These toolkits were published for use within specific improvement projects. The NC Quality Center and its Collaborative Partners are not responsible for any reprinted materials and encourage facilities to evaluate the adequacy and currency of any materials prior to use.
Falls Free: Promoting a National Falls Prevention Action Plan
In response to escalating concerns related to falls and fall-related injuries among the aging population, and to address the challenges and barriers related to a national falls prevention initiative, The National Council on the Aging (NCOA), with support from the Archstone Foundation and the Home Safety Council, is spearheading an initiative entitled Falls Free: Promoting a National Falls Prevention Action Plan. – See more at: http://www.ncoa.org/improve-health/center-for-healthy-aging/content-library/falls-free-promoting-a.html#sthash.L53z1mxx.dpuf
Preventing Pressure Ulcers in Hospitals
This toolkit for health care professionals in hospitals provides ways to implement effective pressure ulcer prevention practices through an interdisciplinary approach to care. The document includes an implementation guide with tools and resources, organized under six major questions to be used by a team leading the effort to plan and put the strategies into practice. The tools and resources are designed to be used by multiple audiences and for different purposes.
OB Hemorrhage Toolkit
The CMQCC OB Hemorrhage Expert Task Force, co-chaired by David Lagrew, MD and Audrey Lyndon, PhD, RN, has developed an Obstetric (OB) Hemorrhage Toolkit, “Improving Health Care Response to Obstetric Hemorrhage” released in July 2010 as a resource for health care providers to improve readiness, recognition, response and reporting of hemorrhage. Obstetric hemorrhage is a leading cause of pregnancy-related morbidity and mortality but has major opportunities for improved outcomes.
Reducing Avoidable Rehospitalizations How-to Guide
Delivering high-quality, patient-centered health care requires crucial contributions from many clinicians and staff across the continuum of health care, including the effective coordination of transitions between providers and care settings. Poor coordination of care across settings too often results in rehospitalizations, many of which are avoidable. Importantly, working to reduce avoidable rehospitalizations is one tangible step toward the dramatic improvement of health care quality and the experience of patients and families over time.
Effective Interventions to Reduce Rehospitalizations
Rehospitalization—patient admission to a hospital soon after discharge—is both common and costly. In the majority of situations, hospitalization is necessary and appropriate. However, nearly one in every five elderly patients who are discharged from the hospital is rehospitalized within 30 days. Many of these rehospitalizations are avoidable, and thus suggest a failure in the systems of establishing patients stably and safely in a new setting of care. Avoiding preventable rehospitalizations represents a win-win opportunity for patients and families, payers, health care purchasers, and providers.
Primary Care Transitions Change Package
From April 2012 to September 2013, nine North
Carolina primary care practices participated in a care
transitions learning collaborative. Each practice
agreed to pilot test and further develop a care
transitions change package based on the IHI STAAR
Initiative’s How-to Guide: Improving Transitions from
the Hospital to Post-Acute Care Settings to Reduce
Avoidable Rehospitalizations. The practices learned
and tested processes that would help them make
key changes prior to the visit, during the visit, and at
the end of the visit.
Reducing Readmissions NC – Community Engagement Toolkit
This tool can be used to organize and plan the community’s work. It provides guidance for getting the group established, completing the RCA, and determining which interventions will be implemented and monitored.
Medication Reconciliation Toolkit
The Medication Reconciliation Toolkit was developed by the North Carolina Center for Hospital Quality and Patient Safety in September 2006, and revised in Dec 2006. Portions of this toolkit are reproduced with permission of The Carolinas Center for Medical Excellence. The toolkit was designed for use with the North Carolina Medication Reconciliation Collaborative programs. The materials in this toolkit can be reproduced for the purpose of establishing medication reconciliation process in a hospital, but cannot be reproduced with intentions of commercial use.
©2006, The NC Center for Hospital Quality and Patient Safety
©2005, Carolinas Center for Medical Excellence
NC Eliminating MRSA Toolkit
The North Carolina Eliminating MRSA Tool Kit was developed by the North Carolina Center for Hospital Quality and Patient Safety in September 2007. The toolkit was designed for use with the North Carolina Eliminating Methicillin-Resistant Staphylocccus aureus (MRSA) Collaborative program. The materials in this toolkit can be reproduced for the purpose of establishing processes to eliminate MRSA in a hospital, but cannot be reproduced with intentions of commercial use.
©2007, The NC Center for Hospital Quality and Patient Safety
NC Rapid Response Team Toolkit
The North Carolina Rapid Response Team Partnership: A Learning Collaborative Tool Kit was developed by Hospital Patient Safety Services, a division of The Carolinas Center for Medical Excellence for the North Carolina Rapid Response Team Partnership in March 2006. The toolkit was designed for use with the Collaborative program. The materials in this Tool Kit can be reproduced for the purpose of establishing a rapid response team, but cannot be reproduced with intentions of commercial use. †Support for this Tool Kit was provided in part by a grant from the Robert Wood Johnson Foundation, Princeton, NJ.
©2006, The NC Rapid Response Team Partnership
NC Surgical Care Improvement Project Toolkit
The North Carolina Surgical Care Improvement Project Tool Kit was developed by the North Carolina Center for Hospital Quality and Patient Safety in August 2007. The toolkit was designed for use with the North Carolina Surgical Care Improvement Project Collaborative program. The materials in this toolkit can be reproduced for the purpose of establishing surgical care improvement process in a hospital, but cannot be reproduced with intentions of commercial use.
©2007, The NC Center for Hospital Quality and Patient Safety
The Color of Safety: NC Wristband Standardization Project
Following the American Hospital Association Quality Advisory asking all hospitals to consider the use of standardized colors for three patient alerts: PURPLE=DNR, RED=ALLERGIES, YELLOW=FALL RISK, the North Carolina Quality Center in partnership with a diverse taskforce, led the state-wide implementation of this recommendation. This toolkit was developed by the NC Taskforce in June 2009 to help healthcare organizations achieve this goal.