COVID-19 Impact

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PSNet: Patient Safety Network

  Patient Safety Primers

COVID-19 and Dentistry: Challenges and Opportunities for Providing Safe Care

The outbreak of coronavirus disease 2019 (COVID-19) effectively shut down approximately 198,000 active dental practitioners in the USA. As individual states begin to resume dental care, discussion has centered on how to provide safe oral healthcare given the nature of the virus and how easily it may be dispersed during common dental procedures. The widespread transmission of the coronavirus (SARS-CoV-2) places dental teams at high risk for becoming infected and falling ill with COVID-19, as well as transmitting the virus to other patients, due to the unique nature of dental care interventions. This primer summarizes best practices for infection control and prevention in the dental office setting, reviews Department of Health and Human Services (HHS) guidance on treating dental patients with suspected or confirmed COVID-19, discusses access issues for patients needing oral healthcare, and offers various Federal and professional resources to support the reconfiguration of dental practice, the implementation of tele-dentistry, and the prioritization of dental care needs after practices reopen. This primer concludes with key policy and research priorities to support safe and effective dental care during and after the COVID-19 pandemic.

  Patient Safety Primers

Coronavirus Disease 2019 (COVID-19) and Diagnostic Error

Diagnostic error has been increasingly recognized as an important and evolving patient safety issue. This Primer applies well-established principles of diagnostic error and improvement of diagnostic accuracy to the topic of COVID-19.

  Patient Safety Primers

COVID-19: Team and Human Factors to Improve Safety
This primer describes stressors relevant to the healthcare response to the COVID-19 pandemic from the perspective of care deliverers and the significant personal toll the pandemic is taking on individuals who work in the healthcare system. This primer highlights foundational patient safety strategies – signage, workflow review and redesign, checklists and simulations – whose implementation is more important than ever for keeping patients and healthcare providers safe in the age of COVID-19.

  Patient Safety Primers

Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults
Residents living in nursing homes or residential care facilities use common dining and activity spaces and may share rooms, which increases the risk for transmission of COVID-19 infection. This document describes key patient safety challenges facing older adults living in these settings, who are particularly vulnerable to the effects of the virus, and identifies federal guidelines and resources related to COVID-19 prevention and mitigation in long-term care. As of April 13, 2020, the Associated

  Patient Safety Primers

Discharge Planning and Transitions of Care
Discharge planning is an essential part of transitions of care, during which patients are often at a higher risk for adverse events and harm. It is important for all healthcare providers to identify risk factors prior to transitioning patients and put plans in place as part of the discharge plan to mitigate harm. Effective discharge planning between the discharging and accepting healthcare teams can help reduce adverse events.

  Patient Safety Primers

Improving Patient Safety and Team Communication through Daily Huddles

Communication failures among healthcare personnel are significant contributors to medical errors and patient harm.  This new primer provides an overview of “huddles”, a technique to enhance team communication that has been shown to reduce the risk for harm. The “Huddles” primer provides a definition along with when and how huddles might be used to improve patient safety.

  Patient Safety Primers

Clinical Decision Support Systems
Clinical decision support systems provide information or recommendations to help clinicians make safe and evidence-based decisions. The use and sophistication of these systems have grown markedly over the past decade, due to widespread implementation of electronic health records and advances in clinical informatics.

  Patient Safety Primers

Maternal Safety
Pregnancy, childbirth, and the postpartum year present a complex set of patient safety challenges. Numerous maternal safety initiatives aim to prevent errors and harm, while enhancing readiness to address maternal complications.

  Patient Safety Primers

Burnout
Burnout among health care professionals is highly prevalent. Current work focuses on understanding burnout and clinician well-being as system-level concerns that can influence safety, quality, and organizational performance.

  Patient Safety Primers

Opioid Safety
Over the past decade, the opioid epidemic has taken the lives of tens of thousands of patients. Much of the epidemic can be ascribed to inappropriate prescribing of opioids, despite knowledge of the safety risks they pose. Current efforts to improve opioid safety have primarily focused on reducing opioid prescribing.