Table 57.4 Patient Safety Practices with Lower Impact and/or Strength of Evidence

ChapterPatient Safety TargetPatient Safety PracticeImplementation Cost/Complex
16.3Central venous catheter-related bloodstream infectionsCleaning site (povidone-iodine to chlorhexidine)Low
16.4Central venous catheter-related bloodstream infectionsUse of heparinLow
16.4Central venous catheter-related bloodstream infectionsTunneling short-term central venous cathetersMedium
29Hospital-acquired complications (eg, falls, delirium, functional decline, mortality)Geriatric consultation servicesHigh
37.1Inadequate pain relief in patients with abdominal pain in hospital patientsUse of analgesics in the patient with acute abdomen without compromising diagnostic accuracyLow
45Adverse events due to provider inexperience or unfamiliarity with certain procedures and situationsSimulator-based trainingMedium
11Adverse drug events (ADEs) in drug dispensing and/or administrationUse of automated medication dispensing devicesMedium
12Hospital-acquired infectionsImprove handwashing compliance (via education/behavior change; sink technology and placement; washing substance)Low
49Failure to honor patient preferences for end-of-life careUse of physician order form for life-sustaining treatment (POLST)Low
43.1Adverse events due to patient misidentificationUse of bar codingMedium (Varies)
10Adverse drug events (ADEs) in dispensing medicationsUnit-dosing distribution systemLow
24Critical events in anesthesiaIntraoperative monitoring of vital signs and oxygenationLow
42.2Adverse events during cross-coverageStandardized, structured sign-outs for physiciansLow
44Adverse events related to team performance issuesApplications of aviation-style crew resource management (eg, Anesthesia Crisis Management; MedTeams)High
46Adverse events related to fatigue in health care workersLimiting individual provider's hours of serviceHigh

From: 57, Practices Rated by Strength of Evidence

Cover of Making Health Care Safer
Making Health Care Safer: A Critical Analysis of Patient Safety Practices.
Evidence Reports/Technology Assessments, No. 43.
Shojania KG, Duncan BW, McDonald KM, et al., editors.

NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.