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The Hospital Leaders Toolbox provides leaders – from the boardroom to the front line – with concepts, tools, and resources to win the war on healthcare harm.
The Toolbox, on DVD, will be sent for FREE to all U.S. hospitals including the full version of the Chasing Zero documentary. Extra copies may be ordered here.
See our featured video, Ground Zero: The Boardroom, Not the Bedside, in the player below.
Click here for terms and conditions of use for Chasing Zero: Winning the War on Healthcare Harm documentary and the Hospital Leaders Toolbox
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HHS: 1 In 7 Experiences Adverse Event During Hospital Stay
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The Department of Health and Human Services, Office of the Inspector General, released an important report related to patient safety on November 16, 2010, entitled Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries – featured in an article on USAToday.com. To download the report, click here.
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Leaders Toolbox
Infections: Concepts, Tools, and Available Resources
Click on the Safe Practice title or the expand button below to list the Concepts, Tools, and Resources available for you.
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SP 21: Central Line-Associated Bloodstream Infection Prevention
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| CONCEPTS |
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| TOOLS |
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IHI Improvement Map: Central Line Bundle (2009)
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View the improvement map.
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The IHI Improvement Map is an interactive online tool that distills the best knowledge available on the key process improvements that lead to exceptional patient care. Processes can be browsed or directly searched. Each process contains an overview of the issue detailing critical elements and measures, reasons a...
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| RESOURCES |
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AHRQ: National Healthcare Disparities Report (2008)
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View the document.
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Examining health care disparities is an integral part of improving health care quality. Health care disparities
are the differences or gaps in care experienced by one population compared with another population. As the
National Healthcare Quality Report (NHQR) shows,Americans too often do not receive care that t...
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AHRQ: National Healthcare Quality Report (2008)
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View the document.
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Health care helps people stay healthy, recover from illness, live with chronic disease or disability, and cope with dying. Quality health care delivers these services in a way that is safe, timely, patient centered, efficient, and equitable. Unfortunately, Americans too often do not receive care that they need or...
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IHI: Implement the Central Line Bundle (2009)
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View the website.
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Central venous catheters (CVCs) are being increasingly used in the inpatient and outpatient settings to provide long-term venous access. CVCs disrupt the integrity of the skin, making infection with bacteria and/or fungi possible. Infection may spread to the bloodstream (bacteremia) and hemodynamic changes and o...
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Prevention of intravascular catheter-associated infections
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Saint S
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AHRQ evidence report, number 43, July 20, 2001. Ch 16. View the document.
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Summary
Central venous catheters inserted for short-term use have become common and important devices in caring for hospitalized patients, especially the critically ill. While they haveimportant advantages (e.g., ability to administer large volumes of fluid), short-term vascular catheters are...
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Prevention of intravascular catheter-related infections
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Mermel LA
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Ann Intern Med. 2000;132(5):391-402. View the document.
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Purpose
To review the literature on prevention of intravascular catheter-related infections.
Data Sources
The MEDLINE database, conference proceedings, and bibliographies of review articles and book chapters were searched for relevant articles. Primary authors were contac...
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SP 22: Surgical-Site Infection Prevention
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| CONCEPTS |
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There are no concepts available at this time.
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| TOOLS |
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IHI Improvement Map: Antibiotic Stewardship (2009)
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View the improvement map.
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The IHI Improvement Map is an interactive online tool that distills the best knowledge available on the key process improvements that lead to exceptional patient care. Processes can be browsed or directly searched. Each process contains an overview of the issue detailing critical elements and measures, reasons a...
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IHI Improvement Map: Surgical Checklist (2009)
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View the improvement map.
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The IHI Improvement Map is an interactive online tool that distills the best knowledge available on the key process improvements that lead to exceptional patient care. Processes can be browsed or directly searched. Each process contains an overview of the issue detailing critical elements and measures, reasons a...
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IHI: Surgical Site Infections (2009)
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View the website.
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Many organizations have developed tools in the course of their improvement efforts — successful protocols, order sets and forms, instructions and guidelines for implementing key changes — and are making them available on IHI.org for others to use or adapt in their own organizations.
We have posted too...
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| RESOURCES |
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AHRQ: National Healthcare Disparities Report (2008)
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View the document.
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Examining health care disparities is an integral part of improving health care quality. Health care disparities
are the differences or gaps in care experienced by one population compared with another population. As the
National Healthcare Quality Report (NHQR) shows,Americans too often do not receive care that t...
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AHRQ: National Healthcare Quality Report (2008)
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View the document.
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Health care helps people stay healthy, recover from illness, live with chronic disease or disability, and cope with dying. Quality health care delivers these services in a way that is safe, timely, patient centered, efficient, and equitable. Unfortunately, Americans too often do not receive care that they need or...
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AHRQ: Prevention of Surgical Site Infections (2009)
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View the document.
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Surgical site infections (SSI) include superficial incisional infections, infections of the
deep incision space and organ space infections.1,2 A large body of evidence supports the premise
that SSIs can be prevented through administration of appropriate prophylactic antibiotics. Two
national organizations, the...
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An Introduction to Surgical Site Infections (2005)
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View the website.
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Before the mid-19th century, surgical patients commonly developed postoperative “irritative fever,” followed by purulent drainage from their incisions, overwhelming sepsis, and often death. It was not until the late 1860s, after Joseph Lister introduced the principles of antisepsis, that postoperative infectious m...
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Hospital infection issue sparks unusual patient protest in Kentucky
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No Authors Listed
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Modern Healthcare. 2007 Aug 7. Download the PDF.
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Ask hospital executives what keeps them up at night, and it's highly unlikely they could conjure up a "Twilight Zone'' scenario as
disturbing as this one: While local television cameras capture the scene for the 6 p.m. news, dozens of former patients stage a
loud, angry protest on the sidewalk outside the hospit...
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Strategies to Prevent Surgical Site Infections in Acute Care Hospitals (2008)
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Polk Jr HC
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Infect Control Hosp Epidemiol.
2008 Oct;29 Suppl 1:S51-61.
Download the PDF.
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Previously published guidelines are available that provide
comprehensive recommendations for detecting and preventing
healthcare-associated infections. The intent of this document
is to highlight practical recommendations in a concise
format designed to assist acute care hospitals to implement
and prioritize...
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SP 23: Daily Care of the Ventilated Patient
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| CONCEPTS |
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There are no concepts available at this time.
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| TOOLS |
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IHI Improvement Map: Ventilator Bundle (2009)
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View the improvement map.
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The IHI Improvement Map is an interactive online tool that distills the best knowledge available on the key process improvements that lead to exceptional patient care. Processes can be browsed or directly searched. Each process contains an overview of the issue detailing critical elements and measures, reasons a...
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| RESOURCES |
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AHRQ: Prevention of Ventilator-Associated Pneumonia (2009)
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View the website.
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Ventilator-associated pneumonia (VAP) is a leading cause of morbidity and mortality in the intensive care unit (ICU). The incidence of VAP varies greatly, ranging from 6 to 52% of intubated patients depending on patient risk factors. The cumulative incidence is approximately 1-3% per day of intubation. Overall, VA...
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An Overview of Ventilator-Associated Pneumonia (2005)
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View the website.
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Pneumonia has accounted for approximately 15% of all hospital-associated infections and 27% and 24% of all infections acquired in the medical intensive-care unit (ICU) and coronary care unit, respectively. It has been the second most common hospital-associated infection after that of the urinary tract. The primary...
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SP 24: Multidrug-Resistant Organism Prevention
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| CONCEPTS |
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There are no concepts available at this time.
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| TOOLS |
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IHI Improvement Map: Antibiotic Stewardship (2009)
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View the improvement map.
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The IHI Improvement Map is an interactive online tool that distills the best knowledge available on the key process improvements that lead to exceptional patient care. Processes can be browsed or directly searched. Each process contains an overview of the issue detailing critical elements and measures, reasons a...
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IHI Improvement Map: Infection Prevention (2009)
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View the improvement map.
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The IHI Improvement Map is an interactive online tool that distills the best knowledge available on the key process improvements that lead to exceptional patient care. Processes can be browsed or directly searched. Each process contains an overview of the issue detailing critical elements and measures, reasons a...
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IHI Improvement Map: Standard Precaustions (2009)
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View the improvement map.
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The IHI Improvement Map is an interactive online tool that distills the best knowledge available on the key process improvements that lead to exceptional patient care. Processes can be browsed or directly searched. Each process contains an overview of the issue detailing critical elements and measures, reasons a...
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TJC: Complimentary MDRO Toolkit (2009)
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View the website.
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Multidrug-resistant organisms (MDROs) prevention and control is one of the most complex management issues that health care executives face. The clinical and financial burden to patients and health care providers is staggering. According to Barbara Soule, JCR Practice Leader, Infection Prevention and Control Servic...
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| RESOURCES |
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AHRQ: National Healthcare Quality Report 2008
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View the document.
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Health care helps people stay healthy, recover from illness, live with chronic disease or disability, and cope with dying. Quality health care delivers these services in a way that is safe, timely, patient centered, efficient, and equitable. Unfortunately, Americans too often do not receive care that they need or...
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SP 25: Catheter-Associated Urinary Tract Infection Prevention
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| CONCEPTS |
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There are no concepts available at this time.
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| TOOLS |
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IHI Improvement Map: Central Line Bundle (2009)
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View the improvement map.
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The IHI Improvement Map is an interactive online tool that distills the best knowledge available on the key process improvements that lead to exceptional patient care. Processes can be browsed or directly searched. Each process contains an overview of the issue detailing critical elements and measures, reasons a...
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| RESOURCES |
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AHRQ: Prevention of Nosocomial Urinary Tract Infections (2009)
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View the website.
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Many hospitalized patients require the placement of indwelling urinary catheters for days or even weeks at a time. Only a minority of patients develop urinary tract infections because of the presence of these devices, but the frequency of their use produces substantial overall morbidity for patients and costs to t...
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AHRQ: National Healthcare Disparities Report 2008
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View the document.
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Examining health care disparities is an integral part of improving health care quality. Health care disparities
are the differences or gaps in care experienced by one population compared with another population. As the
National Healthcare Quality Report (NHQR) shows,Americans too often do not receive care that t...
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AHRQ: National Healthcare Quality Report 2008
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View the document.
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Health care helps people stay healthy, recover from illness, live with chronic disease or disability, and cope with dying. Quality health care delivers these services in a way that is safe, timely, patient centered, efficient, and equitable. Unfortunately, Americans too often do not receive care that they need or...
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Chasing Zero® is a registered trademark of CareFusion Corporation.
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