Fact Sheet/FAQs Five Steps to Safer Health Care. Citation Text: American Hospital Association; American Medical Association; U.S. Department of Health and Human Services. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL March 27, 2005 American Hospital Association; American Medical Association; U.S. Department of Health and Human Services. Free full text Free full text (PDF) Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: American Hospital Association; American Medical Association; U.S. Department of Health and Human Services. Copy Citation Related Resources From the Same Author(s) The National Healthcare System Action Alliance for Patient and Workforce Safety. November 14, 2022 - November 14, 2022 Partnership for Patients. April 13, 2011 National Action Alliance to Advance Patient and Workforce Safety Webinar Series. September 26, 2023 - September 26, 2023 Medicare and Medicaid programs; reform of requirements for long-term care facilities; proposed rule. July 29, 2015 Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors. July 18, 2007 AHRQ Health Services Research Projects: Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R01). March 4, 2015 Sentinel Event Program. August 14, 2013 Request for comments on the proposed measures and 2020 targets for the National Action Plan for Adverse Drug Event Prevention: inpatient and outpatient measures for reduction of adverse drug events from anticoagulants, diabetes agents, and opioid analgesics. November 2, 2016 Looking Collectively at Risk. March 6, 2005 Heparin-containing medical devices and combination products: recommendations for labeling and safety testing. Draft guidance for industry and Food and Drug Administration staff. August 5, 2015 HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. October 30, 2019 2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report. March 20, 2024 Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections. July 20, 2011 SAFER Guides: What You Need to Know. November 19, 2014 New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings. May 21, 2014 Hand Hygiene Project: Best Practices from Hospitals Participating in the Joint Commission Center for Transforming Healthcare Project. December 8, 2010 AHRQ Health Services Research Project: Partners Enabling Diagnostic Excellence (R01). April 3, 2019 Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. August 27, 2008 Stem the Tide: Addressing the Opioid Epidemic. November 8, 2017 Patient Safety. October 29, 2008 Adverse Drug Events. March 26, 2014 2005 Quest for Quality Prize. October 5, 2005 Patient Safety Reporting System. April 26, 2006 MRIs and sandbags filled with metal shot. June 14, 2006 Medication Management: Detailed Use Case. July 4, 2007 Center for Patient Safety. July 13, 2005 Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying Opportunities for Improvement. October 10, 2012 Physician's Guide to Patient Safety Organizations. August 4, 2010 Cybersecurity for the Clinician. October 18, 2023 Hospital Performance Report. October 28, 2021 AMA Prior Authorization (PA) Physician Survey. March 15, 2023 Best Practices in Developing Proprietary Names for Human Prescription Drug Products Guidance for Industry. December 23, 2020 Eliminating Dangerous Abbreviations, Acronyms and Symbols. July 6, 2005 Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment. June 2, 2021 Safety Considerations for Container Labels and Carton Labeling Design to Minimize Medication Errors: Guidance for Industry. May 25, 2022 Best Practices in Developing Proprietary Names for Human Nonprescription Drug Products. January 13, 2021 Patient Safety Organizations: Hospital Participation, Value, and Challenges. October 16, 2019 Patient Safety and Quality Improvement; Final Rule. October 22, 2008 TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety. July 23, 2023 July 2011 Author in the Room Teleconference. January 30, 2005 Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing. August 9, 2017 Trends in Nursing Home Deficiencies and Complaints. October 29, 2008 Physician-Owned Specialty Hospital's Ability to Manage Medical Emergencies. January 23, 2008 Patient safety leader reflects on ‘To Err is Human’ report December 11, 2019 The Food and Drug Administration's National Drug Code Directory. September 6, 2006 National Action Plan to Improve Health Literacy. June 16, 2010 Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. June 29, 2016 Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. November 24, 2010 Adverse Events in Hospitals: Methods for Identifying Events. March 17, 2010 Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries. July 27, 2016 Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. January 9, 2019 Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. January 18, 2012 Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. August 1, 2012 Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events. November 16, 2011 Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. March 19, 2014 Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals. February 11, 2015 Adverse Events Toolkit: Medical Record Review Methodology. July 26, 2023 Adverse Events Toolkit: Clinical Guidance for Identifying Harm July 19, 2023 Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. February 18, 2009 Adverse Events in Hospitals: State Reporting Systems. January 14, 2009 Adverse Events in Hospitals: Overview of Key Issues. January 14, 2009 Adverse Events in Hospitals: Public Disclosure of Information About Events. January 20, 2010 Ensuring Healthcare Safety Throughout the COVID-19 Pandemic. June 10, 2020 Indiana Patient Safety Center. August 17, 2016 Patient Safety. February 13, 2013 ANA CAUTI Prevention Tool. April 8, 2015 Research in Ambulatory Patient Safety 2000-2010: A 10-Year Review. January 4, 2012 Reducing the Risk by Designing a Safer, Shame-free Health Care Environment. September 26, 2007 National Action Plan for Adverse Drug Event Prevention. September 24, 2014 Addressing nurse fatigue to promote safety and health: joint responsibilities of registered nurses and employers to reduce risks. September 14, 2016 Leading a Strategic Planning Effort. March 6, 2005 Association of measured quality with financial health among U.S. hospitals. May 4, 2022 Winning the battle for standardization. November 7, 2007 Diagnostic Safety Toolkit. May 27, 2020 There and Home Again, Safely. February 20, 2013 Medication Errors. 2nd ed. November 1, 2006 Wristband Color Standardization. September 26, 2007 Preventable Hospitalizations: A Window Into Primary and Preventive Care, 2000. March 27, 2005 Better Health for Mothers and Babies. May 29, 2019 AHA Patient Safety Initiative. January 10, 2024 American Hospital Association–McKesson Quest for Quality Prize. August 2, 2023 The Patient-Centered Medical Home: Strategies to Put Patients at the Center of Primary Care. March 6, 2005 Medication safety issue brief. Counterfeit drug prevention and identification. September 21, 2005 Creating a culture of accountability promotes safe medical care. November 21, 2018 Eliminating Harm Checklists: Reduce All-Cause, Preventable Harm. May 25, 2016 Profiles in Excellence: Quality Improvement Lessons--Parts 1 and 2. November 11, 2015 Pathways for Patient Safety. February 11, 2009 Safe Handover: Safe Patients. January 24, 2007 Recommendations for Safe Use of Insulin in Hospitals. February 8, 2006 Partnership for Patients (PfP) Hospital Engagement Network (HEN) 2.0 Final Report. October 19, 2016 Implication of the COVID-19 Pandemic for Patient Safety: A Rapid Review. August 24, 2022 Medication Without Harm: WHO's Third Global Patient Safety Challenge. April 26, 2017 CMPA Good Practices Guide. March 8, 2017 A culture of safety in EMS systems. October 20, 2021 Bringing a ‘Systemness’ Focus to Quality, Safety, and Patient Experience. December 7, 2023 - December 7, 2023 Hospital Compare. May 13, 2021 Overall Hospital Quality Star Ratings. April 1, 2021 Care Compare. July 1, 2020 Nursing Home Compare. March 6, 2005 Cutaneous Procedures Adverse Events Reporting (CAPER). March 17, 2021 View More Related Resources What Do You Do If You Think You Have Been Harmed By Your Healthcare. February 28, 2024 Five Medication Safety Tips for Older Adults. February 15, 2024 National Healthcare Quality and Disparities Reports. January 9, 2024 Speak Up [brochures]. May 1, 2023 How To Create a My Medicines List. October 13, 2022 HEAR Her Concerns. April 6, 2022 Accidental exposures to fentanyl patches continue to be deadly to children. July 21, 2021 FDA advises health care professionals and patients about insulin pen packaging and dispensing. October 28, 2020 FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctions and user administration. April 8, 2020 Choosing a Patient Safety Organization March 1, 2020 Sepsis Smart. October 30, 2019 10 Medication Safety Tips for Hospitalized Patients. September 25, 2019 Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative Database Report. April 17, 2019 Visual acuity, literacy, and unintentional misuse of nonprescription medications. June 13, 2018 RxAwareness. October 25, 2017 Health Literacy Tools for Providers of Medication Therapy Management. August 16, 2017 All consumer medication information is not created equal: implications for medication safety. April 19, 2017 Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families. March 22, 2017 Making health care safer. Think sepsis. Time matters. September 7, 2016 Blood Thinner Pills: Your Guide to Using Them Safely. September 21, 2015 AHRQ Health Literacy Universal Precautions Toolkit. 2nd edition. July 1, 2015 FDA requires label warnings to prohibit sharing of multi-dose diabetes pen devices among patients. March 11, 2015 Explicit and Standardized Prescription Medicine Instructions. January 21, 2015 FDA Pharmacists Help Consumers Use Medicines Safely. November 19, 2014 Patient Safety Briefing Film. November 5, 2014 My Medicines. July 9, 2014 Medication Safety Program. June 11, 2014 Be an Active Member of Your Health Care Team. May 21, 2014 Safety Problems With Your Child's Medical Device? July 31, 2013 Making Medical Devices Safer at Home. January 9, 2013 View More See More About The Topic Patients Health Literacy Improvement Patient Education
The National Healthcare System Action Alliance for Patient and Workforce Safety. November 14, 2022 - November 14, 2022
National Action Alliance to Advance Patient and Workforce Safety Webinar Series. September 26, 2023 - September 26, 2023
Medicare and Medicaid programs; reform of requirements for long-term care facilities; proposed rule. July 29, 2015
Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors. July 18, 2007
AHRQ Health Services Research Projects: Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R01). March 4, 2015
Request for comments on the proposed measures and 2020 targets for the National Action Plan for Adverse Drug Event Prevention: inpatient and outpatient measures for reduction of adverse drug events from anticoagulants, diabetes agents, and opioid analgesics. November 2, 2016
Heparin-containing medical devices and combination products: recommendations for labeling and safety testing. Draft guidance for industry and Food and Drug Administration staff. August 5, 2015
HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. October 30, 2019
2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report. March 20, 2024
New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings. May 21, 2014
Hand Hygiene Project: Best Practices from Hospitals Participating in the Joint Commission Center for Transforming Healthcare Project. December 8, 2010
Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. August 27, 2008
Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying Opportunities for Improvement. October 10, 2012
Best Practices in Developing Proprietary Names for Human Prescription Drug Products Guidance for Industry. December 23, 2020
Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment. June 2, 2021
Safety Considerations for Container Labels and Carton Labeling Design to Minimize Medication Errors: Guidance for Industry. May 25, 2022
Best Practices in Developing Proprietary Names for Human Nonprescription Drug Products. January 13, 2021
Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. June 29, 2016
Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries. July 27, 2016
Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. January 9, 2019
Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. August 1, 2012
Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. March 19, 2014
Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. February 18, 2009
Addressing nurse fatigue to promote safety and health: joint responsibilities of registered nurses and employers to reduce risks. September 14, 2016
The Patient-Centered Medical Home: Strategies to Put Patients at the Center of Primary Care. March 6, 2005
Bringing a ‘Systemness’ Focus to Quality, Safety, and Patient Experience. December 7, 2023 - December 7, 2023
FDA advises health care professionals and patients about insulin pen packaging and dispensing. October 28, 2020
FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctions and user administration. April 8, 2020
Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative Database Report. April 17, 2019
All consumer medication information is not created equal: implications for medication safety. April 19, 2017
Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families. March 22, 2017
FDA requires label warnings to prohibit sharing of multi-dose diabetes pen devices among patients. March 11, 2015