-based training tool on implementing an incident
                                                                                command system as part of emergency response preparedness. The
                                                         Incident command       toolprovides guidance on planning for an incident command system                    http://www.osha.gov/SLTC/etools/ic
December    2003 Emergency Preparedness                  syatem                 and addresses applicable OSHA standards.                                            s/index.html
                                                                                                                                                                    http://www.premierinc.com/all/safet
                                                                                                                                                                    y/publications/11-03-downloads/09-
                                                         Recognizing                                                                                                illness-associated-exposure-chem-
                                                         chemical agent                                                                                             agents.doc
November   2003    Emergency Preparedness                exposure
                                                                                A health information bulletin, provides recommendations on preventing               http://www.osha.gov/dts/shib/shib1
                                                         Brief Guide to Mold    mold growth, proper use of personal protective equipment, and safe                  01003.html
November   2003    Emergency Preparedness                in the Workplace       cleanup methods.
                                                                                A matrix tool, provides information on how facilities can reduce
                                                         Fire and Explosion     vulnerability to and consequences of a terrorist attack that involves fire          http://www.osha.gov/dep/fire-
November   2003    Emergency Preparedness                Planning Matrix        or an explosive device.                                                             expmatrix/index.html.
                                                                               The Pink Book – ―Epidemiology and Prevention of Vaccine Preventable
                                                         Epidemiology and      Diseases,‖ the 7th edition from 2002, is now in its second printing.                 The book is available for download
                                                         Prevention of                                                                                              or purchase at
                                                         Vaccine Preventable                                                                                        http://www.cdc.gov/nip/publications
October    2003    Emergency Preparedness                Diseases                                                                                                   /pink/default.htm
                                                                               Provides employers with information on helping to protect workers from
                                                                               injuries and illnesses resulting from possible terrorist incidents related
                                                         Chemical, Biological, to chemical, biological, radiological, or nuclear attacks.
                                                         Radiological, and
                                                         Nuclear (CBRN)                                                                                             http://www.osha.gov/dts/shib/revCB
                                                         Warfare Agents                                                                                             RN_EscapeRespirators_8-29-
October    2003    Emergency Preparedness                Escape Respirators                                                                                         03.html


                                                                                The Food and Drug Administration joined with the CDC, the EPA and
                                                                                OSHA in releasing guidelines on how to prevent hazards due to
                                                                                inappropriate use of cleaners and disinfectants on electronic medical
                                                                                equipment. Such solutions can cause the equipment to malfunction.
                                                                                Many stakeholders, including AHA, APIC, and ASHE, provided input to
                                                                                the guidelines for handling and cleaning of electronic medical devices.
                                                         FDA guidance –         Minimizing the potential for cross contamination and patient and worker             http://www.premierinc.com/quality-
                                                         Electronic             injuries is critical, but of equal importance is the emphasis on the                safety/tools-services/safety/safety-
                                                         equipment cleaning     process of proper cleaning and disinfecting in accordance with                      share/12-07-downloads/5_FDA-
December   2007    Environmental and Safety Products     hazards                manufacturers’ guidelines in the interest of safety                                 Equipment-10_31_07.doc




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                                                                                                                                                               IHI
  Month       Year               Topic by Tab                        Tool                                         Description                                  Tool                Location

                                                                                    The newsletter provides news and success stories about topics such as
                                                                                    reduction of medical waste, computer recycling, green cleaning
                                                                                    programs, conversion to reusable products, laboratory chemical
                                                                                    recycling, energy efficient lighting and light bulb recycling. Premier's
                                                                                    EPP program is a collaboration of the Premier Safety Institute and
                                                                                    Premier's group purchasing services. The program is part of Premier's
                                                                                    commitment to helping healthcare facilities with their environmental
                                                                                    efforts, including waste minimization and the elimination of the use of           Go to:
March         2006 Environmental and Safety Products        Green Link              mercury.                                                                          http://www.premierinc.com/safety



                                                                                    The Clinician Outreach and Communication Activity (COCA) offered a
                                                                                    program in Medical Waste Management on August 23, 2005. Lynne
                                                                                    Sehulster, Ph.D, M(ASCP), of the Centers for Disease Control and
                                                                                    Prevention (CDC) Division of Healthcare Quality Promotion presented
                                                                                    materials addressing: identification of general categories of medical
                                                                                    waste; regulations governing the management of medical waste; insight
                                                            Medical waste           into how the recent influenza A (H2N2) situation revealed weaknesses              http://www.premierinc.com/all/safet
                                                            management              in the current system of waste management; and understanding the                  y/publications/10-05-downloads/09-
October       2005 Environmental and Safety Products        teleconference          importance of reinstating on-site capacity for medical waste treatment.              waste-management-slides.ppt

                                                                                    The American Society for Healthcare Environmental Services has
                                                                                    partnered with Orkin, Inc. to promote more effective and
                                                                                    environmentally friendly pest-control practices in healthcare settings,
                                                                                    including the release of a guide on integrated pest management. The
                                                                                    partners also plan to publish educational articles and host two                   See Premier Safety Institute's
                                                                                    educational sessions on the recommended practice at ASHES' annual                 Environmental and Safety Product
                                                            Environmentally         conference in September. The partnership was launched in response to              list at:
                                                            friendly pest control   a growing movement in healthcare toward hazardous-chemical                        http://www.premierinc.com/all/safet
May          2005    Environmental and Safety Products      practices               reduction.                                                                        y/resources/lists/


                                                                                    Two new handbooks are available online from Occupational Safety and
                                                                                    Health Administration (OSHA): "Best Practices for the Safe Use of
                                                                                    Glutaraldehyde in Health Care," which helps employers and employees
                                                                                    understand and control exposures to glutaraldehyde, a chemical used               Go to:
                                                                                    to disinfect and clean heat-sensitive medical, surgical and dental                http://www.osha.gov/Publications/gl
                                                                                    equipment, and "Preventing Mold-Related Problems in the Indoor                    utaraldehyde.pdf and
                                                            OSHA online             Workplace," which offers recommendations to owners, managers, and                 http://www.osha.gov/Publications/p
May          2006    Environmentally Preferred Purchasing   handbooks               occupants on how to fix mold problems in buildings                                reventing_mold.pdf




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                                                                                                                                                                   IHI
   Month        Year               Topic by Tab                       Tool                                           Description                                   Tool                Location


                                                              nvironmentally         A four-CD set containing all the presentations from "Environmentally                 Order free copies of the book and
                                                              Preferable             Preferable Purchasing and Healthcare Practices Conference" held in                   CDs from the Premier Safety Store
                                                              Purchasing and         Boston, April 29, 2004. Topics include green buildings, mercury                      at:
                                                              Healthcare Practices   elimination, recycling medical waste processing, solvent recovery, and               http://www.premierinc.com/all/safet
December       2004    Environmentally Preferred Purchasing   Conference             more.                                                                                y/store/.
                                                                                     An online resource that aids employers in addressing air quality                     http://www.cdc.gov/niosh/topics/ind
                                                                                     concerns. The Indoor Environmental Quality topic page provides links                 oorenv
                                                                                     to a variety of air quality topics, including how to identify, correct, and
                                                              Indoor                 prevent indoor air problems; how to implement an effective air quality
                                                              Environmental          plan; and resources on mold, asbestos, asthma and allergies, and
November       2003    Environmentally Preferred Purchasing   Quality topic page     chemical safety.

                                                                                     Premier's Safety Institute has added one more important section to the
                                                                                     Environmental Preferable Purchasing (EPP) module addressing
                                                              Environmental          chemical cleaners and pesticides. The EPP "Topic summary" describes
                                                              Preferable             a number of important and useful resources. "Key documents" includes
                                                              Purchasing (EPP)       a case study of a safer, successful integrated pest management                       http://www.premierinc.com/all/safet
September       2004 Environmentally Preferred Purchasing     module                 program.                                                                             y/resources/EPP/index.htm

                                                              Cleaning for Health:                                                                                        http://my.premierinc.com/all/safety/
                                                              Products and          One-stop guide to environmentally preferable cleaning products and                    publications/04-
                                                              Practices for a Safer methods that have been effectively used in office buildings, schools,                 03_downloads/04_cleaning_for_he
April           2003 Environmentally Preferred Purchasing     Indoor Environment hospitals and other facilities in the United States and Canada.                          alth.pdf

                                                              Environmentally      A checklist is available which can be used by healthcare organizations
                                                              preferred purchasing to guide purchasing decisions or by manufacturers to assess the                        http://www.ahrmm.org/info/HCEPT/
October         2002 Environmentally Preferred Purchasing     checklist            environmental friendliness of products.                                                tool.html


                                                                                                                                                                          The handbook is available for a
                                                                                The most current knowledge on concepts and methods of human                               discounted price of $95 at
                                                                                factors and ergonomics and their applications to help improve quality,                    http://www.erlbaum.com/ME2/dirm
                                                                                safety, efficiency, and effectiveness in patient care. The handbook                       od.asp?sid=28807ECF50FE49F08
                                                                                provides specific information on how to analyze medical errors with the                   37125BE640E681F&nm=&type=eC
                                                              Handbook of Human fundamental goal of reducing errors and the potential harm that results.                  ommerce&mod=CommerceProduct
                                                              Factors and       Contributors discuss the design of work environment and working                           Catalog&mid=CD22EA0F118949C
                                                              Ergonomics in     conditions to improve satisfaction and well being, and the reduction of                   09A932248C040F650&tier=3&id=1
                                                              Healthcare and    burnout and other ailments often experienced by healthcare providers                      19DCAD843B64A54BC20DE1F72
Nov             2006 Fall Prevention                          Patient Safety    and professionals.                                                                        531996&itemid=0-8058-4885-1




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                                                                                       Premier Safety Share



                                                                                                                                                                 IHI
  Month       Year               Topic by Tab                      Tool                                          Description                                     Tool                Location
                                                                               The draft document titled "Safe Patient Handling and Movement
                                                                               Principles," a collaboration between NIOSH, the American Nurses                          Available at the NIOSH Web site
                                                           Safe Patient        Association and the Veterans Affairs Patient Safety Center, is a new                     at:
                                                           Handling and        Safe Patient Handling and Movement curriculum module to be used in                       http://www.cdc.gov/niosh/review/pu
June          2006 Fall Prevention                         Movement Principles schools of nursing.                                                                      blic/safe-patient



                                                                                  Minimizing the risk of falls and falls injuries: Guidelines for acute, sub-
                                                                                  acute and residential care settings from the Victorian Quality Council of
                                                                                  Australia provides a framework and supporting resources to support
                                                                                  falls prevention activities in hospital and residential care settings. This           available for download from the
                                                           Minimizing the risk    falls reduction guideline packet, or tool kit, contains research, tools, and          Premier Safety Institute's Falls
                                                           of falls and falls     education materials, including a sample Microsoft® Excel spreadsheet                  module
                                                           injuries: Guidelines   report to track falls data and trends, as well as algorithms for assessing            http://www.premierinc.com/all/safet
                                                           for acute, sub-acute   and reassessing an individual's fall risk. The packet includes numerous               y/resources/falls/procedures-
                                                           and residential care   tips for screening, assessing risk, reducing personal and environmental               tools.jsp#Tool (under "Sample
January       2006 Fall Prevention                         settings               risk factors, and properly responding to falls.                                       Procedures").
                                                                                                                                                                        http://www.osha.gov/SLTC/hospital
May           2002 Fall Prevention                         Ergonomic eTools       OSHA ergonomic plan and eTools                                                        _etool/mainpage.html


                                                                                  The ALFA Institute of Biomedical Sciences Educational Portal contains
                                                                                  medical education material on topics that include pediatric infections,
                                                                                  zoonoses, infectious diseases, internal medicine, dermatology, upper
                                                                                  and lower respiratory infections, surgical infections, antimicrobial
                                                                                  resistance, clinical research tools, biomedical databases, critical care
                                                                                  and sepsis, cardiovascular infections, nosocomial infections, hepatitis B
                                                                                  virus, orthopedic infections, OB/GYN infections and urogenital
                                                                                  infections. A selection of case studies that can be used as interactive
                                                                                  case-based learning tools from the Academy of Infection Management
                                                           Web-based              are also available. The case studies include the specialties of surgery,
                                                           educational tools –    pediatrics, ICU, and pneumonia. Specific topics include patient                       Go to http://www.e-
                                                           Infection prevention   outcomes related to antibiotic usage and healthcare associated                        meducation.org/ and
February      2008 Guidelines                              case studies           infections                                                                            http://infectionacademy.org/




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                                                                                                                                                               IHI
  Month        Year               Topic by Tab                      Tool                                         Description                                   Tool                Location


                                                                                   Diseases are spread by poor coughing and sneezing techniques. Most
                                                                                   people put their hands in front of their mouths and noses to stop germs
                                                                                   from getting into the air. Unfortunately, this technique puts the germs
                                                                                   on their hands. The germs are then spread to telephones and
                                                                                   doorknobs and many other surfaces, where the next user then
                                                                                   acquires. This five-minute video was designed by three Maine hospitals
                                                                                   to encourage people to cough and sneeze according to the infection
                                                                                   control guidelines put forth by the Centers for Disease Control and
                                                                                   Prevention (CDC). It is aimed at the common citizen. The message is
                                                                                   serious, but it is presented with humor in such a way that it engages the
                                                            Why Don’t We Do It     viewer's attention for a full five minutes while the message is repeated
February       2008 Guidelines                              in Our Sleeves?        in interesting new ways. Educational Trust (HRET) has developed a
                                                                                   The Health Research and                                                            http://coughsafe.com/
                                                                                  comprehensive guide for clinicians and administrators to help
                                                            AHA/HRET –            incorporate routine HIV testing in their emergency departments (EDs).
                                                            Comprehensive tool This practical guide describes different approaches, considerations,
July           2007 Guidelines                              for HIV testing in ED and resources for making HIV testing routine in ED care. It is based on             http://www.edhivtestguide.org/


                                                                                   Nine presentations from Premier's conference on "Healthcare-
                                                                                   associated infections – What everyone needs to know," held June 19,
                                                                                   2007, in Orlando, FL, are available online for download. Featured
                                                                                   faculty include: Graeme Forrest, M.D., University Maryland Medical
                                                                                   Center; Peter Gross, M.D., Hackensack University Medical Center;
                                                            Premier –              Carol Haraden, Ph.D., IHI; Eli Perencevich, M.D., M.S., VA Maryland
                                                            Healthcare             Healthcare System; Chesley Richards, M.D., M.P.H, FACP,
                                                            associated infection   CDC/DHQP; Richard Van Enk, Ph.D., Bronson Methodist Hospital;                      Download from:
                                                            presentations          Daniel Varga, M.D., SSM Healthcare; and Premier's Dan Peterson,                    http://www.premierinc.com/advisorli
July           2007 Guidelines                              available online       M.D, M.P.H.; Gina Pugliese, R.N., M.S.; and Scott Pope, Pharm.D.                   ve/




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                                                                                                                                                                IHI
  Month       Year               Topic by Tab                      Tool                                          Description                                    Tool                Location


                                                                                 The Association for Professional in Infection Control and Epidemiology
                                                                                 (APIC) has released a white paper on healthcare associated infections
                                                                                 (HAI) titled "Dispelling the Myths: The True Cost of Healthcare-
                                                                                 Associated Infections." Featured in the March issue of Healthcare
                                                                                 Financial Management magazine, the white paper presents the
                                                                                 business case for reducing HAIs from the perspective of the healthcare
                                                                                 executive. Case studies of cost saving are detailed, along with a
                                                                                 methodology for determining the cost of different categories of HAIs.
                                                           APIC – A business     APIC's goal with the white paper is to help healthcare executives                     http://www.premierinc.com/quality-
                                                           case for preventing   understand the costs involved with these infections, evaluate HAIs in                 safety/tools-
                                                           healthcare-           their own institutions and take a more aggressive approach to infection               services/safety/topics/guidelines/an
Mar           2007 Guidelines                              associated infections prevention.                                                                           timicrobials.jsp#business-case


                                                                                  Patients undergoing MRI exams while wearing ECG electrodes and
                                                                                  cables have experienced second and third degree burns sometimes
                                                           FDA – Avoiding         requiring plastic surgery to repair. After a FDA investigation into reports
                                                           burns from             received regarding these burns, precautions that can be taken to                     http://www.premierinc.com/quality-
                                                           electrodes and         prevent these types of burns were released. The problem is the                       safety/tools-services/safety/safety-
                                                           cables during MRI      radiofrequency fields created during an MRI exam can heat ECG                        share/03-07-downloads/07-burns-
Mar           2007 Guidelines                              exams                  AHRQ released a new Evidence burning the underlying skin.
                                                                                  cables and electrodes, seriously Report/Technology Assessment                        during-mri.doc
                                                                                 (Number 9), which concludes that several approaches and practices
                                                                                 implemented to prevent healthcare-associated infections (HAI) are
                                                                                 promising and warrant additional research. The objective of the report
                                                                                 was to determine the effects of quality improvement strategies on HAI
                                                                                 and on HAI rates. The selected infections (.pdf) (785 KB) included
                                                                                 surgical site infections (SSI), central line-associated bloodstream
                                                                                 infections (CLABSI), ventilator-associated pneumonia (VAP), and
                                                                                 catheter-associated urinary tract infections (CAUTI) The AHRQ
                                                                                 Evidence Report concludes that there is insufficient evidence to
                                                                                 recommend quality improvement strategies that will improve adherence
                                                                                 to preventive interventions for healthcare-associated infections. The
                                                                                 evidence is generally of suboptimal quality, consisting primarily of
                                                                                 single-center, simple before-after studies of limited internal and external
                                                                                 validity. Results from the limited data suggest that certain strategies
                                                                                 require additional study and potential wider implementation. Those
                                                           AHRQ – Report on      strategies include reducing unnecessary catheter use by using "stop                   http://www.premierinc.com/quality-
                                                           strategies to prevent orders" (which require that a catheter be removed after a certain period              safety/tools-services/safety/safety-
                                                           healthcare-           of time if it is no longer needed), reminders to improve surgical                     share/02-07-downloads/12-
Feb           2007 Guidelines                              associated infections antibiotic prophylaxis, the use of checklists to improve adherence to                 hainfgap.pdf




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                                                                                                                                                               IHI
  Month        Year                Topic by Tab                     Tool                                         Description                                   Tool                Location




                                                                                  A new toolkit designed to provide guidance on issues that should be
                                                                                  considered when designing measures for public reporting of healthcare-
                                                                                  associated infections (HAI) is available from the Centers for Disease               Access the CDC Web site for the
                                                                                  Control and Prevention (CDC). The kit was designed in conjunction with              Public Reporting of Healthcare-
                                                                                  the Association of Professionals in Infection Control and Epidemiology              Associated Infections
                                                                                  (APIC), the Society for Healthcare Epidemiology of America (SHEA)                   (http://www.cdc.gov/ncidod/dhqp/P
                                                                                  and other professional groups. Many states are considering making HAI               ublicReportingHAIs.html) for the
                                                                                  reporting mandatory. "Essentials of Public Reporting of Healthcare-                 toolkit, as well as the February
                                                                                  Associated Infections: A Tool Kit" (.pdf) (199 KB) details recommended              2005 American Journal of Infection
                                                                                  steps, including the identification or creation of a responsible agency at          Control article, Guidance on Public
                                                            CDC – Tools for       the state level, personnel for data collection and quality improvement,             Reporting of Healthcare-
                                                            reporting healthcare- strategies to prevent unintended consequences of public reporting, and              Associated Infections (.pdf) (150
Feb            2007 Guidelines                              associated infections recommended outcome measures.                                                       KB).


                                                                                   Several new tools have recently been added to the Surgical Care
                                                                                   Improvement Project (SCIP) Web site. The first, "Preventive Antibiotics
                                                                                   in Colon and Rectal Surgery: Discontinuation Within 24 Hours After
                                                                                   Operation," is a presentation that discusses the importance of giving
                                                                                   recommended antibiotics in colorectal surgery with the equally                     VTE guidelines are available from
                                                                                   important factor of discontinuing the antibiotics within 24 hours. Other           the Premier Safety Institute
                                                                                   tools related to venous thromboembolism include: Deep Vein                         Infection Prevention and Safety
                                                            SCIP – New             Thrombosis Prophylaxis Risk Factor Assessment, and Thrombosis                      Module under "Other guidelines,
Dec           2006    Guidelines                            surgical, VTE tools    Screen and Prophylaxis Recommendations.                                            selected resources."


                                                                                   Cough hygiene video, NSF Scrub Club provides an interactive Web-
                                                                                   based educational program with music, games and cartoons that aims
                                                            Humor in infection     to help protect children from dangerous food borne illnesses as well as
                                                            control – Online       infectious diseases, and MARR has useful antibiotic information                    http://www.coughsafe.com/;
                                                            educational            downloads on fighting antibiotic resistance, a parent's guide for colds,           http://www.scrubclub.org/;
                                                            resources for adults   runny noses, and otitis media. Posters on handwashing include a                    http://www.mi-
Sept           2006 Guidelines                              and children           reminder for children on when to wash their hands.                                 marr.org/cons_materials.html




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                                                                                                                                                            IHI
  Month        Year               Topic by Tab                       Tool                                       Description                                 Tool                Location


                                                                                 The Advisory Committee on Immunization Practices (ACIP) has issued
                                                                                 recommendations for preventing rotavirus gastroenteritis in infants and
                                                                                 children. The recommendations call for American infants to be
                                                                                 immunized with the recently licensed rotavirus vaccine. Infants should
                                                                                 receive three doses of the vaccine, administered orally at two, four and
                                                                                 six months. It is the most common cause of severe gastroenteritis in
                                                                                 infants and young children worldwide. Although rotavirus causes few
                                                                                 deaths among U.S. children, almost all children will become infected              http://www.premierinc.com/quality-
                                                                                 with rotavirus by age five. Most of them will develop gastroenteritis,            safety/tools-services/safety/safety-
                                                            ACIP – New           resulting in up to 272,000 emergency department visits and 70,000                 share/09-06-downloads/12-mmwr-
Sept           2006 Guidelines                              rotavirus vaccine    hospitalizations each year.                                                       rotavirus.pdf
                                                            Antibiotic
                                                            Prophylaxis in
                                                            Cardiac Surgery –                                                                                      Go to:
                                                            Duration of          This guideline provides for one recently CMS approved exception for               http://www.premierinc.com/all/safet
March          2006 Guidelines                              prophylaxis          discontinuance of antibiotic prophylaxis.                                         y/resources/guidelines/other.jsp


                                                            Antimicrobial
                                                            Prophylaxis for
                                                            Surgery: An
                                                            Advisory Statement   This advisory statement provides an overview of issues related to
                                                            from the National    antimicrobial prophylaxis, including specific suggestions regarding               Go to:
                                                            Surgical Infection   antimicrobial selection, initiation and discontinuance of prophylactic            http://www.premierinc.com/all/safet
March          2006 Guidelines                              Prevention Project   antimicrobials.                                                                   y/resources/guidelines/other.jsp


                                                                                 New guidelines are designed specifically for the cardiovascular
                                                                                 catheterization laboratory and provide information on such issues as
                                                                                 the selection of antibacterial soaps, the circumstances under which               Go to:
                                                            CV Cath Lab:         patients should receive an antibiotic, protective masks and other garb            http://www.premierinc.com/all/safet
                                                            Infection control    to be worn by catheterization lab staff, and the acceptable level of air          y/resources/guidelines/other.jsp#ca
January        2006 Guidelines                              guidelines           circulation in the catheterization lab.                                           rd-cath




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                                                                                                                                                           IHI
  Month     Year               Topic by Tab                      Tool                                        Description                                   Tool                Location


                                                                            New resources on community-acquired MRSA CA-MRSA and a
                                                                            Template for Gene Vector Guidance have been made available from
                                                                            the Association for Professionals in Infection Control and Epidemiology
                                                                            (APIC) Practice Guidance Council. These resources were developed in
                                                                            collaboration with APIC's Emerging Issues Committee. The CA-MRSA                      Go to :
                                                                            resource identifies key resources available via national, state, and local            http://www.premierinc.com/all/safet
                                                         Community-acquired public health agencies. The Template for Gene Vector Guidance is                      y/publications/01-06-downloads/11-
                                                         MRSA CA-MRSA       intended to assist facilities in developing infection control policies to             ca-mrsa.pdf and
                                                         and a Template for regulate gene vector therapy. APIC recommends any study be                            http://www.premierinc.com/all/safet
                                                         Gene Vector        reviewed and approved by their Institutional Review Board (IRB) but                   y/publications/01-06-downloads/12-
January     2006 Guidelines                              Guidance           also include the involvement of an affiliated Biosafety Committee.                    gene-vector-therapy.pdf


                                                                               The U.S. Public Health Service has updated the recommendations for
                                                                               the management of healthcare personnel (HCP) with occupational
                                                                               exposure to blood and other body fluids that might contain human
                                                                               immunodeficiency virus (HIV). Published in the September 30, 2005
                                                                               Morbidity and Mortality Weekly Report (MMWR) , the recommendations
                                                                               (.pdf) (267 KB) emphasize adherence to postexposure prophylaxis
                                                                               (PEP) regimens when indicated, expert consultation in managing                     http://www.premierinc.com/all/safet
                                                         HIV post-exposure     exposures, follow-up to improve HCP adherence to PEP, and                          y/publications/10-05-downloads/11-
October     2005 Guidelines                              prophylaxis           monitoring for adverse events, including seroconversion.                           hiv-rr5409.pdf


                                                                               A "Profile of the Healthcare Industry" that includes hospitals, physician
                                                                               offices, dental offices, nursing homes, and more as part of its Sector
                                                                               Notebook Project. The project helps various industry sectors in pollution
                                                                               prevention, waste minimization, and regulatory compliance efforts. The
                                                         EPA Notebook -        EPA document contains information on waste and emissions profiles,                 The Notebook can be accessed at:
                                                         Healthcare waste      pollution prevention opportunities, a summary of federal statutes and              http://www.epa.gov/compliance/res
                                                         management            regulations, compliance and enforcement history, and compliance                    ources/publications/assistance/sect
June        2005 Guidelines                              profiles, resources   activities and initiatives.                                                        ors/notebooks/health.html




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                                                                                                                                                            IHI
  Month       Year               Topic by Tab                      Tool                                        Description                                  Tool                Location


                                                                               A guide to assist with compliance with the JCAHO Environmental of
                                                                               Care Standards. Hospitals for a Healthy Environment (H2E) is working
                                                                               on a clipboard version for JCAHO surveyors. This guide relates each
                                                                               JCAHO Element of Performance (EP) to specific federal regulations, to
                                                                               help facilities be in compliance with both. The guide also suggests
                                                           JCAHO/H2E guide - steps that facilities can take to encourage environmental performance
                                                           Environment-of-care improvements. A comprehensive environmental program, including                      To view this guide, go to:
                                                           compliance and      waste minimization and pollution prevention initiatives, can help ensure            http://ecm.ncms.org/herc/jcaho3.10
June          2005 Guidelines                              improvement         compliance and reduce costs.                                                        .3.html.




                                                                                 Two new guidance documents from the Association for the
                                                                                 Advancement of Medical Instrumentation (AAMI) are designed to assist
                                                                                 manufacturers in assessing the device reprocessing information they
                                                                                 provide. These documents help address concerns that manufacturer's
                                                                                 instructions are often inadequate or don't consider the common
                                                                                 reprocessing methods facilities use. The first document, entitled
                                                                                 "Designing, testing, and labeling reusable medical devices for
                                                                                 reprocessing in healthcare facilities: A guide for device manufacturers"
                                                                                 (TIR12: 2004), is intended to help manufacturers validate the
                                                                                 reprocessing procedures they recommend and guide them in choosing
                                                           AAMI guidance         facility protocols. The second, "Sterilization of medical devices -
                                                           documents -           Information to be provided by the manufacturer for the processing of re-
                                                           Cleaning and          sterilizable medical devices" (ANSI/AAMI/ISO ST81: 2004), sets forth              To order, call 800.332.2264, Ext.
May           2005 Guidelines                              sterilization         requirements for labeling and reprocessing instructions.                          217, or visit www.aami.org.

                                                                                 The comprehensive lists published by the Food and Drug
                                                                                 Administration (FDA) are available on the FDA Web site. The FDA
                                                           FDA Guidance          Guidance Documents for Regulated Industry - Annual Comprehensive                  http://www.fda.gov/opacom/morech
March         2005 Guidelines                              Documents             List of Guidance Documents - and the corrections to that list                     oices/industry/guidedc.htm




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                                                                                                                                                                 IHI
  Month        Year               Topic by Tab                      Tool                                          Description                                    Tool                Location


                                                                                   A presentation titled, From SIP to SCIP (referring to the National
                                                                                   Surgical Infection Prevention Project and the current Surgical Care
                                                            From SIP to SCIP       Improvement Project) is available from the Surgical Care Improvement
                                                            (referring to the      Project. Dale W. Bratzler, M.D., provides a background summary of the
                                                            National Surgical      Surgical Infection Prevention Project (SIP) and shows some of the
                                                            Infection Prevention   national data that has been collected, as well as findings in the clinical
                                                            Project and the        literature. The presentation also highlights the transition of the SIP into          View a PowerPoint® summary
                                                            current Surgical       the Surgical Care Improvement Project (SCIP), which goes beyond just                 (.ppt) (1.6 MB) or watch a full
                                                            Care Improvement       preventing surgical infection and focuses on improving the outcomes                  presentation with sound in a video
January        2005 Guidelines                              Project)               for surgery patients.                                                                clip at:


                                                                                  A new telephone hotline that provides clinicians with immediate access
                                                                                  to expert advice on treating HIV-infected pregnant women and their
                                                                                  children is available through the federal Health Resources and Services
                                                                                  Administration's National HIV/AIDS Clinicians' Consultation Center at
                                                                                  San Francisco (CA) General Hospital. The Perinatal Hotline
                                                                                  (888.448.8765) provides 24-hour consultation from HIV experts,                        More information is available from:
                                                                                  including advice on interpreting HIV testing in pregnancy and                         http://www.ucsf.edu/hivcntr/Hotline
December       2004 Guidelines                              The Perinatal Hotline implementing the U.S. Public Health Service's clinical care guidelines.               s/Perinatal.html

                                                                                                                                                                        http://my.premierinc.com/all/safety/
                                                                                   CDC also provides PowerPoint presentations that describe West Nile                   publications/07-04-downloads/12-
July           2004 Guidelines                              West Nile Virus        Virus and methods of treatment and prevention.                                       wnv-coca-talk.ppt


                                                                                   New practice guidelines are available to assist with the administration
                                                                                   of outpatient antimicrobial therapy (OPAT). Due to the lack of evidence-
                                                                                   based studies, these guidelines were formulated from the collective
                                                                                   experience of the Infectious Diseases Society of America Guidelines
                                                                                   Committee and advisors from related organizations. The Practical
                                                                                   Guidelines for Outpatient Parenteral Antimicrobial Therapy updates the
                                                                                   1997 guidelines and are intended to aid in the successful
                                                            Practical Guidelines   implementation of parenteral antimicrobial services for patients in a
                                                            for Outpatient         variety of outpatient settings including the home, physician offices, and
                                                            Parenteral             skilled nursing facilities. The guidelines are general and need to be                http://my.premierinc.com/all/safety/
                                                            Antimicrobial          adapted for each specific setting.                                                   publications/07-04-downloads/11-
July           2004 Guidelines                              Therapy                                                                                                     opat-cid-06-04.pdf




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                                                                                         Premier Safety Share



                                                                                                                                                                IHI
   Month        Year                Topic by Tab                      Tool                                          Description                                 Tool                Location
                                                                                    The poster provides clinical guideline reminders for surgical infection
                                                                                    prevention, acute myocardial infarction, congestive heart failure, and             http://my.premierinc.com/all/safety/
                                                                                    community-acquired pneumonia. The tool is intended to be displayed in              publications/07-04-downloads/10-
                                                             CMS clinical           areas where staff document the care provided, such as in nurses'                   clinical-guideline-poster-ar-02-
July            2004 Guidelines                              guideline reminder     stations, doctors' dictation areas, and medical record areas, among                04.pdf


                                                                                    A printed copy of the Centers for Disease Control and Prevention’s
                                                                                    (CDC) "Guidelines for Environmental Infection Control in Health-Care
                                                                                    Facilities - 2003" has been published by the American Society of
                                                                                    Healthcare Engineering (ASHE). Topics covered in this publication
                                                             Guidelines for         include indoor air quality, construction, ventilation in specialized care
                                                             Environmental          areas, water quality, water quality in hemodialysis settings, cleaning
                                                             Infection Control in   and disinfection of environmental surfaces, pest control, principles of
                                                             Health-Care            environmental sampling, laundry and bedding, animals in health care,               http://www.premierinc.com/all/safet
May            2004    Guidelines                            Facilities - 2003      and regulated medical waste.                                                       y/resources/guidelines/index.htm
                                                             Guidelines for
                                                             Environmental
                                                             Infection Control in
                                                             Health-Care                                                                                               http://www.premierinc.com/all/safet
May            2004    Guidelines                            Facilities - 2003                                                                                         y/resources/guidelines/index.htm
                                                                                    New guidelines for preventing healthcare-associated pneumonia and
                                                                                    other severe lower respiratory infections. These guidelines update and
                                                                                    replace the 1981 guideline. In addition to the latest pneumonia and
                                                                                    respiratory infection recommendations, the guidelines expand the list of
                                                             Guidelines for         recommended antiviral treatments for influenza patients and
                                                             Preventing Health-     recommends that potable water be kept at temperatures above 124                    http://www.premierinc.com/all/safet
                                                             Care-Associated        degrees Fahrenheit or below 68 degrees Fahrenheit to reduce the risk               y/resources/guidelines/cdc_guidelin
April          2004    Guidelines                            Pneumonia, 2003        of Legionnaire's disease.                                                          es.htm#Pneumonia2003
                                                             National Surgical
                                                             Infection Prevention   New web site for accessing current information on the National Surgical
January         2004 Guidelines                              (SIP)                  Infection Prevention (SIP)                                                         www.MedQIC.org/sip
                                                             Pneumonia
                                                             Medicare National      New web site for accessing current information on the Pneumonia
January         2004 Guidelines                              Project                Medicare National Project                                                          www.MedQIC.org/pneumonia




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                                                                                     Premier Safety Share



                                                                                                                                                            IHI
  Month       Year               Topic by Tab                      Tool                                       Description                                   Tool                Location


                                                                                The CDC Hand Hygiene Resource Web page provides an interactive
                                                                                training course on hand hygiene and other standard precautions to
                                                                                prevent healthcare associated infections. The course reviews key
                                                                                concepts of both hand hygiene and standard precautions. The learner
                                                           The CDC Hand         is asked a series of hand hygiene questions as they work through the
                                                           Hygiene Resource     module and again at the end. The course also contains a short 60-                  http://www.cdc.gov/handhygiene/tra
September     2008 Hand Hygiene Guideline                  Web page             second video on hand hygiene.                                                      ining/interactiveEducation/


                                                                                Diseases are spread by poor coughing and sneezing techniques. Most
                                                                                people put their hands in front of their mouths and noses to stop germs
                                                                                from getting into the air. Unfortunately, this technique puts the germs
                                                                                on their hands. The germs are then spread to telephones and
                                                                                doorknobs and many other surfaces, where the next user then
                                                                                acquires. This five-minute video was designed by three Maine hospitals
                                                                                to encourage people to cough and sneeze according to the infection
                                                                                control guidelines put forth by the Centers for Disease Control and
                                                                                Prevention (CDC). It is aimed at the common citizen. The message is
                                                                                serious, but it is presented with humor in such a way that it engages the
                                                           Why Don’t We Do It   viewer's attention for a full five minutes while the message is repeated
February      2008 Hand Hygiene Guideline                  in Our Sleeves?      in interesting new ways.                                                           Order at: http://coughsafe.com/


                                                                                The World Health Organization's (WHO) first global patient safety
                                                                                challenge, "Clean Care is Safer Care," acknowledges the importance of
                                                                                addressing the global challenge of healthcare-associated infections
                                                                                (.pdf) ( 2 MB). Low-cost WHO strategies that help reduce infection risks
                                                                                in areas such as blood products and their use, injection practices and
                                                                                immunization, safe water, basic sanitation and waste management, and
                                                                                clinical procedures, particularly in first-level emergency care, are               The draft is available for download
                                                           WHO – Testing        already available. These strategies are combined with efforts to                   at:
                                                           hand hygiene         implement the WHO Guidelines on Hand Hygiene in Healthcare                         http://www.who.int/gpsc/resources/
Mar           2007 Hand Hygiene Guideline                  guidelines           (Advanced Draft).                                                                  newsalert/jan2007/en/


                                                                                An eight-minute video on proper handwashing technique titled "Last
                                                                                Clean Chance" has been produced by the Mecklenburg (NC) County
                                                                                Health Department. The science fantasy thriller is set in a bio-research
                                                                                lab. The video involves a doomsday scenario in which a virus is leaked             Access the video and information
                                                                                into the lab space. Tailored for the young viewer, the video teaches a             online at
                                                                                valuable skill and reminds us that handwashing is the number one way               http://www.charmeck.org/Departme
May           2006 Hand Hygiene Guideline                  Last Clean Chance    to prevent the spread of disease.                                                  nts/Health+Department/




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                                                                                                                                                                IHI
  Month        Year               Topic by Tab                      Tool                                          Description                                   Tool                Location


                                                                                                                                                                       http://www.premierinc.com/all/safet
                                                                                                                                                                       y/publications/09-05-downloads/06-
                                                                                 After an emergency, it can be difficult to find running water. However, it            handwashing-emergencies.pdf
                                                                                 is still important to wash your hands (.pdf) (75 KB) to avoid illness. It is          and
                                                                                 best to wash your hands with soap and water but when water isn't                      http://www.premierinc.com/all/safet
                                                            Hand hygiene in      available, you can use alcohol-based products (.pdf) (34 KB) made for                 y/publications/09-05-downloads/21-
September      2005 Hand Hygiene Guideline                  emergency situations washing hands.                                                                        clean-hands-cards.pdf
                                                                                                                                                                       The CDC slide sets are available
                                                            Slides - Hand                                                                                              at:
                                                            hygiene educational    The educational slide sets are available as both core and supplemental              http://www.cdc.gov/handhygiene/m
July           2003 Hand Hygiene Guideline                  resource               slides, with or without speaker notes and in different formats.                     aterials.htm.
                                                            Hand Hygiene           Provides updated educational materials dealing with hand hygiene
November       2002 Hand Hygiene Guideline                  Resource Center        practices.                                                                          http://www.handhygiene.org/

                                                                                                                                                                       Word:
                                                                                   Premier's Safety Institute is now offering a checklist to save on your              http://www.premierinc.com/quality-
                                                                                   computer and complete or update at your own pace. The Word                          safety/tools-
                                                                                   document (.doc) (463 KB) retains the HTML format and features                       services/safety/topics/influenza/ind
                                                                                   developed by the Centers for Disease Control and Prevention (CDC),                  ex.jsp#checklist; also offers this as
                                                                                   with input from other federal partners. It is intended to help hospitals            an Adobe® PDF (2 MB) or online
                                                                                   assess and improve their preparedness for responding to pandemic                    at:
                                                            Comprehensive          influenza. Because of differences among hospitals (e.g., characteristics            http://www.pandemicflu.gov/plan/he
                                                            hospital checklist –   of the patient population, size of the hospital/community and scope of              althcare/
                                                            pandemic influenza     services), each hospital will need to adapt this checklist to meet its              hospitalchecklist.html.
July           2007 Influenza - pandemic                    preparation            unique needs and circumstances.


                                                                                   New York City has released a pandemic flu preparedness and
                                                                                   response plan (.pdf) (2.3 MB). The plan is a blueprint for identifying an
                                                                                   outbreak, containing its spread and distributing scarce resources like
                                                                                   ventilators and antiviral medications. It also emphasizes that the city
                                                                                   must rely on itself, not Washington, to plan for and react to potential
                                                                                   disasters. The plan describes the importance of early detection to help             http://www.premierinc.com/quality-
                                                            New York City          contain the spread of the illness and includes disease monitoring,                  safety/tools-services/safety/safety-
                                                            pandemic influenza     laboratory capacity, vaccine and medicine delivery, hospital                        share/07-06-downloads/12-ny-
July           2006 Influenza - pandemic                    plan                   preparedness, mental health and communications.                                     pandemic-flu-plan.pdf




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                                                                                                                                                                IHI
  Month     Year               Topic by Tab                      Tool                                                                                           Tool
                                                                                checklist that describes stepsDescription care and other residential
                                                                                                                 that long-term                                                     Location
                                                                               facilities can take to prepare for influenza pandemic is available from
                                                                               the Department of Health and Human Services (HHS) and the Centers
                                                                               for Disease Control and Prevention (CDC). The checklist was
                                                                               developed to help long-term care and other residential facilities assess
                                                                               and improve their preparedness for responding to pandemic influenza.
                                                                               Based on differences among facilities (e.g., patient/resident
                                                                               characteristics, facility size, scope of services, hospital affiliation), each
                                                                               facility will need to adapt this checklist to meet its unique needs and
                                                                               circumstances. The checklist states that facilities should have a
                                                                               structure for planning and decision-making, overseen by a
                                                                               multidisciplinary group focused on pandemic flu planning, and to
                                                                               develop a written influenza plan. The written influenza plan should
                                                                               include flu surveillance and detection measures; communications;
                                                                               education and training in basic prevention and control measures for
                                                                               personnel, residents, and residents' family members; and an infection
                                                                               control plan for managing residents and visitors with pandemic
                                                         Pandemic flu          influenza; an occupational health plan to address staff absences and                    The checklist is available at:
                                                         checklist – Long-     related issues; and plans for vaccine and antiviral use and surge                       http://www.pandemicflu.gov/plan/
June        2006 Influenza - pandemic                    term care             capacity.                                                                               LongTermCareChecklist.html.




                                                                               The new handbook provides information to help Americans understand
                                                                               the threat of pandemic influenza and specific actions they can take to
                                                                               protect themselves and their families and explains topics such as the
                                                                               differences between seasonal and pandemic flu and what to expect in a
                                                                               pandemic. The handbook includes an emergency health sheet for
                                                                               recording personal health information on each family member. A
                                                                               checklist divides actions into three categories: planning for a pandemic,
                                                                               limiting the spread of germs and preventing infection, and items to
                                                                               gather for an extended stay at home. Other important issues include
                                                         Pandemic Influenza    plans for having nonprescription drugs and other health supplies on                     Go to:
                                                         Planning: A Guide     hand, discussing within a family how care will be given if a member                     http://www.premierinc.com/all/safet
                                                         for Individuals and   becomes ill, teaching proper hand washing and cough etiquette to                        y/publications/01-06-downloads/16-
January     2006 Influenza - pandemic                    Families              children, and having supplies of food and water on hand.                                pandemic-flu-guide.pdf




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                                                                                                                                                               IHI
  Month       Year               Topic by Tab                       Tool                                         Description                                   Tool                Location


                                                                                   A home care influenza toolkit, published by Montgomery County's
                                                                                   Advanced Practice Center, is designed to help people manage
                                                                                   influenza at home. This simple toolkit, "Stay At Home Toolkit for
                                                                                   Influenza," includes checklists on what to keep in the home, tips on how
                                                                                   to recognize flu signs and symptoms, instructions on using
                                                                                   thermometers, isolating the sick, making disinfectant with bleach, and
                                                                                   cleaning potentially contaminated areas, a personal care log to help               http://www.premierinc.com/quality-
                                                                                   caregivers track observations and action, guidelines for those returning           safety/tools-services/safety/safety-
                                                           Stay At Home            to work after recovering from flu, and items to keep on hand for pets for          share/02-08_downloads/13_Stay-
February      2008 Influenza - seasonal                    Toolkit for Influenza   disaster preparedness.                                                             at-home-toolkit.pdf


                                                                                   For the beginning of the new influenza season, the Centers for Disease
                                                                                   Control and Prevention (CDC) is releasing updates of a few new flu
                                                                                   resources. The CDC's flu Web site at www.cdc.gov/flu has been
                                                                                   revised and is easy to navigate as a resource. This year, the CDC is               Downloads are available for
                                                           CDC updates             emphasizing high-risk children (such as those with asthma or diabetes)             printing at:
                                                           influenza tools for     and their caregivers, as well as focusing on protecting infants and the            http://www.cdc.gov/flu/professional
October       2007 Influenza - seasonal                    the new season          elderly through family and community vaccination.                                  s/flugallery/.




                                                                                   A Web site sponsored by the National Influenza Vaccine Summit called
                                                                                   "Prevent Influenza Now!" provides information updates on the current
                                                                                   influenza vaccination season. The site contains vaccine information for
                                                                                   the public about influenza, the benefits of vaccination, who should be
                                                                                   vaccinated, how to find a clinic, media such as public service
                                                                                   announcements and press releases issued for this season's influenza
                                                                                   vaccination campaign, clinic procedures, patient materials, and other
                                                                                   useful tools to help prevent influenza. Information for healthcare
                                                                                   professionals includes a section on the vaccination of healthcare
                                                           New Web site            workers. This section has many resources on how to increase
                                                           provides influenza      healthcare worker vaccination, including many toolkits that can be used
Dec           2006 Influenza - seasonal                    vaccination updates     to implement or expand healthcare worker immunization programs.                    http://www.preventinfluenza.org/




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                                                                                                                                                              IHI
   Month        Year               Topic by Tab                      Tool                                        Description                                  Tool                Location




                                                                                   Online resources and information from the California Distance Learning
                                                                                   Health Network (CDLHN), a non-profit organization of the Graduate
                                                                                   School of Public Health at San Diego State University. The section on
                                                                                   pandemic influenza resources includes the U.S. national strategy for
                                                                                   pandemic influenza and World Health Organization avian influenza
                                                                                   updates. A summit designed to inform California leaders in business,
                                                                                   education, local government, healthcare, social services and other
                                                                                   sectors to better prepare California for influenza pandemic is available          Go to:
                                                             California Distance   as a Webcast. The summit presents the current threat of avian                     http://cdlhn.com/create_frameset.cf
                                                             Learning Health       influenza and the risk of a human influenza pandemic and several                  m?id=32&CFID=523799&CFTOKE
May             2006 Influenza -seasonal                     Network (CDLHN)       training videos related to mass vaccinations and disease investigation.           N=19783253


                                                                                   The Department of Health and Human Services (HHS) has developed a                 Go to: English -
                                                                                   checklist to help home healthcare providers care for the sick during an           http://www.premierinc.com/all/safet
                                                                                   influenza pandemic. The checklist will help organizations assess their            y/publications/04-06-downloads/06-
                                                                                   readiness to respond by identifying strengths and weaknesses. It also             healthcare-checklist.pdf; Spanish -
                                                             Home Healthcare       explains that building community contacts will provide a strategic                http://www.premierinc.com/all/safet
                                                             Services Pandemic     advantage if a pandemic influenza strikes. The checklist was designed             y/publications/04-06-
                                                             Influenza Planning    with a pandemic influenza in mind, although it may be used in other               downloads/06a-spanish-healthcare-
April           2006 Influenza -seasonal                     Checklist             types of emergencies.                                                             checklist.pdf


                                                                                  The U.S. Food and Drug Administration (FDA) has published
                                                                                  "Questions and Answers about Using Personal Protective Equipment
                                                                                  (PPE) during Influenza Outbreaks, including Bird Flu (Avian                        http://www.premierinc.com/all/safet
                                                                                  Influenza)"(.doc) (50 KB). Consistent with the Centers for Disease                 y/publications/12-05-downloads/10-
                                                             Use of personal      Control and Prevention (CDC), the document discusses PPE, how the                  questions-answers-ppe-during-flu-
                                                             protective equipment use of PPE prevents the spread of infection, and how PPE for                       outbreaks.doc and
                                                             during influenza     healthcare workers is different from those in other industries. The                http://www.premierinc.com/all/safet
December        2005 Influenza - seasonal                    outbreaks            document shows how to search for items cleared by the FDA.                         y/resources/influenza/index.jsp




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                                                                                                                                                           IHI
  Month     Year                Topic by Tab                     Tool                                        Description                                   Tool                Location


                                                                               The National Foundation for Infectious Diseases' "Kids Need Flu
                                                                               Vaccine" initiative now includes a new patient education resource for
                                                                               physicians and healthcare providers. The new patient education
                                                                               resource kit includes a parental brochure, fact sheet and poster in both
                                                                               English and Spanish. The kit provides useful strategies to help
                                                                               physicians and providers improve pediatric influenza vaccination rates
                                                                               among high-risk children with chronic medical conditions, such as
                                                                               asthma or diabetes. It also facilitates the implementation of
                                                                               recommendations by the CDC, AAP and other leading organizations to
                                                                               vaccinate all infants and toddlers 6 through 23 months of age as well as
                                                         Children's vaccine    household contacts and out-of-home caregivers of children between
October     2005 Influenza - seasonal                    education kit         birth and 2 years.                                                                 http://64.242.251.230/index1.html


                                                                               The purpose of the guide is to provide frontline healthcare personnel
                                                                               with information about indications and contraindications for the two               Last year's National Influenza
                                                                               types of influenza vaccines, as well as groups to be vaccinated and                Vaccine Summit guide is available
                                                                               how to administer the vaccines. The draft of the guide for the 2005-06             online at
                                                                               influenza vaccination season contains product-specific information for             http://www.immunize.org/influenza/
                                                         Influenza             three injectable influenza vaccines. This information has been included            pocketguide.htm, and this site
                                                         Vaccination Pocket    even though their licensure and availability may not be known before               should be checked periodically for
August      2005 Influenza - seasonal                    Information Guide     the start of the influenza vaccination season.                                     the 2005-2006 version.


                                                                               As reports of influenza increase during the current season, the Centers
                                                                               for Disease Control and Prevention (CDC) continues to offer new
                                                                               resources in the fight to prevent the illness. The "Cover Your Cough"
                                                                               campaign has new language-specific flyers and posters for healthcare
                                                                               settings, as well as community settings such as schools and child care
                                                                               settings. In addition to English, the materials are available in Spanish,
                                                         New posters in five   Vietnamese, Chinese and Tagalog. Links are also provided to influenza
                                                         languages for         vaccination information statements (VIS) and materials at the "Be a                http://www.cdc.gov/flu/protect/cover
January     2005 Influenza - seasonal                    healthcare, schools   Germ Stopper" site.                                                                cough.htm

                                                         Summary of
                                                         resources to prevent                                                                                     http://www.premierinc.com/all/safet
                                                         spread of flu in the This latest tool from the CDC provides various resources, including                 y/publications/11-04-downloads/08-
November   2004    Influenza - seasonal                  workplace            important telephone numbers, Web pages, and poster/flyer links.                     flu-tools.pdf




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                                                                                                                                                            IHI
  Month     Year               Topic by Tab                      Tool                                          Description                                  Tool                Location


                                                                                  A free online resource to help health care providers conduct influenza
                                                                                 immunization programs for children is available from The National
                                                                                 Foundation for Infectious Diseases (NFID). The "Kids Need Flu
                                                                                 Vaccine, Too!" program aims to increase immunization rates among
                                                                                 children 6-23 months of age and those with chronic medical conditions;
                                                                                 facilitate implementation of pediatric influenza immunization
                                                                                 recommendations issued by the Centers for Disease Control and                     tool is supported by the National
                                                                                 Prevention, American Academy of Pediatrics and American Academy                   Influenza Vaccine Summit and can
                                                         Kids Need Flu           of Family Physicians; and help educate parents and healthcare                     be accessed through the NFID
August      2004 Influenza - seasonal                    Vaccine, Too!           providers about the importance of preventing influenza among children.            Web site at http://64.242.251.230/.

                                                                                 The newsletter provides news and success stories about topics such as
                                                                                 reduction of medical waste, computer recycling, green cleaning
                                                                                 programs, conversion to reusable products, laboratory chemical
                                                                                 recycling, energy efficient lighting and light bulb recycling. Premier's
                                                                                 EPP program is a collaboration of the Premier Safety Institute and
                                                                                 Premier's group purchasing services. The program is part of Premier's
                                                                                 commitment to helping healthcare facilities with their environmental
                                                                                 efforts, including waste minimization and the elimination of the use of           Go to:
March       2006 Mercury Pollution Prevention            Green Link              mercury.                                                                          http://www.premierinc.com/safety

                                                                                 Pollution prevention reduces some of the regulatory compliance issues,
                                                                                 such as the hazardous waste rules, by encouraging the use of less
                                                                                 toxic materials. The fact sheets are:                 Mercury in
                                                                                 Healthcare Lab Reagents
                                                                                 Mercury in Labs and Pharmacies
                                                                                 Mercury in Patient Care Areas
                                                                                 Mercury in Non-Patient Care Areas                                                 The fact sheets may be obtained
                                                                                 Formalin Recovery in Health Care Labs                                             from the MnTAP Web site at
                                                                                 Suction Canister Waste Reduction                                                  http://www.mntap.umn.edu (click
                                                                                 Ten Tools To Get Below the Regulatory Radar                                       on "Industries" and "Healthcare"
August      2004 Mercury Pollution Prevention            Mercury fact sheets     MnTAP Profile, a general fact sheet on MnTAP's services                           for more information).
                                                                                 This resource provides information on such topics as the health effects
                                                         Healthcare Hazard       of mercury exposure; reducing occupational exposures, including
                                                         Control System          thorough training and personal protective equipment; and applicable               http://www.osha.gov/SLTC/mercury
September 2003 Mercury Pollution Prevention              Volume 2                OSHA standards and guidelines.                                                    /index.html
September 2008 Patient Safety                            Patient Safety and      This three-volume, 1,400-page handbook for nurses on patient safety               http://www.ahrq.gov/qual/nurseshd
                                                         Quality: An Evidence-   and quality resources contains 89 contributions that represent the work           bk/
                                                         Based Handbook for      of a broad range of nurses and other patient safety researchers
                                                         Nurses                  throughout the nation. The handbook is grouped into six sections:
                                                                                 Patient Safety and Quality; Evidence-based Practice; Patient-centered
                                                                                 Care; Working Conditions and the Work Environment for Nurses;




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                                                                                                                                                             IHI
  Month     Year                Topic by Tab                     Tool                                          Description                                   Tool                 Location
February   2008    Patient Safety                        AHRQ toolkits – 17      The Agency for Healthcare Research and Quality (AHRQ) has                          http://www.ahrq.gov/qual/pips
                                                         patient safety          developed a series of toolkits designed to help reduce medical errors.
                                                         resources               These 17 toolkits, "Patient Safety at the Point of Care," range from
                                                                                 checklists to help reconcile medications when patients are discharged
                                                                                 from the hospital to processes to enhance effective communication
                                                                                 among caregivers and with patients, to toolkits to help patients taking
                                                                                 medications, and can be adapted to most healthcare settings.


February   2008    Patient Safety                        FDA –                   The latest FDA medication safety-related videos, including some                    http://www.ismp.org/Tools/fdavideo
                                                         Downloadable            developed in cooperation with ISMP, are now available free for viewing             s.asp
                                                         medication safety       or downloading on the ISMP Web site.The videos added from October
                                                         videos                  include warnings about Vincristine errors, luer misconnection, and how
                                                                                 the use of a disposable straw with Exactacain, a local anesthetic spray,
                                                                                 may pose a safety risk to patients. November videos highlight side
                                                                                 effects of codeine in nursing mothers, avoiding mix-ups with
                                                                                 Amphotericin B formulations, and warnings for Rocephin use with any
                                                                                 IV product that contains calcium.


February   2008    Patient Safety                        NIH tool kit – Online                                                                                      http://nihseniorhealth.gov/toolkit/too
                                                         health information                                                                                         lkit.html
                                                         for seniors
February   2008    Patient Safety                        Free tool for           A free DVD from the Agency for Healthcare Research and Quality,                    Order at:
                                                         designing hospitals     "Transforming Hospitals: Designing for Safety and Quality," reviews                http://www.ahrq.gov/qual/transform.
                                                         for patient safety      evidence-based hospital design and how it increases patient and staff              htm
                                                                                 satisfaction and safety, quality of care, employee retention, and results
                                                                                 in a positive return on investment. Key concepts of evidence-based
                                                                                 design in a hospital include single-patient rooms, the use of noise
                                                                                 reducing construction materials, easily accessible workstations, and
                                                                                 improved layout for patients and staff. Patient safety issues addressed
                                                                                 are falls, hospital-associated infections and medical errors. The DVD
                                                                                 also presents cases of three hospitals that have incorporated evidence-
                                                                                 based design elements in their construction and renovation.




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                                                                                                                                                           IHI
  Month     Year                Topic by Tab                     Tool                                         Description                                  Tool                Location
December   2007    Patient Safety                        AHRQ free DVD –       A new free DVD addressing patient safety consists of eight modules                 Order at:
                                                         Patient safety        involving one to five separate lessons, and provides processes and                 http://www.ahrq.gov/qual/psicdvd.ht
                                                                               tools that can be used to develop a systems-based approach to patient              m
                                                                               safety. The modules include the investigation of medical errors and
                                                                               their root causes; identification, implementation and evaluation of
                                                                               system-level interventions to address patient safety concerns; and
                                                                               steps necessary to promote a culture of safety within a hospital or other
                                                                               healthcare facility.


December   2007    Patient Safety                        Advancing the                                                                                      √     http://www.premierinc.com/quality-
                                                         Practice of Patient-                                                                                     safety/tools-services/safety/safety-
                                                         and Family-Centered The Institute for Healthcare Improvement (IHI) recently released a                   share/12-07-downloads/6_Patient-
                                                         Care                 report titled ―Advancing the Practice of Patient- and Family-Centered               Family-Centered-Care-2007.pdf
                                                                              Care‖ that includes assessment tools to help hospitals determine the
                                                                              degree to which patient- and family-centered approaches exist in their
                                                                              current organizational culture; IHI also released a tool that helps gather
                                                                              information about the perceptions and attitudes of staff and
                                                                              administrative leaders. The report describes how hospitals can get
                                                                              started with understanding how quality and safety are advanced by
                                                                              bringing patients and families directly into the planning, delivery and
                                                                              evaluation processes. This 25-page report provides rationale for a
                                                                              patient- and family-centered approach to care and defines its core
                                                                              concepts and outlines steps that a hospital can take to create
                                                                              partnerships with patients and families.
October    2007    Patient Safety                        Drug safety          The FDA has released the first issue of its new Drug Safety newsletter.             A fact sheet and the inaugural
                                                         newsletter from FDA The online newsletter will be published quarterly and provide                        issue of the newsletter can be
                                                                              information for healthcare professionals, such as physicians, physician             found at
                                                                              assistants, nurse practitioners, nurses, pharmacists, dentists, other               http://www.fda.gov/cder/dsn/.
                                                                              allied healthcare professionals, health professional associations and
                                                                              drug information centers. The newsletter will feature findings of
                                                                              selected post-marketing drug safety reviews from the agency's Center
                                                                              for Drug Evaluation and Research (CDER), important emerging drug
                                                                              safety issues, and recently approved new drugs. The newsletter
                                                                              provides post-marketing information to healthcare professionals to
                                                                              enhance communication of new drug safety information, raise
                                                                              awareness of reported adverse events, and stimulate additional
                                                                              adverse event reporting.




    Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
                                                                                   Premier Safety Share



                                                                                                                                                          IHI
  Month    Year                Topic by Tab                     Tool                                        Description                                   Tool                Location
September 2007    Patient Safety                        NCI – End-of-life     The National Cancer Institute (NCI) has published a free palliative-care           The CD can be ordered or a
                                                        care tool             training program for health professionals caring for cancer patients. The          brochure downloaded online. For
                                                                              "Education in Palliative and End-of-Life Care for Oncology" CD-ROM                 more information, go to the NCI
                                                                              and DVD teaches palliative care competencies and interventions for                 Web site at
                                                                              cancer patients. The curriculum is designed to provide the practicing              http://www.nci.nih.gov/aboutnci/epe
                                                                              clinician with information and strategies necessary to provide palliative          co
                                                                              interventions to his or her patients and to provide educational tools and
                                                                              materials to use in teaching the core competencies of palliative care to
                                                                              trainees. This curriculum is eligible for continuing education credit for
                                                                              physicians and nurses.


September 2007    Patient Safety                        Webcast – Best        Catheter-related blood stream infections (BSI) are a significant source            http://www.cardinal.com/clinicalcent
                                                        practices to reduce   of morbidity and mortality associated with a variety of devices used to            er/materials/webcasts/index.asp
                                                        catheter-related      access the vascular system. Meticulous aseptic technique is both
                                                        blood stream          required and effective to prevent BSI. Faculty share their observations,
                                                        infections            best practices, and outcome data as they discuss this important topic.
                                                                              This free webcast is a replay from the original August 17, 2007,
                                                                              webcast provided by Cardinal Health's Center for Safety and Clinical
                                                                              Excellence and will remain available for one full year. Continuing
                                                                              education credit is also provided.


September 2007    Patient Safety                        FDA – Free patient    The latest medication safety-related videos, developed by the FDA in               http://www.ismp.org/Tools/fdavideo
                                                        safety videos         cooperation with ISMP, are now available free for viewing or                       s.asp
                                                                              downloading on the ISMP Web site
                                                                              (http://www.ismp.org/Tools/fdavideos.asp).
                                                                              The National Cancer Institute (NCI) has published a free palliative-care           The CD can be ordered or a
                                                        NCI – End-of-life     training program for health professionals caring for cancer patients. The          brochure downloaded online. For
September 2007    Patient Safety                        care tool             "Education in Palliative and End-of-Life Care for Oncology" CD-ROM                 more information, go to the NCI


                                                                              Catheter-related blood stream infections (BSI) are a significant source
                                                                              of morbidity and mortality associated with a variety of devices used to
                                                                              access the vascular system. Meticulous aseptic technique is both
                                                                              required and effective to prevent BSI. Faculty share their observations,
                                                        Webcast – Best        best practices, and outcome data as they discuss this important topic.
                                                        practices to reduce   This free webcast is a replay from the original August 17, 2007,
                                                        catheter-related      webcast provided by Cardinal Health's Center for Safety and Clinical
                                                        blood stream          Excellence and will remain available for one full year. Continuing                 http://www.cardinal.com/clinicalcent
September 2007    Patient Safety                        infections            education credit is also provided.                                                 er/materials/webcasts/index.asp




   Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
                                                                                        Premier Safety Share



                                                                                                                                                              IHI
  Month        Year                Topic by Tab                     Tool                                         Description                                  Tool                Location
                                                                                   The latest medication safety-related videos, developed by the FDA in
                                                                                   cooperation with ISMP, are now available free for viewing or
                                                            FDA – Free patient     downloading on the ISMP Web site                                                  http://www.ismp.org/Tools/fdavideo
September 2007        Patient Safety                        safety videos          (http://www.ismp.org/Tools/fdavideos.asp).
                                                                                   The new Healthcare Industry Quick Start module is directed primarily to           s.asp
                                                            OSHA – New             small employers in the healthcare field. The module is designed to help
                                                            healthcare "Quick      users find free resources on the OSHA Web site related to the
                                                            Start" compliance      healthcare industry. The eight-step module includes information on                http://www.osha.gov/dcsp/complian
August         2007 Patient Safety                          tool                   OSHA requirements that apply to many healthcare employers;                        ce_assistance/quickstarts/

                                                            ACR – Updated          The white paper titled "ACR Guidance Document for Safe MR                         http://www.premierinc.com/quality-
                                                            guidance on            Practices" (.pdf) (335 KB) details MR safety, from the design of the MR           safety/tools-services/safety/safety-
                                                            magnetic resonance     suite and the qualifications of personnel to screening patients and what          share/07-07-downloads/08-safe-
July          2007    Patient Safety                        safety                 to do in an emergency.                                                            mr07.pdf




                                                                                                                                                                     English:
                                                                                                                                                                     http://www.premierinc.com/quality-
                                                                                                                                                                     safety/tools-services/safety/safety-
                                                                                                                                                                     share/07-07-downloads/04-
                                                                                                                                                                     meninge-survivor-story-
                                                            CDC – New              One young man's experience with meningococcal meningitis and his                  english.doc; Spanish:
                                                            meningococcal          subsequent recovery is available in both English (.doc) ( KB) and                 http://www.premierinc.com/quality-
                                                            vaccine information    Spanish (.doc) (59 KB) to be shared with patients and staff (.doc) (1.9           safety/tools-services/safety/safety-
                                                            available in Spanish   MB). His story emphasizes the importance of receiving the available               share/07-07-downloads/05-
July          2007    Patient Safety                        and English            vaccine.                                                                          meninge-survivor-story-spanish.rtf


                                                                                   The new Health Care Report Card Compendium is a searchable
                                                                                   directory of more than 200 samples of report cards produced by a
                                                                                   variety of organizations. The samples show formats and approaches for
                                                                                   providing comparative information on the quality of health plans,
                                                                                   hospitals, medical groups, individual physicians, nursing homes, and
                                                                                   other providers of care. The purpose of the AHRQ Report Card
                                                                                   Compendium is to inform and support the various organizations that
                                                            AHRQ – Sample          develop healthcare quality reports, to provide easy access to examples
                                                            healthcare quality     of different approaches to content and presentation, and to meet the              http://www.talkingquality.gov/comp
June          2007    Patient Safety                        report cards           needs of health services researchers.                                             endium/




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                                                                                                                                                             IHI
  Month       Year                Topic by Tab                     Tool                                        Description                                   Tool                Location


                                                                                A new guide available from the Agency for Healthcare Research and
                                                                                Quality (AHRQ) titled "Mistake-Proofing the Design of Health Care
                                                                                Processes" describes simple, low-cost interventions that organizations
                                                                                can undertake to improve patient safety that includes more than 150
                                                                                real world examples of process or design features that have been
                                                           AHRQ toolkit –       implemented as a result of root-cause analyses and other interventions              http://www.premierinc.com/quality-
                                                           "Mistake-proofing"   to help ensure that processes help prevent errors or the negative                   safety/tools-services/safety/safety-
                                                           healthcare process   impact of an error.                                                                 share/06-07-downloads/07-
June         2007    Patient Safety                        design                                                                                                   mistakeproofing.pdf


                                                                              The AORN "Patient Hand-Off Toolkit" helps caregivers effectively
                                                                              communicate key information such as the patient’s current and past
                                                           AORN Patient Hand- condition, ongoing treatments, and possible changes or complications                  The toolkit can be downloaded
                                                           Off toolkit – Free that should be monitored closely. The kit includes sample checklists                  free of charge at:
                                                           Web-based surgical and forms, slide presentations on standardizing communication and                     http://www.aorn.org/PracticeResour
June         2007    Patient Safety                        patient transfer   information exchanges, and a guide to additional resources.                           ces/ToolKits/


                                                                                The CDC has published a national estimate of the number of
                                                                                healthcare-associated infections (HAI) and HAI-related deaths in the                http://www.premierinc.com/quality-
                                                                                United States in a March-April issue of Public Health article, "Estimating          safety/tools-
                                                                                Health Care-Associated Infections and Deaths in U.S. Hospitals, 2002."              services/safety/topics/guidelines/an
                                                                                The authors concluded that the method they used for estimating the                  timicrobials.jsp#hc-assoc-
                                                                                number of HAIs made the best use of existing national data. Data were               infections;
                                                                                obtained from the National Nosocomial Infections Surveillance (NNIS)                http://www.premierinc.com/quality-
                                                           CDC – HAI            System (1990-2002), the National Discharge Survey (2002), and the                   safety/tools-
                                                           summary and slide    American Hospital Association Survey (2000). Study findings are                     services/safety/topics/guidelines/an
May          2007    Patient Safety                        set                  summarized in a PowerPoint presentation.                                            timicrobials.jsp#hc-assoc-infections



                                                                             The new information explains what the Joint Commission is looking for
                                                                             in adverse tissue reaction policies, such as the reporting of potential
                                                                             disease transmission to the recipient when notified by the donor source
                                                                             facility and reporting adverse patient reactions to the donor source
                                                                             facility. These actions must be carried out and the tissue's unique
                                                                             identifier must also allow the organization to easily trace the records
                                                                             when notified of a problem by either the donor facility or the patient's               http://www.premierinc.com/quality-
                                                           The Joint         physician. Tracing the tissue records includes the complete chain of                   safety/tools-
                                                           Commission – FAQs events, including who handled the tissue, how it was transported,                      services/safety/topics/patient_safet
May          2007    Patient Safety                        on tissue storage stored and processed, dates and times such activities occurred.                        y/downloads/jc-standards-faqs.doc




      Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
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                                                                                                                                                            IHI
  Month       Year                Topic by Tab                     Tool                                        Description                                  Tool                 Location

                                                                                 The second in a series of collaborative leadership tools for CEOs,
                                                                                 "Clarifying Expectations: A First Step in Developing Truly Effective
                                                                                 Relationships Between CEOs and Trustees," focuses on clarifying
                                                                                 trustees' and CEOs' mutual expectations. It includes a simple exercise
                                                                                 for helping trustees and CEOs refine the way they work together. It also
                                                                                 includes information on the sources of misunderstandings and typical              Tool 2 is available at
                                                                                 expectations and describes the roles of and relationships between the             http://www.americangovernance.co
                                                           AHA – CEO             CEO and the board.                                                                m/americangovernance/resources/
May          2007    Patient Safety                        leadership tools                                                                                        CLT/CLTtool2.html
                                                                                 This site provides the agency's latest healthcare research findings,
                                                                                 news, and information. This site enables viewers to also hear the                 This link is available from the
                                                           AHRQ – Audio          newscasts through a computer or permit a download to a portable                   Safety Institute's Patient safety
Mar           2007 Patient Safety                          newscast series       digital player such as an iPod.                                                   web site under "Resources."




                                                                                 An online tool created by the Foundation for Healthy Communities in
                                                                                 New Hampshire has a directory that enables healthcare workers
                                                                                 working with culturally and linguistically diverse communities to easily
                                                                                 find translated health forms and documents. The directory provides
                                                                                 access to documents created and translated by New Hampshire health
                                                                                 agencies and organizations. The documents are intended for use by
                                                                                 any healthcare organization. Translated documents include consent
                                                                                 forms, patient bills of rights, financial assistance applications, and
                                                                                 information about cholesterol, asthma and child immunizations. Part of
                                                           New Hampshire –       the Foundation's Cultural Effectiveness and Quality Health Care
                                                           Health forms in       Project, the tool will be updated with documents and language                     http://www.healthynh.com/fhc/reso
Feb           2007 Patient Safety                          multiple languages    translations. Access the tool on the Foundation Web site.                         urces/translateddocuments.php



                                                                                 The FDA Hospital Bed Safety Workgroup's (HBSW), final guidance on
                                                                                 hospital bed design, "Guidance for Industry and FDA Staff; Hospital               http://www.premierinc.com/quality-
                                                                                 Bed System Dimensional and Assessment Guidance to Reduce                          safety/tools-services/safety/safety-
                                                                                 Entrapment", identifies special issues associated with hospital bed               share/01-07-full-txt.jsp#tool-01.
                                                                                 systems and provides design recommendations for manufacturers of                  The HBSW also has a Bed Safety
                                                                                 new hospital beds and suggestions for healthcare facilities on ways to            Entrapment Kit containing
                                                                                 assess existing beds. "A Guide for Modifying Bed Systems and Using                information and tools that can be
                                                                                 Accessories to Reduce the Risk of Entrapment", released by the                    used to assess the risk of
                                                           FDA – Updates on      HBSW in June 2006, focuses on modifying bed systems and using add-                entrapment in hospital beds
                                                           hospital bed safety   on or replacement equipment and accessories to reduce the                         http://www.fda.gov/cdrh/beds/entra
Jan           2007 Patient Safety                          guidance              entrapment risks posed by openings in existing bed systems.                       pmentkit.html.




      Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
                                                                                       Premier Safety Share



                                                                                                                                                              IHI
  Month       Year                Topic by Tab                     Tool                                         Description                                   Tool                Location



                                                                                  Beginning in June 2007, all hospitals, including Critical Access
                                                                                  Hospitals (CAH), will have 30-day (risk adjusted) mortality rates for
                                                                                  acute myocardial infarction (AMI) and heart failure (HF) published on
                                                                                  the Hospital Compare Web site through an initiative led by the Hospital
                                                                                  Quality Alliance (HQA) . The data reported in June will cover the period
                                                                                  July 1, 2005, to June 30, 2006; reported data will also soon include
                                                                                  pneumonia patients. So that hospitals may become familiar with the
                                                                                  background of the measures and their own mortality rates, Centers for              Hospital Compare Web site
                                                                                  Medicare and Medicaid Services (CMS) will provide a mock report                    (http://www.hospitalcompare.hhs.g
                                                                                  based on 2003 Medicare claims. The rates contained in these initial                ov/). Information and updates
                                                                                  reports will not be posted publicly on the Hospital Compare Web site.              about this initiative will be posted
                                                                                  IThe CMS timeline from November 2006 contains additional                           periodically to
                                                           Hospital Compare -     information, including the important dates for public reporting. More              http://www.qualitynet.org/ under
Jan          2007    Patient Safety                        Mock data              information is available at QNet exchange.                                         the "Hospitals" section.


                                                                                  Hospitals for a Healthy Environment (H2E) has developed an
                                                                                  "Environmental Compliance and Improvement Guide" that matches
                                                                                  each JCAHO Element of Performance to specific federal regulations.
                                                                                  This guide helps facilities identify how to be in compliance with both.
                                                                                  The guide also suggests steps that facilities can take to encourage
                                                                                  environmental performance improvements. A comprehensive
                                                                                  environmental program, including waste minimization and pollution
                                                                                  prevention initiatives, not only ensures compliance, but can also help
                                                                                  reduce the costs of compliance. The guide provides links, tips and tools
                                                           H2E – New              that enumerate specific management practices, materials, regulatory
                                                           environmental          requirements, and facility infrastructure relevant to the specific JCAHO           http://www.h2e-
                                                           compliance and         Element of Performance (EP).                                                       online.org/regsandstandards/jcahoi
Dec          2006    Patient Safety                        improvement guide      The first tool is a "Global Trigger Tool" designed to help get started in          ntro.html Trigger Tools
                                                                                                                                                                     Access IHI
                                                           IHI – Patient safety   the approach; the other tools focus on specific areas such as                      at:http://www.ihi.org/IHI/Topics/Pati
Dec          2006    Patient Safety                        trigger tools          measuringUniversity Medical Center, Omaha, NE, provides a intensive
                                                                                  Creighton adverse drug events, perioperative care, neonatal tool to                entSafety/SafetyGeneral/Tools/Intr
                                                                                                                                                                     http://www.premierinc.com/quality-
                                                           Medication safety      guide considerations of resource requirements when evaluating the                  safety/tools-services/safety/safety-
                                                           guide – Ambulatory     ambulatory care environment for medication safety. The guide is titled             share/12-06-downloads/07-chrp-
Dec          2006    Patient Safety                        care                   "Medication Safety Best Practices Guide for Ambulatory Care Use"                   best-practices.pdf




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                                                                                                                                                             IHI
  Month       Year                Topic by Tab                     Tool                                        Description                                   Tool                Location


                                                                                 Several new tools have recently been added to the Surgical Care
                                                                                 Improvement Project (SCIP) Web site. The first, "Preventive Antibiotics
                                                                                 in Colon and Rectal Surgery: Discontinuation Within 24 Hours After
                                                                                 Operation," is a presentation that discusses the importance of giving
                                                                                 recommended antibiotics in colorectal surgery with the equally                     VTE guidelines are available from
                                                                                 important factor of discontinuing the antibiotics within 24 hours. Other           the Premier Safety Institute
                                                                                 tools related to venous thromboembolism include: Deep Vein                         Infection Prevention and Safety
                                                           SCIP – New            Thrombosis Prophylaxis Risk Factor Assessment, and Thrombosis                      Module under "Other guidelines,
Dec          2006    Patient Safety                        surgical, VTE tools   Screen and Prophylaxis Recommendations.                                            selected resources."


                                                                                 Information in the report includes discussions of the scope of WPV,
                                                                                 barriers to violence prevention, prevention programs and strategies,
                                                                                 and research needs. The report discusses information on barriers and
                                                                                 gaps that impede the development and implementation of WPV
                                                           Workplace Violence    prevention programs, and summarizes the best workplace violence                    http://www.premierinc.com/quality-
                                                           Prevention            strategy/program practices presented by conference participants,                   safety/tools-services/safety/safety-
                                                           Strategies and        general research needs and the importance of linking research findings             share/11-06-downloads/10-
November     2006    Patient Safety                        Research Needs        to practical prevention efforts.                                                   workplace-violence-prevention.pdf
                                                                                 The Med Form tool helps patients maintain a single, updated record of
                                                                                 their medications, vitamins, immunizations and allergies to share with
                                                                                 their healthcare providers. The Arizona Hospital and Healthcare
                                                                                 Association's Safe & Sound Patient Safety Initiative, Arizona Medical
                                                                                 Association, and Arizona Partnership for Implementing Patient Safety               The Med Form is available in
                                                                                 sponsored the form and it is available statewide in physician offices and          Spanish and English at
November     2006    Patient Safety                        The Med Form tool     hospitals.                                                                         http://www.themedform.com/.


                                                                                 Meeting the Joint Commission's 2007 National Patient Safety Goals, is
                                                                                 available as a tool for all accredited organizations preparing to
                                                                                 implement the 2007 National Patient Safety Goals. The publication
                                                                                 explains how to comply with the 2007 goals and requirements of the
                                                           New JCAHO             goals, through a compilation of articles, book excerpts and tips.                  To order, call JCR Customer
                                                           resource – 2007       Detailed topics such as identifying safety risks inherent in patient               Service toll-free at 877.223.6866,
                                                           National Patient      populations, and encouraging the involvement of patients and families              8 a.m. to 8 p.m. CT, weekdays, or
Oct          2006    Patient Safety                        Safety Goals          in patient care are among those covered in the book.                               visit www.jcrinc.com




      Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
                                                                                       Premier Safety Share



                                                                                                                                                             IHI
  Month        Year                Topic by Tab                     Tool                                        Description                                  Tool                Location


                                                                                  The Joint Commission on Accreditation of Healthcare Organizations
                                                                                  has a secure extranet Web site that offers new automated tools for
                                                                                  reporting sentinel events and complaints. Full transition to the online
                                                                                  tools is required by January 1, 2007. Locate the tool on the extranet
                                                                                  home page under "Self Report Sentinel Event" in the "Continuous
                                                                                  Compliance Tools" section. Root cause analyses (RCA), action plans,               The automated complaint tool is
                                                                                  and sentinel event measures of success may be submitted to the Joint              also available on the Joint
                                                                                  Commission using an online RCA collection tool, also accessible from              Commission Web site at:
                                                            Sentinel event and    the "Continuous Compliance Tools" section under the "Sentinel Event               http://www.jointcommission.org/Ge
Sept           2006 Patient Safety                          complaint reporting   Activities" link.                                                                 neralPublic/Complaint/


                                                                                  A new consensus report from the American Medical Association
                                                                                  Ethical Force Program offers guidelines to help healthcare
                                                                                  organizations ensure effective, patient-centered communications with
                                                                                  patients of diverse backgrounds. This report lists a number of specific,
                                                                                  measurable expectations for performance that organizations can use as             http://www.premierinc.com/quality-
                                                            AMA – Guidelines      a framework for evaluating performance, as well as a guide for                    safety/tools-services/safety/safety-
                                                            for improving patient improving communication quality. An organizational self-assessment                share/07-06-downloads/06-
July           2006 Patient Safety                          communications        toolkit based on the report is being field-tested.                                improving-communication.pdf


                                                                                 The Surgical Care Improvement Project (SCIP) Web site has added                    http://www.premierinc.com/quality-
                                                                                 practical tools for the four SCIP areas: cardiac, infections, venous               safety/tools-services/safety/safety-
                                                                                 thromboembolism, and respiratory. Tools include help with antibiotic               share/07-06-downloads/13-scip-
                                                                                 timing, glucose management, and prevention of deep vein thrombosis.                antibiotics-pocket-card.pdf,
                                                            SCIP – Surgical care Visitors can download a DVT order set, an antibiotic recommendations               additional tools at
July           2006 Patient Safety                          improvement tools    chart, and a glucose management protocol order set.                                http://www.medqic.org/scip


                                                                                  The Joint Commission International Center for Patient Safety has a new
                                                                                  online resource that links to resources related to sentinel events and
                                                                                  Joint Commission on Accreditation of Healthcare Organizations
                                                                                  (JCAHO) National Patient Safety Goals. The site, "Patient Safety
                                                                                  Practices," contains tools and resources addressing issues related to
                                                                                  the causes and types of adverse events, U.S. and International Patient
                                                            Patient Safety        Safety Goals and free access to many of their articles from a variety of
                                                            Practices - JCAHO     journals, including the "Environment of Care."                                    Go to:
May           2006    Patient Safety                        web site              http://www.jcipatientsafety.org/psp                                               http://www.jcipatientsafety.org/psp




       Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
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                                                                                                                                                                IHI
   Month        Year                Topic by Tab                     Tool                                          Description                                  Tool                Location


                                                                                  The National Institute for Occupational Safety and Health (NIOSH)
                                                                                  draft, "Evaluation of Safe Patient Handling and Movement Principles",
                                                                                  available for comment until May 30, 2006. The presentation was
                                                                                  developed for use in nursing schools to improve work practices for
                                                                                  patient care workers. It covers the definition of ergonomics, risk factors
                                                                                  for musculoskeletal injury during patient handling and movement,
                                                             Evaluation of Safe   recognizing high-risk patient care activities and conditions that result in          Go to:
                                                             Patient Handling and high-risk patient-care environments, and identifying the best solutions              http://www.cdc.gov/niosh/review/pu
April          2006    Patient Safety                        Movement Principles for patient handling.                                                                 blic/safe-patient/
                                                                                    The toolkit presents strategies for comprehensively redesigning and
                                                                                    transforming processes of care in a hospital. It details how healthcare
                                                                                    systems can redesign (including the planning steps needed for such
                                                                                    transformation) and presents strategies for translating information
                                                                                    gathered into proposed projects for implementation. Many of the                    Go to:
                                                             AHRQ toolkit –         techniques included in the toolkit can be used to guide process                    http://www.premierinc.com/all/safet
                                                             Hospital process       improvements without embarking on comprehensive system                             y/publications/03-06-downloads/09-
March          2006    Patient Safety                        redesign strategies    transformation.                                                                    hospital-redesign-toolkit.pdf


                                                                                    guide is designed to help outpatient physician practices incorporate
                                                                                    safer systems for medication sample prescribing and dispensing. The
                                                                                    checklist format helps users rate their current medication use
                                                                                    processes (prescribing, dispensing, administering, counseling, and
                                                                                    monitoring) so plans for improvements can be prioritized and                       Go to:
                                                             Medication safety      implemented. The guide also addresses processes in technology and                  http://www.premierinc.com/all/safet
                                                             tool – ambulatory      safety, office environment, error management, workplace conditions,                y/publications/03-06-downloads/08-
March          2006    Patient Safety                        care                   safety education, and safety perceptions.                                          best-practices-ambulatory-care.pdf




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                                                                                                                                                             IHI
  Month     Year                Topic by Tab                      Tool                                         Description                                   Tool                Location




                                                                                Having Surgery? What You Need to Know is designed to help patients
                                                                                make informed decisions when planning for surgery. The brochure
                                                                                suggests questions to help patients obtain needed information including
                                                                                how and where their operation will be performed, what kind of
                                                                                anesthesia will be used, whether non-surgical medical treatment and                 Go to
                                                                                watchful waiting are options, possible risks of not having the surgery,             :http://www.premierinc.com/all/safe
                                                                                potential risks and expected benefits if they have the surgery, and how             ty/publications/01-06-
                                                                                long recovery is expected to take. Additional questions include cost,               downloads/13-surgery.pdf. A
                                                                                insurance and whether a second opinion is required and/or covered.                  Spanish language version,
                                                         Having Surgery?        The publication is part of a series of healthcare resources from AHRQ               http://www.premierinc.com/all/safet
                                                         What You Need to       to help people be more active in making informed decisions that can                 y/publications/01-06-downloads/14-
January    2006    Patient Safety                        Know"                  help them obtain high-quality healthcare.
                                                                                The American Society of Anesthesiologists (ASA) has approved a                      sp-surgery.pdf, is available.
                                                         ASA Practice           practice advisory on anesthesia awareness intended to help
                                                         Advisory – reduce      anesthesiologists reduce the risk of unintended patient awareness                   http://www.premierinc.com/all/safet
                                                         awareness under        under general anesthesia. The ASA reports that one to two out of every              y/publications/11-05-downloads/09-
December   2005    Patient Safety                        anesthesia             1,000 patients receiving general anesthesia regains consciousness and               aware-advisory-10-05.pdf


                                                                                This module applies the AHRQ QI to improve population health using
                                                                                the AHRQ QI as a catalyst for quality improvement, implications of ICD-
                                                                                9-CM coding practices, the use of the AHRQ QI in the National
                                                                                Healthcare Quality Reports, methods for creating aggregate
                                                         Pediatric Indicator    performance indices, and considerations in using the AHRQ QI for                    http://qualityindicators.ahrq.gov/use
November   2005    Patient Safety                        Module                 comparative reporting and pay-for-performance.                                      rmeeting_presentations_2005.htm


                                                                                A free multimedia safety tool kit is available and contains a five-minute,
                                                                                Web based version of the patient safety Emmi TM tool that explains the
                                                                                patient's role in preventing mistakes and infections in hospitals. The
                                                                                tool kit is sponsored by the American Society of Hospital Risk
                                                                                Management (ASHRM), Rightfield Solutions, the creators of Emmi
                                                                                patient education system, and the Health Research and Educational
                                                                                Trust (HRET) of the American Hospital Association. Hospitals can post
                                                         Multimedia safety      this program on their Web sites for patients to view prior to coming to
                                                         tool kit for patient   the hospital, or broadcast the two-minute version on an in-house
November   2005    Patient Safety                        education              television network.                                                                 http://www.emmisafety.com/ashrm




    Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
                                                                                     Premier Safety Share



                                                                                                                                                            IHI
  Month     Year                Topic by Tab                     Tool                                         Description                                   Tool                Location


                                                                                The South Carolina Hospital Association (SCHA) Patient Safety
                                                                                Committee has developed three tools to help consumers, healthcare
                                                                                facilities, and healthcare workers keep track of all personal
                                                                                medications. These tools can help consumers, hospital inpatients and
                                                                                outpatients, hospitals, nursing homes, physician offices, emergency
                                                                                medical workers, and pharmacists "stay on the same page" so that
                                                                                everyone knows all of the medications a person takes. The tools are:
                                                         Toolkit – Medication   Universal Medication Form (UMF), Patient Medication Brochure, and                  http://scha.org/document.asp?docu
October    2005    Patient Safety                        safety                 Medication Reconciliation Form (MRF)                                               ment_id=2,3,32,3491


                                                         Regional               The agenda at the regional forums and networking meetings includes                 For more information about these
                                                         Performance            results from the CMS-Premier Hospital Quality Improvement                          programs and a schedule and
                                                         Improvement            Demonstration project (how-to's and success stories from top decile                registration, visit:
                                                         forums, Rapid          performers), patient safety, managing length of stay, physician                    http://www.premierinc.com/all/confe
                                                         Improvement Web        engagement, interactive working groups, and live demonstrations of the             rences/ceo/index.jsp?ref=october-
October    2005    Patient Safety                        tool                   Rapid Improvement Program and Web portal).                                         safety-share


                                                                                The Joint Commission's August issue of Perspectives on Patient Safety
                                                                                offers suggestions on meeting the 2006 National Patient Safety Goals
                                                                                (.pdf) (345 KB). The special issue, provided free for a limited time,
                                                                                describes each goal and accompanying requirements and offers
                                                                                compliance tips. For example, JCAHO describes measures
                                                                                implemented by some organizations to increase compliance with hand
                                                                                hygiene guidelines from the Centers for Disease Control and
                                                         Suggestions on         Prevention (CDC), which is required under the goal for reducing the risk           Access the suggestions at
                                                         meeting the 2006       of healthcare-associated infections. Tips for non-hospital settings, such          http://www.premierinc.com/all/safet
                                                         National Patient       as home care or long-term care, are also included where compliance                 y/publications/08-05-downloads/11-
August     2005    Patient Safety                        Safety Goals           needs could differ from acute care settings.                                       perspectives-07-05.pdf

                                                                                A new Institute for Healthcare Improvement (IHI) Innovation Series
                                                                                white paper expands on a previous paper, "Move Your Dot: Measuring,
                                                                                Evaluating, and Reducing Hospital Mortality Rates," that introduced a
                                                                                novel perspective and methodology for understanding and reducing
                                                         Move Your Dot:         inpatient deaths. "Reducing Hospital Mortality Rates (Part 2)"
                                                         Measuring,             summarizes preliminary results from a three-year pilot project in which            White papers are free and
                                                         Evaluating, and        eight hospitals, working with IHI, are testing the theory that hospital            available online at:
                                                         Reducing Hospital      mortality can be consistently reduced through a combination of                     http://www.ihi.org/IHI/Products/Whit
August     2005    Patient Safety                        Mortality Rates        evidence-based interventions.                                                √     ePapers/




    Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
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                                                                                                                                                                IHI
  Month        Year                Topic by Tab                     Tool                                         Description                                    Tool                Location
                                                                                  Premier's Safety Institute has developed a Spanish version of the
                                                                                  Agency for Healthcare Research and Quality's (AHRQ) Hospital Survey                  The survey tool can be accessed
                                                            Hospital Survey on    on Patient Safety Culture survey tool, as well as a customized                       at
                                                            Patient Safety        Microsoft® Excel data tool for easy entry and rapid display of survey                http://www.premierinc.com/all/safet
August        2005    Patient Safety                        Culture               results.                                                                             y/culture/




                                                                                  ―Self-Study Modules on Tuberculosis,‖ a new education tool specifically
                                                                                  designed for healthcare workers and other professionals involved in the
                                                                                  identification, treatment, and care of individuals with tuberculosis and
                                                                                  latent tuberculosis infection is now available. The tool is the result of a
                                                                                  partnership between the Centers for Disease Control and Prevention’s
                                                                                  (CDC) Division of Tuberculosis Elimination and the Division of Media
                                                                                  and Training Services. These courses are also appropriate for staff of
                                                                                  correctional facilities, drug treatment centers, migrant clinics, nursing
                                                                                  homes, homeless shelters, or other facilities serving persons with or at
                                                                                  risk for tuberculosis. Each course has a separate set of modules,
                                                                                  registration process, exam, and credits. The modules can also be
                                                                                  worked through without registering. Content from both the print-based
                                                                                  Self-Study Modules on Tuberculosis and the video-based "A Satellite                  The modules can be accessed at
                                                            Self-Study Modules    Primer on Tuberculosis" was used to create Self-Study Modules on                     http://www.phppo.cdc.gov/phtn/tbm
July           2005 Patient Safety                          on Tuberculosis       Tuberculosis that can be delivered via the World Wide Web.                           odules/Default.htm.


                                                                                  Alternatives to using medical waste incinerators for treating regulated
                                                                                  medical waste were the focus of a free teleconference July 8, 2005,                  Additional information is available
                                                                                  and hosted by Hospitals for a Healthy Environment (H2E).                             from H2E at www.h2e-
                                                                                  Teleconference speaker Sally M. Patterson, regulated medical waste                   online.org/events/teleconf/index.cf
                                                                                  program coordinator, New York State Department of Health, discussed                  m. The slide presentation,
                                                                                  the advantages and disadvantages of using alternative treatment                      (Append 8_RMW_NY.ppt) as well
                                                                                  technologies approved in the state of New York, including low-heat                   as a chart of alternative
                                                            Alternative medical   treating systems, high-heat treating systems, and chemical treatment                 technologies can be downloaded.
July           2005 Patient Safety                          waste treatment       systems.                                                                             (Append 9_alttechchart.pdf




       Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
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                                                                                                                                                              IHI
  Month        Year                Topic by Tab                      Tool                                        Description                                  Tool                Location


                                                                                   A checklist that can aid safety and environmental managers managing
                                                                                   obese patients is now available on the Healthcare Hazard Control                  To review the checklist and
                                                                                   (HHC) Members' Web site. The list can help staff ensure that a                    assessment tool, login at
                                                                                   healthcare facility's physical structures and equipment safely                    http://www.ecri.org, click "HHC
                                                                                   accommodates extremely obese patients and visitors. An assessment                 Homepage," and click the "Sample
                                                                                   tool to guide caregivers on the safe handling of extremely obese                  Policies" link on the left-hand side
                                                                                   patients has also been added. An analysis on the safe accommodation               of the screen. The tools can be
                                                            Tools for managing     of extremely obese patients and visitors will be published in the August          found under the "Miscellaneous"
July           2005 Patient Safety                          obese patients         2005 HHC mailing.                                                                 heading.


                                                                                   The American Medical Association (AMA) has released a new primer
                                                                                   designed to help physicians improve immunization rates, particularly in
                                                                                   minority populations. The primer, ―Roadmaps for Clinical Practice,
                                                                                   Improving Immunization: Addressing Racial and Ethnic Populations,‖
                                                                                   addresses the leading health indicator of immunization and infectious
                                                                                   diseases, with a special focus on reducing racial and ethnic disparities
                                                                                   in immunizations. In addition to resources, the primer provides tools to
                                                            Roadmaps for           help physicians ensure that patients are up-to-date with their
                                                            Clinical Practice,     vaccinations and includes immunization schedules for both children and
                                                            Improving              adults. The primer is the latest volume in the AMA’s ―Roadmaps for                The project is supported by an
                                                            Immunization:          Clinical Practice: Case Studies in Disease Prevention and Health                  unrestricted educational grant from
                                                            Addressing Racial      Promotion‖ series, which provides physicians and other health                     Sanofi Pasteur and is available
                                                            and Ethnic             professionals with clinical strategies and tools to address the leading           online at www.ama-
July           2005 Patient Safety                          Populations            causes of preventable morbidity and premature mortality.                          assn.org/go/roadmaps.


                                                                                   A new pocket guide recently released by Health and Human Services
                                                                                   (HHS), "Helping Smokers Quit: A Guide for Nurses," was developed by
                                                                                   AHRQ in collaboration with "Tobacco Free Nurses," a national initiative
                                                                                   funded by The Robert Wood Johnson Foundation. This new tool is
                                                                                   designed to give nurses evidence-based information that they can use
                                                                                   to help their patients quit smoking. The free guide gives nurses' easy            Download the guide at
                                                                                   access to information based on the "5 A's" approach to cessation                  http://www.premierinc.com/all/safet
                                                            HHS pocket guide       intervention: Ask, Advise, Assess, Assist, and Arrange. It also includes          y/publications/06-05-downloads/13-
                                                            offers resources to    a current listing of smoking cessation medications approved by Food               hlpsmksqt.pdf or go to
                                                            assist patients with   and Drug Administration (FDA) and a referral to HHS' National Quitline,           http://www.ahrq.gov/about/nursing/
June          2005    Patient Safety                        smoking cessation      1-800-QUIT NOW.                                                                   hlpsmksqt.htm




       Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
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                                                                                                                                                              IHI
  Month       Year                Topic by Tab                     Tool                                         Description                                   Tool                Location


                                                                                 The Commonwealth Fund's chart book assesses the quality of care
                                                                                 provided to elderly and disabled Medicare beneficiaries. This is just one
                                                                                 of several chart books available from the Commonwealth Fund on
                                                                                 health policy matters. The chart books are available in either Adobe or
                                                                                 PowerPoint Other topics available include insurance, access, and
                                                                                 quality of care among Hispanic populations, the state of child health
                                                           Quality of Care for   care in the United States, adults' primary care experiences in five
                                                           Medicare              industrialized countries, the health of women in New York City, and the             All chart books are available at:
June         2005    Patient Safety                        Beneficiaries         value of state pharmacy assistance programs.                                        http://www.cmwf.org/index.htm.
                                                                                 The 5th annual collection of charts and graphs depicts key trends
                                                                                 affecting hospitals and health systems. Sections include trends in the              Go to:
                                                                                 overall health care market, organizational trends, utilization and volume,          http://www.ahapolicyforum.org/aha
                                                           TrendWatch            trends in hospital financing, workforce, and the economic contribution of           policyforum/trendwatch/chartbook2
June         2005    Patient Safety                        Chartbook 2005        hospitals.                                                                          005.html


                                                                                 A compendium of 140 peer-reviewed articles on patient safety studies
                                                                                 by government-sponsored researchers. These studies include findings
                                                                                 on medication safety, technology, and investigative approaches to
                                                                                 better treatment, process analyses, human factors and practical tools
                                                                                 for preventing medical errors. The 140 articles in the four-volume set
                                                                                 cover a wide range of research paradigms, clinical settings, and patient
                                                                                 populations. Where the research is complete, the findings are
                                                           AHRQ-DOD              presented; where the research is still in process, the articles report on
                                                           compendium - Four- its progress. In addition to articles with a research and methodological
                                                           volume set of patient focus, the compendium includes articles that address implementation                 Go to:
                                                           safety research       issues or present useful tools and products that can be used to improve             http://www.ahrq.gov/qual/advances/
June         2005    Patient Safety                        studies               patient safety.                                                                     .


                                                                                 The Institute for Safe Medication Practices (ISMP) announced it has
                                                                                 developed a new tool (.doc) (33 KB) designed to assist hospitals in
                                                                                 evaluating antithrombotic therapy. The survey has been mailed to
                                                                                 hospitals with a submission deadline of September 1, 2005. The self-                Find the tool at
                                                                                 assessment will help organizations examine medication safety                        http://www.premierinc.com/all/safet
                                                           New self-             practices associated with the use of antithrombotic drugs in their                  y/publications/05-05-downloads/11-
                                                           assessment survey     facilities. Hospitals may submit data through a secure Web-based form,              ismp-self-assessment-launch.doc.
                                                           for antithrombotic    which will allow them to compare their weighted scores with aggregate               Further information is available at
May          2005    Patient Safety                        therapy               data from similar hospitals.                                                        http://www.ismp.org.




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                                                                                        Premier Safety Share



                                                                                                                                                                  IHI
 Month        Year                Topic by Tab                      Tool                                          Description                                     Tool                Location

                                                                                   The American Society for Healthcare Environmental Services has
                                                                                   partnered with Orkin, Inc. to promote more effective and
                                                                                   environmentally friendly pest-control practices in healthcare settings,
                                                                                   including the release of a guide on integrated pest management. The
                                                                                   partners also plan to publish educational articles and host two                       See Premier Safety Institute's
                                                                                   educational sessions on the recommended practice at ASHES' annual                     Environmental and Safety Product
                                                           Environmentally         conference in September. The partnership was launched in response to                  list at:
                                                           friendly pest control   a growing movement in healthcare toward hazardous-chemical                            http://www.premierinc.com/all/safet
May          2005    Patient Safety                        practices               reduction.                                                                            y/resources/lists/


                                                                                   The Health Research & Educational Trust, an affiliate of the American
                                                                                   Hospital Association (HRET/AHA), has developed two charts to help
                                                                                   hospitals select the best rapid HIV test for their needs. The charts,
                                                                                   developed with input from the Centers for Disease Control and
                                                                                   Prevention (CDC), are designed to help hospitals as they implement
                                                                                   the CDC's recommendation that the test be offered to all women
                                                                                   presenting to labor and delivery with undocumented HIV status. One
                                                                                   chart compares information on test price, external controls, numbers of
                                                                                   tests per case, catalog number, storage temperature, operating
                                                                                   temperature, shelf lives of tests and controls, time required to conduct
                                                                                   test, and validity window periods; the other chart compares information
                                                                                   on FDA-approval date, specimen type, CLIA-status, specificity,                        To view the charts go to:
                                                           Rapid HIV antibody      sensitivity, manufacturer, HIV-2 detection capabilities, list price, and              http://www.hret.org/hret/programs/h
May          2005    Patient Safety                        screening tests         external controls.                                                                    ivtransmrpd.html


                                                                                   Advance directives, the legal documents that allow individuals to make
                                                                                   their personal healthcare wishes known before a serious illness or
                                                                                   injury, can be confusing and difficult to understand. The Institute for               The forms are available in both
                                                                                   Healthcare Advancement has an advance directive form designed for                     English
                                                                                   American adults who read below a fifth-grade level. The forms are                     http://www.premierinc.com/all/safet
                                                                                   available in both English (.pdf) (906 KB) and Spanish (.pdf) (911 KB).                y/publications/05-05-downloads/09-
                                                                                   The form is designed in a simple fill-in-the-blank format with illustrations          advance-directive-english.pdf
                                                                                   and easy-to-read bullet points. Low-literacy Americans will be able to                (.pdf) (906 KB) and Spanish
                                                                                   choose an agent to make medical decisions for them, make their                        http://www.premierinc.com/all/safet
                                                                                   healthcare wishes known so that their loved ones don't have to guess                  y/publications/05-05-downloads/10-
                                                           Simplifying             for them, and provide the necessary signatures to make the document                   advance-directive-spanish.pdf
May          2005    Patient Safety                        advanced directives     legally binding.                                                                √     (.pdf) (911 KB).




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                                                                                                                                                            IHI
  Month    Year                Topic by Tab                      Tool                                          Description                                  Tool                Location
                                                                                The February issue of the Joint Commission Journal on Quality and
                                                                                Patient Safety has been made available for a free download now online,             http://www.jcrinc.com/subscribers/j
                                                        Communicating           the issue focuses on communicating critical test results and includes              ournal.asp?durki=8739&site=14&re
March     2005    Patient Safety                        critical test results   numerous important topics.                                                         turn=455#FEBRUARY%202005


                                                                                The American Hospital Association's (AHA) Health Research and
                                                                                Educational Trust (HRET) Web site has a section with information on
                                                                                studies that describe the use of clinical simulations to train physicians
                                                                                and other healthcare workers in the latest medical developments. An
                                                                                advantage of clinical simulations training is that skills are learned
                                                                                without risking harm to real patients. Simulation-based training also
                                                                                provides trainees with a broad range of learning experiences, including
                                                                                the treatment of uncommon conditions unlikely to be encountered in
                                                        Clinical Simulation     traditional patient-based training. The Clinical Simulation Tools site             http://www.hret.org/hret/programs/s
March     2005    Patient Safety                        Tools                   links to AHA simulation resources.                                                 imulations.html




                                                                                The Joint Commission on Accreditation of Healthcare Organizations
                                                                                has released a white paper (.pdf) (643 KB) recommending
                                                                                demonstration projects to test alternatives to the nation's medical
                                                                                liability system. A commission of medical liability and patient safety
                                                                                experts states that the current liability system does not do enough to
                                                                                reduce negligence and compensate victims of medical errors. The
                                                                                paper recommends encouraging the adoption of information and
                                                                                simulation technology by considering plans to offset implementation
                                                                                costs and by expanding evidence-based reporting. The white paper
                                                                                states that any medical liability changes need to ensure that the
                                                                                greatest number of injured patients is fairly compensated, while                   http://www.premierinc.com/all/safet
                                                        Medical liability       allowing practitioners and providers the opportunity to report errors,             y/publications/03-05-downloads/08-
March     2005    Patient Safety                        White parper            learn from them, and ensure that those errors are not repeated.                    medical-liability.pdf




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                                                                                                                                                                IHI
  Month     Year                Topic by Tab                     Tool                                           Description                                     Tool                Location



                                                                                The recently passed Consolidated Appropriations Act for fiscal year
                                                                                2005 includes an appropriations restriction. This restriction states that
                                                                                during FY 2005, employers may not be inspected or cited for the
                                                                                requirement to do annual fit testing of respirators for occupational
                                                                                exposure to tuberculosis. OSHA can still cite for the non-annual fit
                                                                                testing requirements of 29 CFR 1910.134 as it relates to tuberculosis,
                                                                                including the provisions of 29 CFR 1910.134(f)(2) for the lack of initial fit
                                                                                testing or whenever a different respirator face piece is used. The
                                                                                standard interpretation is described in an OSHA memo (.doc) (33 KB)
                                                                                and also states that only annual fit testing of respirators used for
                                                                                protection against tuberculosis are exempt from citations All other
                                                                                requirements of the respiratory protection standard, including annual fit
                                                                                testing, may continue to be cited for respirator use against other                     http://www.premierinc.com/all/safet
                                                                                hazards, such as Severe Acute Respiratory Syndrome (SARS) or other                     y/publications/02-05-downloads/14-
February   2005    Patient Safety                        OSHA Memo              bioaerosols.                                                                           standard-interpretations.doc


                                                                                The American Society for Healthcare Risk Management (ASHRM) has
                                                                                a CD-ROM tool kit created for the various healthcare professionals who
                                                                                work in the physician practice area. Risk managers can use it to
                                                                                conduct an on-site survey of a practice for auditing purposes and also                 A sample tool kit has been made
                                                                                as a baseline tool to develop additional checklist items. Key areas                    available,
                                                                                covered in the tool kit include principles of documentation; what to                   http://www.premierinc.com/all/safet
                                                                                report to the insurance claims representative; medical practice office                 y/publications/02-05-downloads/13-
                                                                                systems risk prevention strategies; qualities of effective patient                     physician-office-toolkit-sample.pdf,
                                                                                relations for office staff; and risks and strategies related to effective              and the complete kit can be
                                                                                telephone communication. The tool kit also can be used as a pre-                       purchased at
                                                         Tool kit for physician assessment tool to identify potential risk areas. The tool kit contains                http://www.ashrm.org/ashrm/resour
February   2005    Patient Safety                        office risk managers Adobe Acrobat® and PowerPoint® files.                                                    ces/products.html#toolkits.




    Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
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                                                                                                                                                            IHI
  Month     Year                Topic by Tab                     Tool                                         Description                                   Tool                Location




                                                                                Health information managers are directly involved in clinical quality
                                                                                issues and outcomes through quality management programs, according
                                                                                to the January practice brief titled, "The HIM Role in Patient Safety and
                                                                                Quality of Care." Issued by the American Health Information
                                                                                Management Association, the document discusses the legal and
                                                                                regulatory environment, data standards, and return on investment in
                                                                                technology. Health Information Managers also affect quality through
                                                                                improved medical record documentation, accurate coding, and index
                                                                                integrity. The author concludes that the health information managers'
                                                         Health information     ability to affect patient safety is great, particularly through data               To read the complete article, go to:
                                                         manager role in        reporting. As the coordinators of data quality, the health information             http://library.ahima.org/xpedio/grou
February   2005    Patient Safety                        patient safety         managers are the "overseers" of consistent and accurate quality data.              ps/public/


                                                                                One of the special resources developed from past issues of Safety
                                                                                Share is an archive of all safety tools published in the monthly
                                                                                newsletter. The resources are organized in an Excel® spreadsheet,
                                                                                with descriptions of each tool and where they can be accessed. The
                                                                                spreadsheet is categorized by topic and includes many tools that are               http://www.premierinc.com/all/safet
                                                                                available from the Institute for Healthcare Improvement. These are                 y/publications/tool-list-by-
January    2005    Patient Safety                        Safety Share toolkit   listed separately as well as included under each pertinent topic.                  category.xls
                                                                                A free copy of the book, "Preventing Occupational Exposures to
                                                         Preventing             Bloodborne Pathogens," a collection of articles from Advances in
                                                         Occupational           Exposure Prevention (1994 to 2003), is available from the Premier                  Order free copies of the book
                                                         Exposures to           Safety Store. This 235-page book is edited by Jeannie Jagger and Jane              from the Premier Safety Store at:
                                                         Bloodborne             Perry from the International Healthcare Worker Safety Center at the                http://www.premierinc.com/all/safet
December   2004    Patient Safety                        Pathogens              University of Virginia.                                                            y/store/
                                                         First, Do No
                                                         Harm™, Part 3:
                                                         Healing Lives,                                                                                            For ordering and more information,
December   2004    Patient Safety                        Changing Cultures                                                                                         go to: www.p4ps.org.




    Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
                                                                                         Premier Safety Share



                                                                                                                                                              IHI
  Month        Year                Topic by Tab                     Tool                                          Description                                 Tool                Location


                                                                                                                                                                     Obtain the booklets at the
                                                                                    The National Diabetes Education Program (NDEP) has two new                       following addresses:
                                                                                    evidence-based publications for healthcare providers and patients. The           http://www.premierinc.com/all/safet
                                                            Guiding Principles      first helps providers identify people with pre-diabetes and undiagnosed          y/publications/11-04-downloads/06-
                                                            for Diabetes Care; 4    diabetes, and provide patient-centered care. The second booklet                  guide-prin-hc-eng.pdf;
                                                            Steps to Control        complements the first and is for people with diabetes. It helps                  http://www.premierinc.com/all/safet
                                                            Your Diabetes for       healthcare providers educate patients about self-care principles and             y/publications/11-04-downloads/07-
November      2004    Patient Safety                        Life                    how to be active partners in their own care.                                     4-steps.pdf


                                                                                    This conference brought together a diverse group of medication safety
                                                                                    leaders from nursing, pharmacy and technology to explore the newest              To learn more about this or past
                                                                                    generation of medication safety technology – designed to help prevent            conferences,
                                                            Measuring Safety        infusion programming errors and to collect data on IV delivery                   http://my.premierinc.com/all/safety/
                                                            with Smart IV           practices. The specific focus of this conference was using the data the          publications/08-04-downloads/09-
August          2004 Patient Safety                         systems                 technology yields as a road map for process improvement at hospitals             alaris-conf-grid4.doc


                                                                                The database is intended to raise awareness among healthcare
                                                                                purchasers, providers and plans to improve care quality. The Leapfrog
                                                                                Compendium documents and categorizes financial and non-financial
                                                                                programs, such as those that reward providers with quality bonuses,
                                                                                and those that reward providers with public recognition. Incorporated
                                                                                are the Leapfrog standards of computerized physician order entry,
                                                                                evidence-based hospital referrals and hospital intensivist programs.                 The Leapfrog Compendium can be
                                                                                The site can be searched by state for programs targeting hospitals,                  freely accessed at
                                                            Pay-for-performance physicians, consumers and health plans, or it can be searched from a                 http://www.leapfroggroup.org/ircom
July            2004 Patient Safety                         programs            nationwide list.                                                                     pendium.htm.


                                                                                    Hospital flow can be measured at five levels: patient and community;
                                                                                    hospital throughput; hospital activity; hospital performance; and unit
                                                            Measurement guide       performance. Each level provides a portion of the total measurement              http://www.ihi.org/IHI/Topics/Flow/P
                                                            for hospital flow       picture. Use this guide to learn how to measure data in these key areas          atientFlow/EmergingContent/Hospit
July            2004 Patient Safety                         patterns                to help you improve patient flow.                                          √     alFlowMeasurementGuide.htm


                                                            Guidance for Using      Using the AHRQ Inpatient Quality Indicators or Patient Safety
                                                            the AHRQ Quality        Indicators to report on hospital quality or make payment decisions are
                                                            Indicators for          discussed in a new guide. AHRQ's Quality Indicators are measurement
                                                            Hospital-Level Public   tools that were developed by AHRQ and researchers to help individual
                                                            Reporting or            hospitals use their own discharge data to better understand and
October       2004    Patient Safety                        Payment                 improve the care they provide.




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                                                                                      Premier Safety Share



                                                                                                                                                               IHI
  Month     Year                Topic by Tab                     Tool                                           Description                                    Tool                Location
                                                                                                                                                                      http://www.jcaho.org/accredited+or
                                                         Look alike/Sound        The JCAHO has updated its frequently asked questions (FAQs) on the                   ganizations/patient+safety/05+npsg
October      2004 Patient Safety                         alike drug list         2005 NPSGs and included a new look-alike/sound alike drug list.                      /05_npsg_faqs.htm


                                                         Rationale and
                                                         Interpretive
                                                         Guidelines" for the                                                                                          http://www.premierinc.com/all/safet
                                                         2005 National        This document provides insight into how surveyors will be interpreting                  y/publications/10-04-downloads/11-
October    2004    Patient Safety                        Patient Safety Goals the goals next year.                                                                    npsg-guidelines-09-04.pdf


                                                                                 The National Patient Safety Foundation (NPSF) has a brochure and
                                                                                 companion video entitled "Patient Safety: Your Role in Making
                                                                                 Healthcare Safer." It was created to help patients become more
                                                                                 involved in their healthcare safety. The companion video will help
                                                                                 supplement and reinforce the safety message with patients. The
                                                                                 brochure and video are part of the National Patient Safety Foundation's              Purchase information at:
                                                         Patient Safety: Your    Stand up for Patient Safety campaign, which is designed to help                      http://www.mederrors.org/Merchant
                                                         Role in Making          patients learn practical ways to help ensure their safety in both inpatient          2/merchant.mv?Screen=SFNT&Sto
June         2004 Patient Safety                         Healthcare Safer        and outpatient settings.                                                             re_Code=NO
                                                                                                                                                                      http://my.premierinc.com/all/safety/
                                                         Five steps to patient   The poster, available in English and Spanish, succinctly describes the               publications/06-
June         2004 Patient Safety                         safety                  five steps patients can take to ensure safer care.                                   04_full_txt.htm#Safety_tools


                                                                              The webcast features researchers, design professionals, and hospital
                                                                              leaders presenting and discussing how hospitals of the future should be
                                                                              built, organized, and managed to maximize patient safety and
                                                                              outcomes and improve staff performance and satisfaction. Featured are
                                                                              up-to-the-minute evidence-based design concepts for healthcare
                                                                              buildings. With an anticipated $20 billion in new hospital construction
                                                         Designing the 21st   and major renovations projected annually for the next decade, the
                                                         Century Hospital:    central question of the conference was how hospitals' physical design,
                                                         Serving Patients and operating systems, and "corporate culture" affect patients, staff, and                  http://www.rwjf.org/news/hospitalde
June         2004 Patient Safety                         Staff                hospitals' bottom line.                                                                 sign




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                                                                                         Premier Safety Share



                                                                                                                                                                  IHI
   Month        Year                Topic by Tab                     Tool                                           Description                                   Tool                Location


                                                                                    A new NIOSH Alert is meant to increase healthcare worker awareness
                                                                                    about the health risks when working with hazardous drugs. The alert
                                                             Preventing             also is intended to educate workers on the steps they can take to
                                                             Occupational           protect their health. ―Preventing Occupational Exposures to
                                                             Exposures to           Antineoplastic and other Hazardous Drugs in healthcare Settings‖ may
                                                             Antineoplastic and     be downloaded in prepublication form. Pharmaceutical agents are
                                                             other Hazardous        classified as hazardous drugs if research indicates that they may cause              http://www.premierinc.com/all/safet
                                                             Drugs in healthcare    cancer, have developmental or reproductive toxicity, or harm organs in               y/publications/05-04-downloads/11-
May            2004    Patient Safety                        Settings               exposure at low doses.                                                               2004-hazdrug-alert.pdf
                                                             JCAHO tips -
                                                             Compliance with                                                                                             http://www.premierinc.com/all/safet
                                                             prohibited             Suggestions on how to comply with the National Patient Safety Goal                   y/publications/05-04-downloads/10-
May            2004    Patient Safety                        abbreviations          related to dangerous abbreviations are now available from the JCAHO.                 implementation-tips.doc


                                                                                  The Ohio Hospital Association and Patient Safety Institute have
                                                                                  developed a surgical protocol (232 KB) to help Ohio providers prevent
                                                             Prevention of wrong- the incidence of wrong-site; wrong-patient and wrong-procedure
                                                             site, wrong-patient, surgery. The protocol outlines three steps for caregivers to follow prior              http://www.premierinc.com/all/safet
                                                             wrong-procedure      to surgery: patient verification, marking of the surgical site and a "time-            y/publications/05-04-downloads/08-
May            2004    Patient Safety                        errors               out" before incision to conduct a final checklist.                                     ohio-surgical-protocol.pdf
                                                             The Tools and          A new Web site, "The Tools and Techniques of Improved Medication
                                                             Techniques of          Use," is intended for those in the healthcare community who design
                                                             Improved Medication    medication safety programs and/or seek information to enhance                        http://www.aahp.org/content/naviga
April          2004    Patient Safety                        Use                    existing patient safety efforts.                                                     tionmenu/medcollab/medcollab.htm


                                                                                    A new easy-to-use Web site to help consumers and health
                                                                                    professionals find information about FDA-approved drug products more
                                                                                    quickly and efficiently. The new interface, Drugs @ FDA, is a
                                                                                    searchable database that includes information on approved prescription               http://www.accessdata.fda.gov/scri
April          2004    Patient Safety                        Drugs @ FDA            drugs, some over-the-counter drugs, and discontinued drugs.                          pts/cder/drugsatfda/


                                                                                    A peer-reviewed newsletter published by the Institute for Safe
                                                                                    Medication Practices (ISMP), Nurse Advise-ERR (February, 2004),
                                                                                    addresses issues such as mixing up IV lines while setting up or
                                                                                    programming a multiple-channel IV pump, the risks of leaving an
                                                                                    unnecessary intra-arterial line in place, a list of high-alert medications,
                                                                                    and questions to use when evaluating infusion pumps. Nurse Advise-                   Register at
                                                                                    ERR, a medication safety newsletter written especially for nurses by                 www.ismp.org/NursingArticles/inde
April          2004    Patient Safety                        Nurse Advise-ERR       nurses, is offered free for the remainder of 2004.                                   x.htm




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                                                                                         Premier Safety Share



                                                                                                                                                               IHI
   Month        Year                Topic by Tab                      Tool                                        Description                                  Tool                Location
                                                                                    The Institute for Family Centered Care has produced a number of
                                                                                    useful resources to support the involvement of patients on
                                                                                    hospital/healthcare advisory committees and boards. These resources
                                                             Patient                have been developed from the experiences of many
                                                             representative on      hospitals/healthcare facilities and the patients, family members and
April          2004    Patient Safety                        safety committee       community representatives who have worked with them.                              http://www.familycenteredcare.org/
                                                                                    OSHA’s Hospital e-tool is a Web-based training tool for safety and                http://www.premierinc.com/all/safet
                                                                                    health hazard assessments in hospitals that provides a virtual hospital           y/resources/needlestick/resources.
March           2004 Patient Safety                          Hospital e-tool        using graphics and visual assists for learning.                                   html#OSHA
                                                                                                                                                                      http://www.premierinc.com/all/safet
                                                                                    A free electronic bi-monthly newsletter produced by OSHA to inform the            y/resources/needlestick/resources.
March           2004 Patient Safety                          Quick Takes            public about recent OSHA activities.                                              html#OSHA


                                                                                    This book includes stories of all types of medical errors such as wrong
                                                             Internal Bleeding:     patient cases, judgment calls gone awry, and retained sponges. The
                                                             The Truth Behind       analysis of the causes of errors leads to their suggestions of what
                                                             America's Terrifying   providers, patients, policymakers, and healthcare leaders need to do to           The book can be purchased from
                                                             Epidemic of Medical    cure this epidemic. The 320-page hardcover book includes an                       Rugged Land at
 February       2004 Patient Safety                          Mistakes               extensive bibliography and 40 pages of footnotes.                                 http://www.ruggedland.com.
                                                                                    Tips for conducting a self-evaluation of compressed gas and cylinder
                                                                                    safety. The article includes a checklist of 10 questions addressing
                                                             Checklist -            proper storage, use, and handling of compressed gas cylinders to                  http://www.premierinc.com/all/safet
                                                             Compressed gas         prevent associated hazards such as oxygen displacement, fires,                    y/publications/02-04-downloads/09-
 February       2004 Patient Safety                          safety                 explosions, and toxic exposure.                                                   oregon-OSHA-checklist.doc
                                                                                    The National Fire Protection Association (NFPA) provides information
                                                                                    on how to interface elevators and fire alarm systems. The information             http://www.premierinc.com/all/safet
                                                                                    ensures safe emergency operation of modern elevators that meet                    y/publications/01-04-downloads/08-
                                                                                    requirements under NFPA and American Society of Mechanical                        interfacing-elevators-fire-
January         2004 Patient Safety                          Fire safety tips       Engineers codes.                                                                  alarms.doc
                                                                                    Safety tips for preventing hospital bed fires, the safety
                                                                                    recommendations apply to both electrically powered and manual                     http://www.premierinc.com/all/safet
                                                                                    healthcare beds, as well as adjustable medical beds. Some of the initial          y/publications/01-04-downloads/07-
January         2004 Patient Safety                          Fire safety tips       safety-check suggestions involve simple observations.                             FDA-bedfires-12-18-03.pdf




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                                                                                     Premier Safety Share



                                                                                                                                                            IHI
  Month     Year                Topic by Tab                     Tool                                         Description                                   Tool                Location
                                                                              Through interviews, narration and a viewer's guide, the program
                                                                              highlights actions that trustees can take to improve patient safety within
                                                                                                                                                                   The video can be purchased for
                                                                              their organizations. This video can also aid orientation efforts for new
                                                                                                                                                                   $275 using order code
                                                                              trustees while reinforcing current trustees' understanding of their role in
                                                         Governance, Quality                                                                                       V02/03AAH. To order, call Joint
                                                                              creating an organizational culture that focuses on patient safety.
                                                         and Safety: The                                                                                           Commission Resources (JCR)
                                                         Impact of Joint                                                                                           Customer Service at 877.223.6866
                                                         Commission                                                                                                weekdays from 8 a.m. to 8 p.m.
                                                         Accreditation on                                                                                          CT, or visit Infomart on the JCR
January     2004 Patient Safety                          Health Care Delivery                                                                                      Web site at: www.jcrinc.com.
                                                         Healthy Hospitals:   The report offers tips and resources for how hospitals can manage
                                                         Controlling Pests    pests while also protecting the health of people and the environment.                http://my.premierinc.com/all/safety/
                                                         Without Harmful                                                                                           publications/12-03-downloads/11-
December    2003 Patient Safety                          Pesticides                                                                                                pesticides.pdf
                                                                              The paper is an educational tool designed to provide consensus-based,                http://my.premierinc.com/all/safety/
                                                         Magnetic resonance valid and medically credible information and features detailed, useful                 publications/12-03-
December    2003 Patient Safety                          safety               checklists.                                                                          downloads/12_MR-safety.pdf
                                                                                A resource guide designed to help the elderly and their children start             http://www.premierinc.com/all/safet
                                                                                discussions about end-of-life wishes before an unexpected illness                  y/publications/11-03-downloads/08-
                                                                                arises. The booklet is geared toward the elderly and children of the               crisis-convo.pdf
                                                                                aging, and includes a resources list with helpful books and Web sites.
                                                         Conversations
November   2003    Patient Safety                        Before the Crisis
                                                         Strategies for         A resource folder designed to help hospitals communicate with patients
                                                         Leadership:            and families.
                                                         Improving
                                                         Communications                                                                                            http://www.premierinc.com/all/safet
                                                         with Patients and                                                                                         y/publications/11-03-downloads/10-
November   2003    Patient Safety                        Families                                                                                                  pcp-english.pdf
                                                                             The Pink Book – ―Epidemiology and Prevention of Vaccine Preventable
                                                         Epidemiology and    Diseases,‖ the 7th edition from 2002, is now in its second printing.                  The book is available for download
                                                         Prevention of                                                                                             or purchase at
                                                         Vaccine Preventable                                                                                       http://www.cdc.gov/nip/publications
October    2003    Patient Safety                        Diseases                                                                                                  /pink/default.htm
                                                                             This guide is intended to remind providers to deliver appropriate                     The guide is available in English at
                                                                             preventive services while involving patients directly in their preventive             http://www.ahrq.gov/ppip/adguide/
                                                         The Pocket Guide to care. It includes recommendations on screening tests and
                                                         Good Health for     immunizations, questions for patients to ask health care providers, and
October    2003    Patient Safety                        Adults              resources for additional information.




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                                                                                     Premier Safety Share



                                                                                                                                                             IHI
  Month     Year               Topic by Tab                      Tool                                          Description                                   Tool                Location
                                                                              The Failure Modes and Effects Analysis (FMEA) tool is a method for
                                                                              analyzing any process to see where it is likely to fail; to see how
                                                         The Failure Modes    changes you are considering might affect the safety of the process; and
                                                         and Effects Analysis to track changes in the Risk Priority Number (or RPN) of the process
September   2003 Patient Safety                          (FMEA)               over time.                                                                      √     http://www.qualityhealthcare.org/.


                                                                                The Trigger Tool for Measuring Adverse Drug Events (ADEs),
                                                                                developed with Premier, is a simple yet powerful method of identifying
                                                         The Trigger Tool for   and tracking the number of medication errors in your hospital – using a
                                                         Measuring Adverse      retrospective review of patient records to look for sentinel clues or
September   2003 Patient Safety                          Drug Events (ADEs)     "triggers" that indicate a medication error has occurred.                     √     http://www.qualityhealthcare.org/.



                                                         Learning from Each
                                                         Other: Success
                                                         Stories and Ideas for                                                                                      http://www.premierinc.com/all/safet
                                                         Reducing                                                                                                   y/publications/09-
                                                         Restraint/Seclusion The award recognizes excellence in graphic design, editorial content,                  03_downloads/08-learning-from-
September   2003 Patient Safety                          in Behavioral Health and the ability to achieve overall communications excellence.                         each-other.pdf
                                                                                Sessions on patient safety officer training, along with general
                                                         Quality Colloquium     conference sessions on error reduction and quality enhancements; the                The CD-ROMs can be purchased
                                                         conference at          role of technology; informatics; competition for quality and six sigma              at
September   2003 Patient Safety                          Harvard University     process improvement.                                                                http://www.qualitycolloquium.com/.
                                                                                This season's flu campaign emphasizes protecting yourself and the
                                                                                ones you love by getting a flu vaccine. You'll find materials for parents,
                                                                                Spanish speakers, those at high risk for flu complications, and
                                                                                immunization providers. Materials are free and can be downloaded                    http://www.cdc.gov/nip/flu/gallery.ht
September   2003 Patient Safety                          Flu Gallery            easily.                                                                             m
                                                                                The fourth installment of the Joint Commission's free video information
                                                                                series, "The Priority Focus Process and Tracer Methodology". The five
                                                         The Priority Focus     to seven-minute videos highlight the key components of the new                      To view this video, go to:
                                                         Process and Tracer     accreditation process.                                                              http://www.jcaho.org/accredited+or
August      2003 Patient Safety                          Methodology                                                                                                ganizations/svnp/svnp_video.htm
                                                                                                                                                                    http://www.premierinc.com/all/safet
                                                                                                                                                                    y/publications/08-
                                                         Resource for PCA                                                                                           03_downloads/09_ISMP_PCA_pu
August      2003 Patient Safety                          pumps                  The ISMP Medication Safety Alert's a two-part series on PCA pumps.                  mpsafety_07-03.doc
                                                                                Posters and fact sheets providing tips to help patients avoid errors                http://www.premierinc.com/all/safet
                                                         5 Steps to Safer       related to prescription medicines, laboratory tests, procedures and                 y/publications/08-
August      2003 Patient Safety                          Healthcare             surgery                                                                             03_downloads/10_5-steps.pdf




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                                                                                        Premier Safety Share



                                                                                                                                                               IHI
   Month        Year               Topic by Tab                       Tool                                        Description                                  Tool                Location
                                                                                                                                                                      All materials are available at:
                                                                                                                                                                      http://www.qualityhealthcare.org/Q
                                                                                   QHC requires free registration to access all tools. The site will include          HC/
                                                             Surgical Site         results from teams that participated in the collaborative, as well as              Topics/PatientSafety/SurgicalSiteIn
July            2003 Patient Safety                          Infection Tools       tools, such as forms, policies and order sets.                               √     fections/



                                                             The Effect of Health                                                                                     http://my.premierinc.com/all/safety/
                                                             Care Working                                                                                             publications/07-
                                                             Conditions on         Evidence in the scientific literature to make specific recommendations             03_downloads/11_AHRQ_worksum
July            2003 Patient Safety                          Patient Safety Report about these strategies for improving patient safety.                               .pdf
                                                                                                                                                                      http://www.ahrq.gov/consumer/safe
                                                                                                                                                                      meds/safemeds.htm for the
                                                                                                                                                                      English version,
                                                                                                                                                                      http://www.ahrq.gov/consumer/safe
                                                             Your Medicine: Play                                                                                      medsp/safemedsp.htm for the
June            2003 Patient Safety                          It Safe               To help consumers use prescription medicines safely.                               Spanish version.
                                                             IHI’s global online
                                                             improvement
June            2003 Patient Safety                          resource              Improving access in the office practice                                      √     http://www.QualityHealthCare.org

                                                                                                                                                                      http://www.ama-
                                                                                                                                                                      assn.org/ama/pub/article/2403-
June            2003 Patient Safety                          Standing Orders       A collaborative effort to improve influenza vaccination rates                      7702.html


                                                                                                                                                                      These algorithms and a ―stop‖ sign
                                                                                                                                                                      that can be printed and used in
                                                                                                                                                                      these settings – if this becomes
                                                                                                                                                                      necessary – are available on
                                                                                   Tools for rapid assessment of a patient who may present with one or                Premier’s Emergency and Public
May             2003 Patient Safety                          SARS Triage Tools     more symptoms suggestive of SARS                                                   Health Preparedness site.
                                                                                                                                                                      http://www.qualityhealthcare.org/Q
                                                                                                                                                                      HC/Topics/PatientSafety/Medicatio
                                                             Trigger Tool for      The trigger tool measures adverse drug events and provides                         nSystems/Tools/Trigger+Tool+for+
                                                             Measuring Adverse     instructions for conducting a retrospective review of patient records              Measuring+Adverse+Drug+Events
May             2003 Patient Safety                          Drug Events (ADEs)    using triggers to identify possible ADEs.                                    √     +(IHI+Tool).htm
                                                                                                                                                                      http://my.premierinc.com/all/safety/
April           2003 Patient Safety                          First, Do No Harm     Case studies and safety responses                                                  store/P4PS_video_form.doc




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                                                                                         Premier Safety Share



                                                                                                                                                                IHI
   Month        Year               Topic by Tab                      Tool                                         Description                                   Tool                Location


                                                                                    The site enables searching for measures by specific disease,
                                                             National Quality       treatment, age range, gender, and a variety of other topics. The
                                                             Measures               clearinghouse also permits side-by-side comparative measurements                   http://www.qualitymeasures.ahrq.g
April           2003 Patient Safety                          Clearinghouse™         that identify which will best work for a given organization.                       ov/


                                                                                                                                                                       1.
                                                                                    A set of tools designed to reduce medication errors and help hospitals             http://www.premierinc.com/all/safet
                                                                                    take a system-based approach to address such errors. the three main                y/publications/03-
                                                                                    Pathways components help hospital leaders and professionals                        03_downloads/01_b.pdf 2.
                                                                                    incorporate medication safety into an organization's strategic plan;               http://www.premierinc.com/all/safet
                                                                                    identify specific error-prone processes and devise safe alternatives               y/publications/03-
                                                                                    using a process flow diagram; learn from case scenarios and the                    03_downloads/01_d.pdf 3.
                                                                                    ISMP's 10 Key Elements of Medication Use System; and prepare to                    http://www.premierinc.com/all/safet
                                                                                    implement a bedside bar-coding system for administering medications.               y/publications/03-
                                                                                    1. An executive rounds tool describing how a culture of safety can be              03_downloads/01_g.pdf 4.
                                                                                    fostered 2. A sample medication error reporting form designed to                   http://www.premierinc.com/all/safet
                                                                                    collect and analyze actual and potential medication errors 3. A                    y/publications/03-
                                                                                    checklist/action plan for the safe use of high-alert medications 4. A              03_downloads/01_h.pdf 5.
                                                             Medication safety      sample policy detailing a blame-free adverse drug event reporting                  http://www.premierinc.com/all/safet
                                                             strategic plan, case   program 5. A patient safety tool helping patients understand their rights          y/publications/03-
March           2003 Patient Safety                          studies, resources     and responsibilities regarding safe medication use.                                03_downloads/01_j.pdf

                                                                                                                                                                       http://my.premierinc.com/all/safety/
                                                             Pathways for           A set of tools designed to reduce medication errors and help hospitals             publications/03-
March           2003 Patient Safety                          Medication Safety      take a system-based approach to address such errors.                               03_downloads/11_extraordinary.pdf

                                                                                                                                                                       http://my.premierinc.com/all/safety/
                                                             Wrong-site surgery     Recommendations for eliminating as well as managing the discovery of               publications/03-
March           2003 Patient Safety                          checklist              a wrong-site surgery.                                                              03_downloads/11_extraordinary.pdf

                                                                                                                                                                       http://my.premierinc.com/all/safety/
                                                             Perspectives on        The report is devoted entirely to JCAHO'S 2003 National Patient Safety             publications/02-
February        2003 Patient Safety                          Patient Safety         Goals and provides practical advice and tips for meeting those goals.              03_downloads/13_ps_01-03.pdf

                                                                                    A new online peer-reviewed journal to showcase patient safety lessons
                                                             Web M & M (Web         drawn from actual cases of medical errors. The journal is designed to
                                                             Morbidity and          educate healthcare providers about medical errors in an engaging,
February        2003 Patient Safety                          Mortality),            blame-free environment.                                                            http://www.webmm.ahrq.gov/




        Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
                                                                                    Premier Safety Share



                                                                                                                                                         IHI
  Month     Year               Topic by Tab                      Tool                                         Description                                Tool                Location

                                                         Pathways for          A set of tools designed to reduce medication errors and help hospitals
January     2003 Patient Safety                          Medication Safety     take a system-based approach to address such errors                              http://www.medpathways.info/
                                                                             The site provides safety resources, injury and exposure data, industry
                                                         www.orprecautions.c information, information about the Needlestick Safety Act, and
January     2003 Patient Safety                          om                  convenient links to much more OR safety information.                               http://www.orprecautions.com/
                                                                                                                                                                http://my.premierinc.com/all/safety/
                                                         Veterans’                                                                                              publications/01-
                                                         Administration guide Tools to help reduce the potential for entrapment in hospital bed                 03_downloads/12_VHA_bed_entra
January     2003 Patient Safety                          on bed safety zones systems.                                                                           pment.pdf



                                                                                                                                                                http://my.premierinc.com/all/safety/
                                                                                                                                                                publications/01-
                                                                                                                                                                03_downloads/12_VHA_bed_entra
                                                                                                                                                                pment.pdf,
                                                                                                                                                                http://my.premierinc.com/all/safety/
                                                                                                                                                                publications/01-
                                                                                                                                                                03_downloads/14_CorrSurgPt.pdf,
                                                         Sample OR guides - Increased attention to medical errors and patient safety as they relate             http://my.premierinc.com/all/safety/
                                                         Veterans'          to correct surgery sites is leading institutions to develop guides and              publications/01-
January     2003 Patient Safety                          Administration     other instructional materials to help reduce such errors.                           03_downloads/14_CorrSurgPt.pdf
                                                         First, Do No Harm
                                                         Part 2: Taking the
December    2002 Patient Safety                          Lead                  Takes the dialog within the patient safety movement to new levels                http://www.fdnh.com/

                                                         AHRQ WebM&M
                                                         (Morbidity and
                                                         Mortality Rounds on   Peer-reviewed, Web-based medical journal to showcase patient safety
December    2002 Patient Safety                          the Web)              lessons drawn from actual cases of medical errors.                               http://www.webmm.ahrq.gov/

                                                                               It organizes the technology into four categories based on function: (1)          http://my.premierinc.com/all/safety/
                                                                               electronic drug references, (2) e-prescribing solutions, (3) integrated          publications/12-
                                                         Physician drug e-     drug references and formulary tools, and (4) integrated electronic               02_downloads/07_improv_drug_pr
December    2002 Patient Safety                          prescribing           medical records and e-prescribing systems.                                       escrib.pdf
                                                                                                                                                                http://my.premierinc.com/all/safety/
                                                         Role of the Patient   Valuable tips on how patients can choose "advocates" to look out for             publications/11-
November    2002 Patient Safety                          Advocate              their best healthcare interests                                                  02_downloads/08_nspf.pdf
                                                                               This site includes details of the design process, infection control and          http://www.ordesignandconstruction
November    2002 Patient Safety                          OR design tools       case studies.                                                                    .com/




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                                                                                        Premier Safety Share



                                                                                                                                                               IHI
  Month        Year               Topic by Tab                      Tool                                         Description                                   Tool                Location
                                                            Preventing
                                                            Infections in the
                                                            Hospital — What        Provides patients with helpful principles for managing their healthcare
                                                            You as a Patient       and becoming an active partner with their healthcare team through                  http://www.npsf.org/download/Prev
October        2002 Patient Safety                          Can Do                 infection prevention                                                               entingInfections.pdf



                                                                                   Step-by-step instructions on how to disclose medical errors, why
                                                                                   disclosure is important, and how open communication can strengthen                 http://www.npsf.org/htm/prevent_inf
October        2002 Patient Safety                          Let's Talk             the patient-provider relationship are some of the subjects on the video.           ections.html
                                                            Videotapes: Patient,
                                                            worker, environment                                                                                       Case studies of successful safety
                                                            and medication                                                                                            programs –Order from Premier
October        2002 Patient Safety                          safety               Case studies of successful safety programs                                           Safety Institute online Safety Store.
                                                            Resources to reduce
                                                            pediatric medicine                                                                                        http://66.77.20.158/ahrq/childhealth
September      2002 Patient Safety                          errors              The materials outline methods for reducing errors in pediatric medicine.              webconf/
                                                                                                                                                                      http://my.premierinc.com/all/safety/
                                                                                 A recent study cautions doctors that air mattresses used in hospitals,               publications/09-
                                                                                 nursing homes, and home care can have deadly consequences for                        02_downloads/08_Air_mattresses_
September      2002 Patient Safety                          Air mattress dangers some patients                                                                        abstract.doc
                                                                                   The Web notification will disseminate device-related safety information
                                                            Web-based safety       useful to healthcare providers but inappropriate for the FDA’s existing            http://www.fda.gov/cdrh/safety.html
September      2002 Patient Safety                          notification program   notifications.                                                                     #web
                                                                                                                                                                      http://my.premierinc.com/all/safety/
                                                            American Society of    A new survey indicates that larger hospitals reporting a shortage of               publications/09-
                                                            Anesthesiologists      anesthesiologists are also delaying elective surgery and limiting access           02_downloads/09_ASA_07-30-
September      2002 Patient Safety                          survey                 to operating rooms                                                                 02.doc
                                                            Radiation safety                                                                                          http://www.orau.gov/reacts/define.h
August         2002 Patient Safety                          basics                 An excellent resource for radiation information and training                       tm




                                                                                   Hospital emergency departments (EDs) are the source of more than 50                http://www.jcaho.org/about+us/new
                                                                                   percent of all reported cases of patient death or permanent injury due to          s+letters/sentinel+event+alert/index
July           2202 Patient Safety                          ED delays              delays in treatment                                                                .htm




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                                                                                                                                                                    http://my.premierinc.com/all/safety/
                                                                                  Institute for Safe Medication Practices (ISMP) offers six tips to reduce          publications/06-
                                                           Medication Safety      the risk of overdoses from patient- controlled analgesia (PCA) by proxy.          02_downloads/05_36_2002_niosh_
June          2002 Patient Safety                          Alert - May 29, 2002    Tips include selection criteria, protocols, monitoring, and education.           ventilation_139.pdf


                                                                                                                                                                    "Reducing Medication Errors," one
                                                                                                                                                                    of a four-part videotape series
                                                                               More than 40 nationally recognized safety experts sharing their                      titled "Safety Issues in
                                                           Reducing Medication strategies for successful programs on patient safety, prevention of                  Healthcare,"s is available from the
June          2002 Patient Safety                          Errors              medication errors, and occupational and environmental safety.                        Safety Institute's Safety Store.
                                                                                                                                                                    http://my.premierinc.com/all/safety/
                                                           Quality of Health      The book describes the state of healthcare in the United States by                publications/06-
                                                           Care in the United     examining medical mistakes, substandard care for chronic conditions,              02_downloads/02_quality_care_US
June          2002 Patient Safety                          States: A Chartbook    disparities in care, and the lack of preventive care.                             _status_rpt.pdf
                                                                                  The manual summarizes the report’s themes for improvements in the
                                                                                  U.S. healthcare system using a four-level framework: patients’                    http://my.premierinc.com/all/safety/
                                                                                  experiences; functioning of small units of care delivery; functioning of          publications/06-
                                                           Crossing the Quality   the organizations that support microsystems; and the supporting                   02_downloads/03_IOM2_manual.p
June          2002 Patient Safety                          Chasm                  environment that shapes the organization                                          df

                                                           Nursing Home           A pilot Web site that lists health deficiencies for nursing homes that
June          2002 Patient Safety                          Compare                have been filed, examined, and confirmed following complaints.                    http://www.medicare.gov/




                                                           How to Protect                                                                                           http://my.premierinc.com/all/safety/
                                                           Yourself and Your                                                                                        publications/05-
                                                           Family from Medical    The brochure outlines specific steps for preventing medication errors,            02_downloads/12_AHRQ_Protect_
May           2002 Patient Safety                          Errors                 wrong-site surgery, and infections                                                Yourself_Family.doc




                                                                                                                                                                    http://my.premierinc.com/all/safety/
                                                           Ways to Help Your                                                                                        publications/05-
                                                           Family Prevent         A patient fact sheet with 20 tips on preventing medical errors and a              02_downloads/13_AHRQ_Patient_
May           2002 Patient Safety                          Medical Errors         family-oriented brochure                                                          Fact_Sheet_20-Tips.doc




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                                                                                Audio files and slides are available from a recent Premier webcast that
                                                                                describes how hospitals can bring their organizations into compliance
                                                                                with current EPA hazardous waste regulations and Joint Commission
                                                                                requirements while preparing for future disposal restrictions. Increasing
                                                                                national interest in a sustainable environment has accelerated the
                                                                                healthcare industry's attention to waste management and recycling
                                                                                practices. Among those challenges in waste management and recycling
                                                                                is safe disposal of leftover medications, antibiotics, and other chemicals
                                                                                that may find their way into our drinking water and food chain. Premier
                                                                                hosted a public webcast titled ―Implementing a pharmacy waste
                                                                                management system‖ to understand the problem of pharmaceutical
                                                                                waste and suggest solutions and tips on how to separate, label and
                                                                                dispose of common chemicals and drugs. Charlotte Smith, president of
                                                           Implementing a       PharmEcology Associates, LLC, presented the topic, noting that                      http://www.premierinc.com/quality-
                                                           pharmaceutical       managing pharmaceutical waste is becoming a nationwide issue, and                   safety/tools-
                                                           waste management     highlighted the impact on the ecosystem from disposal of leftover drugs             services/safety/news/2007/11/Phar
December      2007 Pharmaceutical Waste Management         system               through flushing and landfilling.                                                   maSafetyStory_11162007.jsp


                                                                                A standardized hazardous waste manifest form that must be used by all
                                                                                hazardous waste generators and treatment, storage, and disposal                     More information on the Uniform
                                                                                facilities to track waste's progress from generation to disposal is                 Hazardous Waste Manifest,
                                                                                available from the U.S. Environmental Protection Agency (EPA).                      including a list of printers approved
                                                                                Handlers of waste (generators, or treatment, storage or disposal                    by EPA to supply the new form
                                                                                facilities) must obtain the new forms from any source that has been                 and state requirements for use of
                                                                                approved for printing and distribution by the EPA Manifest Registry.                the new form, can be found at:
                                                           Uniform Hazardous    Some states have additional requirements regarding the use of the new               http://www.epa.gov/epaoswer/hazw
Oct           2006 Pharmaceutical Waste Management         Waste Manifest       Uniform Hazardous Waste Manifest.                                                   aste/gener/manifest/
                                                                                The document, "Managing Pharmaceutical Waste: A 10-Step
                                                                                Blueprint," is designed to help hospitals develop and implement a
                                                                                comprehensive pharmaceutical hazardous waste management
                                                           Managing             program. The plan combines regulatory compliance and best                           http://www.premierinc.com/quality-
                                                           Pharmaceutical       management practices with waste minimization while minimizing risk in               safety/tools-services/safety/safety-
                                                           Waste: A 10-Step     a cost effective manner. It is organized to permit using the steps as               share/06-06-downloads/13-h2e-
June          2006 Pharmaceutical Waste Management         Blueprint            needed, and not necessarily consecutively.                                          pharma-blueprint-04-15-06.pdf




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  Month       Year               Topic by Tab                      Tool                                         Description                                  Tool                Location




                                                                                  Hospitals for a Healthy Environment (H2E) hosted a March 11
                                                                                  teleconference on disposal of chemotherapeutic wastes. Presenters
                                                                                  from a waste consultancy and H2E offered an overview of proper
                                                                                  chemotherapeutic waste segregation, treatment, and minimization
                                                                                  techniques to reduce the safety, health, and environmental impacts of
                                                                                  managing this hazardous waste stream. The conference included
                                                                                  education on safest practices, with the understanding that many
                                                                                  chemotherapeutic agents in use today are not regulated under
                                                                                  Environmental Protection Agency's (EPA) Resource Conservation and                 Teleconference materials are at
                                                                                  Recovery Act, but should be included from a safety and health                     http://www.h2e-
                                                                                  perspective. H2E as provided six free Microsoft® Excel spreadsheets to            online.org/events/teleconf/molydes
                                                                                  help hospitals collect and manage waste data (solid waste, solid waste            c.cfm?Date=2005-03-11&t. at
                                                                                  recyclables, hazardous waste, hazardous waste recyclables, infectious             http://www.hercenter.org/wms.html
                                                           H2E resources -        waste and general facility information). The bottom half of the                   to access the H2E Waste
                                                           Chemo conference;      spreadsheet contains basic data and the top half of the spreadsheet               Management System and receive
                                                           waste disposal         does the calculations. Users register and then receive a notice if the            updates about the tool.
May           2005 Pharmaceutical Waste Management         management tools       database is updated.


                                                                                  The Environmental Protection Agency (EPA) has new guidance about
                                                                                  how the general public should handle used syringes/needles and other
                                                                                  sharps generated at home or other non-healthcare locations. The
                                                                                  guidance suggests that syringe users dispose of used syringes in ways
                                                                                  that keep the sharps out of the general trash, with a goal of protecting
                                                                                  workers along the solid waste "stream" and at land fills. The new EPA
                                                                                  guidance is published in two brochures: Protecting Your Community
                                                                                  from Sharps: Options for Safe Disposal of Sharps and Protect Yourself,
                                                           EPA guidance -         Protect Others: Safe Options for Needle Disposal.
                                                           Safer needle, sharps                                                                                     http://www.premierinc.com/all/safet
                                                           disposal in public                                                                                       y/publications/02-05-downloads/10-
February      2005 Pharmaceutical waste management         areas                                                                                                    med-govt.pdf
                                                           Preventing
                                                           Occupational
                                                           Exposures to
                                                           Antineoplastic and                                                                                       http://www.premierinc.com/all/safet
                                                           Other Hazardous                                                                                          y/resources/pharma-
                                                           Drugs in Healthcare                                                                                      waste/downloads/2004-
September     2004 Pharmaceutical waste management         Settings               NIOSH Alert on antineoplastic drugs                                               HazDrugAlert.pdf




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                                                            The Guidance for
                                                            Industry and FDA
                                                            Staff: Frequently
                                                            Asked Questions      The Food and Drug Administration's (FDA) Center for Devices and
                                                            (FAQs) on the        Radiological Health (CDRH) has released a new FAQ on single-use
                                                            Status of            devices. The document, titled, "The Guidance for Industry and FDA
                                                            Reprocessed Single   Staff: Frequently Asked Questions (FAQs) on the Status of
                                                            Use Devices (SUDs)   Reprocessed Single Use Devices (SUDs) that receive a Not
                                                            that receive a Not   Substantially Equivalent (NSE) Letter," (.pdf) (140 KB) explains
                                                            Substantially        instances in which a NSE letter pertains to a reprocessed SUD and                     http://www.premierinc.com/all/safet
                                                            Equivalent (NSE)     whether in-stock, reprocessed SUDs can be used once the reprocessor                   y/publications/12-04-downloads/14-
December       2004 Reuse of Single Use Devices             Letter               can no longer distribute the SUDs as a result of a NSE letter.                        sud-guidance-nse-ltr.pdf
                                                                                                                                                                       The CD-ROM is $475 for AAMI
                                                                                                                                                                       members and $655 for non-
                                                                                 The collection has every AAMI document covering sterilization in                      members. Contact AAMI at
                                                                                 healthcare facilities, sterilization equipment, and industrial sterilization          800.332.2264, Ext. 217, or visit
                                                            AAMI sterilization   process control. It includes FDA and CDC guidance documents and the                   http://aami.org and click on
July           2004 Reuse of Single Use Devices             documents            Code of Federal Regulations sections pertaining to sterilization.                     "marketplace."
                                                                               Revised forms and instructions for voluntary and mandatory reporting to
                                                                               MedWatch for healthcare facilities and others to use in reporting
                                                            MedWatch reporting adverse events involving single-use medical devices that have been                      http://www.fda.gov/medwatch/getfo
March          2004 Reuse of Single Use Devices             forms              reprocessed for reuse.                                                                  rms.htm


                                                            An Overview of the
                                                            Regulatory
                                                            Requirements for
                                                            Reprocessing of
                                                            Single-Use Devices   A two-CD set that covers the regulatory requirements that a hospital                  http://www.fda.gov/cdrh/reuse/reus
August         2002 Reuse of Single Use Devices             by Hospitals         must meet if it reprocesses single-use devices (SUDs).                                e-important.shtml




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  Month        Year               Topic by Tab                      Tool                                         Description                                   Tool                Location


                                                                                 A new pamphlet being released by the CDC – Sharps Safety for
                                                                                 Healthcare Personnel – describes healthcare worker risk, how and
                                                                                 when injuries occur, how sharps safety devices reduce injuries, and the
                                                                                 importance of developing a "culture of safety" for sharps injury
                                                                                 prevention. This and other sharps injury prevention brochures are
                                                                                 publicly accessible on the Safety Institute Web site to assist frontline             http://www.premierinc.com/quality-
                                                                                 workers in selecting safety devices to evaluate for their institutions. The          safety/tools-
                                                                                 Web site also contains links to national lists of sharps safety products.            services/safety/topics/needlestick/d
                                                            Sharps Safety for    A new addition to the available tools is the needlestick prevention                  ownloads/cdc-sharps-brochure-10-
October        2007 Sharps Injury Prevention                Healthcare Personnel booklet for non-acute care.                                                          01-07.pdf


                                                                                   The U.S. Public Health Service has updated the recommendations for
                                                                                   the management of healthcare personnel (HCP) with occupational
                                                                                   exposure to blood and other body fluids that might contain human
                                                                                   immunodeficiency virus (HIV). Published in the September 30, 2005
                                                                                   Morbidity and Mortality Weekly Report (MMWR) , the recommendations
                                                                                   (.pdf) (267 KB) emphasize adherence to postexposure prophylaxis
                                                                                   (PEP) regimens when indicated, expert consultation in managing                     http://www.premierinc.com/all/safet
                                                            HIV post-exposure      exposures, follow-up to improve HCP adherence to PEP, and                          y/publications/10-05-downloads/11-
October        2005 Sharps Injury Prevention                prophylaxis            monitoring for adverse events, including seroconversion.                           hiv-rr5409.pdf


                                                                              A resource book for healthcare organizations, clinicians and others
                                                                              designed to make it easier to find sharps injury prevention, blood                      The Compendium is now available
                                                                              exposure prevention and infection control products that can protect                     for immediate purchase as in e-
                                                                              patients, healthcare workers and others. A cooperative effort from                      book. The printed version will be
                                                                              medical device and infection control product manufacturers, the                         available in a few months. The
                                                                              Compendium is sponsored by the Premier Safety Institute, ISIPS,                         price will be $129.95, but for a
                                                                              Managing Infection Control Magazine, AOHP and NAPPSI. It will be                        limited time, a pre-publication price
                                                                              published both as a printed book and as an e-book. In the printed book,                 of $89.95 is available. For more
                                                            The Compendium of each device is paired with a custom evaluation form to facilitate record                information, call 801.280.8797 or
                                                            Infection Control keeping. The digital edition of the Compendium will have each product                   send an e-mail to
July           2005 Sharps Injury Prevention                Technologies      linked directly to the Sample Procurement Center.                                       info@medicalsafetybook.com.




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  Month        Year               Topic by Tab                      Tool                                           Description                                   Tool                Location


                                                                                    The Environmental Protection Agency (EPA) has new guidance about
                                                                                    how the general public should handle used syringes/needles and other
                                                                                    sharps generated at home or other non-healthcare locations. The
                                                                                    guidance suggests that syringe users dispose of used syringes in ways
                                                                                    that keep the sharps out of the general trash, with a goal of protecting
                                                                                    workers along the solid waste "stream" and at land fills. The new EPA
                                                                                    guidance is published in two brochures: Protecting Your Community
                                                                                    from Sharps: Options for Safe Disposal of Sharps and Protect Yourself,
                                                            EPA guidance -          Protect Others: Safe Options for Needle Disposal.
                                                            Safer needle, sharps                                                                                        http://www.premierinc.com/all/safet
                                                            disposal in public                                                                                          y/publications/02-05-downloads/10-
February       2005 Sharps Injury Prevention                areas                                                                                                       med-govt.pdf
                                                                                    A free copy of the book, "Preventing Occupational Exposures to
                                                            Preventing              Bloodborne Pathogens," a collection of articles from Advances in
                                                            Occupational            Exposure Prevention (1994 to 2003), is available from the Premier                   Order free copies of the book
                                                            Exposures to            Safety Store. This 235-page book is edited by Jeannie Jagger and Jane               from the Premier Safety Store at:
                                                            Bloodborne              Perry from the International Healthcare Worker Safety Center at the                 http://www.premierinc.com/all/safet
December      2004    Sharps Injury Prevention              Pathogens               University of Virginia.                                                             y/store/


                                                                                                                                                                        Document:
                                                                                    A list of journal articles published between 1988 and 2004 that pertains            http://www.premierinc.com/all/safet
                                                                                    to the review, selection, testing, or evaluation of safer needle devices.           y/resources/needlestick/downloads/
                                                                                    The document, titled "Articles and abstracts," includes a list of selected          sharps-journal-lit-listing-abstract-
                                                            Literature review for   references, followed by the citation and full abstract. Detailed analysis           08-04.doc                Tabular
                                                            review, selection,      of the same journal list is provided in a tabular summary format (link              format:
                                                            testing or evaluation   below), permitting ease in sorting the journals by: study focus, author,            http://www.premierinc.com/all/safet
                                                            of safer needle         journal, title, population-setting, study design, key findings-summary,             y/resources/needlestick/downloads/
Sept            2004 Sharps Injury Prevention               devices                 conclusions and key words for searching.                                            sharps-journal-lit-analysis-08-04.xls


                                                            Sequence for
                                                            Donning and
                                                            Removing Personal                                                                                           http://www.premierinc.com/all/safet
                                                            Protective                                                                                                  y/publications/05-04-downloads/09-
May           2004    Sharps Injury Prevention              Equipment (PPE)                                                                                             ppeposter-1322.pdf




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                                                                                   The ―Frequently Asked Questions‖ (FAQs) regarding sharps safety
                                                                                   were updated following a recent Premier-sponsored audio conference
                                                                                   that featured speakers from OSHA and CDC. Issues addressed
                                                                                   include specific devices, device selection, evaluation and replacement,          http://www.premierinc.com/all/safet
                                                             Frequently Asked      worker training and compliance, record keeping, schedules and                    y/resources/needlestick/downloads/
April          2004    Sharps Injury Prevention              Questions             implementation and a list of OSHA resources.                                     OSHA-FAQs.pdf


                                                                                                                                                                    http://www.epa.gov/epaoswer/other
                                                                                                                                                                    /medical/sharps.htm, Disposal
                                                                                                                                                                    Tips for Home Health Care (patient
                                                                                                                                                                    flyer) (.pdf), Disposal Tips for
                                                                                                                                                                    Home Health Care (professional
                                                                                   A new at-home sharps disposal options based on the recommendations               brochure) (.pdf), New Information
                                                                                   of the Coalition for Safe Community Needle Disposal. It has added to             About Disposing of Medical
                                                             Sharps disposal       its current recommendations additional new options for disposal of               Sharps (.pdf)
March           2004 Sharps Injury Prevention                information flyers    medical sharps outside the healthcare setting.

                                                                                                                                                                    A link to an order form, is available
                                                                                                                                                                    at:
                                                                                   ECRI presents ratings of eight sharps disposal containers designed for           http://www.ecri.org/Newsroom/PR_
September       2003 Sharps Injury Prevention                Health Devices        patient rooms or patient treatment areas.                                        Detail.asp?DN=20030828_73

                                                                                   The Premier Safety Institute's Bloodborne Pathogen (BBP) Assessment
                                                             Bloodborne            Tool provides a comprehensive checklist for assessing compliance with
                                                             Pathogen (BBP)        OSHA's complete bloodborne pathogen rule, including considerations               Download the tool from the Sharps
August          2003 Sharps Injury Prevention                Assessment Tool       for a complete sharps injury prevention program.                                 Injury Prevention module
                                                                                                                                                                    http://www.premierinc.com/all/safet
                                                                                This site from the CDC’s Business/Labor division provides helpful                   y/publications/08-
                                                             HIV/AIDS workplace information and toolkits that help businesses tailor a program specific to          03_downloads/12_HIV_wkpl_mgr_
August          2003 Sharps Injury Prevention                policy materials   their workplace.                                                                    kit.pdf
                                                             ECRI - General        In addition to standard performance and human-factors design issues,
                                                             infusion pumps and    the report addresses patient safety, reflecting some exciting
December        2002 Sharps Injury Prevention                patient safety        advancements in infusion pump technology                                         info@ecri.org
                                                             OSHA Compliance       OSHA compliance tools and resources for implementing a                           Premier Safety Web resource:
May             2002 Sharps Injury Prevention                Tools                 comprehensive sharps injury prevention program.                                  OSHA compliance tools




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                                                                             States the agency's policy on disposal of contaminated needles and
                                                                             blood tube holders following blood-drawing procedures. The bulletin
                                                                             also provides the most recent sharps injury data from the Exposure
                                                                             Prevention Information Network. OSHA developed this ―Information
                                                                             Regarding the Disposal of Contaminated Needles and Blood Tube
                                                        Policy on            Holders Used for Phlebotomy‖ to provide relevant information regarding          http://my.premierinc.com/all/safety/
                                                        contaminated blood   its policy on the prohibition of contaminated needle removal from               publications/12-03-downloads/10-
December    2003 Sharps Injury Prevention               tube holders         medical devices.                                                                OSHA-tib-10-15-03.pdf



                                                                             Available resources include: An audio-conference with downloadable
                                                                             materials, including DVT research slides, physician and nurse
                                                                             assessments, sample order sets, and a recording of the audio
                                                                             conference. A webcast on anticoagulation therapy includes speakers
                                                                             from hospitals with successful anticoagulation therapy programs who
                                                                             share their journey to reduce adverse events and discuss The Joint
                                                                             Commission's 2008 National Patient Safety Goals for anticoagulation
                                                                             therapy. Slides and an audio file of the webcast and other resources
                                                                             also are available. An Informatics comparative data tools help users
                                                                             identify potential problems, track progress and monitor variations,
                                                                             enabling users to actively reduce the rates of DVT and other serious
                                                                             avoidable conditions, establish performance benchmarks and share
                                                                             best practice interventions. Premier’s "Performance Improvement
                                                        Premier Safety       Portal" is a resource for clinicians to get information on performance          http://www.premierinc.com/quality-
                                                        Institute – QI and   improvement advice and best practices on key clinical quality and               safety/tools-
                                                        patient education    safety issues, including prevention of VTE. AHRQ Consumer’s Guide               services/safety/topics/Venous-
                                                        tools for VTE        –just released in August 2008 Your Guide to Preventing and Treating             Thromboembolism/venous-
September   2008 Venous Thromboembolism                 prevention           Blood Clots.                                                                    thromboembolism.jsp




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Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
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be downloaded at http://www.premierinc.com/all/safety/public-health/downloads/preparingterroristbombing.pdf




               Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
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Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
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Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
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Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
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Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
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Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
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Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
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Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
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Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
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Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
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Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
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Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
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Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
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Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
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Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
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Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety Share
                                                                                               IHI Tools




  Month         Year          Topic/Module by Tab                  Tool                                Description                            IHI Tool                   Location



                                                                                 The first tool is a "Global Trigger Tool" designed to help
                                                                                 get started in the approach; the other tools focus on                   Access IHI Trigger Tools
                                                                                 specific areas such as measuring adverse drug events,                   at:http://www.ihi.org/IHI/Topics/PatientSaf
                                                            IHI – Patient        perioperative care, neonatal intensive care, and adverse                ety/SafetyGeneral/Tools/IntrotoTriggerTo
Dec           2006     PSS News                             safety trigger tools events in outpatient settings.                                  √       olsforIdentifyingAEs.htm



                                                                                                                                                         1.) http://www.premierinc.com/quality-
                                                                                                                                                         safety/tools-services/safety/safety-
                                                                                                                                                         share/07-06-downloads/07-sbar-nurse-
                                                                                                                                                         survey.pdf; 2.)
                                                                                                                                                         http://www.premierinc.com/quality-
                                                                                                                                                         safety/tools-services/safety/safety-
                                                                                A toolkit containing five SBAR (Situation-Background-                    share/07-06-downloads/08-sbar-survey-
                                                                                Assessment-Recommendation) tools adapted for                             physician.pdf; 3.)
                                                                                improving communication in labor and delivery is                         http://www.premierinc.com/quality-
                                                                                available from the Institute for Healthcare Improvement                  safety/tools-services/safety/safety-
                                                                                (IHI). The SBAR technique provides a framework for                       share/07-06-downloads/09-sbar-perinatal-
                                                                                communication between members of the healthcare                          report.pdf; 4.)
                                                                                team about a patient's condition. SBAR is an easy-to-                    http://www.premierinc.com/quality-
                                                                                remember, concrete mechanism useful for framing any                      safety/tools-services/safety/safety-
                                                                                conversation, especially critical ones, requiring a                      share/07-06-downloads/10-sbar-fetal-
                                                                                clinician's immediate attention and action. It allows for                heartrate-tracing.pdf; 5.)
                                                                                an easy and focused way to set expectations for what                     http://www.premierinc.com/quality-
                                                                                will be communicated and how between members of the                      safety/tools-services/safety/safety-
                                                            Perinatal SBAR      team, which is essential for developing teamwork and                     share/07-06-downloads/11-sbar-
July          2006     PSS News                             toolkit             fostering a culture of patient safety.                           √       physician-critical-situation.pdf

                                                                                Changes in four key elements of the service delivery
                                                                                system are described in the IHI white paper. The
                                                                                changes include the care team, patient activation,
                                                                                clinical information system, and leadership. IHI identifies
                                                                                the challenges faced in the current system, introduces a
                                                            IHI white paper –   new design for the delivery of primary care, and                         http://www.premierinc.com/quality-
                                                            Planning a          encourages office practices and clinics to move ahead                    safety/tools-services/safety/safety-
                                                            primary care        with their own efforts to strive for better patient                      share/06-06-downloads/14-planned-care-
June          2006     PSS News                             delivery system     outcomes.                                                        √       white-paper-2006.pdf




       Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / IHI
                                                                                            IHI Tools



  Month      Year          Topic/Module by Tab                  Tool                                Description                            IHI Tool                   Location




                                                                             Reviews of perinatal care have consistently pointed to
                                                                             failures of communication among the care team and
                                                                             documentation of care as common factors in adverse
                                                                             events that occur in labor and delivery. Such failures
                                                                             also have been shown to be prime factors leading to
                                                                             malpractice claims. A new white paper from the Institute
                                                                             for Healthcare Improvement (IHI), "Idealized Design of
                                                                             Perinatal Care," is an innovative project based on the
                                                                             principles of reliability science and the IHI's model for
                                                                             applying these principles to improve care. The Idealized                 Go to:
                                                                             Design model focuses on comprehensive redesign to                        http://www.premierinc.com/all/safety/publi
                                                         IHI white paper –   enable a care system to perform substantially better in                  cations/03-06-downloads/10-idealized-
March      2006     PSS News                             perinatal care      the future than the best it can do at present.                   √       design-perinatal-care-2005.pdf




                                                                             A leadership guide offering eight steps for senior health
                                                                             care leaders to help their organizations achieve patient
                                                                             safety and high reliability is available from the Institute
                                                                             for Healthcare Improvement (IHI). "The Leadership
                                                                             Guide to Patient Safety: Resources and Tools for
                                                         The Leadership      Establishing and Maintaining Patient Safety" introduces
                                                         Guide to Patient    the concept of "reliability," defined as patients getting
                                                         Safety:             the intended tests, medications, information, and
                                                         Resources and       procedures at the appropriate time and in accordance
                                                         Tools for           with their values and preferences. Strategies for
                                                         Establishing and    redesign of healthcare systems are presented using                       http://www.premierinc.com/all/safety/publi
                                                         Maintaining         examples that IHI has gleaned from its experience in                     cations/11-05-full-txt.jsp#story-06-
November   2005     PSS News                             Patient Safety      guiding organizations in improving patient safety.               √       downloads



                                                                            A new Institute for Healthcare Improvement (IHI)
                                                                            Innovation Series white paper expands on a previous
                                                                            paper, "Move Your Dot: Measuring, Evaluating, and
                                                                            Reducing Hospital Mortality Rates," that introduced a
                                                                            novel perspective and methodology for understanding
                                                         Move Your Dot:     and reducing inpatient deaths. "Reducing Hospital
                                                         Measuring,         Mortality Rates (Part 2)" summarizes preliminary results
                                                         Evaluating, and    from a three-year pilot project in which eight hospitals,                 White papers are free and available
                                                         Reducing           working with IHI, are testing the theory that hospital                    online at:
                                                         Hospital Mortality mortality can be consistently reduced through a                           http://www.ihi.org/IHI/Products/WhitePap
August       2005 Patient Safety                         Rates              combination of evidence-based interventions.                      √       ers/




    Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / IHI
                                                                                          IHI Tools



  Month     Year            Topic/Module by Tab                Tool                               Description                           IHI Tool                   Location




                                                                           To assist institutions in making the business case for
                                                                           quality programs, the Institute for Healthcare
                                                                           Improvement (IHI) is unveiling the Adverse Events
                                                                           Prevented Calculator. This tool helps model the financial
                                                                           implications of reductions in adverse event rates in an
                                                                           organization and assists in translating actual and
                                                                           potential improvement results into projected lives and
                                                                           dollars saved. The tool allows one to track the change in
                                                                           rate of any one type of adverse event over time and,
                                                                           when appropriate additional data are added, the
                                                                           consequent change in unnecessary deaths ("lives
                                                                           saved"), real and additional potential cost savings ("dark
                                                        IHI tool – Adverse green dollar" savings and "light green dollar" savings,                 http://www.ihi.org/IHI/Topics/PatientSafet
                                                        Events Prevented respectively), and the return on investment of quality                    y/SafetyGeneral/Tools/adverseeventspre
September 2008     Culture - Safety - Tool              Calculator         improvement work targeting those adverse events.                √       ventedcalculator.htm
December 2007      Patient Safety                       Advancing the                                                                      √       http://www.premierinc.com/quality-
                                                        Practice of                                                                                safety/tools-services/safety/safety-
                                                        Patient- and       The Institute for Healthcare Improvement (IHI) recently                 share/12-07-downloads/6_Patient-Family-
                                                        Family-Centered released a report titled ―Advancing the Practice of                        Centered-Care-2007.pdf
                                                        Care               Patient- and Family-Centered Care‖ that includes
                                                                           assessment tools to help hospitals determine the
                                                                           degree to which patient- and family-centered
                                                                           approaches exist in their current organizational culture;
                                                                           IHI also released a tool that helps gather information
                                                                           about the perceptions and attitudes of staff and
                                                                           administrative leaders. The report describes how
                                                                           hospitals can get started with understanding how quality
                                                                           and safety are advanced by bringing patients and
                                                                           families directly into the planning, delivery and
                                                                           evaluation processes. This 25-page report provides
                                                                           rationale for a patient- and family-centered approach to
                                                                           care and defines its core concepts and outlines steps
                                                                           that a hospital can take to create partnerships with
                                                                           patients and families.




   Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / IHI
                                                                                               IHI Tools



  Month         Year           Topic/Module by Tab                 Tool                                Description                            IHI Tool                   Location



                                                                                Advance directives, the legal documents that allow
                                                                                individuals to make their personal healthcare wishes
                                                                                known before a serious illness or injury, can be
                                                                                confusing and difficult to understand. The Institute for
                                                                                Healthcare Advancement has an advance directive form
                                                                                designed for American adults who read below a fifth-
                                                                                grade level. The forms are available in both English
                                                                                (.pdf) (906 KB) and Spanish (.pdf) (911 KB). The form is                 The forms are available in both English
                                                                                designed in a simple fill-in-the-blank format with                       http://www.premierinc.com/all/safety/publi
                                                                                illustrations and easy-to-read bullet points. Low-literacy               cations/05-05-downloads/09-advance-
                                                                                Americans will be able to choose an agent to make                        directive-english.pdf (.pdf) (906 KB) and
                                                                                medical decisions for them, make their healthcare                        Spanish
                                                            Simplifying         wishes known so that their loved ones don't have to                      http://www.premierinc.com/all/safety/publi
                                                            advanced            guess for them, and provide the necessary signatures to                  cations/05-05-downloads/10-advance-
May             2005 Patient Safety                         directives          make the document legally binding.                               √       directive-spanish.pdf (.pdf) (911 KB).
                                                                                A method for analyzing any process to see where it is
                                                            Failure Modes       likely to fail; to see how changes you are considering
                                                            and Effects         might affect the safety of the process; and to track
                                                            Analysis (FMEA)     changes in the Risk Priority Number (or RPN) of the
September       2003 Patient Safety                         Tool                process over time.                                               √
                                                                                A simple yet powerful method of identifying and tracking
                                                            Trigger Tool for    the number of medication errors in your hospital —
                                                            Measuring           using a retrospective review of patient records to look
                                                            Adverse Drug        for sentinel clues or "triggers" that indicate a medication              http://www.ihi.org/IHI/Topics/PatientSafet
May             2003 Patient Safety                         Events (ADEs)       error has occurred.                                              √       y/MedicationSystems/Tools/
                                                                                The brochure outlines how a patient can become an
                                                            Ensuring Safety     active, involved, and informed member of the health                      Adobe;Patient Safety/Medication
July            2004 Patient Safety                         in Surgery          care team.                                                       √       Systems/Tools; Under: Culture of Safety
                                                                                The tool was developed by safety administrators at Iowa
                                                                                Health System (IHS) to help front-line staff initiate
                                                                                Device Use – Safety Briefings, which provide a forum for
                                                            Device Use –        shared observations and concerns related to the use of
                                                            Safety Briefing     medical devices, equipment, and complex software in                      Word;Patient Safety/Medication
IHI                    Patient Safety                       Model               the institution.                                                 √       Systems/Tools; Under: Culture of Safety
                                                                                A simple, easy-to-use tool that front-line staff can use to
                                                                                share information about potential safety problems and
                                                            Safety Briefings    concerns on a daily basis, to promote safety                             Adobe;Patient Safety/Medication
IHI                    Patient Safety                       (IHI Tool)          consciousness and learning                                       √       Systems/Tools; Under: Culture of Safety

                                                                                The tool enumerates data elements to collect during a
                                                            Safety Huddle       test of Safety Briefings, including medication safety
                                                            Results             issues and "near miss" medication errors that are                        Word;Patient Safety/Medication
IHI                    Patient Safety                       Collection Tool     identified before they cause harm.                               √       Systems/Tools; Under: Culture of Safety
                                                            Decision Tree for   A decision tree that can be followed when analyzing an
                                                            Unsafe Acts         error or adverse event; developed by Partners                            Patient Safety/Medication
IHI                    Patient Safety                       Culpability         HealthSystem                                                     √       Systems/Tools; Under: Culture of Safety
       Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / IHI
                                                                                              IHI Tools



  Month         Year            Topic/Module by Tab                Tool                                Description                         IHI Tool                   Location
                                                            Patient Safety
                                                            Tracking                                                                                  Patient Safety/Medication
IHI                    Patient Safety                       Database            Example of a database for tracking patient safety issues      √       Systems/Tools; Under: Culture of Safety


                                                                                Senior leaders conduct weekly WalkRounds™ in
                                                                                different areas of the hospital, to have informal
                                                                                conversations with front-line staff about safety issues
                                                            Patient Safety      and to demonstrate their support of an organizational                 http://www.ihi.org/IHI/Topics/PatientSafet
                                                            Leadership          culture that promotes nonpunitive reporting of errors,                y/MedicationSystems/Tools/PatientSafety
July            2004 Patient Safety                         WalkRounds™         adverse events, near misses, and unsafe conditions            √       LeadershipWalkRoundsDatabase.htm
                                                            Checklist for
                                                            Assessing           A short self-assessment survey for use by any health
                                                            Institutional       care organization wishing to gauge its patient safety                 Word;Patient Safety/Medication
IHI                    Patient Safety                       Resilience          climate                                                       √       Systems/Tools; Under: Culture of Safety
                                                            Strategies for
                                                            Leadership:
                                                            Hospital                                                                                  http://www.ihi.org/IHI/Topics/PatientSafet
                       Culture - Safety -Tool Adobe;Patient Executives and                                                                            y/MedicationSystems/Tools/Strategiesfor
                       Safety/Medication Systems/Tools;     Their Role in       A compilation of leadership strategies for enhancing                  LeadershipHospitalExecutivesandTheirR
HSOPSC                 Under: Culture of Safety             Patient Safety      patient safety                                                √       oleinPatientSafety.htm
                                                                                A tool for conducting brief, ad hoc staff meetings
                                                            Device Use –        focused on sharing observations and concerns about
                                                            Safety Briefing     safety hazards related to the use of medical devices and              Word;Patient Safety/Medication
IHI                    Patient Safety                       Model               equipment                                                     √       Systems/Tools; Under: Culture of Safety

                                                            Executive Review
                                                            of Projects (IHI A guide for executives on how to channel senior                          Word;Improvement Methods/Tools;
IHI                    Patient Safety                       Tool)            management attention to quality projects                         √       Under: Information Gathering Tools
                                                                                Sampling is used to simplify the gathering of data for
                                                            Sampling (IHI       improvement and to prevent unnecessary data                           Excel;Improvement Methods/Tools;
IHI                    Patient Safety                       Tool)               collection.                                                   √       Under: Information Gathering Tools

                                                                              Walk-throughs enable providers to better understand the                 http://www.ihi.org/IHI/Topics/Improvemen
                                                            Walk-through (IHI experience of care from the patient’s and family’s points               t/ImprovementMethods/Tools/Walk-
HSOPSC                 Culture - Safety - Tool              Tool)             of view — by going through the experience themselves            √       through.htm
                                                                                An institution-wide policy regarding non-punitive
                                                                                reporting, this brochure reinforces the non-punitive
                                                                                reporting policy and encourages all co-workers to report              http://www.premierinc.com/all/safety/publi
                                                            Living a Culture    errors, it was signed by the hospital president and                   cations/02-04-downloads/10-st-john-
February        2004 Patient Safety                         of Patient Safety   mailed to all co-worker homes.                                √       nonpunitive-brochure.pdf

                                                            Patient Safety      Collects data and then keeps track of how the                         http://www.ihi.org/IHI/Topics/PatientSafet
                                                            Leadership          information is used, what actions are taken, and                      y/MedicationSystems/Tools/PatientSafety
July            2004 Patient Safety                         WalkRounds          generate feedback and reports.                                √       LeadershipWalkRoundsDatabase.htm




       Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / IHI
                                                                                               IHI Tools



  Month         Year          Topic/Module by Tab                  Tool                                Description                           IHI Tool                   Location


                                                                                 Hospital flow can be measured at five levels: patient and
                                                                                 community; hospital throughput; hospital activity;
                                                                                 hospital performance; and unit performance. Each level
                                                            Measurement          provides a portion of the total measurement picture. Use               http://www.ihi.org/IHI/Topics/Flow/Patient
                                                            guide for hospital   this guide to learn how to measure data in these key                   Flow/EmergingContent/HospitalFlowMea
July            2004 Patient Safety                         flow patterns        areas to help you improve patient flow.                        √       surementGuide.htm




       Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / IHI
                                                                            IHI Tools




Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / IHI
                                                                            IHI Tools




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                                                                            IHI Tools




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                                                                                   IHI Tools




Resource       Print




Tool           Electronic




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                                                                                   IHI Tools




Tool           Electronic




       Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / IHI
                                                                                                     Premier Safety Share




                                                                                                                             IHI
 Month   Year   Topic by Tab           Tool                                       Description                                Tool              Location



                                                     The RFID Resource Center includes an implementation guide describing
                                                     the use of HIBC (Health Industry Bar Code) Standards with RFID, an
                               RFID – Web-based      overview of RFID technology (including its potential applications and
                               resource center       costs), a white paper, "RFID In Healthcare: Benefits, Limitations &            http://www.hibcc.org/AUTOIDUPN/
May      2007 Bar Coding       available             Recommendations," and other related articles.                                  RFID.htm




           Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Bar Coding
                                                                                                           Premier Safety Share




                                                                                                                                     IHI
  Month    Year   Topic by Tab           Tool                                         Description                                    Tool                Location



                                                       Catheter-related blood stream infections (BSI) are a significant source of
                                                       morbidity and mortality associated with a variety of devices used to
                                                       access the vascular system. Meticulous aseptic technique is both
                                                       required and effective to prevent BSI. Faculty share their observations,
                                 Webcast – Best        best practices, and outcome data as they discuss this important topic.
                                 practices to reduce   This free webcast is a replay from the original August 17, 2007, webcast
               Bundling -        catheter-related      provided by Cardinal Health's Center for Safety and Clinical Excellence
               evidence based    blood stream          and will remain available for one full year. Continuing education credit is          http://www.cardinal.com/clinicalcent
September 2007 practice          infections            also provided.                                                                       er/materials/webcasts/index.asp


                                                     A recent AHRQ audio newscast series featured an interview with Peter
                                                     Pronovost, M.D., Ph.D., of The Johns Hopkins University School of
                                                     Medicine. Dr. Pronovost discussed his research about interventions to
                                                     reduce bloodstream infections in hospital ICUs caused by central
                                                     venous catheters. Patients in the United States spend about 18 million
                                                     days in the intensive care unit per year and in more than 50 percent of
                                                     the cases, an ICU patient will have a central venous catheter inserted.
                Bundling -       AHRQ tools –        Unfortunately, approximately 80,000 patients each year develop                         AHRQ podcast:
                evidence based   Podcast on reducing catheter-related bloodstream infections, and about 28,000 of them will                 http://www.healthcare411.org/podc
May        2007 practice         BSI                 die from the infection.                                                                ast.aspx?id=197




             Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Bundling
                                                                                                                Premier Safety Share




                                                                                                                                          IHI
  Month     Year    Topic by Tab           Tool                                           Description                                     Tool                 Location




                                                         A free interactive video module that will help identify and treat C. difficile
                                                         is available from the British Medical Journal (BMJ) and the Department
                                                         of Health. Titled "How you can reduce C. difficile infections," the video
                                                         demonstrates how a major UK hospital successfully managed an
                                                         outbreak and introduced measures that can be applied to prevent
                                                         infections. The module discusses how to diagnose and treat patients
                                                         with C. diffcile infections, the importance of hand hygiene in preventing
                 C. difficile                            infection, the cautious use of prescribing antibiotics, and understanding
                 associated         Online learning      the patient experience. To begin the module, go to
September   2007 disease           module – C. difficile http://bmjlearning.com/cdifficile.                                                      http://bmjlearning.com/cdifficile




              Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / CDAD
                                                                                                        Premier Safety Share




                                                                                                                                IHI
  Month   Year   Topic by Tab            Tool                                       Description                                 Tool                Location



                                                    Community hospitals implementing computerized physician order entry                http://my.premierinc.com/all/safety/
               Computerized                         are succeeding in gaining physician participation and addressing the               publications/07-
               physician order                      gaps in safety and quality they were targeting, according to a new report          03_downloads/10_CPOE_comm_h
July      2003 entry             CPOE Report & Tips by the California HealthCare Foundation and First Consulting Group.                osp.pdf

               Computerized                                                                                                            http://www.hospitalconnect.com/ah
               physician order   CPOE evaluation       The report explores CPOE implementation, costs, challenges, benefits,           a/key_issues/patient_safety/resourc
March     2003 entry             and case studies      and lessons learned.                                                            es/index.html#patientsafety




            Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / CPOE
                                                                                                            Premier Safety Share




                                                                                                                                     IHI
  Month   Year   Topic by Tab            Tool                                          Description                                   Tool                Location



                                                       The recommendations include the assessment of the electromagnetic
                               Recommendations         environment of the facility, identification of areas where critical medical          http://my.premierinc.com/all/safety/
                               for Electromagnetic     devices are used, coordination of the purchase and management of all                 publications/01-
               Cell Phones and Compatibility in        electronic equipment, and the reporting of problems to FDA MedWatch                  02_downloads/CDRH-%20EMC-12-
January   2002 EMC             Healthcare Facilities   program.                                                                             01.doc




            Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Cell Phones
                                                                                                           Premier Safety Share




                                                                                                                                   IHI
  Month    Year   Topic by Tab           Tool                                         Description                                  Tool                Location




                                                        Advances in technology are making it easier to improve patient safety.
                                                        The September/October issue of Patient Safety and Quality Healthcare
                                                        focuses on recent technology designed to reduce the risk of medical
                Computers and    On-line resources –    errors. Among the topics featured in this issue are bar coding to reduce
                electronics in   bar coding, RFID       medication errors, electronic medical records (EMR) and radio                     http://www.psqh.com/sepoct05/tocc
November   2005 healthcare       and patient safety     frequency identification (RFID) systems.                                          .html


                                                        Premier, the first GPO to win Hospitals for a Healthy Environment's
                                 Web-based resource     (H2E) Champions of Change Award (in 2003) and again in 2004, has
                                 to assist healthcare   launched a new Web-based resource to assist healthcare organizations
                                 organizations with     with environmentally friendly selection, recycling and disposal of
                                 environmentally        computers and electronics. These resources are also being used to
                                 friendly selection,    guide the selection of electronic device manufacturers for Premier
                                 recycling and          members and for recycling of electronics in Premier's corporate offices.
                Computers and    disposal of            The Web-based resource was produced by Premier's Safety Institute
                electronics in   computers and          with assistance and support from Health Care Without Harm and the                 http://www.premierinc.com/all/safet
March      2005 healthcare       electronics.           Computer Take Back Campaign.                                                      y/resources/computers/index.jsp




            Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Computers
  Month   Year   Topic by Tab           Tool                                        Description



                                                     This manual was written to assist hospitals in developing strategies for
                                                     temporary negative pressure isolation and provides instruction on the
                                                     use of equipment used for airborne infectious disease management. In
                                                     addition to graphic "how to" portrayals, the guide includes tools such as
                                Minnesota manual –   preventative maintenance schedules and a sample log for measuring
                                Methods for          particle counts for performance improvement planning. Additional
               Construction -   temporary negative   information, including education/training slides, are located at the Web
Mar       2007 ICRA             pressure isolation   site below.


                                                     Created by the University of Minnesota, InformeDesign®
                                                     www.informedesign.umn.edu brings research and practice aspects of
                                                     the design professions together. Designers face a multitude of complex
                                                     challenges that are environmental, behavioral, and design in nature.
                                                     This Web site focuses on providing the design community with
                                                     reputable research sources that address those challenges. A monthly
                                                     publication, Implications, addresses the issues facing practitioners and
                                                     researchers who focus on design and human behavior. Under the links,
                                Inform eDesign –     "SPACE," then "Healthcare," there is a wide variety of healthcare
               Construction -   Healthcare design    related articles and research summaries on topics from ambulatory
Feb       2007 ICRA             implications         care to wellness centers.
                                                     The construction and ICRA concept and matrix as described and
                                                     promoted by the Association for Professionals in Infection Control and
                                                     Epidemiology (APIC) and the American Society for Healthcare
                                                     Engineering (ASHE) are available in two training videos. One is
                                                     directed to healthcare professionals (20 minutes) and one to
               Construction -   Construction; ICRA   construction personnel (eight minutes), with availability in English and
Sept      2006 ICRA             training             Spanish. Go to www.EnvisionInc.net.
IHI
Tool                Location




       Download the manual from the
       Safety Institute's Construction,
       ICRA, risk assessment web site,
       or go to:
       http://www.health.state.mn.us/oep/t
       raining/bhpp/isolation.html




       http://www.informedesign.umn.edu/
       Rs.aspx?s=space&tId=664
       For more information on and
       resources about construction on
       Premiers Web site:
       www.premierinc.com/quality-
       safety/tools-
       services/safety//resources/construc
       tion/.
                                                                                                        Premier Safety Share



                                                                                                                                                        IHI
  Month         Year               Topic by Tab                Tool                                       Description                                   Tool                 Location



                                                                            This model program engages nurses and leaders at all levels of the
                                                                            organization to improve the quality and safety of patient care on medical
                                                                            and surgical units. Ten hospitals graduated from the third phase of the
                                                                            five-year program in May. TCAB is not a traditional quality improvement
                                                                            program; one primary characteristic that sets it apart is its focus on
                                                                            engaging frontline staff and unit managers. Ideas for transforming the
                                                                            way care is delivered on medical/surgical units come from the nurses
                                                       Transforming Care    and other care team members who spend the most time with patients                  http://www.rwjf.org/pr/product.jsp?id
September       2008         Culture - Safety - Tool   at the Bedside       and their families.                                                                =30051&c=EMC-CA137


                                                                            To assist institutions in making the business case for quality programs,
                                                                            the Institute for Healthcare Improvement (IHI) is unveiling the Adverse
                                                                            Events Prevented Calculator. This tool helps model the financial
                                                                            implications of reductions in adverse event rates in an organization and
                                                                            assists in translating actual and potential improvement results into
                                                                            projected lives and dollars saved. The tool allows one to track the
                                                                            change in rate of any one type of adverse event over time and, when
                                                                            appropriate additional data are added, the consequent change in
                                                                            unnecessary deaths ("lives saved"), real and additional potential cost
                                                       IHI tool – Adverse   savings ("dark green dollar" savings and "light green dollar" savings,             http://www.ihi.org/IHI/Topics/Patient
                                                       Events Prevented     respectively), and the return on investment of quality improvement work            Safety/SafetyGeneral/Tools/adverse
September       2008         Culture - Safety - Tool   Calculator           targeting those adverse events.                                              √     eventspreventedcalculator.htm


                                                                            The Joint Commission offers an Internet-based collaborative forum to
                                                                            help frontline workers; healthcare administrators, researchers and other
                                                                            healthcare professionals collaborate on developing performance
                                                                            improvement solutions. One feature currently being test piloted allows
                                                                            registered users to discuss solutions, edit existing solutions and create
                                                                            new solutions that will then be available to the entire healthcare                 The site, titled WikiHealthCareTM,
                                                                            community. The first quality improvement topics posted to the site                 can be accessed through a link on
                                                                            address smoking cessation counseling programs and smoke-free                       The Joint Commission's home
                                                                            hospital campuses. Development of the site was funded, in part, through            page, or directly at
                                                                            a research grant from the Smoking Cessation Leadership Center at the               http://wikihealthcare.jointcommission
October         2007         Culture - Safety - Tool   WikiHealthCareTM     University of California, San Francisco.                                           .org.


                                                                            Now AHRQ is providing a new tool developed for small and critical
                                                                            access hospitals to benchmark and compare their results from the
                                                                            AHRQ Hospital Survey on Patient Safety Culture. However, the tool can
                                                                            be used by any size hospital because it allows the addition of any
                                                                            benchmarking data. The tool is from Statis Health and the Oklahoma
                                                       Small hospital       Foundation for Medical Quality and the Hospital Interventions Quality              http://www.premierinc.com/quality-
                                                       benchmarking tool    Improvement Organization Support Center (HIQIOSC) and is adapted                   safety/tools-
                                                       for AHRQ hospital    with permission for a benchmarking tool developed by the Nebraska                  services/safety/topics/culture/bench
July            2007         Culture - Safety - Tool   survey               Center for Rural Health Research.                                                  marking-data.jsp#cah-tool




            Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Culture - Safety
                                                                                                          Premier Safety Share



                                                                                                                                                            IHI
  Month          Year              Topic by Tab                 Tool                                         Description                                    Tool                 Location


                                                                          The Premier Performance Suite is a comprehensive offering of hospital                    For more information on the
                                                                          performance tools to integrate quality and safety, labor management,                     Premier Performance Suite, visit the
                                                                          and supply chain channels for a global approach to improving overall                     home page at:
                                                                          quality and cost. The Performance Suite provides Web-based                               http://www.premierinc.com/quality-
                                                       Premier – New      performance measurement and benchmarking, real time surveillance,                        safety/tools-services/performance-
Mar              2007        Culture - Safety - Tool   Performance Suite™ and best practices to allow hospitals to make better decisions.                          suite/.


                                                                             The first monograph, "Are You Rolling the Dice on CEO Succession?" is
                                                                             designed to help trustees navigate the CEO selection process. The
                                                                             monograph contains a Leadership Continuity Risk Management Model                      To order any of the monographs,
                                                                             to help trustees understand how to effectively define the requirements                contact the Center at 888.540.6111
                                                                             for a new CEO, assess candidates and approach the final selection                     or e-mail at:
                                                                             process. The second, "The Board's Fiduciary Role: Legal                               info@americangovernance.com.
                                                                             Responsibilities of Health Care Governing Boards," describes the basic                Access the tool at:
                                                                             legal duties and obligations of the boards of not-for-profit hospitals. This          http://www.americangovernance.co
                                                       CEO assessment        guidance can be used to support trustee recruitment and orientation,                  m/americangovernance/ctool/welco
Feb              2007        Culture - Safety - Tool   tool for leadership   and as a reference tool for existing board members.                                   me.html.




                                                                             The Center for Healthcare Governance has provided the first tool in a
                                                                             series of Collaborative Leadership Tools. "Collaborative Leadership: A
                                                                             New Model for Developing Truly Effective Relationships Between CEOs
                                                                             and Trustees" explores the board/CEO relationship in the context of
                                                                             governance reform, which calls for boards in all sectors to raise the bar
                                                                             on their performance and accountability. This CEO resource discusses
                                                                             what governance reform means in terms of how boards and CEOs work
                                                                             together to lead their healthcare organizations. It also provides an
                                                                             assessment tool and process that CEOs can use to take the lead in
                                                                             diagnosing their current relationship with their board, and to work                   Access the tool at:
                                                                             together with board leaders to re-energize and strengthen the                         http://www.americangovernance.co
                                                       CEO assessment        relationship to achieve maximum effectiveness and value. If completed                 m/americangovernance/ctool/welco
Jan              2007        Culture - Safety - Tool   tool for leadership   online, all responses are confidential.                                               me.html



                                                                             The tool is for physician practices to use to enhance awareness of
                                                                             patient safety issues, heighten awareness of characteristics that make a
                                                                             practice safer, and create a new reference point and baseline for                     There is a $200 per practice fee to
                                                                             practices to enhance and support patient safety. The tool can be                      complete the assessment online
                                                                             completed electronically so users can receive a feedback report                       and access the comparative report
                                                                             comparing themselves to other practices (percentile rankings on each                  site. Download the file or use online
                                                       Assessing physician   question). Users also can receive a workbook with information and                     at
Nov       2006               Culture - Safety - Tool   practices             resources on how the practice can improve their performance.                          http://www.physiciansafetytool.org.


                                                       Collaborative         The tool is designed to help hospital CEOs and their boards forge a
                                                       Leadership: A New     stronger relationship. This CEO resource discusses what governance
                                                       Model for             reform means in terms of how boards and CEOs work together to lead
                                                       Developing Truly      their healthcare organizations. It also provides an assessment tool and
                                                       Effective             process that CEOs can use to take the lead in diagnosing their current
                                                       Relationships         relationship with their board, and to work together with board leaders to             Access the tool at:
                                                       Between CEOs and      re-energize and strengthen the relationship to achieve maximum                        http://www.americangovernance.co
Nov       2006               Culture - Safety - Tool   Trustees              effectiveness and value.                                                              m/americangovernance/


            Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Culture - Safety
                                                                                                           Premier Safety Share



                                                                                                                                                            IHI
   Month          Year              Topic by Tab                Tool                                          Description                                   Tool                 Location




                                                                              The consensus statement is intended to provide a deeper understanding
                                                                              of preventable adverse events, their impact on patients, families, and
                                                                              providers, and how to manage such events. The report provides
                                                                              detailed guidelines based on the premise that all care should be safe
                                                                              and patient-centered and proposes a full disclosure when adverse
                                                                              events or medical errors occur, including an apology to the patient. The
                                                                              report is divided into three major sections: the patient and family
                                                                              experience, the caregiver experience, and the management of the
                                                                              event. Each section contains a summary of the expert consensus of the
                                                                              issue, including the reasoning and evidence behind the consensus, and
                                                                              recommendations. The report also offers appendices that include                      Go to:
                                                        When Things Go        recommendations, a case study on communicating with patients and                     http://www.premierinc.com/all/safety/
                                                        Wrong: Responding     families, elements of emotional support of caregivers, and a bibliography            publications/04-06-downloads/07-
April      2006               Culture - Safety - Tool   to Adverse Events     on medical disclosure.                                                               responding-adverse-events.pdf
                                                                              A recent directive from the U.S. Veterans Health Administration provides
                                                                              background information on the disclosure of adverse events related to
                                                                              clinical care to patients or their representatives. VA Directive 2005-049
                                                                              (.pdf) (163 KB), "Disclosure of Adverse Events to Patients," is
                                                                              consistent with the Joint Commission on Accreditation of Healthcare
                                                        Directive on          Organizations requirements, and includes key definitions and a policy                http://www.premierinc.com/all/safety/
                                                        disclosure of         statement on disclosure for all VA hospitals.                                        publications/12-05-downloads/09-va-
December   2005               PSS News                  adverse events                                                                                             adverse-events.pdf



                                                                              A leadership guide offering eight steps for senior health care leaders to
                                                                              help their organizations achieve patient safety and high reliability is
                                                                              available from the Institute for Healthcare Improvement (IHI). "The
                                                        The Leadership        Leadership Guide to Patient Safety: Resources and Tools for
                                                        Guide to Patient      Establishing and Maintaining Patient Safety" introduces the concept of
                                                        Safety: Resources     "reliability," defined as patients getting the intended tests, medications,
                                                        and Tools for         information, and procedures at the appropriate time and in accordance
                                                        Establishing and      with their values and preferences. Strategies for redesign of healthcare             http://www.premierinc.com/all/safety/
                                                        Maintaining Patient   systems are presented using examples that IHI has gleaned from its                   publications/11-05-full-txt.jsp#story-
November   2005               PSS News                  Safety                experience in guiding organizations in improving patient safety.               √     06-downloads
                                                                              Premier's Safety Institute has developed a Spanish version of the
                                                                              Agency for Healthcare Research and Quality's (AHRQ) Hospital Survey
                                                        Hospital Survey on    on Patient Safety Culture survey tool, as well as a customized                       The survey tool can be accessed at
                                                        Patient Safety        Microsoft® Excel data tool for easy entry and rapid display of survey                http://www.premierinc.com/all/safety/
August     2005               Culture - Safety - Tool   Culture               results.                                                                             culture/


                                                                            The long awaited Patient Safety and Quality Improvement Act (P.L.109-
                                                                            41) was signed into law on July 29, 2005, to encourage a culture of
                                                                            safety in healthcare organizations by providing legal protection of
                                                        Patient Safety and  information on medical errors and adverse events voluntarily reported to               http://thomas.loc.gov/cgi-
                                                        Quality Improvement patient safety organizations (PSOs). Lawmakers intend the information                  bin/bdquery/z?d109:SN00544:|TOM:
August            2005        PSS News                  Act (P.L.109-41)    to be used to improve patient safety and reduce medical errors.                        /bss/d109query.html




             Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Culture - Safety
                                                                                                            Premier Safety Share



                                                                                                                                                              IHI
  Month           Year              Topic by Tab                Tool                                           Description                                    Tool                 Location


                                                                               Reconciling medications across the continuum of care is a new 2005
                                                                               JCAHO safety goal. Experience has shown that poor communication of
                                                                               medical information at transition points is responsible for as many as 50
                                                                               percent of all medication errors in the hospital and up to 20 percent of
                                                                               adverse drug events. A Massachusetts Coalition Web site describes                     Go to http://www.macoalition.org
                                                                               how a group of hospitals in Massachusetts implemented a medication                    and look under ―Coalition
                                                        Medication strategy    reconciliation strategy and provides various tools and forms for others to            Initiatives,‖ then ―Reconciling
July              2005        Culture - Safety - Tool   tools                  adopt or adapt.                                                                       Medications.‖


                                                                                                                                                                     Copies of "5 Steps to Safer Health
                                                                               A campaign designed to help distribute valuable information about                     Care" and the public service
                                                                               improving patient safety to healthcare providers and patients across the              announcement are available on the
                                                                               country has been initiated by the Agency for Healthcare Research and                  AHRQ's Web site: English version:
                                                                               Quality (AHRQ), the American Hospital Association (AHA). The                          http://www.ahrq.gov/consumer/5step
                                                                               campaign, called "5 Steps to Safer Health Care," includes posters and                 s.htm
                                                                               fact sheets that offer evidence-based, practical tips on the role patients            Spanish version:
                                                        5 Steps to Safer       can play to help avoid errors related to prescription medicines,                      http://www.ahrq.gov/consumer/cinco
June       2005               Culture - Safety - Tool   Health Care            laboratory tests, procedures, and surgery.                                            rec.htm


                                                                               The Agency for Healthcare Research and Quality (AHRQ) has published                   View entire document at
                                                                               a new fact sheet entitled "30 Safe Practices for Better Health Care"                  http://www.premierinc.com/all/safety/
                                                                               (.doc) (42 KB). These are AHRQ-supported, evidence-based practices                    publications/05-05-downloads/07-
                                                                               from the National Quality Forum (NQF) that demonstrate they can work                  fact-sheet-30-practices.doc; An
                                                                               to reduce or prevent adverse events and medical errors. The safe                      executive summary (.pdf) (495 KB)
                                                                               practices were endorsed by the NQF member organizations, which                        of the report is available from
                                                        30 safe practices in   strongly urge that these 30 safe practices be universally adopted in all              AHRQ and contains information on
May        2005               Culture - Safety - Tool   healthcare             applicable healthcare settings to reduce the risk of harm to patients.                how to obtain copies of the com


                                                                               Most hospital leaders are concerned that mandatory, non-confidential
                                                                               public reporting would discourage internal reporting of patient incidents             http://www.premierinc.com/all/safety/
                                                                               and encourage lawsuits while failing to provide substantial benefits to               publications/05-05-downloads/04-
                                                        Error Reporting and    patient safety, according to a recent survey of hospital executives in the            abst-error-report-disclosure-
May               2005        PSS News                  Disclosure Systems     Journal of the American Medical Association.                                          systems.doc
                                                                             Premier has developed a customized data collection and analysis tool
                                                                             that provides immediate feedback on the results of the hospital culture
                                                                             survey tool released by the Agency for Healthcare Research and Quality
                                                        Premier - customized (AHRQ). The customized Excel™ data tool was developed for easy                          http://www.premierinc.com/all/safety/
                                                        data collection and  entry and rapid display of the results from the surveys to provide                      publications/03-05-full-txt.jsp#story-
March      2005               PSS News                  analysis tool        immediate internal review and feedback.                                                 08-downloads


                                                                               A new tool to assess the safety culture of a hospital as a whole, or in
                                                                               specific units within hospitals, as well as to track changes in patient
                                                                               safety over time and evaluate the impact of patient safety interventions.
                                                                               Premier's Safety Institute is providing the complete tool kit, which                  All components may be downloaded
                                                        Hospital Survey on     includes the survey, detailed user's guide for administration of paper or             at
                                                        Patient Safety         web-based methods, data collection and analysis, customizable                         www.premierinc.com/all/safety/cultur
November   2004               Culture - Safety - Tool   Culture                templates for reporting results, references, and results of the pilot study.          e.




             Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Culture - Safety
                                                                                                           Premier Safety Share



                                                                                                                                                            IHI
  Month            Year              Topic by Tab                 Tool                                        Description                                   Tool                 Location
                                                                               The video discusses how best to inform patients and their families in the
                                                         Discussing            event of a medical error that causes harm. The video includes clinical
                                                         Unanticipated         scenarios and comments from a medical ethicist, a hospital risk                     For information on how to obtain the
                                                         Outcomes and          manager, and two healthcare attorneys. The comments offer                           videotape, go to:
                                                         Disclosing Medical    suggestions on how to effectively disclose adverse events to patients               http://www.gha.org/pha/video/index.
October     2004               Culture - Safety - Tool   Errors                and their families.                                                                 asp.
                                                                                                                                                                   http://www.ihi.org/IHI/Topics/Patient
                                                         Patient Safety                                                                                            Safety/MedicationSystems/Tools/Pat
                                                         Leadership            Collects data and then keeps track of how the information is used, what             ientSafetyLeadershipWalkRoundsD
July                      2004 Culture - Safety - Tool   WalkRounds            actions are taken, and generate feedback and reports.                         √     atabase.htm



                                                                                                                                                                   http://www.premierinc.com/safety/re
                                                                               The majority of hospitals responding to a Premier survey have formal,               sources/disclosure/downloads/Premi
                                                                               board approved policies to disclose medical errors to patients, according           er-disclosure-survey-results.pdf;
                                                                               to a survey conducted by Premier, Inc. The survey uncovered some                    survey discussion:
                                                         Premier Patient       promising trends in medical error disclosure practices. A full discussion           http://www.premierinc.com/all/safety/
                                                         Safety Culture        of the survey may be downloaded.                                                    publications/08-04-downloads/02-
June               2004        PSS News                  Survey results                                                                                            disclosure-release.doc

                                                                               Michigan Hospital Association toolkit is a series of recommendations
                                                                               based on current research and best practices. It was developed by a                 http://my.premierinc.com/all/safety/p
                                                                               nine-member volunteer workgroup of health professionals experienced                 ublications/06-04-downloads/09-icu-
June                      2004 Culture - Safety - Tool   ICU toolkit           in leading ICUs and improving patient safety and quality of care.                   toolkit.pdf
                                                                               An institution-wide policy regarding non-punitive reporting, this brochure
                                                                               reinforces the non-punitive reporting policy and encourages all co-                 http://www.premierinc.com/all/safety/
                                                         Living a Culture of   workers to report errors, it was signed by the hospital president and               publications/02-04-downloads/10-st-
 February          2004        Culture - Safety - Tool   Patient Safety        mailed to all co-worker homes.                                                √     john-nonpunitive-brochure.pdf
                                                                               Improvements in medication list accuracy, allergy list accuracy, and safe
                                                                               prescription writing practices that were observed by Gundersen
                                                         Ambulatory Patient    Lutheran Medical Center.
December           2003        Culture - Safety - Tool   Safety - Toolkit                                                                                          http://www.gundluth.org/SCOPE
                                                                               ―Disclosure of unanticipated events: Creating an effective patient
                                                                               communication policy," the monograph covers considerations for
                                                                               developing policies and procedures in specific settings such as acute
                                                                               care, long-term care and pediatric care. It also examines the effect of             http://my.premierinc.com/all/safety/p
                                                         Disclosure policy     disclosure policies on litigation.                                                  ublications/12-03-downloads/09-
December           2003        Culture - Safety - Tool   guide                                                                                                     disclosure-part2-1-policy.pdf
                                                                               In a report released by the Institute of Medicine, a panel recommends
                                                                               work hour limits and other changes to the work environment for nurses
                                                         Keeping Patients      to strengthen patient safety. The panel also noted that regulators and
                                                         Safe: Transforming    healthcare leaders should work to reduce workplace inefficiencies, such
                                                         the Work              as excessive paperwork and documentation, which reduce the time                     Purchase the report online at
                                                         Environment of        nurses have to spend with patients.                                                 http://books.nap.edu/catalog/10851.
November           2003        PSS News                  Nurses                                                                                                    html?onpi_newsdoc110403
                                                                                                                                                                   http://www.qualityhealthcare.org/QH
                                                                                                                                                                   C/Topics/PatientSafety/MedicationS
                                                         Safety Climate        Organizations working to develop or improve a culture of safety need a              ystems/Tools/Safety+Climate+Surve
July               2003        Culture - Safety - Tool   Survey Tool           reliable measure to monitor the success of their initiatives.                 √     y+(IHI+Tool).htm




              Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Culture - Safety
                                                                                                           Premier Safety Share



                                                                                                                                                            IHI
   Month       Year               Topic by Tab                Tool                                            Description                                   Tool                 Location
                                                      Disclosure of
                                                      Unanticipated           Focus on three aspects of the disclosure process: 1.The initial impact of
                                                      Events: The Next        the Joint Commission for Accreditation of Healthcare Organizations                   http://my.premierinc.com/all/safety/p
                                                      Step in Better          (JCAHO) Patient Safety Standards 2.Psychological and legal barriers                  ublications/06-
                                                      Communication with      that can impede disclosure, and 3.Successful models used by                          03_downloads/07_disclosure_ASHR
June           2003         Culture - Safety - Tool   Patients                organizations to manage the disclosure process.                                      M_part1of3.pdf


                                                                          The Agency for Healthcare Research and Quality (AHRQ) PSIs are a
                                                                          tool to help health system leaders identify potential adverse events
                                                                          occurring during hospitalization. They are a set of indicators providing
                                                      AHRQ Patient Safety information on potential in-hospital complications and adverse events                    http://www.qualityindicators.ahrq.gov
April          2003         PSS News                  Indicators          following surgeries, procedures, and childbirth.                                         /psi_download.htm
                                                                              Senior leaders conduct weekly WalkRounds™ in different areas of the
                                                      Creating a Culture of   hospital, to have informal conversations with front-line staff about safety
                                                      Safety Through          issues and to demonstrate their support of an organizational culture that            http://www.premierinc.com/safety/pu
                                                      Executive               promotes nonpunitive reporting of errors, adverse events, near misses,               blications/03-
                                                                  TM
March          2003         Culture - Safety - Tool   WalkRounds              and unsafe conditions                                                                03_downloads/01_b.pdf
                                                                                                                                                                   http://www.premierinc.com/all/safety/
                                                      Medication System       A sample medication error reporting form designed to collect and                     publications/03-
                                                                  TM
March          2003         Culture - Safety - Tool   Analyze-ERR             analyze actual and potential medication errors.                                      03_downloads/01_d.pdf

                                                      Checklist/Action Plan
                                                      for the Management                                                                                           http://www.premierinc.com/all/safety/
                                                      of High-Alert                                                                                                publications/03-
March          2003         Culture - Safety - Tool   Medications           A checklist/action plan for the safe use of high-alert medications.                    03_downloads/01_g.pdf
                                                      Policy for Non-
                                                      punitive, System-
                                                      based Adverse Drug                                                                                           http://www.premierinc.com/all/safety/
                                                      Event Reporting    A sample policy detailing a blame-free adverse drug event reporting                       publications/03-
March          2003         Culture - Safety - Tool   Program            program.                                                                                  03_downloads/01_h.pdf
                                                                                                                                                                   http://www.premierinc.com/all/safety/
                                                      Medication Safety       A patient safety tool helping patients understand their rights and                   publications/03-
March          2003         Culture - Safety - Tool   Pledge for Patients     responsibilities regarding safe medication use.                                      03_downloads/01_j.pdf



                                                                              The video provides step-by-step instructions on how to disclose medical
                                                                              errors, why disclosure is important, and how open communication can
February       2003         Culture - Safety - Tool   Let's Talk              strengthen the patient-provider relationship.                                        http://www.npsf.org/
                                                                          Participating organizations will work to create a system of safety,
                                                      Breakthrough Series including changing organizational culture and attitudes of leadership and
                                                      Collaborative on    front line staff, improving critical core processes, encouraging                         http://www.ihi.org/collaboratives/bre
                                                      Improving Patient   appropriate use of technology, and establishing an effective system for                  akthroughseries/PatientSafety/index.
August         2002         Culture - Safety - Tool   Safety              measuring harm.                                                                    √     asp

                                                      Patient Safety          A job description for a safety officer, an organization-wide safety plan,
                                                      Program Resource        Power Point slides of program elements and key committees, sample
June           2002         Culture - Safety - Tool   Guide                   grids for documenting interdisciplinary components, and other tools.                 Download at Safety Store.
                            Patient Safety Topics -                                                                                                                http://my.premierinc.com/all/safety/re
                            Patient safety -          Patient Safety          The intent of the sample Patient Safety Program is to provide tools to               sources/patient_safety/patient_safet
HSOPSC                      downloads (*.doc)         Program                 assist organizations in implementation of a patient safety program.                  y_downloads.htm




           Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Culture - Safety
                                                                                                       Premier Safety Share



                                                                                                                                                     IHI
 Month       Year               Topic by Tab                Tool                                          Description                                Tool                Location
                                                                        The ED is part of a larger, complex system. Given the complexity of the
                                                                        system, for the thousands of patients treated each day, there are many
                                                                        opportunities for medical errors, as well as opportunities to reduce such           http://www.premierinc.com/all/safety/
                          Patient Safety Topics -                       errors. This document includes the recommendations of the Patient                   resources/patient_safety/downloads/
                          Patient safety -          ACEP Patient Safety Safety Task Force and the Principles of Patient Care in the Emergency               24_ACEP_patient_safety_program.d
HSOPSC                    downloads (*.doc)         Program             Care Environment.                                                                   oc

                          Patient Safety Topics -   ECRI Disclosure of      Reviews the JCAHO's disclosure standard, discusses how to develop a             http://www.premierinc.com/all/safety/
                          Patient safety -          unanticipated           disclosure policy and what the policy should address, and analyzes the          resources/patient_safety/downloads/
HSOPSC                    downloads (*.pdf)         outcomes                impact of the standard on medical malpractice claims.                           disclosure_ecri.pdf



                                                    ASHRM: Perspective
                          Patient Safety Topics -   on Disclosure of    A perspective paper on the disclosure of information involving                      http://www.premierinc.com/all/safety/
                          Patient safety -          Unanticipated       unanticipated outcomes of diagnostic tests, medical treatments, and                 resources/patient_safety/downloads/
HSOPSC                    downloads (*.pdf)         Outcome Information surgical interventions.                                                             ASHRM_disclosure_05-01.pdf
                                                                                                                                                            http://www.premierinc.com/all/safety/
                          Patient Safety Topics -                           Provides guidance for minimizing the chance of the occurance of                 resources/patient_safety/downloads/
                          Patient safety -          VA Patient Safety       untoward outcomes consequent to medical care. This handbook                     25_VA_patient_safety_handbook.pd
HSOPSC                    downloads (*.pdf)         Handbook                incorporates Root Cause Analysis.                                               f


                                                    Disclosure: What
                                                    works now & what
                                                    can work even better
                                                    of unanticipated
                          Patient Safety Topics -   events: the next step   ASHRM Monograh addresses the components of effective
                          Patient safety - sample   in better               communication of unanticipated outcome, considerations for each of the          http://www.premierinc.com/all/safety/
                          policies - disclosure     communication with      components and the unique perspectives to be taken in various clinical          resources/patient_safety/downloads/
HSOPSC                    resources and policies    patients                settings.                                                                       disclosure-part3-02-04.pdf


                                                    Disclosure of           ASHRM American Society of Healthcare Risk Management: Disclosure
                          Patient Safety Topics -   Medical Errors:         of Medical Errors: Demonstrated Strategy to Enhance Communication, a
                          Patient safety -          Demonstrated            one-hour video produced by ASHRM, focuses on practical risk                     http://www.ahaonlinestore.com/Prod
                          Education & training -    Strategy to Enhance     management strategies to approach disclosure. The video is available            uctDisplay.asp?ProductID=555&cartI
HSOPSC                    ASHRM                     Communication           for $50 to ASHRM members, $60 to non-members. Catalog #169520.                  D=163827&PCatID=25


                          Culture - Safety -Tool
                          Adobe;Patient             Strategies for                                                                                          http://www.ihi.org/IHI/Topics/Patient
                          Safety/Medication         Leadership: Hospital                                                                                    Safety/MedicationSystems/Tools/Str
                          Systems/Tools; Under:     Executives and Their                                                                                    ategiesforLeadershipHospitalExecuti
HSOPSC                    Culture of Safety         Role in Patient Safety A compilation of leadership strategies for enhancing patient safety        √     vesandTheirRoleinPatientSafety.htm
                                                                            Walk-throughs enable providers to better understand the experience of           http://www.ihi.org/IHI/Topics/Improv
                                                    Walk-through (IHI       care from the patient’s and family’s points of view — by going through          ement/ImprovementMethods/Tools/
HSOPSC                    Culture - Safety - Tool   Tool)                   the experience themselves                                                 √     Walk-through.htm




         Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Culture - Safety
                                                                                                           Premier Safety Share




                                                                                                                                    IHI
  Month   Year   Topic by Tab           Tool                                          Description                                   Tool               Location




                                                       The Emergency Preparedness Atlas includes maps showing the location
                                                       of hospitals and nursing homes in each state, and case studies for six
                                                       states that show bed capacity and the emergency management and
                                                       bioterrorism preparedness regions for each facility. The Atlas is intended
                                                       to help nursing homes plan how they may be used to handle a surge of
                                                       patients in response to emergency situations; it is not a review of the
                                                       quality or adequacy of preparedness efforts in any area. The Atlas can
                                                       help explain the state-specific regulatory environment of nursing homes
                                                       with respect to surge capacity and illustrate nursing home geographic
                                                       distribution in the United States. A separate report, "Nursing Homes in
                                AHRQ – Emergency       Public Health Emergencies – Special Needs and Potential Roles,"
                                prep guide to locate   addresses the role that nursing homes could play in regional
               Emergency        healthcare sites       preparedness, and is based on focus groups with nursing homes in the                http://www.ahrq.gov/prep/nursingho
August    2007 Preparedness     during disaster        case study states.                                                                  mes/atlas.htm


                                                       The Department of Health & Human Services' (HHS) Agency for
                                                       Healthcare Research and Quality (AHRQ) has released a DVD titled,
                                                       "Cross Training Respiratory Extenders for Medical Emergencies (Project
                                                       XTREME)," that trains healthcare professionals who are not respiratory
                                                       care specialists to provide basic respiratory care and ventilator
                                                       management to adult patients in any mass casualty event. The DVD
                                                       includes six training modules with interactive quizzes to test viewers'
                                                       knowledge. Meant for physicians, physician assistants, nurses and
                                                       others, the modules cover topics such as infection control, respiratory
                                AHRQ DVD –             care terms and definitions, manual ventilation (using hand-held bags),              A free, single copy of the DVD and
                                Training for           mechanical ventilation (using the two types of ventilators included in the          a CD-ROM with the report may be
                                respiratory            federal government's Strategic National Stockpile of medicines and                  ordered by calling 800.358.9295 or
               Emergency        care/vents in          medical supplies for emergencies), airway maintenance, and airway                   by sending an e-mail to
June      2007 Preparedness     disasters              suctioning.                                                                         ahrqpubs@ahrq.hhs.gov.


                                                   AHRQ has released a questionnaire that hospitals and other healthcare
                                                   facilities can use to plan and evaluate their readiness for a public health
                                                   emergency involving a chemical, biological, radiological, nuclear or
                                                   explosive event. The 43-question document is divided into eight
                                                   categories: administration and planning; education and training;
                                                   communication and notification; patient (surge) capacity; staffing and
               Emergency        Emergency response support; isolation and decontamination; supplies, pharmaceuticals, and
May       2007 Preparedness     planning tool      laboratory support; and surveillance.                                                   http://www.ahrq.gov/prep/cbrne/


                                                       The CDC has provided advance data from vital and health statistics
                                                       demonstrating wide variations in terrorism preparedness training. A                 The report and many updates on
                                CDC – QuickStats       study by Niska et al., "Training for terrorism-related conditions in                Emergency Preparedness may be
                                on training ER staff   hospitals: United States, 2003-04; No. 380," used data to determine                 downloaded from the Safety
               Emergency        for emergency          which hospital characteristics are associated with providing terrorism              Institute's Emergency
May       2007 Preparedness     preparedness           preparedness training to clinical staff.                                            Preparedness Web site.




            Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Emergency Prep
                                                                                                         Premier Safety Share



                                                                                                                                   IHI
  Month   Year   Topic by Tab           Tool                                        Description                                    Tool                Location



                                                  Two courses designed to help hospital personnel implement the
                                                  National Incident Management System (NIMS) are available from the
                                                  Federal Emergency Management Agency (FEMA). NIMS was developed
                                                  so responders from different jurisdictions and disciplines can better
                                                  collaborate to respond to natural disasters and other emergencies.
                                                  Course IS-100. HC, "Introduction to the Incident Command System for
                                                  Healthcare/Hospitals," describes the history, features, principles and
                                                  organizational structure of ICS. FEMA notes that the course is for
                                                  hospital personnel who would have a direct role in emergency
                                                  preparedness, incident management, and/or emergency preparedness.
                                                  Course IS-200. HC, "Applying ICS to Healthcare Organizations," is                       http://www.training.fema.gov/EMIW
                                                  designed to enable healthcare personnel to operate efficiently during an                eb/IS/is100HC.asp;
                                FEMA –            incident or event within the ICS and is for personnel whose primary                     http://www.training.fema.gov/EMIW
                                Implementing the  responsibility is emergency management. FEMA's Web site has                             eb/IS/is200HC.asp;
                                National Incident additional information on NIMS implementation activities for hospitals.                 http://www.fema.gov/emergency/ni
               Emergency        Management System Other professional groups such as the American Society for Healthcare                   ms/compliance/assist_non_govt.sht
Feb       2007 Preparedness     (NIMS)            Engineering also offer similar training courses for ICS.                                m


                                                      Providing Mass Medical Care with Scarce Resources: A Community
                                                      Planning Guide (.pdf) (1.1 MB) is the product of a collaborative effort
                                                      between AHRQ and the Office of Public Health Emergency
                                                      Preparedness. Experts in the areas of mass casualty care, including pre-
                                                      hospital care, hospital and acute care, alternative care sites, palliative
                                                      care, ethical issues, and legal considerations, contributed to this guide.
                                                      It describes shortages (such as of hospital beds and ambulances)
                                                      healthcare workers may face and gives planners specific
                                                      recommendations, such as providing off-site care and using taxis,                   http://www.premierinc.com/quality-
                                AHRQ emergency        buses, and private cars to transport sick or injured patients. The report           safety/tools-services/safety/safety-
               Emergency        planning – Mass       provides planning checklists and tips for making wise use of limited                share/12-06-downloads/08-ahrq-
Dec       2006 Preparedness     casualty care guide   medical resources.                                                                  mce-guide.pdf


                                                    A Web-based interactive decision tool designed to assist emergency
                                                    preparedness and recovery planners is available from the Department of
                                                    Health and Human Services. The new tool helps determine how to
                                                    access and use health information about various populations such as
                                HIPAA Privacy Rule: the elderly and those with disabilities, and is consistent with the Health
                                Disclosures for     Insurance Portability and Accountability Act's privacy rule in emergency
                                Emergency           preparedness situations. The tool should help planners organize their                 Go to:
               Emergency        Preparedness - A    activities, and provide useful information to a range of potential                    http://www.hhs.gov/ocr/hipaa/decisi
July      2006 Preparedness     Decision Tool       programs.                                                                             ontool/.




            Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Emergency Prep
                                                                                                              Premier Safety Share



                                                                                                                                         IHI
   Month   Year   Topic by Tab           Tool                                           Description                                      Tool                Location


                                                        The 27-minute training video teaches hospital personnel how to
                                                        decontaminate children after being exposed to hazardous chemicals
                                                        during a bioterrorist attack or other type of disaster. It reviews strategies,
                                                        tools and key preparedness planning issues. The training video is
                                                        intended for hospitals and emergency and pediatric professionals
                                 The                    because it explains the unique needs of children versus adults during
                                 Decontamination of     public health emergencies. The video also covers three main areas: a
                                 Children:              step-by-step presentation of the decontamination process; a real-time
                                 Preparedness and       demonstration of the decontamination of children from infancy to                        To obtain a free single copy,
                                 Response for           adolescence, and; a section for administrators that outlines the steps                  contact the AHRQ Publications
                Emergency        Hospital Emergency     involved in establishing and maintaining a pediatric decontamination                    Clearinghouse at 800.358.9295, or
April      2006 Preparedness     Departments            facility in any emergency department.                                                   via email at ahrqpubs@ahrq.gov.


                                                        The Joint Commission on Accreditation of Healthcare Organizations
                                                        (JCAHO) has issued a guide, "Surge Hospitals: Providing Safe Care in
                                                        Emergencies". A "surge hospital" is designed to treat a surge in the
                                                        number of patients needing care, triage, treatment, and even surgical
                                                        interventions. They are temporary facilities, such as shuttered hospitals,
                                                        closed wards in existing hospitals, and mobile facilities designed to                   Go to:
                                                        serve as a stopgap measure to provide medical care until an area's                      http://www.premierinc.com/all/safet
                                 Surge Hospitals:       healthcare organizations can reopen. The guide also includes case                       y/resources/disaster_readiness/dow
                Emergency        Providing Safe Care    studies that describe how surge hospitals were established during the                   nloads/surge-hospitals-jcr-12-08-
January    2006 Preparedness     in Emergencies         recent hurricanes on the Gulf Coast.                                                    05.pdf

                Emergency        NIOSH pocket guide                                                                                             http://www.cdc.gov/niosh/npg/defau
December   2005 Preparedness     - Chemical hazards                                                                                             lt.html


                                 Mold: Prevention       Mold: Prevention Strategies and Possible Health Effects in the
                                 Strategies and         Aftermath of Hurricanes Katrina and Rita and a mold table includes
                                 Possible Health        population specific recommendations for protection from exposure to
                                 Effects in the         mold in buildings flooded after hurricanes by specific activity and risk
                                 Aftermath of           factors, as well as information on how to identify and prevent mold-                    http://www.premierinc.com/all/safet
                Emergency        Hurricanes Katrina     related health effects. The documents include recommendations for                       y/resources/disaster_readiness/dow
November   2005 Preparedness     and Rita               control of mold exposure.                                                               nloads/2005-mold-report.pdf




                                                                                                                                                http://www.premierinc.com/all/safet
                                                                                                                                                y/public-health/downloads/03-
                                                                                                                                                reoccupancy-post-hurricane-10-18-
                                                        A fact sheet and checklist were recently developed by the Centers for                   05.pdf,
                                                        Disease Control and Prevention to assist healthcare facilities with the                 http://www.premierinc.com/all/safet
                                                        tasks involved during clean-up and reopening following extensive water                  y/public-health/downloads/02-ic-
                                                        damage. "Remediation and Infection Control Considerations for                           checklist-reoccupancy-post-
                                                        Reopening Healthcare Facilities Closed due to Extensive Water and                       hurricane-10-18-05.doc, and
                                                        Wind Damage" notes that implementation of these measures is meant to                    http://www.premierinc.com/all/safet
                                                        be followed in accordance with state and local certification requirements,              y/public-health/downloads/01-ic-
                Emergency                               completion of building and fire inspections, and other relevant state or                checklist-reoccupancy-post-
November   2005 Preparedness     Reopening a facility   local regulations.                                                                      hurricane-10-18-05.pdf




             Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Emergency Prep
                                                                                                              Premier Safety Share



                                                                                                                                       IHI
  Month     Year   Topic by Tab           Tool                                          Description                                    Tool                Location


                                                        The Joint Commission on Accreditation of Healthcare Organizations
                                                        (JCAHO) has issued a step-by-step guide, "Standing Together: An
                                                        Emergency Planning Guide for America's Communities," for small, rural
                                                        and suburban communities to both prepare for and successfully respond
                                                        to major local and regional emergencies such as hurricanes, floods,
                                  Standing Together:    terrorist attacks, major infectious outbreaks, hazardous materials spills,
                                  An Emergency          or other catastrophic occurrences. This comprehensive planning guide
                                  Planning Guide for    provides 13 essential steps that local government and public health                   http://www.premierinc.com/all/safet
                 Emergency        America's             leaders can use to establish an effective community-based emergency                   y/publications/10-05-downloads/10-
October     2005 Preparedness     Communities           management planning and response process.                                             emergency-planning-guide.pdf




                                                        A recently released Archives of Internal Medicine article describes
                                                        improvements in a physician's ability to diagnose and manage diseases
                                                        caused by bioterrorism agents. Such improvements were documented
                                                        after the completion of an online pre-test that assessed physicians'
                                                        baseline knowledge and ability to diagnose and manage potential cases
                                                        of smallpox, anthrax, botulism, and plague. An educational module
                                                        following the pre-test reviewed diagnosis and decision-making for
                                                        patients presenting with anthrax, botulism, plague, smallpox, or a
                                                        common disorder that has clinical overlap with these diseases. The
                                                        educational module was followed by a post-test, which measured the
                                                        module's effectiveness. Extra cases were presented to the physicians                  The bioterrorism-education module
                                                        between the pre- and post-tests on each of the four potential                         is available for registered users on
                                  Educational module    bioterrorism agents. Improvement in results led the study's authors to                the Johns Hopkins Medicine's
                 Emergency        for physicians –      conclude that the online education module may improve physician's                     Internet Learning Center at:
October     2005 Preparedness     Bioterrorism agents   diagnosis and management of diseases caused by these agents.                          http://www.hopkinsilc.org.
                                  Premier Safety
                                  Institute's
                                  Emergency and         The Premier Safety Institute's Emergency and Public Health
                 Emergency        Public Health         Preparedness page also contains relevant and timely news and                          http://www.premierinc.com/all/safet
September   2005 Preparedness     Preparedness          resources related to the disaster.                                                    y/public-health/
                                                       During clean up and recovery operations following hurricanes, OSHA
                 Emergency                             issues alerts on the dangers associated with cleanup and recovery from                 http://www.osha.gov/OshDoc/hurric
September   2005 Preparedness     Keeping workers safe hurricanes.                                                                            aneRecovery.html

                                                        Increased incidence of acute diarrhea may occur in post-disaster
                                  Acute diarrhea -      situations where access to electricity, clean water, and sanitary facilities          http://www.premierinc.com/all/safet
                 Emergency        guidelines for        are limited. In addition, usual hygiene practices may be disrupted and                y/publications/09-05-downloads/14-
September   2005 Preparedness     management            healthcare seeking behaviors may be altered.                                          guide-acute-diarrhea.pdf

                                                        Food may not be safe to eat during and after a natural disaster or power              http://www.premierinc.com/all/safet
                 Emergency                              outage. Safe water guidelines provide guidance for using bottled, boiled,             y/publications/09-05-downloads/13-
September   2005 Preparedness     Safe food and water   or treated water for drinking, cooking, and personal hygiene.                         food-water-safety.pdf
                                                        Information on water supply disruptions excerpted from the CDC
                                                        Guidelines for Environmental Infection Control in Health-Care Facilities,             http://www.premierinc.com/all/safet
                 Emergency                              2003 - Recommendations of CDC and the Healthcare Infection Control                    y/publications/09-05-downloads/12-
September   2005 Preparedness     Water system repair   Advisory Committee (HICPAC).                                                          water-system-repair.pdf




              Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Emergency Prep
                                                                                                                 Premier Safety Share



                                                                                                                                           IHI
  Month     Year   Topic by Tab           Tool                                             Description                                     Tool                Location


                                                          Community shelters provide housing for persons displaced from their
                                                          homes following natural disasters such as hurricanes, floods, and
                                                          earthquakes. In these settings, individuals share living space. Some
                                                          individuals may have health problems, including acute or chronic
                                  Community shelter       infectious diseases. These recommendations provide basic infection                      http://www.premierinc.com/all/safet
                 Emergency        guidance following      control information that will help to prevent exposure to or transmission               y/publications/09-05-downloads/11-
September   2005 Preparedness     disasters               of infectious agents.                                                                   community-shelters.pdf


                                                       Immunization recommendations (.pdf) (85 KB) are available for
                                                       individuals displaced by Hurricane Katrina. Although measles and
                                                       rubella are no longer endemic to the United States, introductions do
                                                       occur, and crowded conditions may facilitate their spread. Although
                                                       Hepatitis A incidence is low in the affected areas, post-exposure
                                                       prophylaxis in these settings would be logistically difficult. Consequently,
                                                       vaccination is recommended. In addition, the influenza season will begin                   http://www.premierinc.com/all/safet
                 Emergency        Interim immunization soon and influenza can spread easily under crowded conditions. Interim                     y/publications/09-05-downloads/09-
September   2005 Preparedness     after hurricane      recommendations are provided.                                                              cdc-advisory-interim-immun.pdf



                                                                                                                                                  http://www.premierinc.com/all/safet
                                                       After an emergency, it can be difficult to find running water. However, it                 y/publications/09-05-downloads/06-
                                                       is still important to wash your hands (.pdf) (75 KB) to avoid illness. It is               handwashing-emergencies.pdf and
                                                       best to wash your hands with soap and water but when water isn't                           http://www.premierinc.com/all/safet
                 Emergency        Hand hygiene in      available, you can use alcohol-based products (.pdf) (34 KB) made for                      y/publications/09-05-downloads/21-
September   2005 Preparedness     emergency situations washing hands.                                                                             clean-hands-cards.pdf


                                                          This summary addresses preventing electrocutions associated with
                                                          generators plugged into household circuits. Homeowners should not
                                                          attempt to install any generator that requires hard-wiring into an existing             http://www.premierinc.com/all/safet
                 Emergency        Electrical safety and   electrical circuit or that requires a trained, qualified electrician to hard-           y/publications/09-05-downloads/05-
September   2005 Preparedness     generators              wire any generator into a household circuit.                                            electrical-safety.pdf


                                                          After a natural disaster, snakes may have been forced from their natural
                                                          habitats and move into areas where they would not normally be seen or
                                                          expected. When you return to your home, be cautious of snakes that                      http://www.premierinc.com/all/safet
                 Emergency        Snake bite - How to     may have sought shelter in your home. If you see a snake in your home,                  y/publications/09-05-downloads/08-
September   2005 Preparedness     prevent or respond      immediately call the animal control agency in your county.                              snake-bite.pdf

                                  Animal disposal         Most states have guidelines on disposal of dead animals so people with                  http://www.premierinc.com/all/safet
                 Emergency        following an            questions regarding the specific situation in their state are encouraged                y/publications/09-05-downloads/07-
September   2005 Preparedness     emergency               to contact local or state health and agricultural officials for clarification.          animal-disposal.pdf


                                                          ASHE's Hurricane Relief Resources provides a link to the University of
                                                          Minnesota, "Managing Water Infiltration into Buildings: A Systematized                  See also CDC's "Healthcare Water
                                                          Approach for Remediating Water Problems in Buildings due to Floods,                     System Repair" at
                 Emergency                                Roof Leaks, Potable Water Leaks, Sewage Backup, Steam Leaks and                         http://www.dehs.umn.edu/iaq/flood.
September   2005 Preparedness     Flood remediation       Groundwater Infiltration."                                                              html.




              Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Emergency Prep
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                                                                                                                                        IHI
  Month     Year   Topic by Tab            Tool                                          Description                                    Tool                Location




                                                                                                                                               The information is available at
                                                                                                                                               http://www.ahrq.gov/research/shutt
                                                        The new report from the Agency for Healthcare Research and Quality                     ered/. Related: Use of shuttered
                                                        (AHRQ) entitled "Use of Former (Shuttered) Hospitals to Expand Surge                   hospitals report
                                                        Capacity" that gives emergency responders and public health officials                  http://www.premierinc.com/all/safet
                                                        useful, practical tools for opening shuttered hospitals when an                        y/publications/09-05-downloads/02-
                                                        emergency is underway. The information is available at                                 ahrq-shutreport.pdf, Tool kit to
                                                        http://www.ahrq.gov/research/shuttered/. The report gives surrounding                  open a facility
                                                        communities that aren't immediately affected by the hurricane a way to                 http://www.premierinc.com/all/safet
                                                        assess their existing facilities to meet future needs. It includes lists of            y/publications/09-05-downloads/03-
                                                        supplies and medications needed by stable medical/surgical patients                    ahrq-toolkit.pdf, and Checklist to
                                  Use of Former         and checklists to assess facility readiness, staffing needs and levels,                open a facility found at
                                  (Shuttered) Hospitals and patient transport readiness. The report also contains a tool kit with a            http://www.premierinc.com/all/safet
                 Emergency        to Expand Surge       list of supplies and equipment needed for operation of a reopened                      y/publications/09-05-downloads/04-
September   2005 Preparedness     Capacity              facility.                                                                              ahrq-checklist.pdf.


                                                          Although terrorists use a variety of methods to inflict harm and create
                                                          fear, bombs are used most frequently. According to the FBI, bombings
                                                          accounted for nearly 70 percent of all terrorist attacks in the United
                                                          States and its territories between 1980 and 2001. This practical
                                                          summary focuses on common sense principles that will be useful in a
                                                          bombing event. It describes how every person, family or organization                 This CDC document can be
                                                          should prepare for an emergency or disaster, including knowledge of                  downloaded at
                                                          work, school and community disaster plans. If you are not familiar with              http://www.premierinc.com/all/safet
                                                          the plans, contact your supervisor, school administrators, or your local             y/public-
                 Emergency        Preparing for a         fire department for more information. This document details what                     health/downloads/preparingterrorist
August      2005 Preparedness     terrorist bombing       should be done if a bomber is suspected.                                             bombing.pdf

                                                         The Occupational Safety and Health Administration (OSHA) has
                                                         released a best practices document (.pdf) (1.9 MB) for hospital-based
                                                         first receivers of victims of chemical, biological, and radiological events.
                                                         The "Hospital-Based First Receivers of Victims from Mass Casualty
                                                         Incidents Involving the Release of Hazardous Substances" document
                                                         will assist hospitals in developing and implementing emergency
                                                         management plans that address the protection of emergency
                                                         department personnel, while receiving contaminated victims from mass
                                  OSHA 'best practice' casualty incidents. It also includes information on victim                              http://www.premierinc.com/all/safet
                 Emergency        guidance for hospital- decontamination, personal protective equipment (PPE), and employee                    y/publications/01-05-downloads/08-
January     2005 Preparedness     based first receivers training                                                                               first-receivers-hosp.pdf


                                                          The Department of Homeland Security has released a new National
                                                          Response Plan. The Department of Health and Human Services will
                                                          lead the federal government in providing public health and medical
                                                          services during major disasters and emergencies. The National                        The Plan can be downloaded at:
                 Emergency        National Response       Response Plan establishes a comprehensive all-hazards approach to                    http://www.dhs.gov/dhspublic/intera
January     2005 Preparedness     Plan                    enhance the ability of the United States to manage domestic incidents.               pp/




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  Month   Year   Topic by Tab            Tool                                            Description                                     Tool                 Location


                                Clinician Registry for
                                Terrorism and
                                Emergency                The registry provides real-time information to help healthcare providers
                                Response Updates         prepare for (and possibly respond to) emerging diseases and terrorism
               Emergency        and Training             events. CDC also uses the registry to announce new clinician training
October   2004 Preparedness     Opportunities            opportunities related to terrorism and emergency response topics.                      editorial/editorial_0566.xml.

                                                                                                                                                http://my.premierinc.com/all/safety/
               Emergency        Minnesota's surge                                                                                               publications/08-04-downloads/08-
August    2004 Preparedness     capacity plan            Minnesota's surge capacity plan                                                        surge-amacdc-email.ppt

                                Healthcare Facility      A study conducted by several disaster medicine experts on strategies to                The plan is available from the
                                and Community            manage patient surges in healthcare facilities following a biological or               Annals of Emergency Medicine
               Emergency        Strategies for Patient   chemical terrorist attack, provides sample response plans for                          (contact Colleen Hughes at
August    2004 Preparedness     Care Surge Capacity      communities in Colorado, Massachusetts, Minnesota, and Virginia.                       202.728.0610, Ext. 3010).
                                                         The tool helps regional planners locate and rank potential alternative                 To view the full report and tool, go
                                                         sites such as stadiums, schools and recreation centers based on                        to:
               Emergency        Surge capacity           whether they have adequate ventilation, plumbing, food supply, kitchen                 http://www.ahrq.gov/research/altsite
August    2004 Preparedness     planning                 facilities and other factors.                                                          s.htm.


                                                         The Centers for Disease Control and Prevention (CDC) has established
                                                         partnerships with national clinician organizations for the purpose of
                                                         disseminating timely information on disease outbreaks and terrorism
                                                         events. COCA's Web site was successfully launched July 20. The site
                                Clinician Outreach       offers many resources for COCA members, including past COCA
               Emergency        and Communication        conference call summaries and slides, listings of COCA members,                        Visit the COCA Web site at
August    2004 Preparedness     Activity (COCA)          information on future conference calls and training updates.                           www.bt.cdc.gov/coca/index.asp.

                                                         The Centers for Disease Control and Prevention has a Web-based                         The module can be completed at
               Emergency        Plague training          module designed to teach the natural epidemiology of plague and how to                 http://www.bt.cdc.gov/agent/plague/
July      2004 Preparedness     module                   manage it as both a natural disease and an intentional attack.                         trainingmodule/.
                                                                                                                                                The full report, Evidence
                                                                                                                                                Report/Technology Assessment
                                                                                                                                                No. 95, Training of Hospital Staff to
                                Training of Clinicians   This evidence report updates the evidence report "Training of Clinicians               Respond to a Mass Casualty
                                for Public Health        for Public Health Events Relevant to Bioterrorism Preparedness" and                    Incident, may be obtained free
                                Events Relevant to       focuses on the effectiveness of hospital disaster drills, computer                     from the AHRQ Publications
                Emergency       Bioterrorism             simulations, and tabletop or other exercises used in training hospital                 Clearinghouse by calling
June       2004 Preparedness    Preparedness             staff to respond to a mass casualty incident.                                          800.358.9295.


                                                         The tool, developed by the Evidence-based Practice Center at the
                                                         Johns Hopkins University, helps hospitals identify their strengths and
                                                         weaknesses during a disaster drill and improve their ability to meet
                                                         required emergency management plans. Areas assessed include pre-
                                                         drill planning, incident command, decontamination, triage and treatment.
                                Evaluation of            The tool also includes checklists to help hospitals tailor drills to specific
                                Hospital Disaster        health threats, such as a biological or radiation incidents, and a
               Emergency        Drills: A Module-        spreadsheet to track and compare drill performance among hospital
June      2004 Preparedness     Based Approach           units or hospitals.




            Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Emergency Prep
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  Month    Year   Topic by Tab            Tool                                          Description                                    Tool                Location


                                                        The plan calls for specialized response teams, an emergency
                                                        preparedness executive steering committee, and regional emergency
                                                        response plans during a national emergency. The agency recently
                                                        published its National Emergency Management Plan that details the
                                                        agency's roles and responsibilities during responses to national
                Emergency        National Emergency     emergencies and outlines procedures to ensure assistance is in place                  http://www.osha.gov/SLTC/emerge
March      2004 Preparedness     Management Plan        for responder and recovery workers' health and safety.                                ncypreparedness/index.html



                                                      The report, HHS bioterrorism preparedness programs: States reported
                                                      progress but fell short of program goals for 2002, examines the extent to
                                                      which states completed 2002 cooperative agreement requirements and
                                                      whether they identified any factors that hindered implementation of the        http://www.premierinc.com/all/safet
                Emergency                             Centers for Control and Prevention (CDC) and Health Resources and              y/publications/03-04-downloads/04-
March      2004 Preparedness                          Services programs: States reported progress agreement of program
                                 HHS bioterrorism preparedness Administration’s (HRSA) cooperativebut fell shortprograms. goals for 2002
                                                                                                                                     d04360r.pdf

                                                        A training course originally developed by the World Health Organization
                                                        and Centers for Disease Control and Prevention for training smallpox                  Order at
                Emergency                               response teams, these presentations help planners and first responders                http://www.bt.cdc.gov/agent/smallp
January    2004 Preparedness     CDC Training Slides    prepare for the possibility of the use of smallpox as a terrorist weapon.             ox/training/overview/index.asp

                                                        OSHA has a Web-based training tool on implementing an incident
                                                        command system as part of emergency response preparedness. The
                Emergency        Incident command       toolprovides guidance on planning for an incident command system and                  http://www.osha.gov/SLTC/etools/ic
December   2003 Preparedness     syatem                 addresses applicable OSHA standards.                                                  s/index.html
                                                                                                                                              http://www.premierinc.com/all/safet
                                                                                                                                              y/publications/11-03-downloads/09-
                                 Recognizing                                                                                                  illness-associated-exposure-chem-
                Emergency        chemical agent                                                                                               agents.doc
November   2003 Preparedness     exposure
                                                        A health information bulletin, provides recommendations on preventing                 http://www.osha.gov/dts/shib/shib1
                                                        mold growth, proper use of personal protective equipment, and safe                    01003.html
                Emergency        Brief Guide to Mold    cleanup methods.
November   2003 Preparedness     in the Workplace
                                                        A matrix tool, provides information on how facilities can reduce
                Emergency        Fire and Explosion     vulnerability to and consequences of a terrorist attack that involves fire            http://www.osha.gov/dep/fire-
November   2003 Preparedness     Planning Matrix        or an explosive device.                                                               expmatrix/index.html.
                                                       The Pink Book – ―Epidemiology and Prevention of Vaccine Preventable
                                 Epidemiology and      Diseases,‖ the 7th edition from 2002, is now in its second printing.                   The book is available for download
                                 Prevention of                                                                                                or purchase at
                Emergency        Vaccine Preventable                                                                                          http://www.cdc.gov/nip/publications/
October    2003 Preparedness     Diseases                                                                                                     pink/default.htm
                                                       Provides employers with information on helping to protect workers from
                                                       injuries and illnesses resulting from possible terrorist incidents related to
                                 Chemical, Biological, chemical, biological, radiological, or nuclear attacks.
                                 Radiological, and
                                 Nuclear (CBRN)                                                                                               http://www.osha.gov/dts/shib/revCB
                Emergency        Warfare Agents                                                                                               RN_EscapeRespirators_8-29-
October    2003 Preparedness     Escape Respirators                                                                                           03.html




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                                                                                                                                      IHI
   Month   Year   Topic by Tab            Tool                                            Description                                 Tool                Location
                                                                                                                                             An Excel program version (1.4 MB)
                                 Computer staffing        A new computer model is available to help hospitals and health systems             may be downloaded from:
                Emergency        model - Bioterrorism     plan antibiotic dispensing and vaccination campaigns to respond to                 http://www.ahrq.gov/research/biom
July       2003 Preparedness     Response                 bioterrorism or large-scale natural disease outbreaks.                             odel.htm.
                                                                                                                                             The Evacuation Planning Matrix,
                                                                                                                                             available at
                Emergency        Evacuation Planning                                                                                         http://www.osha.gov/dep/evacmatri
June       2003 Preparedness     Matrix              Online tool to help employers with emergency planning.                                  x/index.html


                                 Guidance for
                                 Protecting Building
                                 Environments from        A new federal guidance is now available to help facility specialists in            http://my.premierinc.com/all/safety/
                                 Airborne Chemical,       business and government strategically select and use air-filtration and            publications/06-
                Emergency        Biological, or           air-cleaning systems for protecting occupants in buildings from chemical,          03_downloads/08_NIOSH_2003-
June       2003 Preparedness     Radiological Attacks     biological, or radiological attacks.                                               136.pdf
                                 Disaster
                                 Preparedness and
                                 Response in Texas                                                                                           http://www.healthpolicyinstitute.org/
                Emergency        Hospitals: Part I,                                                                                          projects/disaster_response/dis_res
May        2003 Preparedness     Bioterrorism             A bioterrorism disaster preparedness guide for hospitals.                          p.asp

                                                    Information on agents likely to be used in a chemical terrorist attack.
                                                    This resource highlights agent-specific identification, medical symptoms,
                Emergency        Emergency          personal protective equipment, and decontamination considerations for                    http://www.cdc.gov/niosh/topics/em
May        2003 Preparedness     Response Resources responding to events involving cyanide, sarin, and nitrogen mustard.                     res/chemagent.html
                                                          Disaster drills are most effective when designed by an interdisciplinary
                                                          team that clearly establishes goals before the drill begins. A
                                 Planning and             teleconference on disaster drills and readiness assessment asserts that            http://www.hsrnet.net/ahrq-
                Emergency        executing disaster       the drills should also include a plan to evaluate whether the goals were           ulp/bioterrorism/events/0415/materi
May        2003 Preparedness     drills                   reached.                                                                           als.htm
                                 Addressing the
                                 Smallpox Threat:                                                                                            http://www.hsrnet.net/ahrq-
                Emergency        Issues, Strategies,      Copies of a 90-minute audiotape may be purchased for $10 from the                  ulp/bioterrorism/events/0218/materi
May        2003 Preparedness     and Tools                AHRQ Publications Clearinghouse                                                    als.htm



                                 Clinician Registry for
                                 E-mail Updates on        Clinician's registry to provide real-time information to help prepare for
                                 Terrorism and            and respond to terrorism and emergency situations. As participants,
                Emergency        Emergency                physicians will receive regular updates on terrorism and emergency
April      2003 Preparedness     Response                 response issues targeted to clinicians.                                            http://www.bt.cdc.gov/

                Emergency        Smallpox Vaccine     A guide addressing legal and risk management issues for hospitals                      http://biotech.law.lsu.edu/blaw/bt/s
March      2003 Preparedness     Injury and Law Guide related to the smallpox vaccine.                                                       mallpox/svlaw.htm
                                 Risk Management
                                 Guidance for Health,
                                 Safety and
                                 Environmental            The report covers several issues related to infrastructure and
                                 Security under           environmental risks during disaster events, including food, mail, and              http://my.premierinc.com/all/safety/
                Emergency        Extraordinary            personnel security and safety; transportation; childcare; and building             publications/03-
March      2003 Preparedness     Incidents                access                                                                             03_downloads/11_extraordinary.pdf



             Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Emergency Prep
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  Month    Year   Topic by Tab           Tool                                          Description                                 Tool                Location




                                                        The chart presents a concise summary of signs and symptoms to assist
                Emergency        Chemical terrorism     with early recognition, as well as to alert healthcare workers about the
February   2003 Preparedness     agents                 potential for chemical terrorism agents.                                          http://www.unc.edu/depts/spice/

                                                      The program provides basic information required to implement a
                                 Bioterrorism Update: smallpox vaccination preparedness program. Presented in a series of
                Emergency        Smallpox             modules, it is directed at state and local health department and clinical           http://bookstore.phf.org/prod250.ht
February   2003 Preparedness     Preparedness         personnel.                                                                          m




                                                                                                                                          http://my.premierinc.com/all/safety/
                Emergency        Vaccine Information    The smallpox VIS must be used with a separate consent form that                   publications/01-
January    2003 Preparedness     Statement (VIS)        requires a signature.                                                             03_downloads/11_small02.pdf




                                                        This comprehensive module addresses the vaccine, methods of
                Emergency        Smallpox training      inoculation, prevention of contact transmission, laboratory testing and
December   2002 Preparedness     module                 use of vaccinia immunoglobulins (VIGs).                                           http://www.bt.cdc.gov/


                                                      More than 70 metropolitan hospital executives heard how hospitals near
                                                      "Ground Zero" in lower Manhattan and the Pentagon responded to the
                                 National Symposium immediate tragedies of September 11, 2001, as well as strategies                      http://www.hospitalconnect.com/ah
                Emergency        on Hospital Disaster related to ongoing disaster readiness preparations against possible                 a/key_issues/disaster_readiness/E
December   2002 Preparedness     Readiness            future biological, and chemical, and natural disasters.                             mWhatsNew.html
                                                                                                                                          Go to
                                 Emergency                                                                                                http://www.premierinc.com/all/safet
                Emergency        preparedness           On-line catalogs provide emergency preparedness supplies available                y/resources/disaster_readiness/pro
November   2002 Preparedness     materials              from several companies                                                            d_equip.htm.




                                 AHRQ's Bioterrorism
                                 Emergency Planning                                                                                       http://my.premierinc.com/all/safety/
                                 and Preparedness      Biological weapons training for personnel, procedures to permit rapid              publications/09-
                Emergency        Questionnaire for     recognition of credentialed staff from other facilities, on-call nursing           02_downloads/11_AHRQ_bioterror
October    2002 Preparedness     Healthcare Facilities policies, and designated areas of emergency overflow for patients                  _checklist.pdf



                                 Disaster kit — Tools
                Emergency        to meet children’s     To aid pediatricians, community leaders, parents, and others in
October    2002 Preparedness     needs                  preparing for and meeting children's needs during a disaster.                     http://www.aap.org/terrorism/
                                 Preparing for
                                 Terrorism: Tools for
                                 Evaluating the         A set of measurement tools and a process for evaluating the extent to
                                 Metropolitan Medical   which communities have implemented the disaster preparedness plans
                Emergency        Response System        required by the Department of Health and Human Services’ Metropolitan             http://www.nap.edu/catalog/10412.
August     2002 Preparedness     Program                Medical Response System program.                                                  html


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                                                                                                                                    IHI
  Month   Year   Topic by Tab            Tool                                          Description                                  Tool                Location


                                Guidance for
                                Protecting Building
                                Environments from                                                                                          http://my.premierinc.com/all/safety/
                                Airborne Chemical,       The guidelines address the physical security of ventilation systems,              publications/06-
               Emergency        Biological, or           airflow and filtration, systems maintenance, program administration, and          02_downloads/05_36_2002_niosh_
June      2002 Preparedness     Radiological Attacks     maintenance staff training.                                                       ventilation_139.pdf
                                                         Resources on bioterrorism – including an evidence report on training
                                Training of Clinicians   clinicians, a summary of a workshop on strengthening the nation's
                                for Public Health        response capabilities, the results of a survey noting the gaps and
                                Events Relevant to       resources needed by local public health agencies to respond effectively
               Emergency        Bioterrorism             to bioterrorism, and a report from ECRI on personal protective
May       2002 Preparedness     Preparedness             equipment.                                                                        http://www.ahrq.gov/




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                                                      The Food and Drug Administration joined with the CDC, the EPA and
                                                      OSHA in releasing guidelines on how to prevent hazards due to
                                                      inappropriate use of cleaners and disinfectants on electronic medical
                                                      equipment. Such solutions can cause the equipment to malfunction.
                                                      Many stakeholders, including AHA, APIC, and ASHE, provided input to
                                                      the guidelines for handling and cleaning of electronic medical devices.
                                                      Minimizing the potential for cross contamination and patient and worker              http://www.premierinc.com/quality-
                Environmental    FDA guidance –       injuries is critical, but of equal importance is the emphasis on the                 safety/tools-services/safety/safety-
                and Safety       Electronic equipment process of proper cleaning and disinfecting in accordance with                       share/12-07-downloads/5_FDA-
December   2007 Products         cleaning hazards     manufacturers’ guidelines in the interest of safety                                  Equipment-10_31_07.doc

                                                         The newsletter provides news and success stories about topics such as
                                                         reduction of medical waste, computer recycling, green cleaning
                                                         programs, conversion to reusable products, laboratory chemical
                                                         recycling, energy efficient lighting and light bulb recycling. Premier's
                                                         EPP program is a collaboration of the Premier Safety Institute and
                                                         Premier's group purchasing services. The program is part of Premier's
                Environmental                            commitment to helping healthcare facilities with their environmental
                and Safety                               efforts, including waste minimization and the elimination of the use of           Go to:
March      2006 Products         Green Link              mercury.                                                                          http://www.premierinc.com/safety



                                                         The Clinician Outreach and Communication Activity (COCA) offered a
                                                         program in Medical Waste Management on August 23, 2005. Lynne
                                                         Sehulster, Ph.D, M(ASCP), of the Centers for Disease Control and
                                                         Prevention (CDC) Division of Healthcare Quality Promotion presented
                                                         materials addressing: identification of general categories of medical
                                                         waste; regulations governing the management of medical waste; insight
                Environmental    Medical waste           into how the recent influenza A (H2N2) situation revealed weaknesses              http://www.premierinc.com/all/safet
                and Safety       management              in the current system of waste management; and understanding the                  y/publications/10-05-downloads/09-
October    2005 Products         teleconference          importance of reinstating on-site capacity for medical waste treatment.           waste-management-slides.ppt


                                                         The American Society for Healthcare Environmental Services has
                                                         partnered with Orkin, Inc. to promote more effective and environmentally
                                                         friendly pest-control practices in healthcare settings, including the
                                                         release of a guide on integrated pest management. The partners also               See Premier Safety Institute's
                                                         plan to publish educational articles and host two educational sessions            Environmental and Safety Product
                Environmental    Environmentally         on the recommended practice at ASHES' annual conference in                        list at:
                and Safety       friendly pest control   September. The partnership was launched in response to a growing                  http://www.premierinc.com/all/safet
May        2005 Products list    practices               movement in healthcare toward hazardous-chemical reduction.                       y/resources/lists/




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   Month    Year   Topic by Tab            Tool                                          Description                                  Tool                Location



                                                           Two new handbooks are available online from Occupational Safety and
                                                           Health Administration (OSHA): "Best Practices for the Safe Use of
                                                           Glutaraldehyde in Health Care," which helps employers and employees
                                                           understand and control exposures to glutaraldehyde, a chemical used to            Go to:
                                                           disinfect and clean heat-sensitive medical, surgical and dental                   http://www.osha.gov/Publications/gl
                 Environmentally                           equipment, and "Preventing Mold-Related Problems in the Indoor                    utaraldehyde.pdf and
                 Preferred         OSHA online             Workplace," which offers recommendations to owners, managers, and                 http://www.osha.gov/Publications/pr
May         2006 Purchasing        handbooks               occupants on how to fix mold problems in buildings                                eventing_mold.pdf


                                   Environmentally         A four-CD set containing all the presentations from "Environmentally              Order free copies of the book and
                                   Preferable              Preferable Purchasing and Healthcare Practices Conference" held in                CDs from the Premier Safety Store
                 Environmentally   Purchasing and          Boston, April 29, 2004. Topics include green buildings, mercury                   at:
                 Preferred         Healthcare Practices    elimination, recycling medical waste processing, solvent recovery, and            http://www.premierinc.com/all/safet
December    2004 Purchasing        Conference              more.                                                                             y/store/.
                                                           Premier's Safety Institute has added one more important section to the
                                                           Environmental Preferable Purchasing (EPP) module addressing
                                   Environmental           chemical cleaners and pesticides. The EPP "Topic summary" describes
                 Chemical          Preferable              a number of important and useful resources. "Key documents" includes
                 cleaners and      Purchasing (EPP)        a case study of a safer, successful integrated pest management                    http://www.premierinc.com/all/safet
September   2004 pesticides        module                  program.                                                                          y/resources/EPP/index.htm
                                                           An online resource that aids employers in addressing air quality                  http://www.cdc.gov/niosh/topics/ind
                                                           concerns. The Indoor Environmental Quality topic page provides links to           oorenv
                                                           a variety of air quality topics, including how to identify, correct, and
                                   Indoor                  prevent indoor air problems; how to implement an effective air quality
                 Environmental     Environmental           plan; and resources on mold, asbestos, asthma and allergies, and
November    2003 Safety            Quality topic page      chemical safety.


                                   Cleaning for Health:                                                                                      http://my.premierinc.com/all/safety/
                 Environmentally   Products and            One-stop guide to environmentally preferable cleaning products and                publications/04-
                 Preferred         Practices for a Safer   methods that have been effectively used in office buildings, schools,             03_downloads/04_cleaning_for_he
April       2003 Purchasing        Indoor Environment      hospitals and other facilities in the United States and Canada.                   alth.pdf

                 Environmentally   Environmentally      A checklist is available which can be used by healthcare organizations
                 Preferred         preferred purchasing to guide purchasing decisions or by manufacturers to assess the                      http://www.ahrmm.org/info/HCEPT/t
October     2002 Purchasing        checklist            environmental friendliness of products.                                              ool.html




              Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Env Preferred Purchasing
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  Month   Year   Topic by Tab            Tool                                          Description                                    Tool                Location



                                                                                                                                             The handbook is available for a
                                                   The most current knowledge on concepts and methods of human factors                       discounted price of $95 at
                                                   and ergonomics and their applications to help improve quality, safety,                    http://www.erlbaum.com/ME2/dirmo
                                                   efficiency, and effectiveness in patient care. The handbook provides                      d.asp?sid=28807ECF50FE49F083
                                                   specific information on how to analyze medical errors with the                            7125BE640E681F&nm=&type=eCo
                                 Handbook of Human fundamental goal of reducing errors and the potential harm that results.                  mmerce&mod=CommerceProductC
                                 Factors and       Contributors discuss the design of work environment and working                           atalog&mid=CD22EA0F118949C09
                                 Ergonomics in     conditions to improve satisfaction and well being, and the reduction of                   A932248C040F650&tier=3&id=119
                                 Healthcare and    burnout and other ailments often experienced by healthcare providers                      DCAD843B64A54BC20DE1F72531
Nov       2006 Fall Prevention   Patient Safety    and professionals.                                                                        996&itemid=0-8058-4885-1
                                                     The draft document titled "Safe Patient Handling and Movement
                                                     Principles," a collaboration between NIOSH, the American Nurses                         Available at the NIOSH Web site
                                 Safe Patient        Association and the Veterans Affairs Patient Safety Center, is a new                    at:
                                 Handling and        Safe Patient Handling and Movement curriculum module to be used in                      http://www.cdc.gov/niosh/review/pu
June      2006 Fall Prevention   Movement Principles schools of nursing.                                                                     blic/safe-patient



                                                        Minimizing the risk of falls and falls injuries: Guidelines for acute, sub-
                                                        acute and residential care settings from the Victorian Quality Council of
                                                        Australia provides a framework and supporting resources to support falls
                                                        prevention activities in hospital and residential care settings. This falls          available for download from the
                                 Minimizing the risk of reduction guideline packet, or tool kit, contains research, tools, and               Premier Safety Institute's Falls
                                 falls and falls        education materials, including a sample Microsoft® Excel spreadsheet                 module
                                 injuries: Guidelines   report to track falls data and trends, as well as algorithms for assessing           http://www.premierinc.com/all/safet
                                 for acute, sub-acute and reassessing an individual's fall risk. The packet includes numerous                y/resources/falls/procedures-
                                 and residential care tips for screening, assessing risk, reducing personal and environmental                tools.jsp#Tool (under "Sample
January   2006 Fall Prevention   settings               risk factors, and properly responding to falls.                                      Procedures").
                                                                                                                                             http://www.osha.gov/SLTC/hospital
May       2002 Fall Prevention   Ergonomic eTools       OSHA ergonomic plan and eTools                                                       _etool/mainpage.html




            Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Fall Prevention
                                                                                                                                    IHI
  Month    Year   Topic by Tab           Tool                                         Description                                   Tool




                                                        The ALFA Institute of Biomedical Sciences Educational Portal contains
                                                        medical education material on topics that include pediatric infections,
                                                        zoonoses, infectious diseases, internal medicine, dermatology, upper
                                                        and lower respiratory infections, surgical infections, antimicrobial
                                                        resistance, clinical research tools, biomedical databases, critical care
                                                        and sepsis, cardiovascular infections, nosocomial infections, hepatitis B
                                                        virus, orthopedic infections, OB/GYN infections and urogenital
                                                        infections. A selection of case studies that can be used as interactive
                                                        case-based learning tools from the Academy of Infection Management
                                 Web-based              are also available. The case studies include the specialties of surgery,
                                 educational tools –    pediatrics, ICU, and pneumonia. Specific topics include patient
                                 Infection prevention   outcomes related to antibiotic usage and healthcare associated
February   2008 Guidelines       case studies           infections


                                                        Diseases are spread by poor coughing and sneezing techniques. Most
                                                        people put their hands in front of their mouths and noses to stop germs
                                                        from getting into the air. Unfortunately, this technique puts the germs
                                                        on their hands. The germs are then spread to telephones and
                                                        doorknobs and many other surfaces, where the next user then
                                                        acquires. This five-minute video was designed by three Maine hospitals
                                                        to encourage people to cough and sneeze according to the infection
                                                        control guidelines put forth by the Centers for Disease Control and
                                                        Prevention (CDC). It is aimed at the common citizen. The message is
                                                        serious, but it is presented with humor in such a way that it engages the
                                 Why Don’t We Do It     viewer's attention for a full five minutes while the message is repeated
February   2008 Guidelines       in Our Sleeves?        in interesting new ways. Educational Trust (HRET) has developed a
                                                        The Health Research and
                                                       comprehensive guide for clinicians and administrators to help
                                 AHA/HRET –            incorporate routine HIV testing in their emergency departments (EDs).
                                 Comprehensive tool This practical guide describes different approaches, considerations,
August     2007 Guidelines       for HIV testing in ED and resources for making HIV testing routine in ED care. It is based on


                                                        Nine presentations from Premier's conference on "Healthcare-
                                                        associated infections – What everyone needs to know," held June 19,
                                                        2007, in Orlando, FL, are available online for download. Featured
                                                        faculty include: Graeme Forrest, M.D., University Maryland Medical
                                                        Center; Peter Gross, M.D., Hackensack University Medical Center;
                                 Premier –              Carol Haraden, Ph.D., IHI; Eli Perencevich, M.D., M.S., VA Maryland
                                 Healthcare             Healthcare System; Chesley Richards, M.D., M.P.H, FACP,
                                 associated infection   CDC/DHQP; Richard Van Enk, Ph.D., Bronson Methodist Hospital;
                                 presentations          Daniel Varga, M.D., SSM Healthcare; and Premier's Dan Peterson,
August     2007 Guidelines       available online       M.D, M.P.H.; Gina Pugliese, R.N., M.S.; and Scott Pope, Pharm.D.


                                                       The Association for Professional in Infection Control and Epidemiology
                                                       (APIC) has released a white paper on healthcare associated infections
                                                       (HAI) titled "Dispelling the Myths: The True Cost of Healthcare-
                                                       Associated Infections." Featured in the March issue of Healthcare
                                                       Financial Management magazine, the white paper presents the
                                                       business case for reducing HAIs from the perspective of the healthcare
                                                       executive. Case studies of cost saving are detailed, along with a
                                                       methodology for determining the cost of different categories of HAIs.
                                 APIC – A business     APIC's goal with the white paper is to help healthcare executives
                                 case for preventing   understand the costs involved with these infections, evaluate HAIs in
                                 healthcare-           their own institutions and take a more aggressive approach to infection
Mar        2007 Guidelines       associated infections prevention.
                                                Patients undergoing MRI exams while wearing ECG electrodes and
                                                cables have experienced second and third degree burns sometimes
                         FDA – Avoiding         requiring plastic surgery to repair. After a FDA investigation into reports
                         burns from             received regarding these burns, precautions that can be taken to
                         electrodes and         prevent these types of burns were released. The problem is the
                         cables during MRI      radiofrequency fields created during an MRI exam can heat ECG
Mar    2007 Guidelines   exams                  AHRQ released a new Evidence burning the underlying skin.
                                                cables and electrodes, seriously Report/Technology Assessment
                                               (Number 9), which concludes that several approaches and practices
                                               implemented to prevent healthcare-associated infections (HAI) are
                                               promising and warrant additional research. The objective of the report
                                               was to determine the effects of quality improvement strategies on HAI
                                               and on HAI rates. The selected infections (.pdf) (785 KB) included
                                               surgical site infections (SSI), central line-associated bloodstream
                                               infections (CLABSI), ventilator-associated pneumonia (VAP), and
                                               catheter-associated urinary tract infections (CAUTI) The AHRQ
                                               Evidence Report concludes that there is insufficient evidence to
                                               recommend quality improvement strategies that will improve adherence
                                               to preventive interventions for healthcare-associated infections. The
                                               evidence is generally of suboptimal quality, consisting primarily of
                                               single-center, simple before-after studies of limited internal and external
                                               validity. Results from the limited data suggest that certain strategies
                                               require additional study and potential wider implementation. Those
                         AHRQ – Report on      strategies include reducing unnecessary catheter use by using "stop
                         strategies to prevent orders" (which require that a catheter be removed after a certain period
                         healthcare-           of time if it is no longer needed), reminders to improve surgical
Feb    2007 Guidelines   associated infections antibiotic prophylaxis, the use of checklists to improve adherence to




                                               A new toolkit designed to provide guidance on issues that should be
                                               considered when designing measures for public reporting of healthcare-
                                               associated infections (HAI) is available from the Centers for Disease
                                               Control and Prevention (CDC). The kit was designed in conjunction with
                                               the Association of Professionals in Infection Control and Epidemiology
                                               (APIC), the Society for Healthcare Epidemiology of America (SHEA)
                                               and other professional groups. Many states are considering making HAI
                                               reporting mandatory. "Essentials of Public Reporting of Healthcare-
                                               Associated Infections: A Tool Kit" (.pdf) (199 KB) details recommended
                                               steps, including the identification or creation of a responsible agency at
                         CDC – Tools for       the state level, personnel for data collection and quality improvement,
                         reporting healthcare- strategies to prevent unintended consequences of public reporting, and
Feb    2007 Guidelines   associated infections recommended outcome measures.


                                                Several new tools have recently been added to the Surgical Care
                                                Improvement Project (SCIP) Web site. The first, "Preventive Antibiotics
                                                in Colon and Rectal Surgery: Discontinuation Within 24 Hours After
                                                Operation," is a presentation that discusses the importance of giving
                                                recommended antibiotics in colorectal surgery with the equally
                                                important factor of discontinuing the antibiotics within 24 hours. Other
                                                tools related to venous thromboembolism include: Deep Vein
                         SCIP – New             Thrombosis Prophylaxis Risk Factor Assessment, and Thrombosis
Dec    2006 Guidelines   surgical, VTE tools    Screen and Prophylaxis Recommendations.


                                                Cough hygiene video, NSF Scrub Club provides an interactive Web-
                                                based educational program with music, games and cartoons that aims
                         Humor in infection     to help protect children from dangerous food borne illnesses as well as
                         control – Online       infectious diseases, and MARR has useful antibiotic information
                         educational            downloads on fighting antibiotic resistance, a parent's guide for colds,
                         resources for adults   runny noses, and otitis media. Posters on handwashing include a
Sept   2006 Guidelines   and children           reminder for children on when to wash their hands.
                                                  The Advisory Committee on Immunization Practices (ACIP) has issued
                                                  recommendations for preventing rotavirus gastroenteritis in infants and
                                                  children. The recommendations call for American infants to be
                                                  immunized with the recently licensed rotavirus vaccine. Infants should
                                                  receive three doses of the vaccine, administered orally at two, four and
                                                  six months. It is the most common cause of severe gastroenteritis in
                                                  infants and young children worldwide. Although rotavirus causes few
                                                  deaths among U.S. children, almost all children will become infected
                                                  with rotavirus by age five. Most of them will develop gastroenteritis,
                            ACIP – New            resulting in up to 272,000 emergency department visits and 70,000
Sept      2006 Guidelines   rotavirus vaccine     hospitalizations each year.
                            Antibiotic
                            Prophylaxis in
                            Cardiac Surgery –
                            Duration of           This guideline provides for one recently CMS approved exception for
March     2006 Guidelines   prophylaxis           discontinuance of antibiotic prophylaxis.


                            Antimicrobial
                            Prophylaxis for
                            Surgery: An
                            Advisory Statement    This advisory statement provides an overview of issues related to
                            from the National     antimicrobial prophylaxis, including specific suggestions regarding
                            Surgical Infection    antimicrobial selection, initiation and discontinuance of prophylactic
March     2006 Guidelines   Prevention Project    antimicrobials.


                                                  New guidelines are designed specifically for the cardiovascular
                                                  catheterization laboratory and provide information on such issues as
                                                  the selection of antibacterial soaps, the circumstances under which
                            CV Cath Lab:          patients should receive an antibiotic, protective masks and other garb
                            Infection control     to be worn by catheterization lab staff, and the acceptable level of air
January   2006 Guidelines   guidelines            circulation in the catheterization lab.


                                               New resources on community-acquired MRSA CA-MRSA and a
                                               Template for Gene Vector Guidance have been made available from
                                               the Association for Professionals in Infection Control and Epidemiology
                                               (APIC) Practice Guidance Council. These resources were developed in
                                               collaboration with APIC's Emerging Issues Committee. The CA-MRSA
                                               resource identifies key resources available via national, state, and local
                            Community-acquired public health agencies. The Template for Gene Vector Guidance is
                            MRSA CA-MRSA       intended to assist facilities in developing infection control policies to
                            and a Template for regulate gene vector therapy. APIC recommends any study be
                            Gene Vector        reviewed and approved by their Institutional Review Board (IRB) but
January   2006 Guidelines   Guidance           also include the involvement of an affiliated Biosafety Committee.


                                                  The U.S. Public Health Service has updated the recommendations for
                                                  the management of healthcare personnel (HCP) with occupational
                                                  exposure to blood and other body fluids that might contain human
                                                  immunodeficiency virus (HIV). Published in the September 30, 2005
                                                  Morbidity and Mortality Weekly Report (MMWR) , the recommendations
                                                  (.pdf) (267 KB) emphasize adherence to postexposure prophylaxis
                                                  (PEP) regimens when indicated, expert consultation in managing
                            HIV post-exposure     exposures, follow-up to improve HCP adherence to PEP, and
October   2005 Guidelines   prophylaxis           monitoring for adverse events, including seroconversion.
                             EPA Notebook -
                             Healthcare waste
                             management
June       2005 Guidelines   profiles, resources


                                                 A guide to assist with compliance with the JCAHO Environmental of
                                                 Care Standards. Hospitals for a Healthy Environment (H2E) is working
                                                 on a clipboard version for JCAHO surveyors. This guide relates each
                                                 JCAHO Element of Performance (EP) to specific federal regulations, to
                                                 help facilities be in compliance with both. The guide also suggests
                             JCAHO/H2E guide - steps that facilities can take to encourage environmental performance
                             Environment-of-care improvements. A comprehensive environmental program, including
                             compliance and      waste minimization and pollution prevention initiatives, can help ensure
June       2005 Guidelines   improvement         compliance and reduce costs.




                                                    Two new guidance documents from the Association for the
                                                    Advancement of Medical Instrumentation (AAMI) are designed to assist
                                                    manufacturers in assessing the device reprocessing information they
                                                    provide. These documents help address concerns that manufacturer's
                                                    instructions are often inadequate or don't consider the common
                                                    reprocessing methods facilities use. The first document, entitled
                                                    "Designing, testing, and labeling reusable medical devices for
                                                    reprocessing in healthcare facilities: A guide for device manufacturers"
                                                    (TIR12: 2004), is intended to help manufacturers validate the
                                                    reprocessing procedures they recommend and guide them in choosing
                             AAMI guidance          facility protocols. The second, "Sterilization of medical devices -
                             documents -            Information to be provided by the manufacturer for the processing of re-
                             Cleaning and           sterilizable medical devices" (ANSI/AAMI/ISO ST81: 2004), sets forth
May        2005 Guidelines   sterilization          requirements for labeling and reprocessing instructions.

                                                    The comprehensive lists published by the Food and Drug
                                                    Administration (FDA) are available on the FDA Web site. The FDA
                             FDA Guidance           Guidance Documents for Regulated Industry - Annual Comprehensive
March      2005 Guidelines   Documents              List of Guidance Documents - and the corrections to that list


                                                    A presentation titled, From SIP to SCIP (referring to the National
                                                    Surgical Infection Prevention Project and the current Surgical Care
                             From SIP to SCIP       Improvement Project) is available from the Surgical Care Improvement
                             (referring to the      Project. Dale W. Bratzler, M.D., provides a background summary of the
                             National Surgical      Surgical Infection Prevention Project (SIP) and shows some of the
                             Infection Prevention   national data that has been collected, as well as findings in the clinical
                             Project and the        literature. The presentation also highlights the transition of the SIP into
                             current Surgical       the Surgical Care Improvement Project (SCIP), which goes beyond just
                             Care Improvement       preventing surgical infection and focuses on improving the outcomes
January    2005 Guidelines   Project)               for surgery patients.


                                                   A new telephone hotline that provides clinicians with immediate access
                                                   to expert advice on treating HIV-infected pregnant women and their
                                                   children is available through the federal Health Resources and Services
                                                   Administration's National HIV/AIDS Clinicians' Consultation Center at
                                                   San Francisco (CA) General Hospital. The Perinatal Hotline
                                                   (888.448.8765) provides 24-hour consultation from HIV experts,
                                                   including advice on interpreting HIV testing in pregnancy and
December   2004 Guidelines   The Perinatal Hotline implementing the U.S. Public Health Service's clinical care guidelines.
                                                   CDC also provides PowerPoint presentations that describe West Nile
July       2004 Guidelines   West Nile Virus       Virus and methods of treatment and prevention.
                                                   New practice guidelines are available to assist with the administration
                                                   of outpatient antimicrobial therapy (OPAT). Due to the lack of evidence-
                                                   based studies, these guidelines were formulated from the collective
                                                   experience of the Infectious Diseases Society of America Guidelines
                                                   Committee and advisors from related organizations. The Practical
                                                   Guidelines for Outpatient Parenteral Antimicrobial Therapy updates the
                                                   1997 guidelines and are intended to aid in the successful
                            Practical Guidelines   implementation of parenteral antimicrobial services for patients in a
                            for Outpatient         variety of outpatient settings including the home, physician offices, and
                            Parenteral             skilled nursing facilities. The guidelines are general and need to be
                            Antimicrobial          adapted for each specific setting.
July      2004 Guidelines   Therapy                The poster provides clinical guideline reminders for surgical infection
                                                   prevention, acute myocardial infarction, congestive heart failure, and
                                                   community-acquired pneumonia. The tool is intended to be displayed in
                            CMS clinical           areas where staff document the care provided, such as in nurses'
July      2004 Guidelines   guideline reminder     stations, doctors' dictation areas, and medical record areas, among


                                                   A printed copy of the Centers for Disease Control and Prevention’s
                                                   (CDC) "Guidelines for Environmental Infection Control in Health-Care
                                                   Facilities - 2003" has been published by the American Society of
                                                   Healthcare Engineering (ASHE). Topics covered in this publication
                            Guidelines for         include indoor air quality, construction, ventilation in specialized care
                            Environmental          areas, water quality, water quality in hemodialysis settings, cleaning
                            Infection Control in   and disinfection of environmental surfaces, pest control, principles of
                            Health-Care            environmental sampling, laundry and bedding, animals in health care,
May       2004 Guidelines   Facilities - 2003      and regulated medical waste.
                                                   New guidelines for preventing healthcare-associated pneumonia and
                                                   other severe lower respiratory infections. These guidelines update and
                                                   replace the 1981 guideline. In addition to the latest pneumonia and
                                                   respiratory infection recommendations, the guidelines expand the list of
                            Guidelines for         recommended antiviral treatments for influenza patients and
                            Preventing Health-     recommends that potable water be kept at temperatures above 124
                            Care-Associated        degrees Fahrenheit or below 68 degrees Fahrenheit to reduce the risk
April     2004 Guidelines   Pneumonia, 2003        of Legionnaire's disease.
                            National Surgical
                            Infection Prevention   New web site for accessing current information on the National Surgical
January   2004 Guidelines   (SIP)                  Infection Prevention (SIP)
                            Pneumonia
                            Medicare National      New web site for accessing current information on the Pneumonia
January   2004 Guidelines   Project                Medicare National Project
             Location




Go to http://www.e-
meducation.org/ and
http://infectionacademy.org/




http://coughsafe.com/




http://www.edhivtestguide.org/




Download from:
http://www.premierinc.com/advisorli
ve/




http://www.premierinc.com/quality-
safety/tools-
services/safety/topics/guidelines/an
timicrobials.jsp#business-case
http://www.premierinc.com/quality-
safety/tools-services/safety/safety-
share/03-07-downloads/07-burns-
during-mri.doc




http://www.premierinc.com/quality-
safety/tools-services/safety/safety-
share/02-07-downloads/12-
hainfgap.pdf




Access the CDC Web site for the
Public Reporting of Healthcare-
Associated Infections
(http://www.cdc.gov/ncidod/dhqp/P
ublicReportingHAIs.html) for the
toolkit, as well as the February
2005 American Journal of Infection
Control article, Guidance on Public
Reporting of Healthcare-
Associated Infections (.pdf) (150
KB).




VTE guidelines are available from
the Premier Safety Institute
Infection Prevention and Safety
Module under "Other guidelines,
selected resources."




http://www.coughsafe.com/;
http://www.scrubclub.org/;
http://www.mi-
marr.org/cons_materials.html
http://www.premierinc.com/quality-
safety/tools-services/safety/safety-
share/09-06-downloads/12-mmwr-
rotavirus.pdf



Go to:
http://www.premierinc.com/all/safet
y/resources/guidelines/other.jsp




Go to:
http://www.premierinc.com/all/safet
y/resources/guidelines/other.jsp




Go to:
http://www.premierinc.com/all/safet
y/resources/guidelines/other.jsp#ca
rd-cath




Go to :
http://www.premierinc.com/all/safet
y/publications/01-06-downloads/11-
ca-mrsa.pdf and
http://www.premierinc.com/all/safet
y/publications/01-06-downloads/12-
gene-vector-therapy.pdf




http://www.premierinc.com/all/safet
y/publications/10-05-downloads/11-
hiv-rr5409.pdf
The Notebook can be accessed at:
http://www.epa.gov/compliance/res
ources/publications/assistance/sect
ors/notebooks/health.html




To view this guide, go to:
http://ecm.ncms.org/herc/jcaho3.10
.3.html.




To order, call 800.332.2264, Ext.
217, or visit www.aami.org.




http://www.fda.gov/opacom/morech
oices/industry/guidedc.htm




View a PowerPoint® summary
(.ppt) (1.6 MB) or watch a full
presentation with sound in a video
clip at:




http://www.medqic.org/scip/scip_ne
ws_fromsiptoscip.html
http://my.premierinc.com/all/safety/
publications/07-04-downloads/11-
opat-cid-06-04.pdf
http://my.premierinc.com/all/safety/
publications/07-04-downloads/10-
clinical-guideline-poster-ar-02-
04.pdf




http://www.premierinc.com/all/safet
y/resources/guidelines/index.htm




http://www.premierinc.com/all/safet
y/resources/guidelines/cdc_guidelin
es.htm#Pneumonia2003



www.MedQIC.org/sip



www.MedQIC.org/pneumonia
                                                                                                            Premier Safety Share




                                                                                                                                      IHI
  Month     Year   Topic by Tab           Tool                                         Description                                    Tool                Location



                                                       The CDC Hand Hygiene Resource Web page provides an interactive
                                                       training course on hand hygiene and other standard precautions to
                                                       prevent healthcare associated infections. The course reviews key
                                                       concepts of both hand hygiene and standard precautions. The learner is
                                  The CDC Hand         asked a series of hand hygiene questions as they work through the
                 Hand Hygiene     Hygiene Resource     module and again at the end. The course also contains a short 60-                     http://www.cdc.gov/handhygiene/tra
September   2008 Guideline        Web page             second video on hand hygiene.                                                         ining/interactiveEducation/


                                                       Diseases are spread by poor coughing and sneezing techniques. Most
                                                       people put their hands in front of their mouths and noses to stop germs
                                                       from getting into the air. Unfortunately, this technique puts the germs on
                                                       their hands. The germs are then spread to telephones and doorknobs
                                                       and many other surfaces, where the next user then acquires. This five-
                                                       minute video was designed by three Maine hospitals to encourage
                                                       people to cough and sneeze according to the infection control guidelines
                                                       put forth by the Centers for Disease Control and Prevention (CDC). It is
                                                       aimed at the common citizen. The message is serious, but it is
                                                       presented with humor in such a way that it engages the viewer's
                 Hand Hygiene     Why Don’t We Do It   attention for a full five minutes while the message is repeated in
February    2008 Guideline        in Our Sleeves?      interesting new ways.                                                                 Order at: http://coughsafe.com/



                                                       The World Health Organization's (WHO) first global patient safety
                                                       challenge, "Clean Care is Safer Care," acknowledges the importance of
                                                       addressing the global challenge of healthcare-associated infections
                                                       (.pdf) ( 2 MB). Low-cost WHO strategies that help reduce infection risks
                                                       in areas such as blood products and their use, injection practices and
                                                       immunization, safe water, basic sanitation and waste management, and                  The draft is available for download
                                  WHO – Testing        clinical procedures, particularly in first-level emergency care, are already          at:
                 Hand Hygiene     hand hygiene         available. These strategies are combined with efforts to implement the                http://www.who.int/gpsc/resources/
Mar         2007 Guideline        guidelines           WHO Guidelines on Hand Hygiene in Healthcare (Advanced Draft).                        newsalert/jan2007/en/


                                                       An eight-minute video on proper handwashing technique titled "Last
                                                       Clean Chance" has been produced by the Mecklenburg (NC) County
                                                       Health Department. The science fantasy thriller is set in a bio-research
                                                       lab. The video involves a doomsday scenario in which a virus is leaked                Access the video and information
                                                       into the lab space. Tailored for the young viewer, the video teaches a                online at
                 Hand Hygiene                          valuable skill and reminds us that handwashing is the number one way                  http://www.charmeck.org/Departme
May         2006 Guideline        Last Clean Chance    to prevent the spread of disease.                                                     nts/Health+Department/



                                                                                                                                             http://www.premierinc.com/all/safet
                                                                                                                                             y/publications/09-05-downloads/06-
                                                                                                                                             handwashing-emergencies.pdf and
                                                                                                                                             http://www.premierinc.com/all/safet
                 Hand Hygiene     Hand hygiene in                                                                                            y/publications/09-05-downloads/21-
September   2005 Guideline        emergency situations Communications/Last+Clean+Chance.htm.                                                 clean-hands-cards.pdf




              Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Hand Hygiene
                                                                                                        Premier Safety Share



                                                                                                                               IHI
  Month    Year   Topic by Tab           Tool                                       Description                                Tool               Location
                                                                                                                                      The CDC slide sets are available
                                 Slides - Hand                                                                                        at:
                Hand Hygiene     hygiene educational                                                                                  http://www.cdc.gov/handhygiene/m
July       2003 Guideline        resource                                                                                             aterials.htm.
                Hand Hygiene     Hand Hygiene          Provides updated educational materials dealing with hand hygiene
November   2002 Guideline        Resource Center       practices.                                                                     http://www.handhygiene.org/




             Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Hand Hygiene
                                                                                                               Premier Safety Share




                                                                                                                                         IHI
  Month   Year   Topic by Tab            Tool                                           Description                                      Tool                Location



                                                                                                                                                Word:
                                                        Premier's Safety Institute is now offering a checklist to save on your                  http://www.premierinc.com/quality-
                                                        computer and complete or update at your own pace. The Word                              safety/tools-
                                                        document (.doc) (463 KB) retains the HTML format and features                           services/safety/topics/influenza/inde
                                                        developed by the Centers for Disease Control and Prevention (CDC),                      x.jsp#checklist; also offers this as
                                                        with input from other federal partners. It is intended to help hospitals                an Adobe® PDF (2 MB) or online
                                                        assess and improve their preparedness for responding to pandemic                        at:
                                 Comprehensive          influenza. Because of differences among hospitals (e.g., characteristics                http://www.pandemicflu.gov/plan/he
                                 hospital checklist –   of the patient population, size of the hospital/community and scope of                  althcare/
               Influenza -       pandemic influenza     services), each hospital will need to adapt this checklist to meet its                  hospitalchecklist.html.
July      2007 pandemic          preparation            unique needs and circumstances.




                                                        The new guidance focuses specifically on healthcare workers and their
                                                        employers. The diversity among the providers of healthcare, from
                                                        emergency departments to ambulances to temporary patient care
                                                        facilities, makes preparing for a pandemic influenza challenging. The
                                                        104-page document is organized in four major sections: clinical
                                                        background information on influenza, infection control, pandemic
                                                        influenza preparedness planning, and OSHA standards of special
                                                        importance. It addresses flu diagnosis and treatment, healthcare worker
                                                        vaccination, and personal protective equipment. The appendices include
                                                        additional resources for healthcare institutions, such as communication
                                                        tools for promoting employee infection control practices, strategies for
                                 OSHA – Complete        planning respiratory protections programs, triage algorithms, supply and                http://www.premierinc.com/quality-
                                 HCW pandemic flu       pandemic planning checklists, and even a crisis communication guide                     safety/tools-
               Influenza -       preparedness           for handling questions from the media.                                                  services/safety/topics/influenza/inde
June      2007 pandemic          guidance                                                                                                       x.jsp#pandemic
                                                         checklist that describes steps that long-term care and other residential
                                                        facilities can take to prepare for influenza pandemic is available from the
                                                        Department of Health and Human Services (HHS) and the Centers for
                                                        Disease Control and Prevention (CDC). The checklist was developed to
                                                        help long-term care and other residential facilities assess and improve
                                                        their preparedness for responding to pandemic influenza. Based on
                                                        differences among facilities (e.g., patient/resident characteristics, facility
                                                        size, scope of services, hospital affiliation), each facility will need to
                                                        adapt this checklist to meet its unique needs and circumstances. The
                                                        checklist states that facilities should have a structure for planning and
                                                        decision-making, overseen by a multidisciplinary group focused on
                                                        pandemic flu planning, and to develop a written influenza plan. The
                                                        written influenza plan should include flu surveillance and detection
                                                        measures; communications; education and training in basic prevention
                                                        and control measures for personnel, residents, and residents' family
                                                        members; and an infection control plan for managing residents and
                                 Pandemic flu           visitors with pandemic influenza; an occupational health plan to address                The checklist is available at:
               Influenza -       checklist – Long-      staff absences and related issues; and plans for vaccine and antiviral                  http://www.pandemicflu.gov/plan/
June      2006 pandemic          term care              use and surge capacity.                                                                 LongTermCareChecklist.html.




            Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Influenza - pandemic
                                                                                                           Premier Safety Share



                                                                                                                                    IHI
   Month   Year   Topic by Tab            Tool                                         Description                                  Tool                Location




                                                         Online resources and information from the California Distance Learning
                                                         Health Network (CDLHN), a non-profit organization of the Graduate
                                                         School of Public Health at San Diego State University. The section on
                                                         pandemic influenza resources includes the U.S. national strategy for
                                                         pandemic influenza and World Health Organization avian influenza
                                                         updates. A summit designed to inform California leaders in business,
                                                         education, local government, healthcare, social services and other
                                                         sectors to better prepare California for influenza pandemic is available          Go to:
                                  California Distance    as a Webcast. The summit presents the current threat of avian influenza           http://cdlhn.com/create_frameset.cf
                Influenza -       Learning Health        and the risk of a human influenza pandemic and several training videos            m?id=32&CFID=523799&CFTOKE
May        2006 pandemic          Network (CDLHN)        related to mass vaccinations and disease investigation.                           N=19783253


                                                         The Department of Health and Human Services (HHS) has developed a                 Go to: English -
                                                         checklist to help home healthcare providers care for the sick during an           http://www.premierinc.com/all/safet
                                                         influenza pandemic. The checklist will help organizations assess their            y/publications/04-06-downloads/06-
                                                         readiness to respond by identifying strengths and weaknesses. It also             healthcare-checklist.pdf; Spanish -
                                  Home Healthcare        explains that building community contacts will provide a strategic                http://www.premierinc.com/all/safet
                                  Services Pandemic      advantage if a pandemic influenza strikes. The checklist was designed             y/publications/04-06-
                Influenza -       Influenza Planning     with a pandemic influenza in mind, although it may be used in other               downloads/06a-spanish-healthcare-
April      2006 pandemic          Checklist              types of emergencies.                                                             checklist.pdf



                                                                                                                                           http://www.premierinc.com/all/safet
                                                                                                                                           y/publications/12-05-downloads/10-
                                  Use of personal                                                                                          questions-answers-ppe-during-flu-
                                  protective equipment                                                                                     outbreaks.doc and
                Influenza -       during influenza                                                                                         http://www.premierinc.com/all/safet
December   2005 pandemic          outbreaks                                                                                                y/resources/influenza/index.jsp




             Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Influenza - pandemic
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                                                                                                                                       IHI
  Month    Year   Topic by Tab             Tool                                          Description                                   Tool                Location




                                                          A home care influenza toolkit, published by Montgomery County's
                                                          Advanced Practice Center, is designed to help people manage influenza
                                                          at home. This simple toolkit, "Stay At Home Toolkit for Influenza,"
                                                          includes checklists on what to keep in the home, tips on how to
                                                          recognize flu signs and symptoms, instructions on using thermometers,
                                                          isolating the sick, making disinfectant with bleach, and cleaning
                                                          potentially contaminated areas, a personal care log to help caregivers              http://www.premierinc.com/quality-
                                                          track observations and action, guidelines for those returning to work               safety/tools-services/safety/safety-
                Influenza -       Stay At Home            after recovering from flu, and items to keep on hand for pets for disaster          share/02-08_downloads/13_Stay-
February   2008 seasonal          Toolkit for Influenza   preparedness.                                                                       at-home-toolkit.pdf


                                                          For the beginning of the new influenza season, the Centers for Disease
                                                          Control and Prevention (CDC) is releasing updates of a few new flu
                                                          resources. The CDC's flu Web site at www.cdc.gov/flu has been revised
                                                          and is easy to navigate as a resource. This year, the CDC is                        Downloads are available for
                                  CDC updates             emphasizing high-risk children (such as those with asthma or diabetes)              printing at:
                Influenza -       influenza tools for     and their caregivers, as well as focusing on protecting infants and the             http://www.cdc.gov/flu/professionals
October    2007 seasonal          the new season          elderly through family and community vaccination.                                   /flugallery/.

                                                          A Web site sponsored by the National Influenza Vaccine Summit called
                                  New Web site            "Prevent Influenza Now!" provides information updates on the current
                Influenza -       provides influenza      influenza vaccination season. The site contains vaccine information for
Dec        2006 seasonal          vaccination updates     the public about influenza, the benefits of v                                       http://www.preventinfluenza.org/



                                                                                                                                              http://www.premierinc.com/all/safet
                                                                                                                                              y/publications/12-05-downloads/10-
                                  Use of personal                                                                                             questions-answers-ppe-during-flu-
                                  protective equipment                                                                                        outbreaks.doc and
                Influenza -       during influenza                                                                                            http://www.premierinc.com/all/safet
December   2005 seasonal          outbreaks                                                                                                   y/resources/influenza/index.jsp

                                                          The National Foundation for Infectious Diseases' "Kids Need Flu
                                                          Vaccine" initiative now includes a new patient education resource for
                Influenza -       Children's vaccine      physicians and healthcare providers. The new patient education
October    2005 seasonal          education kit           resource kit includes a parental brochure, fact sheet and                           http://64.242.251.230/index1.html


                                                                                                                                              Last year's National Influenza
                                                                                                                                              Vaccine Summit guide is available
                                                                                                                                              online at
                                                          The purpose of the guide is to provide frontline healthcare personnel               http://www.immunize.org/influenza/
                                  Influenza               with information about indications and contraindications for the two types          pocketguide.htm, and this site
                Influenza -       Vaccination Pocket      of influenza vaccines, as well as groups to be vaccinated and how to                should be checked periodically for
August     2005 seasonal          Information Guide       administer the vaccines. The draft of the                                           the 2005-2006 version.




             Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Influenza - seasonal
                                                                                                           Premier Safety Share



                                                                                                                                  IHI
  Month    Year    Topic by Tab           Tool                                        Description                                 Tool                Location


                                                        As reports of influenza increase during the current season, the Centers
                                  New posters in five   for Disease Control and Prevention (CDC) continues to offer new
                Influenza -       languages for         resources in the fight to prevent the illness. The "Cover Your Cough"            http://www.cdc.gov/flu/protect/cover
January    2005 seasonal          healthcare, schools   campaign has new language-specific flyers and pos                                cough.htm

                                  Summary of
                                  resources to prevent                                                                                   http://www.premierinc.com/all/safet
                Influenza -       spread of flu in the This latest tool from the CDC provides various resources, including               y/publications/11-04-downloads/08-
November   2004 seasonal          workplace            important telephone numbers, Web pages, and poster/flyer links.                   flu-tools.pdf
                                                                                                                                         The tool is supported by the
                                                         A free online resource to help health care providers conduct influenza          National Influenza Vaccine Summit
                                                        immunization programs for children is available from The National                and can be accessed through the
                Influenza -       Kids Need Flu         Foundation for Infectious Diseases (NFID). The "Kids Need Flu Vaccine,           NFID Web site at
August     2004 seasonal          Vaccine, Too!         Too!" program aims to increase immunization ra                                   http://64.242.251.230/.




             Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Influenza - seasonal
                                                                                                 Premier Safety Share




                                                                                                                        IHI
Month   Year Alpha      Keyword         Topic by Tab           Tool                                   Description       Tool   Location   Type   Media




         Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Latex Allergies
                                                                                                            Premier Safety Share




                                                                                                                                    IHI
  Month     Year   Topic by Tab            Tool                                        Description                                  Tool                Location


                                                         The newsletter provides news and success stories about topics such as
                                                         reduction of medical waste, computer recycling, green cleaning
                                                         programs, conversion to reusable products, laboratory chemical
                                                         recycling, energy efficient lighting and light bulb recycling. Premier's
                                                         EPP program is a collaboration of the Premier Safety Institute and
                                                         Premier's group purchasing services. The program is part of Premier's
                 Environmental                           commitment to helping healthcare facilities with their environmental
                 and Safety                              efforts, including waste minimization and the elimination of the use of           Go to:
March       2006 Products          Green Link            mercury.                                                                          http://www.premierinc.com/safety

                                                         Pollution prevention reduces some of the regulatory compliance issues,
                                                         such as the hazardous waste rules, by encouraging the use of less toxic
                                                         materials. The fact sheets are:                  Mercury in Healthcare
                                                         Lab Reagents
                                                         Mercury in Labs and Pharmacies
                                                         Mercury in Patient Care Areas
                                                         Mercury in Non-Patient Care Areas                                                 The fact sheets may be obtained
                                                         Formalin Recovery in Health Care Labs                                             from the MnTAP Web site at
                 Mercury                                 Suction Canister Waste Reduction                                                  http://www.mntap.umn.edu (click
                 Pollution                               Ten Tools To Get Below the Regulatory Radar                                       on "Industries" and "Healthcare" for
August      2004 Prevention        Mercury fact sheets   MnTAP Profile, a general fact sheet on MnTAP's services                           more information).
                                                         This resource provides information on such topics as the health effects
                 Mercury           Healthcare Hazard     of mercury exposure; reducing occupational exposures, including
                 Pollution         Control System        thorough training and personal protective equipment; and applicable               http://www.osha.gov/SLTC/mercury
September   2003 Prevention        Volume 2              OSHA standards and guidelines.                                                    /index.html




              Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Mercury Pollution Prevention
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  Month    Year    Topic by Tab           Tool                                            Description                                  IHI                  Location
                                                                                                                                       Tool

September 2008 Patient Safety     Patient Safety and       This three-volume, 1,400-page handbook for nurses on patient safety                http://www.ahrq.gov/qual/nurseshdb
                                  Quality: An Evidence-    and quality resources contains 89 contributions that represent the work            k/
                                  Based Handbook for       of a broad range of nurses and other patient safety researchers
                                  Nurses                   throughout the nation. The handbook is grouped into six sections:
                                                           Patient Safety and Quality; Evidence-based Practice; Patient-centered
February   2008 Patient Safety    AHRQ toolkits – 17       Care; Working Conditions and the Work Environment for Nurses;
                                                           The Agency for Healthcare Research and Quality (AHRQ) has                          http://www.ahrq.gov/qual/pips
                                  patient safety           developed a series of toolkits designed to help reduce medical errors.
                                  resources                These 17 toolkits, "Patient Safety at the Point of Care," range from
                                                           checklists to help reconcile medications when patients are discharged
                                                           from the hospital to processes to enhance effective communication
                                                           among caregivers and with patients, to toolkits to help patients taking
                                                           medications, and can be adapted to most healthcare settings.


February   2008 Patient Safety    FDA –                    The latest FDA medication safety-related videos, including some                    http://www.ismp.org/Tools/fdavideos
                                  Downloadable             developed in cooperation with ISMP, are now available free for viewing             .asp
                                  medication safety        or downloading on the ISMP Web site.The videos added from October
                                  videos                   include warnings about Vincristine errors, luer misconnection, and how
                                                           the use of a disposable straw with Exactacain, a local anesthetic spray,
                                                           may pose a safety risk to patients. November videos highlight side
                                                           effects of codeine in nursing mothers, avoiding mix-ups with
                                                           Amphotericin B formulations, and warnings for Rocephin use with any IV
                                                           product that contains calcium.


February   2008 Patient Safety    NIH tool kit – Online                                                                                       http://nihseniorhealth.gov/toolkit/tool
                                  health information for                                                                                      kit.html
                                  seniors
February   2008 Patient Safety    Free tool for            A free DVD from the Agency for Healthcare Research and Quality,                    Order at:
                                  designing hospitals      "Transforming Hospitals: Designing for Safety and Quality," reviews                http://www.ahrq.gov/qual/transform.
                                  for patient safety       evidence-based hospital design and how it increases patient and staff              htm
                                                           satisfaction and safety, quality of care, employee retention, and results
                                                           in a positive return on investment. Key concepts of evidence-based
                                                           design in a hospital include single-patient rooms, the use of noise
                                                           reducing construction materials, easily accessible workstations, and
                                                           improved layout for patients and staff. Patient safety issues addressed
                                                           are falls, hospital-associated infections and medical errors. The DVD
                                                           also presents cases of three hospitals that have incorporated evidence-
                                                           based design elements in their construction and renovation.



December   2007 Patient Safety    AHRQ free DVD –          A new free DVD addressing patient safety consists of eight modules                 Order at:
                                  Patient safety           involving one to five separate lessons, and provides processes and                 http://www.ahrq.gov/qual/psicdvd.ht
                                                           tools that can be used to develop a systems-based approach to patient              m
                                                           safety. The modules include the investigation of medical errors and their
                                                           root causes; identification, implementation and evaluation of system-
                                                           level interventions to address patient safety concerns; and steps
                                                           necessary to promote a culture of safety within a hospital or other
                                                           healthcare facility.




             Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety
                                                                                                             Premier Safety Share




  Month    Year    Topic by Tab           Tool                                          Description                                    IHI                  Location
                                                                                                                                       Tool
December   2007 Patient Safety    Advancing the                                                                                         √     http://www.premierinc.com/quality-
                                  Practice of Patient-                                                                                        safety/tools-services/safety/safety-
                                  and Family-Centered The Institute for Healthcare Improvement (IHI) recently released a report               share/12-07-downloads/6_Patient-
                                  Care                 titled ―Advancing the Practice of Patient- and Family-Centered Care‖                   Family-Centered-Care-2007.pdf
                                                       that includes assessment tools to help hospitals determine the degree to
                                                       which patient- and family-centered approaches exist in their current
                                                       organizational culture; IHI also released a tool that helps gather
                                                       information about the perceptions and attitudes of staff and
                                                       administrative leaders. The report describes how hospitals can get
                                                       started with understanding how quality and safety are advanced by
                                                       bringing patients and families directly into the planning, delivery and
                                                       evaluation processes. This 25-page report provides rationale for a
                                                       patient- and family-centered approach to care and defines its core
                                                       concepts and outlines steps that a hospital can take to create
                                                       partnerships with patients and families.
October    2007 Patient Safety    Drug safety          The FDA has released the first issue of its new Drug Safety newsletter.                A fact sheet and the inaugural issue
                                  newsletter from FDA The online newsletter will be published quarterly and provide information               of the newsletter can be found at
                                                       for healthcare professionals, such as physicians, physician assistants,                http://www.fda.gov/cder/dsn/.
                                                       nurse practitioners, nurses, pharmacists, dentists, other allied
                                                       healthcare professionals, health professional associations and drug
                                                       information centers. The newsletter will feature findings of selected post-
                                                       marketing drug safety reviews from the agency's Center for Drug
                                                       Evaluation and Research (CDER), important emerging drug safety
                                                       issues, and recently approved new drugs. The newsletter provides post-
                                                       marketing information to healthcare professionals to enhance
                                                       communication of new drug safety information, raise awareness of
                                                       reported adverse events, and stimulate additional adverse event
                                                       reporting.


September 2007 Patient Safety     NCI – End-of-life      The National Cancer Institute (NCI) has published a free palliative-care             The CD can be ordered or a
                                  care tool              training program for health professionals caring for cancer patients. The            brochure downloaded online. For
                                                         "Education in Palliative and End-of-Life Care for Oncology" CD-ROM                   more information, go to the NCI
                                                         and DVD teaches palliative care competencies and interventions for                   Web site at
                                                         cancer patients. The curriculum is designed to provide the practicing                http://www.nci.nih.gov/aboutnci/epec
                                                         clinician with information and strategies necessary to provide palliative            o
                                                         interventions to his or her patients and to provide educational tools and
                                                         materials to use in teaching the core competencies of palliative care to
                                                         trainees. This curriculum is eligible for continuing education credit for
                                                         physicians and nurses.


September 2007 Patient Safety     Webcast – Best         Catheter-related blood stream infections (BSI) are a significant source of           http://www.cardinal.com/clinicalcente
                                  practices to reduce    morbidity and mortality associated with a variety of devices used to                 r/materials/webcasts/index.asp
                                  catheter-related       access the vascular system. Meticulous aseptic technique is both
                                  blood stream           required and effective to prevent BSI. Faculty share their observations,
                                  infections             best practices, and outcome data as they discuss this important topic.
                                                         This free webcast is a replay from the original August 17, 2007, webcast
                                                         provided by Cardinal Health's Center for Safety and Clinical Excellence
                                                         and will remain available for one full year. Continuing education credit is
                                                         also provided.




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                                                                                                             Premier Safety Share




  Month    Year    Topic by Tab           Tool                                          Description                                   IHI                  Location
                                                                                                                                      Tool
September 2007 Patient Safety     FDA – Free patient     The latest medication safety-related videos, developed by the FDA in                http://www.ismp.org/Tools/fdavideos
                                  safety videos          cooperation with ISMP, are now available free for viewing or                        .asp
                                                         downloading on the ISMP Web site
                                                         (http://www.ismp.org/Tools/fdavideos.asp).
August     2007 Patient Safety    OSHA – New             The new Healthcare Industry Quick Start module is directed primarily to             http://www.osha.gov/dcsp/complianc
                                  healthcare "Quick      small employers in the healthcare field. The module is designed to help             e_assistance/quickstarts/
                                  Start" compliance tool users find free resources on the OSHA Web site related to the
                                                         healthcare industry. The eight-step module includes information on
July       2007 Patient Safety    ACR – Updated          OSHA requirements that apply to many healthcare employers;
                                                         The white paper titled "ACR Guidance Document for Safe MR Practices"                http://www.premierinc.com/quality-
                                  guidance on            (.pdf) (335 KB) details MR safety, from the design of the MR suite and              safety/tools-services/safety/safety-
                                  magnetic resonance     the qualifications of personnel to screening patients and what to do in an          share/07-07-downloads/08-safe-
                                  safety                 emergency.                                                                          mr07.pdf

July       2007 Patient Safety    CDC – New              One young man's experience with meningococcal meningitis and his                    English:
                                  meningococcal          subsequent recovery is available in both English (.doc) ( KB) and                   http://www.premierinc.com/quality-
                                  vaccine information    Spanish (.doc) (59 KB) to be shared with patients and staff (.doc) (1.9             safety/tools-services/safety/safety-
                                  available in Spanish   MB). His story emphasizes the importance of receiving the available                 share/07-07-downloads/04-meninge-
                                  and English            vaccine.                                                                            survivor-story-english.doc; Spanish:
                                                                                                                                             http://www.premierinc.com/quality-
                                                                                                                                             safety/tools-services/safety/safety-
                                                                                                                                             share/07-07-downloads/05-meninge-
                                                                                                                                             survivor-story-spanish.rtf




June       2007 Patient Safety    AHRQ – Sample          The new Health Care Report Card Compendium is a searchable                          http://www.talkingquality.gov/compe
                                  healthcare quality     directory of more than 200 samples of report cards produced by a                    ndium/
                                  report cards           variety of organizations. The samples show formats and approaches for
                                                         providing comparative information on the quality of health plans,
                                                         hospitals, medical groups, individual physicians, nursing homes, and
                                                         other providers of care. The purpose of the AHRQ Report Card
                                                         Compendium is to inform and support the various organizations that
                                                         develop healthcare quality reports, to provide easy access to examples
                                                         of different approaches to content and presentation, and to meet the
                                                         needs of health services researchers.


June       2007 Patient Safety    AHRQ toolkit –         A new guide available from the Agency for Healthcare Research and                   http://www.premierinc.com/quality-
                                  "Mistake-proofing"     Quality (AHRQ) titled "Mistake-Proofing the Design of Health Care                   safety/tools-services/safety/safety-
                                  healthcare process     Processes" describes simple, low-cost interventions that organizations              share/06-07-downloads/07-
                                  design                 can undertake to improve patient safety that includes more than 150 real            mistakeproofing.pdf
                                                         world examples of process or design features that have been
                                                         implemented as a result of root-cause analyses and other interventions
                                                         to help ensure that processes help prevent errors or the negative impact
                                                         of an error.




             Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety
                                                                                                         Premier Safety Share




  Month   Year    Topic by Tab           Tool                                       Description                                  IHI                  Location
                                                                                                                                 Tool
June      2007 Patient Safety    AORN Patient Hand-   The AORN "Patient Hand-Off Toolkit" helps caregivers effectively                  The toolkit can be downloaded free
                                 Off toolkit – Free   communicate key information such as the patient’s current and past                of charge at:
                                 Web-based surgical   condition, ongoing treatments, and possible changes or complications              http://www.aorn.org/PracticeResourc
                                 patient transfer     that should be monitored closely. The kit includes sample checklists and          es/ToolKits/
                                                      forms, slide presentations on standardizing communication and
                                                      information exchanges, and a guide to additional resources.


May       2007 Patient Safety    CDC – HAI summary The CDC has published a national estimate of the number of healthcare-               http://www.premierinc.com/quality-
                                 and slide set     associated infections (HAI) and HAI-related deaths in the United States              safety/tools-
                                                   in a March-April issue of Public Health article, "Estimating Health Care-            services/safety/topics/guidelines/anti
                                                   Associated Infections and Deaths in U.S. Hospitals, 2002." The authors               microbials.jsp#hc-assoc-infections;
                                                   concluded that the method they used for estimating the number of HAIs                http://www.premierinc.com/quality-
                                                   made the best use of existing national data. Data were obtained from                 safety/tools-
                                                   the National Nosocomial Infections Surveillance (NNIS) System (1990-                 services/safety/topics/guidelines/anti
                                                   2002), the National Discharge Survey (2002), and the American Hospital               microbials.jsp#hc-assoc-infections
                                                   Association Survey (2000). Study findings are summarized in a
                                                   PowerPoint presentation.


May       2007 Patient Safety    The Joint         The new information explains what the Joint Commission is looking for                http://www.premierinc.com/quality-
                                 Commission – FAQs in adverse tissue reaction policies, such as the reporting of potential              safety/tools-
                                 on tissue storage disease transmission to the recipient when notified by the donor source              services/safety/topics/patient_safety/
                                                   facility and reporting adverse patient reactions to the donor source                 downloads/jc-standards-faqs.doc
                                                   facility. These actions must be carried out and the tissue's unique
                                                   identifier must also allow the organization to easily trace the records
                                                   when notified of a problem by either the donor facility or the patient's
                                                   physician. Tracing the tissue records includes the complete chain of
                                                   events, including who handled the tissue, how it was transported, stored
                                                   and processed, dates and times such activities occurred.



May       2007 Patient Safety    AHA – CEO            The second in a series of collaborative leadership tools for CEOs,                Tool 2 is available at
                                 leadership tools     "Clarifying Expectations: A First Step in Developing Truly Effective              http://www.americangovernance.co
                                                      Relationships Between CEOs and Trustees," focuses on clarifying                   m/americangovernance/resources/C
                                                      trustees' and CEOs' mutual expectations. It includes a simple exercise            LT/CLTtool2.html
                                                      for helping trustees and CEOs refine the way they work together. It also
                                                      includes information on the sources of misunderstandings and typical
                                                      expectations and describes the roles of and relationships between the
                                                      CEO and the board.


Mar       2007 Patient Safety    AHRQ – Audio         This site provides the agency's latest healthcare research findings,              This link is available from the Safety
                                 newscast series      news, and information. This site enables viewers to also hear the                 Institute's Patient safety web site
                                                      newscasts through a computer or permit a download to a portable digital           under "Resources."
                                                      player such as an iPod.




            Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety
                                                                                                            Premier Safety Share




  Month   Year    Topic by Tab           Tool                                          Description                                    IHI                  Location
                                                                                                                                      Tool
Feb       2007 Patient Safety    New Hampshire –        An online tool created by the Foundation for Healthy Communities in                  http://www.healthynh.com/fhc/resour
                                 Health forms in        New Hampshire has a directory that enables healthcare workers                        ces/translateddocuments.php
                                 multiple languages     working with culturally and linguistically diverse communities to easily
                                                        find translated health forms and documents. The directory provides
                                                        access to documents created and translated by New Hampshire health
                                                        agencies and organizations. The documents are intended for use by any
                                                        healthcare organization. Translated documents include consent forms,
                                                        patient bills of rights, financial assistance applications, and information
                                                        about cholesterol, asthma and child immunizations. Part of the
                                                        Foundation's Cultural Effectiveness and Quality Health Care Project, the
                                                        tool will be updated with documents and language translations. Access
                                                        the tool on the Foundation Web site.



Jan       2007 Patient Safety    Hospital Compare -     Beginning in June 2007, all hospitals, including Critical Access Hospitals           Hospital Compare Web site
                                 Mock data              (CAH), will have 30-day (risk adjusted) mortality rates for acute                    (http://www.hospitalcompare.hhs.go
                                                        myocardial infarction (AMI) and heart failure (HF) published on the                  v/). Information and updates about
                                                        Hospital Compare Web site through an initiative led by the Hospital                  this initiative will be posted
                                                        Quality Alliance (HQA) . The data reported in June will cover the period             periodically to
                                                        July 1, 2005, to June 30, 2006; reported data will also soon include                 http://www.qualitynet.org/ under the
                                                        pneumonia patients. So that hospitals may become familiar with the                   "Hospitals" section.
                                                        background of the measures and their own mortality rates, Centers for
                                                        Medicare and Medicaid Services (CMS) will provide a mock report
                                                        based on 2003 Medicare claims. The rates contained in these initial
                                                        reports will not be posted publicly on the Hospital Compare Web site.
                                                        IThe CMS timeline from November 2006 contains additional information,
                                                        including the important dates for public reporting. More information is
                                                        available at QNet exchange.


Dec       2006 Patient Safety    H2E – New              Hospitals for a Healthy Environment (H2E) has developed an                           http://www.h2e-
                                 environmental          "Environmental Compliance and Improvement Guide" that matches each                   online.org/regsandstandards/jcahoin
                                 compliance and         JCAHO Element of Performance to specific federal regulations. This                   tro.html
                                 improvement guide      guide helps facilities identify how to be in compliance with both. The
                                                        guide also suggests steps that facilities can take to encourage
                                                        environmental performance improvements. A comprehensive
                                                        environmental program, including waste minimization and pollution
                                                        prevention initiatives, not only ensures compliance, but can also help
                                                        reduce the costs of compliance. The guide provides links, tips and tools
                                                        that enumerate specific management practices, materials, regulatory
                                                        requirements, and facility infrastructure relevant to the specific JCAHO
                                                        Element of Performance (EP).



Dec       2006 Patient Safety    IHI – Patient safety   The first tool is a "Global Trigger Tool" designed to help get started in      √     Access IHI Trigger Tools
                                 trigger tools          the approach; the other tools focus on specific areas such as measuring              at:http://www.ihi.org/IHI/Topics/Patie
Dec       2006 Patient Safety    Medication safety      Creighton University perioperative care, neonatal provides care, to
                                                        adverse drug events,Medical Center, Omaha, NE, intensive a tool and                  ntSafety/SafetyGeneral/Tools/Introto
                                                                                                                                             http://www.premierinc.com/quality-
                                 guide – Ambulatory     guide considerations of resource requirements when evaluating the                    safety/tools-services/safety/safety-
                                 care                   ambulatory care environment for medication safety. The guide is titled               share/12-06-downloads/07-chrp-
                                                        "Medication Safety Best Practices Guide for Ambulatory Care Use"                     best-practices.pdf




            Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety
                                                                                                             Premier Safety Share




  Month    Year    Topic by Tab           Tool                                          Description                                    IHI                  Location
                                                                                                                                       Tool
Dec        2006 Patient Safety    SCIP – New            Several new tools have recently been added to the Surgical Care                       VTE guidelines are available from
                                  surgical, VTE tools   Improvement Project (SCIP) Web site. The first, "Preventive Antibiotics               the Premier Safety Institute
                                                        in Colon and Rectal Surgery: Discontinuation Within 24 Hours After                    Infection Prevention and Safety
                                                        Operation," is a presentation that discusses the importance of giving                 Module under "Other guidelines,
                                                        recommended antibiotics in colorectal surgery with the equally important              selected resources."
                                                        factor of discontinuing the antibiotics within 24 hours. Other tools related
                                                        to venous thromboembolism include: Deep Vein Thrombosis
                                                        Prophylaxis Risk Factor Assessment, and Thrombosis Screen and
                                                        Prophylaxis Recommendations.


November   2006 Patient Safety    Workplace Violence    Information in the report includes discussions of the scope of WPV,                   http://www.premierinc.com/quality-
                                  Prevention            barriers to violence prevention, prevention programs and strategies, and              safety/tools-services/safety/safety-
                                  Strategies and        research needs. The report discusses information on barriers and gaps                 share/11-06-downloads/10-
                                  Research Needs        that impede the development and implementation of WPV prevention                      workplace-violence-prevention.pdf
                                                        programs, and summarizes the best workplace violence
                                                        strategy/program practices presented by conference participants,
                                                        general research needs and the importance of linking research findings
                                                        to practical prevention efforts.


November   2006 Patient Safety    The Med Form tool     The Med Form tool helps patients maintain a single, updated record of                 The Med Form is available in
                                                        their medications, vitamins, immunizations and allergies to share with                Spanish and English at
                                                        their healthcare providers. The Arizona Hospital and Healthcare                       http://www.themedform.com/.
                                                        Association's Safe & Sound Patient Safety Initiative, Arizona Medical
                                                        Association, and Arizona Partnership for Implementing Patient Safety
                                                        sponsored the form and it is available statewide in physician offices and
                                                        hospitals.
Oct        2006 Patient Safety    New JCAHO             Meeting the Joint Commission's 2007 National Patient Safety Goals, is                 To order, call JCR Customer
                                  resource – 2007       available as a tool for all accredited organizations preparing to                     Service toll-free at 877.223.6866, 8
                                  National Patient      implement the 2007 National Patient Safety Goals. The publication                     a.m. to 8 p.m. CT, weekdays, or
                                  Safety Goals          explains how to comply with the 2007 goals and requirements of the                    visit www.jcrinc.com
                                                        goals, through a compilation of articles, book excerpts and tips. Detailed
                                                        topics such as identifying safety risks inherent in patient populations,
                                                        and encouraging the involvement of patients and families in patient care
                                                        are among those covered in the book.


Sept       2006 Patient Safety    Sentinel event and    The Joint Commission on Accreditation of Healthcare Organizations has                 The automated complaint tool is
                                  complaint reporting   a secure extranet Web site that offers new automated tools for reporting              also available on the Joint
                                                        sentinel events and complaints. Full transition to the online tools is                Commission Web site at:
                                                        required by January 1, 2007. Locate the tool on the extranet home page                http://www.jointcommission.org/Gen
                                                        under "Self Report Sentinel Event" in the "Continuous Compliance                      eralPublic/Complaint/
                                                        Tools" section. Root cause analyses (RCA), action plans, and sentinel
                                                        event measures of success may be submitted to the Joint Commission
                                                        using an online RCA collection tool, also accessible from the
                                                        "Continuous Compliance Tools" section under the "Sentinel Event
                                                        Activities" link.




             Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety
                                                                                                              Premier Safety Share




   Month   Year    Topic by Tab           Tool                                           Description                                    IHI                  Location
                                                                                                                                        Tool
July       2006 Patient Safety    AMA – Guidelines        A new consensus report from the American Medical Association Ethical                 http://www.premierinc.com/quality-
                                  for improving patient   Force Program offers guidelines to help healthcare organizations ensure              safety/tools-services/safety/safety-
                                  communications          effective, patient-centered communications with patients of diverse                  share/07-06-downloads/06-
                                                          backgrounds. This report lists a number of specific, measurable                      improving-communication.pdf
                                                          expectations for performance that organizations can use as a framework
                                                          for evaluating performance, as well as a guide for improving
                                                          communication quality. An organizational self-assessment toolkit based
                                                          on the report is being field-tested.


July       2006 Patient Safety    SCIP – Surgical care The Surgical Care Improvement Project (SCIP) Web site has added                         http://www.premierinc.com/quality-
                                  improvement tools    practical tools for the four SCIP areas: cardiac, infections, venous                    safety/tools-services/safety/safety-
                                                       thromboembolism, and respiratory. Tools include help with antibiotic                    share/07-06-downloads/13-scip-
                                                       timing, glucose management, and prevention of deep vein thrombosis.                     antibiotics-pocket-card.pdf,
                                                       Visitors can download a DVT order set, an antibiotic recommendations                    additional tools at
                                                       chart, and a glucose management protocol order set.                                     http://www.medqic.org/scip


May        2006 Patient Safety    Patient Safety          The Joint Commission International Center for Patient Safety has a new               Go to:
                                  Practices - JCAHO       online resource that links to resources related to sentinel events and               http://www.jcipatientsafety.org/psp
                                  web site                Joint Commission on Accreditation of Healthcare Organizations
                                                          (JCAHO) National Patient Safety Goals. The site, "Patient Safety
                                                          Practices," contains tools and resources addressing issues related to
                                                          the causes and types of adverse events, U.S. and International Patient
                                                          Safety Goals and free access to many of their articles from a variety of
                                                          journals, including the "Environment of Care."
                                                          http://www.jcipatientsafety.org/psp


April      2006 Patient Safety    Evaluation of Safe   The National Institute for Occupational Safety and Health (NIOSH) draft,                Go to:
                                  Patient Handling and "Evaluation of Safe Patient Handling and Movement Principles",                          http://www.cdc.gov/niosh/review/pub
                                  Movement Principles available for comment until May 30, 2006. The presentation was                           lic/safe-patient/
                                                       developed for use in nursing schools to improve work practices for
                                                       patient care workers. It covers the definition of ergonomics, risk factors
                                                       for musculoskeletal injury during patient handling and movement,
                                                       recognizing high-risk patient care activities and conditions that result in
                                                       high-risk patient-care environments, and identifying the best solutions
                                                       for patient handling.


March      2006 Patient Safety    IHI white paper –       Reviews of perinatal care have consistently pointed to failures of             √     Go to:
                                  perinatal care          communication among the care team and documentation of care as                       http://www.premierinc.com/all/safety/
                                                          common factors in adverse events that occur in labor and delivery. Such              publications/03-06-downloads/10-
                                                          failures also have been shown to be prime factors leading to malpractice             idealized-design-perinatal-care-
                                                          claims. A new white paper from the Institute for Healthcare Improvement              2005.pdf
                                                          (IHI), "Idealized Design of Perinatal Care," is an innovative project based
                                                          on the principles of reliability science and the IHI's model for applying
                                                          these principles to improve care. The Idealized Design model focuses
                                                          on comprehensive redesign to enable a care system to perform
                                                          substantially better in the future than the best it can do at present.




             Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety
                                                                                                            Premier Safety Share




  Month    Year    Topic by Tab            Tool                                        Description                                 IHI                  Location
                                                                                                                                   Tool
March      2006 Patient Safety    AHRQ toolkit –        The toolkit presents strategies for comprehensively redesigning and               Go to:
                                  Hospital process      transforming processes of care in a hospital. It details how healthcare           http://www.premierinc.com/all/safety/
                                  redesign strategies   systems can redesign (including the planning steps needed for such                publications/03-06-downloads/09-
                                                        transformation) and presents strategies for translating information               hospital-redesign-toolkit.pdf
                                                        gathered into proposed projects for implementation. Many of the
                                                        techniques included in the toolkit can be used to guide process
                                                        improvements without embarking on comprehensive system
                                                        transformation.
March      2006 Patient Safety    Medication safety     guide is designed to help outpatient physician practices incorporate              Go to:
                                  tool – ambulatory     safer systems for medication sample prescribing and dispensing. The               http://www.premierinc.com/all/safety/
                                  care                  checklist format helps users rate their current medication use processes          publications/03-06-downloads/08-
                                                        (prescribing, dispensing, administering, counseling, and monitoring) so           best-practices-ambulatory-care.pdf
                                                        plans for improvements can be prioritized and implemented. The guide
                                                        also addresses processes in technology and safety, office environment,
                                                        error management, workplace conditions, safety education, and safety
                                                        perceptions.


January    2006 Patient Safety    Having Surgery?       Having Surgery? What You Need to Know is designed to help patients                Go to
                                  What You Need to      make informed decisions when planning for surgery. The brochure                   :http://www.premierinc.com/all/safety
                                  Know"                 suggests questions to help patients obtain needed information including           /publications/01-06-downloads/13-
                                                        how and where their operation will be performed, what kind of                     surgery.pdf. A Spanish language
                                                        anesthesia will be used, whether non-surgical medical treatment and               version,
                                                        watchful waiting are options, possible risks of not having the surgery,           http://www.premierinc.com/all/safety/
                                                        potential risks and expected benefits if they have the surgery, and how           publications/01-06-downloads/14-sp-
                                                        long recovery is expected to take. Additional questions include cost,             surgery.pdf, is available.
                                                        insurance and whether a second opinion is required and/or covered.
                                                        The publication is part of a series of healthcare resources from AHRQ to
                                                        help people be more active in making informed decisions that can help
                                                        them obtain high-quality healthcare.



November   2005 Patient Safety    ASA Practice          The American Society of Anesthesiologists (ASA) has approved a                    http://www.premierinc.com/all/safety/
                                  Advisory – reduce     practice advisory on anesthesia awareness intended to help                        publications/11-05-downloads/09-
                                  awareness under       anesthesiologists reduce the risk of unintended patient awareness under           aware-advisory-10-05.pdf
                                  anesthesia            general anesthesia. The ASA reports that one to two out of every 1,000
November   2005 Patient Safety    Pediatric Indicator   This module applies the AHRQ QI to regains consciousness and may
                                                        patients receiving general anesthesiaimprove population health using              http://qualityindicators.ahrq.gov/user
                                  Module                the AHRQ QI as a catalyst for quality improvement, implications of ICD-           meeting_presentations_2005.htm
                                                        9-CM coding practices, the use of the AHRQ QI in the National
                                                        Healthcare Quality Reports, methods for creating aggregate
                                                        performance indices, and considerations in using the AHRQ QI for
                                                        comparative reporting and pay-for-performance.




             Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety
                                                                                                              Premier Safety Share




  Month    Year    Topic by Tab            Tool                                         Description                                    IHI                 Location
                                                                                                                                       Tool
November   2005 Patient Safety    Multimedia safety      A free multimedia safety tool kit is available and contains a five-minute,           http://www.emmisafety.com/ashrm
                                  tool kit for patient   Web based version of the patient safety Emmi TM tool that explains the
                                  education              patient's role in preventing mistakes and infections in hospitals. The tool
                                                         kit is sponsored by the American Society of Hospital Risk Management
                                                         (ASHRM), Rightfield Solutions, the creators of Emmi patient education
                                                         system, and the Health Research and Educational Trust (HRET) of the
                                                         American Hospital Association. Hospitals can post this program on their
                                                         Web sites for patients to view prior to coming to the hospital, or
                                                         broadcast the two-minute version on an in-house television network.



October    2005 Patient Safety    Toolkit – Medication   The South Carolina Hospital Association (SCHA) Patient Safety                        http://scha.org/document.asp?docu
                                  safety                 Committee has developed three tools to help consumers, healthcare                    ment_id=2,3,32,3491
                                                         facilities, and healthcare workers keep track of all personal medications.
                                                         These tools can help consumers, hospital inpatients and outpatients,
                                                         hospitals, nursing homes, physician offices, emergency medical
                                                         workers, and pharmacists "stay on the same page" so that everyone
                                                         knows all of the medications a person takes. The tools are: Universal
                                                         Medication Form (UMF), Patient Medication Brochure, and Medication
                                                         Reconciliation Form (MRF)


October    2005 Patient Safety    Regional               The agenda at the regional forums and networking meetings includes                   For more information about these
                                  Performance            results from the CMS-Premier Hospital Quality Improvement                            programs and a schedule and
                                  Improvement            Demonstration project (how-to's and success stories from top decile                  registration, visit:
                                  forums, Rapid          performers), patient safety, managing length of stay, physician                      http://www.premierinc.com/all/confer
                                  Improvement Web        engagement, interactive working groups, and live demonstrations of the               ences/ceo/index.jsp?ref=october-
                                  tool                   Rapid Improvement Program and Web portal).                                           safety-share


August     2005 Patient Safety    Suggestions on         The Joint Commission's August issue of Perspectives on Patient Safety                Access the suggestions at
                                  meeting the 2006       offers suggestions on meeting the 2006 National Patient Safety Goals                 http://www.premierinc.com/all/safety/
                                  National Patient       (.pdf) (345 KB). The special issue, provided free for a limited time,                publications/08-05-downloads/11-
                                  Safety Goals           describes each goal and accompanying requirements and offers                         perspectives-07-05.pdf
                                                         compliance tips. For example, JCAHO describes measures
                                                         implemented by some organizations to increase compliance with hand
                                                         hygiene guidelines from the Centers for Disease Control and Prevention
                                                         (CDC), which is required under the goal for reducing the risk of
                                                         healthcare-associated infections. Tips for non-hospital settings, such as
                                                         home care or long-term care, are also included where compliance needs
                                                         could differ from acute care settings.


August     2005 Patient Safety    Move Your Dot:         A new Institute for Healthcare Improvement (IHI) Innovation Series white       √     White papers are free and available
                                  Measuring,             paper expands on a previous paper, "Move Your Dot: Measuring,                        online at:
                                  Evaluating, and        Evaluating, and Reducing Hospital Mortality Rates," that introduced a                http://www.ihi.org/IHI/Products/Whit
                                  Reducing Hospital      novel perspective and methodology for understanding and reducing                     ePapers/
                                  Mortality Rates        inpatient deaths. "Reducing Hospital Mortality Rates (Part 2)"
                                                         summarizes preliminary results from a three-year pilot project in which
                                                         eight hospitals, working with IHI, are testing the theory that hospital
                                                         mortality can be consistently reduced through a combination of evidence-
                                                         based interventions.




             Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety
                                                                                                            Premier Safety Share




  Month   Year   Topic by Tab            Tool                                          Description                                   IHI                  Location
                                                                                                                                     Tool
July      2005 Patient Safety    Self-Study Modules    ―Self-Study Modules on Tuberculosis,‖ a new education tool specifically              The modules can be accessed at
                                 on Tuberculosis       designed for healthcare workers and other professionals involved in the              http://www.phppo.cdc.gov/phtn/tbmo
                                                       identification, treatment, and care of individuals with tuberculosis and             dules/Default.htm.
                                                       latent tuberculosis infection is now available. The tool is the result of a
                                                       partnership between the Centers for Disease Control and Prevention’s
                                                       (CDC) Division of Tuberculosis Elimination and the Division of Media
                                                       and Training Services. These courses are also appropriate for staff of
                                                       correctional facilities, drug treatment centers, migrant clinics, nursing
                                                       homes, homeless shelters, or other facilities serving persons with or at
                                                       risk for tuberculosis. Each course has a separate set of modules,
                                                       registration process, exam, and credits. The modules can also be
                                                       worked through without registering. Content from both the print-based
                                                       Self-Study Modules on Tuberculosis and the video-based "A Satellite
                                                       Primer on Tuberculosis" was used to create Self-Study Modules on
                                                       Tuberculosis that can be delivered via the World Wide Web.




July      2005 Patient Safety    Alternative medical   Alternatives to using medical waste incinerators for treating regulated              Additional information is available
                                 waste treatment       medical waste were the focus of a free teleconference July 8, 2005, and              from H2E at www.h2e-
                                                       hosted by Hospitals for a Healthy Environment (H2E). Teleconference                  online.org/events/teleconf/index.cfm.
                                                       speaker Sally M. Patterson, regulated medical waste program                           The slide presentation, (Append
                                                       coordinator, New York State Department of Health, discussed the                      8_RMW_NY.ppt) as well as a chart
                                                       advantages and disadvantages of using alternative treatment                          of alternative technologies can be
                                                       technologies approved in the state of New York, including low-heat                   downloaded. (Append
                                                       treating systems, high-heat treating systems, and chemical treatment                 9_alttechchart.pdf
                                                       systems.


July      2005 Patient Safety    Tools for managing    A checklist that can aid safety and environmental managers managing                  To review the checklist and
                                 obese patients        obese patients is now available on the Healthcare Hazard Control (HHC)               assessment tool, login at
                                                       Members' Web site. The list can help staff ensure that a healthcare                  http://www.ecri.org, click "HHC
                                                       facility's physical structures and equipment safely accommodates                     Homepage," and click the "Sample
                                                       extremely obese patients and visitors. An assessment tool to guide                   Policies" link on the left-hand side of
                                                       caregivers on the safe handling of extremely obese patients has also                 the screen. The tools can be found
                                                       been added. An analysis on the safe accommodation of extremely                       under the "Miscellaneous" heading.
                                                       obese patients and visitors will be published in the August 2005 HHC
                                                       mailing.


July      2005 Patient Safety    Roadmaps for          The American Medical Association (AMA) has released a new primer                     The project is supported by an
                                 Clinical Practice,    designed to help physicians improve immunization rates, particularly in              unrestricted educational grant from
                                 Improving             minority populations. The primer, ―Roadmaps for Clinical Practice,                   Sanofi Pasteur and is available
                                 Immunization:         Improving Immunization: Addressing Racial and Ethnic Populations,‖                   online at www.ama-
                                 Addressing Racial     addresses the leading health indicator of immunization and infectious                assn.org/go/roadmaps.
                                 and Ethnic            diseases, with a special focus on reducing racial and ethnic disparities in
                                 Populations           immunizations. In addition to resources, the primer provides tools to help
                                                       physicians ensure that patients are up-to-date with their vaccinations
                                                       and includes immunization schedules for both children and adults. The
                                                       primer is the latest volume in the AMA’s ―Roadmaps for Clinical
                                                       Practice: Case Studies in Disease Prevention and Health Promotion‖
                                                       series, which provides physicians and other health professionals with
                                                       clinical strategies and tools to address the leading causes of
                                                       preventable morbidity and premature mortality.




            Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety
                                                                                                             Premier Safety Share




  Month   Year    Topic by Tab            Tool                                          Description                                   IHI                  Location
                                                                                                                                      Tool
June      2005 Patient Safety    HHS pocket guide        A new pocket guide recently released by Health and Human Services                   Download the guide at
                                 offers resources to     (HHS), "Helping Smokers Quit: A Guide for Nurses," was developed by                 http://www.premierinc.com/all/safety/
                                 assist patients with    AHRQ in collaboration with "Tobacco Free Nurses," a national initiative             publications/06-05-downloads/13-
                                 smoking cessation       funded by The Robert Wood Johnson Foundation. This new tool is                      hlpsmksqt.pdf or go to
                                                         designed to give nurses evidence-based information that they can use                http://www.ahrq.gov/about/nursing/hl
                                                         to help their patients quit smoking. The free guide gives nurses' easy              psmksqt.htm
                                                         access to information based on the "5 A's" approach to cessation
                                                         intervention: Ask, Advise, Assess, Assist, and Arrange. It also includes
                                                         a current listing of smoking cessation medications approved by Food
                                                         and Drug Administration (FDA) and a referral to HHS' National Quitline,
                                                         1-800-QUIT NOW.


June      2005 Patient Safety    Quality of Care for     The Commonwealth Fund's chart book assesses the quality of care                     All chart books are available at:
                                 Medicare                provided to elderly and disabled Medicare beneficiaries. This is just one           http://www.cmwf.org/index.htm.
                                 Beneficiaries           of several chart books available from the Commonwealth Fund on
                                                         health policy matters. The chart books are available in either Adobe or
                                                         PowerPoint Other topics available include insurance, access, and
                                                         quality of care among Hispanic populations, the state of child health care
                                                         in the United States, adults' primary care experiences in five
                                                         industrialized countries, the health of women in New York City, and the
                                                         value of state pharmacy assistance programs.


June      2005 Patient Safety    TrendWatch              The 5th annual collection of charts and graphs depicts key trends                   Go to:
                                 Chartbook 2005          affecting hospitals and health systems. Sections include trends in the              http://www.ahapolicyforum.org/ahap
                                                         overall health care market, organizational trends, utilization and volume,          olicyforum/trendwatch/chartbook200
                                                         trends in hospital financing, workforce, and the economic contribution of           5.html
                                                         hospitals.
June      2005 Patient Safety    AHRQ-DOD                A compendium of 140 peer-reviewed articles on patient safety studies                Go to:
                                 compendium - Four-      by government-sponsored researchers. These studies include findings                 http://www.ahrq.gov/qual/advances/.
                                 volume set of patient   on medication safety, technology, and investigative approaches to better
                                 safety research         treatment, process analyses, human factors and practical tools for
                                 studies                 preventing medical errors. The 140 articles in the four-volume set cover
                                                         a wide range of research paradigms, clinical settings, and patient
                                                         populations. Where the research is complete, the findings are
                                                         presented; where the research is still in process, the articles report on
                                                         its progress. In addition to articles with a research and methodological
                                                         focus, the compendium includes articles that address implementation
                                                         issues or present useful tools and products that can be used to improve
                                                         patient safety.


May       2005 Patient Safety    New self-               The Institute for Safe Medication Practices (ISMP) announced it has                 Find the tool at
                                 assessment survey       developed a new tool (.doc) (33 KB) designed to assist hospitals in                 http://www.premierinc.com/all/safety/
                                 for antithrombotic      evaluating antithrombotic therapy. The survey has been mailed to                    publications/05-05-downloads/11-
                                 therapy                 hospitals with a submission deadline of September 1, 2005. The self-                ismp-self-assessment-launch.doc.
                                                         assessment will help organizations examine medication safety practices              Further information is available at
                                                         associated with the use of antithrombotic drugs in their facilities.                http://www.ismp.org.
                                                         Hospitals may submit data through a secure Web-based form, which will
                                                         allow them to compare their weighted scores with aggregate data from
                                                         similar hospitals.




            Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety
                                                                                                               Premier Safety Share




  Month   Year    Topic by Tab             Tool                                          Description                                     IHI                 Location
                                                                                                                                         Tool
May       2005 Patient Safety    Environmentally         The American Society for Healthcare Environmental Services has                         See Premier Safety Institute's
                                 friendly pest control   partnered with Orkin, Inc. to promote more effective and environmentally               Environmental and Safety Product
                                 practices               friendly pest-control practices in healthcare settings, including the                  list at:
                                                         release of a guide on integrated pest management. The partners also                    http://www.premierinc.com/all/safety/
                                                         plan to publish educational articles and host two educational sessions                 resources/lists/
                                                         on the recommended practice at ASHES' annual conference in
                                                         September. The partnership was launched in response to a growing
                                                         movement in healthcare toward hazardous-chemical reduction.


May       2005 Patient Safety    Simplifying advanced Advance directives, the legal documents that allow individuals to make              √     The forms are available in both
                                 directives           their personal healthcare wishes known before a serious illness or injury,                English
                                                      can be confusing and difficult to understand. The Institute for Healthcare                http://www.premierinc.com/all/safety/
                                                      Advancement has an advance directive form designed for American                           publications/05-05-downloads/09-
                                                      adults who read below a fifth-grade level. The forms are available in                     advance-directive-english.pdf (.pdf)
                                                      both English (.pdf) (906 KB) and Spanish (.pdf) (911 KB). The form is                     (906 KB) and Spanish
                                                      designed in a simple fill-in-the-blank format with illustrations and easy-to-             http://www.premierinc.com/all/safety/
                                                      read bullet points. Low-literacy Americans will be able to choose an                      publications/05-05-downloads/10-
                                                      agent to make medical decisions for them, make their healthcare wishes                    advance-directive-spanish.pdf (.pdf)
                                                      known so that their loved ones don't have to guess for them, and                          (911 KB).
                                                      provide the necessary signatures to make the document legally binding.



May       2005 Patient Safety    Rapid HIV antibody      The Health Research & Educational Trust, an affiliate of the American                  To view the charts go to:
                                 screening tests         Hospital Association (HRET/AHA), has developed two charts to help                      http://www.hret.org/hret/programs/hi
                                                         hospitals select the best rapid HIV test for their needs. The charts,                  vtransmrpd.html
                                                         developed with input from the Centers for Disease Control and
                                                         Prevention (CDC), are designed to help hospitals as they implement the
                                                         CDC's recommendation that the test be offered to all women presenting
                                                         to labor and delivery with undocumented HIV status. One chart
                                                         compares information on test price, external controls, numbers of tests
                                                         per case, catalog number, storage temperature, operating temperature,
                                                         shelf lives of tests and controls, time required to conduct test, and
                                                         validity window periods; the other chart compares information on FDA-
                                                         approval date, specimen type, CLIA-status, specificity, sensitivity,
                                                         manufacturer, HIV-2 detection capabilities, list price, and external
                                                         controls.


March     2005 Patient Safety    Communicating           The February issue of the Joint Commission Journal on Quality and                      http://www.jcrinc.com/subscribers/jo
                                 critical test results   Patient Safety has been made available for a free download now online,                 urnal.asp?durki=8739&site=14&retur
                                                         the issue focuses on communicating critical test results and includes                  n=455#FEBRUARY%202005
                                                         numerous important topics.
March     2005 Patient Safety    Clinical Simulation     The American Hospital Association's (AHA) Health Research and                          http://www.hret.org/hret/programs/si
                                 Tools                   Educational Trust (HRET) Web site has a section with information on                    mulations.html
                                                         studies that describe the use of clinical simulations to train physicians
                                                         and other healthcare workers in the latest medical developments. An
                                                         advantage of clinical simulations training is that skills are learned without
                                                         risking harm to real patients. Simulation-based training also provides
                                                         trainees with a broad range of learning experiences, including the
                                                         treatment of uncommon conditions unlikely to be encountered in
                                                         traditional patient-based training. The Clinical Simulation Tools site links
                                                         to AHA simulation resources.




            Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety
                                                                                                                Premier Safety Share




  Month    Year    Topic by Tab            Tool                                           Description                                      IHI                  Location
                                                                                                                                           Tool
March      2005 Patient Safety    Medical liability      The Joint Commission on Accreditation of Healthcare Organizations has                    http://www.premierinc.com/all/safety/
                                  White parper           released a white paper (.pdf) (643 KB) recommending demonstration                        publications/03-05-downloads/08-
                                                         projects to test alternatives to the nation's medical liability system. A                medical-liability.pdf
                                                         commission of medical liability and patient safety experts states that the
                                                         current liability system does not do enough to reduce negligence and
                                                         compensate victims of medical errors. The paper recommends
                                                         encouraging the adoption of information and simulation technology by
                                                         considering plans to offset implementation costs and by expanding
                                                         evidence-based reporting. The white paper states that any medical
                                                         liability changes need to ensure that the greatest number of injured
                                                         patients is fairly compensated, while allowing practitioners and providers
                                                         the opportunity to report errors, learn from them, and ensure that those
                                                         errors are not repeated.




February   2005 Patient Safety    OSHA Memo                                                                                                       http://www.premierinc.com/all/safety/
                                                                                                                                                  publications/02-05-downloads/14-
                                                                                                                                                  standard-interpretations.doc

February   2005 Patient Safety    Tool kit for physician The American Society for Healthcare Risk Management (ASHRM) has a                        A sample tool kit has been made
                                  office risk managers CD-ROM tool kit created for the various healthcare professionals who                       available,
                                                         work in the physician practice area. Risk managers can use it to conduct                 http://www.premierinc.com/all/safety/
                                                         an on-site survey of a practice for auditing purposes and also as a                      publications/02-05-downloads/13-
                                                         baseline tool to develop additional checklist items. Key areas covered in                physician-office-toolkit-sample.pdf,
                                                         the tool kit include principles of documentation; what to report to the                  and the complete kit can be
                                                         insurance claims representative; medical practice office systems risk                    purchased at
                                                         prevention strategies; qualities of effective patient relations for office               http://www.ashrm.org/ashrm/resourc
                                                         staff; and risks and strategies related to effective telephone                           es/products.html#toolkits.
                                                         communication. The tool kit also can be used as a pre-assessment tool
                                                         to identify potential risk areas. The tool kit contains Adobe Acrobat® and
                                                         PowerPoint® files.


February   2005 Patient Safety    Health information     Health information managers are directly involved in clinical quality                    To read the complete article, go to:
                                  manager role in        issues and outcomes through quality management programs, according                       http://library.ahima.org/xpedio/group
                                  patient safety         to the January practice brief titled, "The HIM Role in Patient Safety and                s/public/
                                                         Quality of Care." Issued by the American Health Information
                                                         Management Association, the document discusses the legal and
                                                         regulatory environment, data standards, and return on investment in
                                                         technology. Health Information Managers also affect quality through
                                                         improved medical record documentation, accurate coding, and index
                                                         integrity. The author concludes that the health information managers'
                                                         ability to affect patient safety is great, particularly through data reporting.
                                                         As the coordinators of data quality, the health information managers are
                                                         the "overseers" of consistent and accurate quality data.




             Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety
                                                                                                               Premier Safety Share




  Month    Year    Topic by Tab           Tool                                            Description                                   IHI                  Location
                                                                                                                                        Tool
January    2005 Patient Safety    Safety Share toolkit     One of the special resources developed from past issues of Safety                   documents/ahima/pub_bok1_02548
                                                           Share is an archive of all safety tools published in the monthly                    7.html.
                                                           newsletter. The resources are organized in an Excel® spreadsheet, with
                                                           descriptions of each tool and where they can be accessed. The
                                                           spreadsheet is categorized by topic and includes many tools that are
                                                           available from the Institute for Healthcare Improvement. These are listed
                                                           separately as well as included under each pertinent topic.


December   2004 Patient Safety    Preventing               A free copy of the book, "Preventing Occupational Exposures to                      Order free copies of the book from
                                  Occupational             Bloodborne Pathogens," a collection of articles from Advances in                    the Premier Safety Store at:
                                  Exposures to             Exposure Prevention (1994 to 2003), is available from the Premier                   http://www.premierinc.com/all/safety/
                                  Bloodborne               Safety Store. This 235-page book is edited by Jeannie Jagger and Jane               store/
                                  Pathogens                Perry from the International Healthcare Worker Safety Center at the
                                                           University of Virginia.
December   2004 Patient Safety    First, Do No Harm™,                                                                                          For ordering and more information,
                                  Part 3: Healing                                                                                              go to: www.p4ps.org.
                                  Lives, Changing
                                  Cultures
November   2004 Patient Safety    Guiding Principles       The National Diabetes Education Program (NDEP) has two new                          Obtain the booklets at the following
                                  for Diabetes Care; 4     evidence-based publications for healthcare providers and patients. The              addresses:
                                  Steps to Control         first helps providers identify people with pre-diabetes and undiagnosed             http://www.premierinc.com/all/safety/
                                  Your Diabetes for Life   diabetes, and provide patient-centered care. The second booklet                     publications/11-04-downloads/06-
                                                           complements the first and is for people with diabetes. It helps healthcare          guide-prin-hc-eng.pdf;
                                                           providers educate patients about self-care principles and how to be                 http://www.premierinc.com/all/safety/
                                                           active partners in their own care.                                                  publications/11-04-downloads/07-4-
                                                                                                                                               steps.pdf


October    2004 Patient Safety    Guidance for Using       Using the AHRQ Inpatient Quality Indicators or Patient Safety Indicators
                                  the AHRQ Quality         to report on hospital quality or make payment decisions are discussed in
                                  Indicators for           a new guide. AHRQ's Quality Indicators are measurement tools that
                                  Hospital-Level Public    were developed by AHRQ and researchers to help individual hospitals
                                  Reporting or Payment     use their own discharge data to better understand and improve the care
                                                           they provide.


October     2004 Patient Safety   Look alike/Sound         The JCAHO has updated its frequently asked questions (FAQs) on the                  http://www.jcaho.org/accredited+org
                                  alike drug list          2005 NPSGs and included a new look-alike/sound alike drug list.                     anizations/patient+safety/05+npsg/0
                                                                                                                                               5_npsg_faqs.htm
October    2004 Patient Safety    Rationale and        This document provides insight into how surveyors will be interpreting                  http://www.premierinc.com/all/safety/
                                  Interpretive         the goals next year.                                                                    publications/10-04-downloads/11-
                                  Guidelines" for the                                                                                          npsg-guidelines-09-04.pdf
                                  2005 National
                                  Patient Safety Goals


August      2004 Patient Safety   Measuring Safety         This conference brought together a diverse group of medication safety               To learn more about this or past
                                  with Smart IV            leaders from nursing, pharmacy and technology to explore the newest                 conferences,
                                  systems                  generation of medication safety technology – designed to help prevent               http://my.premierinc.com/all/safety/p
                                                           infusion programming errors and to collect data on IV delivery practices.           ublications/08-04-downloads/09-
                                                           The specific focus of this conference was using the data the technology             alaris-conf-grid4.doc
                                                           yields as a road map for process improvement at hospitals




             Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety
                                                                                                            Premier Safety Share




  Month   Year    Topic by Tab           Tool                                          Description                                   IHI                  Location
                                                                                                                                     Tool
July       2004 Patient Safety   Pay-for-performance The database is intended to raise awareness among healthcare                           The Leapfrog Compendium can be
                                 programs            purchasers, providers and plans to improve care quality. The Leapfrog                  freely accessed at
                                                     Compendium documents and categorizes financial and non-financial                       http://www.leapfroggroup.org/ircomp
                                                     programs, such as those that reward providers with quality bonuses,                    endium.htm.
                                                     and those that reward providers with public recognition. Incorporated are
                                                     the Leapfrog standards of computerized physician order entry, evidence-
                                                     based hospital referrals and hospital intensivist programs. The site can
                                                     be searched by state for programs targeting hospitals, physicians,
                                                     consumers and health plans, or it can be searched from a nationwide list.



July       2004 Patient Safety   Measurement guide       Hospital flow can be measured at five levels: patient and community;         √     http://www.ihi.org/IHI/Topics/Flow/P
                                 for hospital flow       hospital throughput; hospital activity; hospital performance; and unit             atientFlow/EmergingContent/Hospita
                                 patterns                performance. Each level provides a portion of the total measurement                lFlowMeasurementGuide.htm
                                                         picture. Use this guide to learn how to measure data in these key areas
                                                         to help you improve patient flow.


June       2004 Patient Safety   Patient Safety: Your    The National Patient Safety Foundation (NPSF) has a brochure and                   Purchase information at:
                                 Role in Making          companion video entitled "Patient Safety: Your Role in Making                      http://www.mederrors.org/Merchant2
                                 Healthcare Safer        Healthcare Safer." It was created to help patients become more involved            /merchant.mv?Screen=SFNT&Store
                                                         in their healthcare safety. The companion video will help supplement               _Code=NO
                                                         and reinforce the safety message with patients. The brochure and video
                                                         are part of the National Patient Safety Foundation's Stand up for Patient
                                                         Safety campaign, which is designed to help patients learn practical ways
                                                         to help ensure their safety in both inpatient and outpatient settings.



June       2004 Patient Safety   Five steps to patient   The poster, available in English and Spanish, succinctly describes the             http://my.premierinc.com/all/safety/p
                                 safety                  five steps patients can take to ensure safer care.                                 ublications/06-
                                                                                                                                            04_full_txt.htm#Safety_tools
June       2004 Patient Safety   Designing the 21st      The webcast features researchers, design professionals, and hospital               http://www.rwjf.org/news/hospitaldes
                                 Century Hospital:       leaders presenting and discussing how hospitals of the future should be            ign
                                 Serving Patients and    built, organized, and managed to maximize patient safety and outcomes
                                 Staff                   and improve staff performance and satisfaction. Featured are up-to-the-
                                                         minute evidence-based design concepts for healthcare buildings. With
                                                         an anticipated $20 billion in new hospital construction and major
                                                         renovations projected annually for the next decade, the central question
                                                         of the conference was how hospitals' physical design, operating
                                                         systems, and "corporate culture" affect patients, staff, and hospitals'
                                                         bottom line.


May       2004 Patient Safety    Preventing              A new NIOSH Alert is meant to increase healthcare worker awareness                 http://www.premierinc.com/all/safety/
                                 Occupational            about the health risks when working with hazardous drugs. The alert                publications/05-04-downloads/11-
                                 Exposures to            also is intended to educate workers on the steps they can take to                  2004-hazdrug-alert.pdf
                                 Antineoplastic and      protect their health. ―Preventing Occupational Exposures to
                                 other Hazardous         Antineoplastic and other Hazardous Drugs in healthcare Settings‖ may
                                 Drugs in healthcare     be downloaded in prepublication form. Pharmaceutical agents are
                                 Settings                classified as hazardous drugs if research indicates that they may cause
                                                         cancer, have developmental or reproductive toxicity, or harm organs in
                                                         exposure at low doses.




            Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety
                                                                                                                 Premier Safety Share




   Month    Year    Topic by Tab            Tool                                           Description                                   IHI                 Location
                                                                                                                                         Tool
May         2004 Patient Safety     JCAHO tips -           Suggestions on how to comply with the National Patient Safety Goal                   http://www.premierinc.com/all/safety/
                                    Compliance with        related to dangerous abbreviations are now available from the JCAHO.                 publications/05-04-downloads/10-
                                    prohibited                                                                                                  implementation-tips.doc
                                    abbreviations
May         2004 Patient Safety     Prevention of wrong-   The Ohio Hospital Association and Patient Safety Institute have                      http://www.premierinc.com/all/safety/
                                    site, wrong-patient,   developed a surgical protocol (232 KB) to help Ohio providers prevent                publications/05-04-downloads/08-
                                    wrong-procedure        the incidence of wrong-site; wrong-patient and wrong-procedure                       ohio-surgical-protocol.pdf
                                    errors                 surgery. The protocol outlines three steps for caregivers to follow prior
                                                           to surgery: patient verification, marking of the surgical site and a "time-
                                                           out" before incision to conduct a final checklist.


April       2004 Patient Safety     The Tools and          A new Web site, "The Tools and Techniques of Improved Medication                     http://www.aahp.org/content/navigati
                                    Techniques of          Use," is intended for those in the healthcare community who design                   onmenu/medcollab/medcollab.htm
                                    Improved Medication    medication safety programs and/or seek information to enhance existing
                                    Use                    patient safety efforts.
April       2004 Patient Safety     Drugs @ FDA            A new easy-to-use Web site to help consumers and health professionals                http://www.accessdata.fda.gov/script
                                                           find information about FDA-approved drug products more quickly and                   s/cder/drugsatfda/
                                                           efficiently. The new interface, Drugs @ FDA, is a searchable database
                                                           that includes information on approved prescription drugs, some over-the-
                                                           counter drugs, and discontinued drugs.


April       2004 Patient Safety     Nurse Advise-ERR       A peer-reviewed newsletter published by the Institute for Safe                       Register at
                                                           Medication Practices (ISMP), Nurse Advise-ERR (February, 2004),                      www.ismp.org/NursingArticles/index.
                                                           addresses issues such as mixing up IV lines while setting up or                      htm
                                                           programming a multiple-channel IV pump, the risks of leaving an
                                                           unnecessary intra-arterial line in place, a list of high-alert medications,
                                                           and questions to use when evaluating infusion pumps. Nurse Advise-
                                                           ERR, a medication safety newsletter written especially for nurses by
                                                           nurses, is offered free for the remainder of 2004.


April       2004 Patient Safety     Patient                The Institute for Family Centered Care has produced a number of useful               http://www.familycenteredcare.org/
                                    representative on      resources to support the involvement of patients on hospital/healthcare
                                    safety committee       advisory committees and boards. These resources have been
                                                           developed from the experiences of many hospitals/healthcare facilities
                                                           and the patients, family members and community representatives who
                                                           have worked with them.
March       2004 Patient Safety     Hospital e-tool        OSHA’s Hospital e-tool is a Web-based training tool for safety and                   http://www.premierinc.com/all/safety/
                                                           health hazard assessments in hospitals that provides a virtual hospital              resources/needlestick/resources.htm
                                                           using graphics and visual assists for learning.                                      l#OSHA
March       2004 Patient Safety     Quick Takes            A free electronic bi-monthly newsletter produced by OSHA to inform the               http://www.premierinc.com/all/safety/
                                                           public about recent OSHA activities.                                                 resources/needlestick/resources.htm
                                                                                                                                                l#OSHA
 February   2004   Patient Safety   Internal Bleeding:     This book includes stories of all types of medical errors such as wrong              The book can be purchased from
                                    The Truth Behind       patient cases, judgment calls gone awry, and retained sponges. The                   Rugged Land at
                                    America's Terrifying   analysis of the causes of errors leads to their suggestions of what                  http://www.ruggedland.com.
                                    Epidemic of Medical    providers, patients, policymakers, and healthcare leaders need to do to
                                    Mistakes               cure this epidemic. The 320-page hardcover book includes an extensive
                                                           bibliography and 40 pages of footnotes.




              Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety
                                                                                                                Premier Safety Share




  Month     Year    Topic by Tab             Tool                                          Description                                   IHI                  Location
                                                                                                                                         Tool
 February   2004   Patient Safety   Checklist -            Tips for conducting a self-evaluation of compressed gas and cylinder                 http://www.premierinc.com/all/safety/
                                    Compressed gas         safety. The article includes a checklist of 10 questions addressing                  publications/02-04-downloads/09-
                                    safety                 proper storage, use, and handling of compressed gas cylinders to                     oregon-OSHA-checklist.doc
                                                           prevent associated hazards such as oxygen displacement, fires,
                                                           explosions, and toxic exposure.
January     2004   Patient Safety   Fire safety tips       The National Fire Protection Association (NFPA) provides information                 http://www.premierinc.com/all/safety/
                                                           on how to interface elevators and fire alarm systems. The information                publications/01-04-downloads/08-
                                                           ensures safe emergency operation of modern elevators that meet                       interfacing-elevators-fire-alarms.doc
                                                           requirements under NFPA and American Society of Mechanical
                                                           Engineers codes.
January     2004   Patient Safety   Fire safety tips       Safety tips for preventing hospital bed fires, the safety recommendations            http://www.premierinc.com/all/safety/
                                                           apply to both electrically powered and manual healthcare beds, as well               publications/01-04-downloads/07-
                                                           as adjustable medical beds. Some of the initial safety-check suggestions             FDA-bedfires-12-18-03.pdf
                                                           involve simple observations.
January     2004 Patient Safety     Governance, Quality    Through interviews, narration and a viewer's guide, the program                      The video can be purchased for
                                    and Safety: The        highlights actions that trustees can take to improve patient safety within           $275 using order code V02/03AAH.
                                    Impact of Joint        their organizations. This video can also aid orientation efforts for new             To order, call Joint Commission
                                    Commission             trustees while reinforcing current trustees' understanding of their role in          Resources (JCR) Customer Service
                                    Accreditation on       creating an organizational culture that focuses on patient safety.                   at 877.223.6866 weekdays from 8
                                    Health Care Delivery                                                                                        a.m. to 8 p.m. CT, or visit Infomart
                                                                                                                                                on the JCR Web site at:
                                                                                                                                                www.jcrinc.com.


December    2003 Patient Safety     Healthy Hospitals:     The report offers tips and resources for how hospitals can manage                    http://my.premierinc.com/all/safety/p
                                    Controlling Pests      pests while also protecting the health of people and the environment.                ublications/12-03-downloads/11-
                                    Without Harmful                                                                                             pesticides.pdf
                                    Pesticides
December    2003 Patient Safety     Magnetic resonance     The paper is an educational tool designed to provide consensus-based,                http://my.premierinc.com/all/safety/p
                                    safety                 valid and medically credible information and features detailed, useful               ublications/12-03-
                                                           checklists.                                                                          downloads/12_MR-safety.pdf
November    2003 Patient Safety     Conversations          A resource guide designed to help the elderly and their children start               http://www.premierinc.com/all/safety/
                                    Before the Crisis      discussions about end-of-life wishes before an unexpected illness                    publications/11-03-downloads/08-
                                                           arises. The booklet is geared toward the elderly and children of the                 crisis-convo.pdf
                                                           aging, and includes a resources list with helpful books and Web sites.



November    2003 Patient Safety     Strategies for         A resource folder designed to help hospitals communicate with patients               http://www.premierinc.com/all/safety/
                                    Leadership:            and families.                                                                        publications/11-03-downloads/10-
                                    Improving                                                                                                   pcp-english.pdf
                                    Communications
                                    with Patients and
                                    Families
October     2003 Patient Safety     Epidemiology and    The Pink Book – ―Epidemiology and Prevention of Vaccine Preventable                     The book is available for download
                                    Prevention of       Diseases,‖ the 7th edition from 2002, is now in its second printing.                    or purchase at
                                    Vaccine Preventable                                                                                         http://www.cdc.gov/nip/publications/
                                    Diseases                                                                                                    pink/default.htm

October     2003 Patient Safety     The Pocket Guide to This guide is intended to remind providers to deliver appropriate                       The guide is available in English at
                                    Good Health for     preventive services while involving patients directly in their preventive               http://www.ahrq.gov/ppip/adguide/
                                    Adults              care. It includes recommendations on screening tests and
                                                        immunizations, questions for patients to ask health care providers, and
                                                        resources for additional information.


              Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety
                                                                                                               Premier Safety Share




  Month     Year   Topic by Tab            Tool                                           Description                                    IHI                  Location
                                                                                                                                         Tool
September   2003 Patient Safety    The Failure Modes      The Failure Modes and Effects Analysis (FMEA) tool is a method for              √     http://www.qualityhealthcare.org/.
                                   and Effects Analysis   analyzing any process to see where it is likely to fail; to see how
                                   (FMEA)                 changes you are considering might affect the safety of the process; and
                                                          to track changes in the Risk Priority Number (or RPN) of the process
                                                          over time.
September   2003 Patient Safety    The Trigger Tool for   The Trigger Tool for Measuring Adverse Drug Events (ADEs),                      √     http://www.ihi.org/IHI/Topics/Patient
                                   Measuring Adverse      developed with Premier, is a simple yet powerful method of identifying                Safety/MedicationSystems/Tools/
                                   Drug Events (ADEs)     and tracking the number of medication errors in your hospital – using a
                                                          retrospective review of patient records to look for sentinel clues or
                                                          "triggers" that indicate a medication error has occurred.


September   2003 Patient Safety    Learning from Each The award recognizes excellence in graphic design, editorial content,                     http://www.premierinc.com/all/safety/
                                   Other: Success        and the ability to achieve overall communications excellence.                          publications/09-03_downloads/08-
                                   Stories and Ideas for                                                                                        learning-from-each-other.pdf
                                   Reducing
                                   Restraint/Seclusion
                                   in Behavioral Health



September   2003 Patient Safety    Quality Colloquium     Sessions on patient safety officer training, along with general                       The CD-ROMs can be purchased at
                                   conference at          conference sessions on error reduction and quality enhancements; the                  http://www.qualitycolloquium.com/.
                                   Harvard University     role of technology; informatics; competition for quality and six sigma
                                                          process improvement.
September   2003 Patient Safety    Flu Gallery            This season's flu campaign emphasizes protecting yourself and the ones                http://www.cdc.gov/nip/flu/gallery.ht
                                                          you love by getting a flu vaccine. You'll find materials for parents,                 m
                                                          Spanish speakers, those at high risk for flu complications, and
                                                          immunization providers. Materials are free and can be downloaded
                                                          easily.
August      2003 Patient Safety    The Priority Focus     The fourth installment of the Joint Commission's free video information               To view this video, go to:
                                   Process and Tracer     series, "The Priority Focus Process and Tracer Methodology". The five                 http://www.jcaho.org/accredited+org
                                   Methodology            to seven-minute videos highlight the key components of the new                        anizations/svnp/svnp_video.htm
                                                          accreditation process.

August      2003 Patient Safety    Resource for PCA       The ISMP Medication Safety Alert's a two-part series on PCA pumps.                    http://www.premierinc.com/all/safety/
                                   pumps                                                                                                        publications/08-
                                                                                                                                                03_downloads/09_ISMP_PCA_pum
                                                                                                                                                psafety_07-03.doc
August      2003 Patient Safety    5 Steps to Safer       Posters and fact sheets providing tips to help patients avoid errors                  http://www.premierinc.com/all/safety/
                                   Healthcare             related to prescription medicines, laboratory tests, procedures and                   publications/08-03_downloads/10_5-
                                                          surgery                                                                               steps.pdf
July        2003 Patient Safety    Surgical Site          QHC requires free registration to access all tools. The site will include       √     All materials are available at:
                                   Infection Tools        results from teams that participated in the collaborative, as well as tools,          http://www.qualityhealthcare.org/QH
                                                          such as forms, policies and order sets.                                               C/
                                                                                                                                                Topics/PatientSafety/SurgicalSiteInf
                                                                                                                                                ections/
July        2003 Patient Safety    The Effect of Health Evidence in the scientific literature to make specific recommendations                  http://my.premierinc.com/all/safety/p
                                   Care Working          about these strategies for improving patient safety.                                   ublications/07-
                                   Conditions on                                                                                                03_downloads/11_AHRQ_worksum.
                                   Patient Safety Report                                                                                        pdf




              Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety
                                                                                                            Premier Safety Share




   Month   Year   Topic by Tab             Tool                                        Description                                 IHI                  Location
                                                                                                                                   Tool
June       2003 Patient Safety    Your Medicine: Play   To help consumers use prescription medicines safely.                              http://www.ahrq.gov/consumer/safe
                                  It Safe                                                                                                 meds/safemeds.htm for the English
                                                                                                                                          version,
                                                                                                                                          http://www.ahrq.gov/consumer/safe
                                                                                                                                          medsp/safemedsp.htm for the
                                                                                                                                          Spanish version.
June       2003 Patient Safety    IHI’s global online   Improving access in the office practice                                     √     http://www.QualityHealthCare.org
                                  improvement
                                  resource

June       2003 Patient Safety    Standing Orders       A collaborative effort to improve influenza vaccination rates                     http://www.ama-
                                                                                                                                          assn.org/ama/pub/article/2403-
                                                                                                                                          7702.html

May        2003 Patient Safety    SARS Triage Tools     Tools for rapid assessment of a patient who may present with one or               These algorithms and a ―stop‖ sign
                                                        more symptoms suggestive of SARS                                                  that can be printed and used in
                                                                                                                                          these settings – if this becomes
                                                                                                                                          necessary – are available on
                                                                                                                                          Premier’s Emergency and Public
                                                                                                                                          Health Preparedness site.


May        2003 Patient Safety    Trigger Tool for      The trigger tool measures adverse drug events and provides                  √     http://www.qualityhealthcare.org/QH
                                  Measuring Adverse     instructions for conducting a retrospective review of patient records             C/Topics/PatientSafety/MedicationS
                                  Drug Events (ADEs)    using triggers to identify possible ADEs.                                         ystems/Tools/Trigger+Tool+for+Mea
                                                                                                                                          suring+Adverse+Drug+Events+(IHI+
                                                                                                                                          Tool).htm
April      2003 Patient Safety    First, Do No Harm     Case studies and safety responses                                                 http://my.premierinc.com/all/safety/st
                                                                                                                                          ore/P4PS_video_form.doc
April      2003 Patient Safety    National Quality      The site enables searching for measures by specific disease, treatment,           http://www.qualitymeasures.ahrq.go
                                  Measures              age range, gender, and a variety of other topics. The clearinghouse also          v/
                                  Clearinghouse™        permits side-by-side comparative measurements that identify which will
                                                        best work for a given organization.

March      2003 Patient Safety    Pathways for          A set of tools designed to reduce medication errors and help hospitals            http://my.premierinc.com/all/safety/p
                                  Medication Safety     take a system-based approach to address such errors.                              ublications/03-
                                                                                                                                          03_downloads/11_extraordinary.pdf

March      2003 Patient Safety    Wrong-site surgery    Recommendations for eliminating as well as managing the discovery of              http://my.premierinc.com/all/safety/p
                                  checklist             a wrong-site surgery.                                                             ublications/03-
                                                                                                                                          03_downloads/11_extraordinary.pdf

February   2003 Patient Safety    Perspectives on       The report is devoted entirely to JCAHO'S 2003 National Patient Safety            http://my.premierinc.com/all/safety/p
                                  Patient Safety        Goals and provides practical advice and tips for meeting those goals.             ublications/02-
                                                                                                                                          03_downloads/13_ps_01-03.pdf
February   2003 Patient Safety    Web M & M (Web        A new online peer-reviewed journal to showcase patient safety lessons             http://www.webmm.ahrq.gov/
                                  Morbidity and         drawn from actual cases of medical errors. The journal is designed to
                                  Mortality),           educate healthcare providers about medical errors in an engaging,
                                                        blame-free environment.




             Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety
                                                                                                             Premier Safety Share




  Month    Year   Topic by Tab            Tool                                          Description                                   IHI                  Location
                                                                                                                                      Tool
January    2003 Patient Safety    Pathways for           A set of tools designed to reduce medication errors and help hospitals              http://www.medpathways.info/
                                  Medication Safety      take a system-based approach to address such errors

January    2003 Patient Safety    www.orprecautions.c The site provides safety resources, injury and exposure data, industry                 http://www.orprecautions.com/
                                  om                  information, information about the Needlestick Safety Act, and
                                                      convenient links to much more OR safety information.
January    2003 Patient Safety    Veterans’              Tools to help reduce the potential for entrapment in hospital bed                   http://my.premierinc.com/all/safety/p
                                  Administration guide   systems.                                                                            ublications/01-
                                  on bed safety zones                                                                                        03_downloads/12_VHA_bed_entrap
                                                                                                                                             ment.pdf
January    2003 Patient Safety    Sample OR guides -     Increased attention to medical errors and patient safety as they relate to          http://my.premierinc.com/all/safety/p
                                  Veterans'              correct surgery sites is leading institutions to develop guides and other           ublications/01-
                                  Administration         instructional materials to help reduce such errors.                                 03_downloads/12_VHA_bed_entrap
                                                                                                                                             ment.pdf,
                                                                                                                                             http://my.premierinc.com/all/safety/p
                                                                                                                                             ublications/01-
                                                                                                                                             03_downloads/14_CorrSurgPt.pdf,
                                                                                                                                             http://my.premierinc.com/all/safety/p
                                                                                                                                             ublications/01-
                                                                                                                                             03_downloads/14_CorrSurgPt.


December   2002 Patient Safety    First, Do No Harm      Takes the dialog within the patient safety movement to new levels                   http://www.fdnh.com/
                                  Part 2: Taking the
                                  Lead
December   2002 Patient Safety    AHRQ WebM&M            Peer-reviewed, Web-based medical journal to showcase patient safety                 http://www.webmm.ahrq.gov/
                                  (Morbidity and         lessons drawn from actual cases of medical errors.
                                  Mortality Rounds on
                                  the Web)




December   2002 Patient Safety    Physician drug e-      It organizes the technology into four categories based on function: (1)             http://my.premierinc.com/all/safety/p
                                  prescribing            electronic drug references, (2) e-prescribing solutions, (3) integrated             ublications/12-
                                                         drug references and formulary tools, and (4) integrated electronic                  02_downloads/07_improv_drug_pre
                                                         medical records and e-prescribing systems.                                          scrib.pdf

November   2002 Patient Safety    Role of the Patient    Valuable tips on how patients can choose "advocates" to look out for                http://my.premierinc.com/all/safety/p
                                  Advocate               their best healthcare interests                                                     ublications/11-
                                                                                                                                             02_downloads/08_nspf.pdf
November   2002 Patient Safety    OR design tools       This site includes details of the design process, infection control and              http://www.ordesignandconstruction.
                                                        case studies.                                                                        com/
October    2002 Patient Safety    Preventing Infections Provides patients with helpful principles for managing their healthcare              http://www.npsf.org/download/Preve
                                  in the Hospital —     and becoming an active partner with their healthcare team through                    ntingInfections.pdf
                                  What You as a         infection prevention
                                  Patient Can Do

October    2002 Patient Safety    Let's Talk             Step-by-step instructions on how to disclose medical errors, why                    http://www.npsf.org/htm/prevent_infe
                                                         disclosure is important, and how open communication can strengthen                  ctions.html
                                                         the patient-provider relationship are some of the subjects on the video.




             Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety
                                                                                                               Premier Safety Share




  Month     Year   Topic by Tab            Tool                                          Description                                  IHI                  Location
                                                                                                                                      Tool
October     2002 Patient Safety    Videotapes: Patient, Case studies of successful safety programs                                           Case studies of successful safety
                                   worker, environment                                                                                       programs –Order from Premier
                                   and medication safety                                                                                     Safety Institute online Safety Store.



September   2002 Patient Safety    Resources to reduce The materials outline methods for reducing errors in pediatric medicine.              http://66.77.20.158/ahrq/childhealth
                                   pediatric medicine                                                                                        webconf/
                                   errors
September   2002 Patient Safety    Air mattress dangers A recent study cautions doctors that air mattresses used in hospitals,               http://my.premierinc.com/all/safety/p
                                                        nursing homes, and home care can have deadly consequences for                        ublications/09-
                                                        some patients                                                                        02_downloads/08_Air_mattresses_a
                                                                                                                                             bstract.doc
September   2002 Patient Safety    Web-based safety       The Web notification will disseminate device-related safety information            http://www.fda.gov/cdrh/safety.html#
                                   notification program   useful to healthcare providers but inappropriate for the FDA’s existing            web
                                                          notifications.
September   2002 Patient Safety    American Society of    A new survey indicates that larger hospitals reporting a shortage of               http://my.premierinc.com/all/safety/p
                                   Anesthesiologists      anesthesiologists are also delaying elective surgery and limiting access           ublications/09-
                                   survey                 to operating rooms                                                                 02_downloads/09_ASA_07-30-
                                                                                                                                             02.doc
August      2002 Patient Safety    Radiation safety       An excellent resource for radiation information and training                       http://www.orau.gov/reacts/define.ht
                                   basics                                                                                                    m
July        2002 Patient Safety    ED delays              Hospital emergency departments (EDs) are the source of more than 50                http://www.jcaho.org/about+us/news
                                                          percent of all reported cases of patient death or permanent injury due to          +letters/sentinel+event+alert/index.h
                                                          delays in treatment                                                                tm




June        2002 Patient Safety    Medication Safety      Institute for Safe Medication Practices (ISMP) offers six tips to reduce           http://my.premierinc.com/all/safety/p
                                   Alert - May 29, 2002   the risk of overdoses from patient- controlled analgesia (PCA) by proxy.           ublications/06-
                                                          Tips include selection criteria, protocols, monitoring, and education.             02_downloads/05_36_2002_niosh_v
                                                                                                                                             entilation_139.pdf

June        2002 Patient Safety    Reducing Medication More than 40 nationally recognized safety experts sharing their                       "Reducing Medication Errors," one
                                   Errors              strategies for successful programs on patient safety, prevention of                   of a four-part videotape series titled
                                                       medication errors, and occupational and environmental safety.                         "Safety Issues in Healthcare,"s is
                                                                                                                                             available from the Safety Institute's
                                                                                                                                             Safety Store.


June        2002 Patient Safety    Quality of Health      The book describes the state of healthcare in the United States by                 http://my.premierinc.com/all/safety/p
                                   Care in the United     examining medical mistakes, substandard care for chronic conditions,               ublications/06-
                                   States: A Chartbook    disparities in care, and the lack of preventive care.                              02_downloads/02_quality_care_US_
                                                                                                                                             status_rpt.pdf

June        2002 Patient Safety    Crossing the Quality   The manual summarizes the report’s themes for improvements in the                  http://my.premierinc.com/all/safety/p
                                   Chasm                  U.S. healthcare system using a four-level framework: patients’                     ublications/06-
                                                          experiences; functioning of small units of care delivery; functioning of           02_downloads/03_IOM2_manual.pdf
                                                          the organizations that support microsystems; and the

June        2002 Patient Safety    Nursing Home           A pilot Web site that lists health deficiencies for nursing homes that             http://www.medicare.gov/
                                   Compare                have been filed, examined, and confirmed following complaints.



              Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety
                                                                                                         Premier Safety Share




 Month   Year   Topic by Tab            Tool                                        Description                                 IHI                  Location
                                                                                                                                Tool
May      2002 Patient Safety    How to Protect        The brochure outlines specific steps for preventing medication errors,           http://my.premierinc.com/all/safety/p
                                Yourself and Your     wrong-site surgery, and infections                                               ublications/05-
                                Family from Medical                                                                                    02_downloads/12_AHRQ_Protect_Y
                                Errors                                                                                                 ourself_Family.doc




May      2002 Patient Safety    Ways to Help Your     A patient fact sheet with 20 tips on preventing medical errors and a             http://my.premierinc.com/all/safety/p
                                Family Prevent        family-oriented brochure                                                         ublications/05-
                                Medical Errors                                                                                         02_downloads/13_AHRQ_Patient_F
                                                                                                                                       act_Sheet_20-Tips.doc




           Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Patient Safety
                                                                                                          Premier Safety Share




                                                                                                                                   IHI
  Month    Year   Topic by Tab           Tool                                        Description                                   Tool                Location




                                                      Audio files and slides are available from a recent Premier webcast that
                                                      describes how hospitals can bring their organizations into compliance
                                                      with current EPA hazardous waste regulations and Joint Commission
                                                      requirements while preparing for future disposal restrictions. Increasing
                                                      national interest in a sustainable environment has accelerated the
                                                      healthcare industry's attention to waste management and recycling
                                                      practices. Among those challenges in waste management and recycling
                                                      is safe disposal of leftover medications, antibiotics, and other chemicals
                                                      that may find their way into our drinking water and food chain. Premier
                                                      hosted a public webcast titled ―Implementing a pharmacy waste
                                                      management system‖ to understand the problem of pharmaceutical
                                                      waste and suggest solutions and tips on how to separate, label and
                                                      dispose of common chemicals and drugs. Charlotte Smith, president of
                                 Implementing a       PharmEcology Associates, LLC, presented the topic, noting that                      http://www.premierinc.com/quality-
                Pharmaceutical   pharmaceutical       managing pharmaceutical waste is becoming a nationwide issue, and                   safety/tools-
                Waste            waste management     highlighted the impact on the ecosystem from disposal of leftover drugs             services/safety/news/2007/11/Phar
December   2007 Management       system               through flushing and landfilling.                                                   maSafetyStory_11162007.jsp


                                                      A standardized hazardous waste manifest form that must be used by all
                                                      hazardous waste generators and treatment, storage, and disposal                     More information on the Uniform
                                                      facilities to track waste's progress from generation to disposal is                 Hazardous Waste Manifest,
                                                      available from the U.S. Environmental Protection Agency (EPA).                      including a list of printers approved
                                                      Handlers of waste (generators, or treatment, storage or disposal                    by EPA to supply the new form and
                                                      facilities) must obtain the new forms from any source that has been                 state requirements for use of the
                Pharmaceutical                        approved for printing and distribution by the EPA Manifest Registry.                new form, can be found at:
                Waste            Uniform Hazardous    Some states have additional requirements regarding the use of the new               http://www.epa.gov/epaoswer/hazw
Oct        2006 Management       Waste Manifest       Uniform Hazardous Waste Manifest.                                                   aste/gener/manifest/
                                                      The document, "Managing Pharmaceutical Waste: A 10-Step Blueprint,"
                                                       is designed to help hospitals develop and implement a comprehensive
                                                      pharmaceutical hazardous waste management program. The plan
                                 Managing             combines regulatory compliance and best management practices with                   http://www.premierinc.com/quality-
                Pharmaceutical   Pharmaceutical       waste minimization while minimizing risk in a cost effective manner. It is          safety/tools-services/safety/safety-
                Waste            Waste: A 10-Step     organized to permit using the steps as needed, and not necessarily                  share/06-06-downloads/13-h2e-
June       2006 Management       Blueprint            consecutively.                                                                      pharma-blueprint-04-15-06.pdf




             Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Pharmaceutical Waste Management
                                                                                                            Premier Safety Share



                                                                                                                                    IHI
  Month     Year   Topic by Tab           Tool                                         Description                                  Tool                Location




                                                         Hospitals for a Healthy Environment (H2E) hosted a March 11
                                                         teleconference on disposal of chemotherapeutic wastes. Presenters
                                                         from a waste consultancy and H2E offered an overview of proper
                                                         chemotherapeutic waste segregation, treatment, and minimization
                                                         techniques to reduce the safety, health, and environmental impacts of
                                                         managing this hazardous waste stream. The conference included
                                                         education on safest practices, with the understanding that many
                                                         chemotherapeutic agents in use today are not regulated under
                                                         Environmental Protection Agency's (EPA) Resource Conservation and                 Teleconference materials are at
                                                         Recovery Act, but should be included from a safety and health                     http://www.h2e-
                                                         perspective. H2E as provided six free Microsoft® Excel spreadsheets to            online.org/events/teleconf/molydesc
                                                         help hospitals collect and manage waste data (solid waste, solid waste            .cfm?Date=2005-03-11&t. at
                                                         recyclables, hazardous waste, hazardous waste recyclables, infectious             http://www.hercenter.org/wms.html
                                  H2E resources -        waste and general facility information). The bottom half of the                   to access the H2E Waste
                 Pharmaceutical   Chemo conference;      spreadsheet contains basic data and the top half of the spreadsheet               Management System and receive
                 Waste            waste disposal         does the calculations. Users register and then receive a notice if the            updates about the tool.
May         2005 Management       management tools       database is updated.


                                                         The Environmental Protection Agency (EPA) has new guidance about
                                                         how the general public should handle used syringes/needles and other
                                                         sharps generated at home or other non-healthcare locations. The
                                                         guidance suggests that syringe users dispose of used syringes in ways
                                                         that keep the sharps out of the general trash, with a goal of protecting
                                                         workers along the solid waste "stream" and at land fills. The new EPA
                                                         guidance is published in two brochures: Protecting Your Community
                                                         from Sharps: Options for Safe Disposal of Sharps and Protect Yourself,
                                  EPA guidance -         Protect Others: Safe Options for Needle Disposal.
                 Pharmaceutical   Safer needle, sharps                                                                                     http://www.premierinc.com/all/safet
                 waste            disposal in public                                                                                       y/publications/02-05-downloads/10-
February    2005 management       areas                                                                                                    med-govt.pdf
                                  Preventing
                                  Occupational
                                  Exposures to
                                  Antineoplastic and                                                                                       http://www.premierinc.com/all/safet
                 Pharmaceutical   Other Hazardous                                                                                          y/resources/pharma-
                 waste            Drugs in Healthcare                                                                                      waste/downloads/2004-
September   2004 management       Settings               NIOSH Alert on antineoplastic drugs                                               HazDrugAlert.pdf




              Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Pharmaceutical Waste Management
                                                                                                         Premier Safety Share




                                                                                                                                IHI
  Month    Year   Topic by Tab            Tool                                       Description                                Tool                Location




                                  The Guidance for
                                  Industry and FDA
                                  Staff: Frequently
                                  Asked Questions      The Food and Drug Administration's (FDA) Center for Devices and
                                  (FAQs) on the        Radiological Health (CDRH) has released a new FAQ on single-use
                                  Status of            devices. The document, titled, "The Guidance for Industry and FDA
                                  Reprocessed Single   Staff: Frequently Asked Questions (FAQs) on the Status of
                                  Use Devices (SUDs)   Reprocessed Single Use Devices (SUDs) that receive a Not
                                  that receive a Not   Substantially Equivalent (NSE) Letter," (.pdf) (140 KB) explains
                                  Substantially        instances in which a NSE letter pertains to a reprocessed SUD and               http://www.premierinc.com/all/safet
                Reuse of Single   Equivalent (NSE)     whether in-stock, reprocessed SUDs can be used once the reprocessor             y/publications/12-04-downloads/14-
December   2004 Use Devices       Letter               can no longer distribute the SUDs as a result of a NSE letter.                  sud-guidance-nse-ltr.pdf
                                                                                                                                       The CD-ROM is $475 for AAMI
                                                                                                                                       members and $655 for non-
                                                                                                                                       members. Contact AAMI at
                                                                                                                                       800.332.2264, Ext. 217, or visit
                Reuse of Single   AAMI sterilization                                                                                   http://aami.org and click on
July       2004 Use Devices       documents                                                                                            "marketplace."
                                                     Revised forms and instructions for voluntary and mandatory reporting to
                                                     MedWatch for healthcare facilities and others to use in reporting
                Reuse of Single   MedWatch reporting adverse events involving single-use medical devices that have been                http://www.fda.gov/medwatch/getfor
March      2004 Use Devices       forms              reprocessed for reuse.                                                            ms.htm


                                  An Overview of the
                                  Regulatory
                                  Requirements for
                                  Reprocessing of
                Reuse of Single   Single-Use Devices   A two-CD set that covers the regulatory requirements that a hospital            http://www.fda.gov/cdrh/reuse/reus
August     2002 Use Devices       by Hospitals         must meet if it reprocesses single-use devices (SUDs).                          e-important.shtml




             Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Reuse of Single Use Devices
                                                                                              Premier Safety Share




                                                                                                                                   IHI
  Month   Year   Topic by Tab           Tool                                         Description                                   Tool                Location




                                                     A new pamphlet being released by the CDC – Sharps Safety for
                                                     Healthcare Personnel – describes healthcare worker risk, how and
                                                     when injuries occur, how sharps safety devices reduce injuries, and the
                                                     importance of developing a "culture of safety" for sharps injury
                                                     prevention. This and other sharps injury prevention brochures are
                                                     publicly accessible on the Safety Institute Web site to assist frontline             http://www.premierinc.com/quality-
                                                     workers in selecting safety devices to evaluate for their institutions. The          safety/tools-
                                                     Web site also contains links to national lists of sharps safety products.            services/safety/topics/needlestick/d
               Sharps Injury    Sharps Safety for    A new addition to the available tools is the needlestick prevention                  ownloads/cdc-sharps-brochure-10-
October   2007 Prevention       Healthcare Personnel booklet for non-acute care.                                                          01-07.pdf


                                                       The U.S. Public Health Service has updated the recommendations for
                                                       the management of healthcare personnel (HCP) with occupational
                                                       exposure to blood and other body fluids that might contain human
                                                       immunodeficiency virus (HIV). Published in the September 30, 2005
                                                       Morbidity and Mortality Weekly Report (MMWR) , the recommendations
                                                       (.pdf) (267 KB) emphasize adherence to postexposure prophylaxis
                                                       (PEP) regimens when indicated, expert consultation in managing                     http://www.premierinc.com/all/safet
               Sharps Injury    HIV post-exposure      exposures, follow-up to improve HCP adherence to PEP, and                          y/publications/10-05-downloads/11-
October   2005 Prevention       prophylaxis            monitoring for adverse events, including seroconversion.                           hiv-rr5409.pdf


                                                  A resource book for healthcare organizations, clinicians and others
                                                  designed to make it easier to find sharps injury prevention, blood                      The Compendium is now available
                                                  exposure prevention and infection control products that can protect                     for immediate purchase as in e-
                                                  patients, healthcare workers and others. A cooperative effort from                      book. The printed version will be
                                                  medical device and infection control product manufacturers, the                         available in a few months. The
                                                  Compendium is sponsored by the Premier Safety Institute, ISIPS,                         price will be $129.95, but for a
                                                  Managing Infection Control Magazine, AOHP and NAPPSI. It will be                        limited time, a pre-publication price
                                                  published both as a printed book and as an e-book. In the printed book,                 of $89.95 is available. For more
                                The Compendium of each device is paired with a custom evaluation form to facilitate record                information, call 801.280.8797 or
               Sharps Injury    Infection Control keeping. The digital edition of the Compendium will have each product                   send an e-mail to
July      2005 Prevention       Technologies      linked directly to the Sample Procurement Center.                                       info@medicalsafetybook.com.




          Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Sharps Injury Prevention
                                                                                                 Premier Safety Share



                                                                                                                                       IHI
   Month   Year    Topic by Tab           Tool                                           Description                                   Tool                Location


                                                          The Environmental Protection Agency (EPA) has new guidance about
                                                          how the general public should handle used syringes/needles and other
                                                          sharps generated at home or other non-healthcare locations. The
                                                          guidance suggests that syringe users dispose of used syringes in ways
                                                          that keep the sharps out of the general trash, with a goal of protecting
                                                          workers along the solid waste "stream" and at land fills. The new EPA
                                                          guidance is published in two brochures: Protecting Your Community
                                                          from Sharps: Options for Safe Disposal of Sharps and Protect Yourself,
                                  EPA guidance -          Protect Others: Safe Options for Needle Disposal.
                                  Safer needle, sharps                                                                                        http://www.premierinc.com/all/safet
                Sharps Injury     disposal in public                                                                                          y/publications/02-05-downloads/10-
February   2005 Prevention        areas                                                                                                       med-govt.pdf
                                                          A free copy of the book, "Preventing Occupational Exposures to
                                  Preventing              Bloodborne Pathogens," a collection of articles from Advances in
                                  Occupational            Exposure Prevention (1994 to 2003), is available from the Premier                   Order free copies of the book
                                  Exposures to            Safety Store. This 235-page book is edited by Jeannie Jagger and Jane               from the Premier Safety Store at:
                Sharps Injury     Bloodborne              Perry from the International Healthcare Worker Safety Center at the                 http://www.premierinc.com/all/safet
December   2004 Prevention        Pathogens               University of Virginia.                                                             y/store/


                                                                                                                                              Document:
                                                          A list of journal articles published between 1988 and 2004 that pertains            http://www.premierinc.com/all/safet
                                                          to the review, selection, testing, or evaluation of safer needle devices.           y/resources/needlestick/downloads/
                                                          The document, titled "Articles and abstracts," includes a list of selected          sharps-journal-lit-listing-abstract-
                                  Literature review for   references, followed by the citation and full abstract. Detailed analysis           08-04.doc                Tabular
                                  review, selection,      of the same journal list is provided in a tabular summary format (link              format:
                                  testing or evaluation   below), permitting ease in sorting the journals by: study focus, author,            http://www.premierinc.com/all/safet
                 Sharps Injury    of safer needle         journal, title, population-setting, study design, key findings-summary,             y/resources/needlestick/downloads/
Sept        2004 Prevention       devices                 conclusions and key words for searching.                                            sharps-journal-lit-analysis-08-04.xls


                                  Sequence for            A poster from the Centers for Disease Control and Prevention (CDC)
                                  Donning and             that describes the order for donning and removing personal protective
                                  Removing Personal       equipment may be downloaded. Entitled ―Sequence for Donning and                     http://www.premierinc.com/all/safet
                Sharps Injury     Protective              Removing Personal Protective Equipment (PPE),‖ the poster (643 KB)                  y/publications/05-04-downloads/09-
May        2004 Prevention        Equipment (PPE)         is available in both English and Spanish.                                           ppeposter-1322.pdf


                                                          The ―Frequently Asked Questions‖ (FAQs) regarding sharps safety
                                                          were updated following a recent Premier-sponsored audio conference
                                                          that featured speakers from OSHA and CDC. Issues addressed
                                                          include specific devices, device selection, evaluation and replacement,             http://www.premierinc.com/all/safet
                Sharps Injury     Frequently Asked        worker training and compliance, record keeping, schedules and                       y/resources/needlestick/downloads/
April      2004 Prevention        Questions               implementation and a list of OSHA resources.                                        OSHA-FAQs.pdf




            Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Sharps Injury Prevention
                                                                                             Premier Safety Share



                                                                                                                                  IHI
  Month     Year   Topic by Tab           Tool                                       Description                                  Tool                Location


                                                                                                                                         http://www.epa.gov/epaoswer/other
                                                                                                                                         /medical/sharps.htm, Disposal
                                                                                                                                         Tips for Home Health Care (patient
                                                                                                                                         flyer) (.pdf), Disposal Tips for
                                                                                                                                         Home Health Care (professional
                                                        A new at-home sharps disposal options based on the recommendations               brochure) (.pdf), New Information
                                                        of the Coalition for Safe Community Needle Disposal. It has added to             About Disposing of Medical
                 Sharps Injury    Sharps disposal       its current recommendations additional new options for disposal of               Sharps (.pdf)
March       2004 Prevention       information flyers    medical sharps outside the healthcare setting.


                                                        States the agency's policy on disposal of contaminated needles and
                                                        blood tube holders following blood-drawing procedures. The bulletin
                                                        also provides the most recent sharps injury data from the Exposure
                                                        Prevention Information Network. OSHA developed this ―Information
                                                        Regarding the Disposal of Contaminated Needles and Blood Tube
                                  Policy on             Holders Used for Phlebotomy‖ to provide relevant information regarding           http://my.premierinc.com/all/safety/
                 Sharps Injury    contaminated blood    its policy on the prohibition of contaminated needle removal from                publications/12-03-downloads/10-
December    2003 Prevention       tube holders          medical devices.                                                                 OSHA-tib-10-15-03.pdf

                                                                                                                                         A link to an order form, is available
                                                                                                                                         at:
                 Sharps Injury                          ECRI presents ratings of eight sharps disposal containers designed for           http://www.ecri.org/Newsroom/PR_
September   2003 Prevention       Health Devices        patient rooms or patient treatment areas.                                        Detail.asp?DN=20030828_73

                                                        The Premier Safety Institute's Bloodborne Pathogen (BBP) Assessment
                                  Bloodborne            Tool provides a comprehensive checklist for assessing compliance with
                 Sharps Injury    Pathogen (BBP)        OSHA's complete bloodborne pathogen rule, including considerations               Download the tool from the Sharps
August      2003 Prevention       Assessment Tool       for a complete sharps injury prevention program.                                 Injury Prevention module
                                                                                                                                         http://www.premierinc.com/all/safet
                                                     This site from the CDC’s Business/Labor division provides helpful                   y/publications/08-
                 Sharps Injury    HIV/AIDS workplace information and toolkits that help businesses tailor a program specific to          03_downloads/12_HIV_wkpl_mgr_
August      2003 Prevention       policy materials   their workplace.                                                                    kit.pdf
                                  ECRI - General        In addition to standard performance and human-factors design issues,
                 Sharps Injury    infusion pumps and    the report addresses patient safety, reflecting some exciting
December    2002 Prevention       patient safety        advancements in infusion pump technology                                         info@ecri.org
                 Sharps Injury    OSHA Compliance       OSHA compliance tools and resources for implementing a                           Premier Safety Web resource:
May         2002 Prevention       Tools                 comprehensive sharps injury prevention program.                                  OSHA compliance tools




            Excel: Premier / Modules / 7ef497c7-ad73-4557-bb14-110033031982.xls / Sharps Injury Prevention
  Month     Year   Topic by Tab            Tool                                       Description




                                                        Available resources include: An audio-conference with downloadable
                                                        materials, including DVT research slides, physician and nurse
                                                        assessments, sample order sets, and a recording of the audio
                                                        conference. A webcast on anticoagulation therapy includes speakers
                                                        from hospitals with successful anticoagulation therapy programs who
                                                        share their journey to reduce adverse events and discuss The Joint
                                                        Commission's 2008 National Patient Safety Goals for anticoagulation
                                                        therapy. Slides and an audio file of the webcast and other resources
                                                        also are available. An Informatics comparative data tools help users
                                                        identify potential problems, track progress and monitor variations,
                                                        enabling users to actively reduce the rates of DVT and other serious
                                                        avoidable conditions, establish performance benchmarks and share
                                                        best practice interventions. Premier’s "Performance Improvement
                                   Premier Safety       Portal" is a resource for clinicians to get information on performance
                                   Institute – QI and   improvement advice and best practices on key clinical quality and
                                   patient education    safety issues, including prevention of VTE. AHRQ Consumer’s Guide
                 Venous            tools for VTE        –just released in August 2008 Your Guide to Preventing and Treating
September   2008 Thromboembolism   prevention           Blood Clots.
IHI
Tool               Location




       http://www.premierinc.com/quality-
       safety/tools-
       services/safety/topics/Venous-
       Thromboembolism/venous-
       thromboembolism.jsp

				
DOCUMENT INFO
Description: Patient Falls Report Template document sample